AFACCT 2023 Conference

1. Cultural and
Linguistic
Competence in
Healthcare
AFACCT Presentation
January 12, 2023
This is a recorded
presentation
Presented by
Mirlina E. Bryant DMD
Please MUTE
your mics
during the
presentation
1 CE credit is
available for
Dental
Professionals
Enter your
Full Name
and Email in
the Chat

2. Hola!
I am Dr. Mirlina Bryant
Supervising Dentist
Howard Community College
mbryant@howardcc.edu
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3. Cultures and Languages
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Did you
immigrate
from
another
country?
What is your
cultural
background?
What
country(ies)
are you and
your ancestors
from?
What
language(s)
do you
speak?
Please enter the following information in the chat:

4. LEARNING OBJECTIVES
◎ Explore the concepts of culture, diversity,
and cultural and linguistic competence as it
relates to the delivery of healthcare.
◎ Help participants understand the effect of
our own cultural biases and how they affect
the way we train students to deliver care.
◎ Provide the tools necessary to increase
awareness and move toward achieving
cultural and linguistic competence.
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5. TOPICS
◎ What is cultural and linguistic competence
(CLC)?
◎ Impact on patients
◎ Impact on educators
◎ Impact on future healthcare professionals
◎ Achieving cultural and linguistic competence
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6. What is Cultural and Linguistic
Competence?
Why it is important to me
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7. 7
1 3 5
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4
2
HUMAN
HAITI
(French/French Creole)
MASSACHUSETTS
(English)
WEST AFRICA
(Yoruba, Igbo, Fulfude/Pulaar
Akan, Wolof, Hausa, English,
French…)
VENEZUELA
(Spanish/Castellano)
MARYLAND
(English)
MY CULTURES AND LANGUAGES

8. Culture is…
“The social behavior and norms found in human societies.
Some aspects of human behavior, social practices, expressive
forms such as art, music, dance, ritual, religion, and
technologies such as tool usage, cooking, shelter, and
clothing.”
- Wikipedia
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9. Linguistic is…
“The study of human speech including the units, nature,
structure, and development of language, languages, or a
language.” - Merriam-Webster.com
“The scientific study of language and its structure, including
the study of morphology, syntax, phonetics, and semantics.”
- Dictionary.com
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10. Competency is…
“The ability to do something successfully or efficiently.”
- Dictionary.com
10

11. Cultural
Competence is…
“A set of congruent behaviors, attitudes, and policies that
come together in a system or agency or among professionals
that enables effective interactions in a cross-cultural
framework”
- What Is Cultural and Linguistic Competence? | Agency for Healthcare Research and Quality (ahrq.gov)
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12. Linguistic
Competence is…
“Providing readily available, culturally appropriate oral and
written language services to limited English proficiency (LEP)
members through such means as bilingual/bicultural staff,
trained medical interpreters, and qualified translators.”
- What Is Cultural and Linguistic Competence? | Agency for Healthcare Research and Quality (ahrq.gov)
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13. Cultural and Linguistic
Competence is…
“The ability of health care providers and health care
organizations to understand and respond effectively to the
cultural and linguistic needs brought by the patient to the
healthcare encounter.”
- What Is Cultural and Linguistic Competence? | Agency for Healthcare Research and Quality (ahrq.gov)
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14. Cultural and Linguistic
Competence require…
◎ Valuing diversity
◎ Assessing ourselves
◎ Managing the dynamics of difference
◎ Acquiring and institutionalizing cultural knowledge
◎ Adapting to diversity and the cultural and linguistic contexts
of individuals and communities served.
- What Is Cultural and Linguistic Competence? | Agency for Healthcare Research and Quality (ahrq.gov)
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15. Impact on our patients
2
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How does our level of Cultural and Linguistic
competence affect our patients?

