Chapter 9:
Creating Culturally Competent Health Care Organizations
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1
Defining a Culturally Competent Health Care Organization #1
A culturally competent organization is an organization that provides services that are respectful of and responsive to the cultural and linguistic needs of the clients they serve.
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Defining a Culturally Competent Health Care Organization #2
Cultural competence includes providing respectful care that is consistent with cultural health beliefs of the clients and family members, with consideration of:
Age, culture, ethnicity, gender, language, race, religion, sexual preference, gender identity, and socioeconomic status
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Question #1
Is the following statement true or false?
To be culturally competent, an organization should provide respectful care that is consistent with cultural health beliefs of the clients, family members, and staff.
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Answer to Question #1
True
Rationale: Humans need care to survive, thrive, and grow. According to Leininger (1996), organizations need to incorporate universal care constructs, including respect and genuine concern for clients and staff.
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The Need for Culturally Competent Organizations: External Motivations
The need for culturally competent organizations has been recognized by many external agencies, including:
Transcultural Nursing Society (TCNS)
American Nurses Association (ANA)
Sigma Theta Tau International (STTI)
American Organization of Nurse Executives (AONE)
The Joint Commission
The Institute of Medicine (IOM)
National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS Standards)
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The Need for Culturally Competent Organizations: Eliminating Health Disparities #1
Racial and ethnic disparities influence unequal health care treatment.
Disparities in health are “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage” (Healthy People, 2020).
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The Need for Culturally Competent Organizations: Eliminating Health Disparities #2
Key factors in achieving good health outcomes include:
Access (getting into the health care system)
Quality care (receiving appropriate, safe, and effective health care in a timely manner)
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Question #2
Which of the following would support Access and Quality of Care issues in eliminating health disparities?
Universal health care coverage
Organizational culture
Joining TCNS
External auditing of health care organiza ...