Cultural diversity and health care
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Cultural diversity and health care

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Cultural diversity and health care Cultural diversity and health care Presentation Transcript

  • Cultural DiversityIn Health Care
  • Cultural Diversity and Health Care
    • We All Have It! Obvious Manifestations:
    • Religion
    • Ethnicity (Race)
    • National Origin (Language)
    • Gender
  • Cultural Diversity and Health Care
    Less Obvious Manifestations:
    • Age
    • Educational Status
    • Mobility (including handicaps)
    • Sexual Orientation
  • Cultural Diversity and Health Care
    What is Culture?
    The values, beliefs, standards, language, thinking patterns, behavioral norms, communications styles, etc. shared by a group of people. It guides decisions and actions of a group through time.
    We have an obligation to be respectful and sensitive to another's belief system. Healthcare workers must be culturally competent and comfortable with those they serve. Healthcare workers should understand how their own personal biases and values influence communication with patients, families, and co-workers.
  • Cultural Diversity and Health Care
    Cultural Sensitivity
    The ability to be open to learning about and accepting of different cultural groups.
    Multiculturalism
    The recognition and acknowledgement that society is pluralistic. In addition to the dominant cultural, there exists many other cultures based around ethnicity, sexual orientation, geography, religion, gender, and class.
  • Cultural Diversity and Health Care
    CULTURAL COMPETENCE
    • The understanding of diverse attitudes, beliefs, behaviors, practices, and communication patterns attributable to a variety of factors (such as race, ethnicity, religion, SES, historical and social context, physical or mental ability, age, gender, sexual orientation, or generational and acculturation status).
    • A health care provider is culturally competent when he/she is able to deliver culturally appropriate and specifically tailored care to patients with diverse values, beliefs, and behaviors.
    • Providing culturally competent care is an advocated strategy for reducing heath disparities.
  • Continuum of Cultural Competency
    Cultural Proficiency
    implement changes to improve services based upon cultural needs
    Cultural Competence
    recognize individual & cultural differences, seek advice from diverse groups, hire culturally unbiased staff
    Cultural Pre-Competence
    explore cultural issues, are committed, assess needs of organization and individuals
    Cultural Blindness
    differences ignored, “treat everyone the same”, only meet needs of dominant groups
    Cultural Incapacity
    racism, maintain stereotypes, unfair hiring practices
    Cultural Destructiveness
    forced assimilation, subjugation, rights and privileges for dominant groups only
    SAMHSA
  • Cultural Diversity and Health Care
    Acquiring Cultural Competence Reduces the chance of stereotyping
    • Starts with Awareness
    • Grows with Knowledge
    • Enhanced with Specific Skills
    • Polished through Cross-Cultural Encounters
  • Acquiring
    Cultural Competence
    Ask yourself these questions:
    • Who are my patients, families and co-workers?
    • How can I learn about them?
    • What are my beliefs about this group?
    Acquire knowledge of the cultural values, beliefs and practices of your customers:
    • Ask questions
    • Listen
    • Account for language issues
    • Be aware of communication styles
  • Acquiring
    Culturally Competence
    Be sensitive to personal health beliefs and practices:
    • Special foods, drinks, objects or clothes
    • Avoidance of certain foods, people or places
    • Customary rituals or people used to treat the illness
    • Will the patient take medicine even when he/she doesn't feel sick?
    • Is the patient taking other medicines or anything else to help him feel well?
    • Who in the family makes decisions about health care?
    • Are illnesses treated at home or by a community member?
  • Acquiring Cultural Competence
    Be sensitive to language barriers:
    • Does the patient understand any English?
    • Consider literacy level
    • Use visual aids and demonstrate procedures
    • Check understanding
    • Is an interpreter necessary?
  • AcquiringCultural Competence
    Consider body language:
    • Eye contact
    • Touching
    • Personal space
    • Privacy/modesty
    Other cultural factors to consider:
    • Gender
    • Wealth or social status
    • Presence of a disability
    • Sexual orientation
  • Acquiring
    Cultural Competence
    Consider Religious/Spiritual factors
    Are there sensitivities/beliefs associated with:
    • Birth, death
    • Certain treatments, blood products
    • Prayer, medication and worship
    • Food preparation, clothing, special objects, and gender practices
  • Ways to Facilitate Communication
    Across Cultural Boundaries
    Recognize differences
    Build your self-awareness
    Describe and identify, then interpret
    Don’t assume your interpretation is correct
    Verbalize your own non-verbal signs
    Share your experience honestly
    Acknowledge any discomfort, hesitation, or concern
    Practice politically correct communication
    Give your time and attention when communicating
    Don’t evaluate or judge
  • Cultural Diversity and Health Care
    It is because we are different that each of us is special.