16. 16

17. Share one thing
you learned from
watching this
video that you can
teach to your
students about the
need for CL
competence?
17
Please write your answer in the chat
or unmute yourself and share

18. Impact on our students….
future healthcare providers
3
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How important is Cultural and Linguistic
competence for our students?

19. https://padlet.com
/mbryantHCC/ahj
p2aqrl1jw3fx6
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Student
Response

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22. Impact on educators
4
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How does your level of Cultural and Linguistic
competence affect the way you teach your
students?

23. Implicit bias is one of the
top reasons educators
must obtain cultural and
linguistic competence.
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24. Bias is…
“Bias consists of attitudes, behaviors, and actions that are
prejudiced in favor of or against one person or group
compared to another. ”
- National Institute of
Health (NIH)
https://diversity.nih.gov/sociocultural-factors/implicit-bias
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25. Implicit bias is…
“A form of bias that occurs automatically and unintentionally,
that nevertheless affects judgements, decisions, and
behaviors. ”
- National Institute of
Health (NIH)
https://diversity.nih.gov/sociocultural-factors/implicit-bias
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26. The WHY
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https://www.ditchthelabel.org/where-does-racism-come-
from/?gclid=CjwKCAjw8sCRBhA6EiwA6_IF4fIM_JsjXkLMLvn4AqN0dhum_xErLQZmkILId5MvN
P7n3xUgTbLu0RoCkfUQAvD_BwE
“The general consensus is that a
racist isn’t born, a racist person
is made from the world around
them. Whether racist attitudes
are taught and passed down from
older family members or subtly
programmed by the world around
them.”

27. Are you
biased?
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Please do not write an answer in the chat
https://www.un.org/en/fight-racism/test-yourself/what-do-you-see

28. What do you see?
https://www.un.org/en/fight-
racism/test-yourself/what-do-
you-see
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29. What do you see?
https://www.un.org/en/fight-
racism/test-yourself/what-do-
you-see
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30. What do you see?
https://www.un.org/en/fight-
racism/test-yourself/what-do-
you-see
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31. What do you see?
https://www.un.org/en/fight-
racism/test-yourself/what-do-
you-see
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32. What do you see?
https://www.un.org/en/fight-
racism/test-yourself/what-do-
you-see
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33. What do you see?
https://www.un.org/en/fight-
racism/test-yourself/what-do-
you-see
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34. What do you see?
https://www.un.org/en/fight-
racism/test-yourself/what-do-
you-see
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35. What do you see?
https://www.un.org/en/fight-
racism/test-yourself/what-do-
you-see
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36. Achieving Cultural and
Linguistic Competence
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37. We achieve Cultural and
Linguistic competence by:
+ Being aware of one’s own world view
+ Developing positive attitudes towards cultural and
linguistic differences
+ Gaining knowledge of different cultural practices and
world views
+ Developing skills for communication and interaction
across cultures and languages.
+ Interacting with people from different cultures
- SNAICC 2012 Consultation Overview on
Cultural Competence in Early Childhood
Education and Care Services
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38. ACHIEVING CULTURAL AND LINGUISTIC
COMPETENCE leads to:
❏ A decrease
clinical errors
that may arise
due to cultural
and linguistic
differences in
communication
and
differences in
health literacy.
❏ Improvement in
patient-provider
communication,
satisfaction,
engagement, and
patient adherence
to treatment.
❏ An increase in your
self awareness and
sensitivity to the
cultural implications,
impact, and
understanding of
health care
encounters.
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❏ Improvement in your
ability to involve patients
in cooperative healthcare
decision making
processes.

39. Listen Acknowledge
ACHIEVING CULTURAL AND LINGUISTIC COMPETENCE
Desire Outcome: L.E.A.R.N.
Explain
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Recommend
Treatment
Negotiate
Engage in intercultural communication using a variety of tools
and resources:

40. “Empathy is shown in how much compassion
and understanding we can give to another.”
“Sympathy is more of a feeling of pity for another.”
“Empathy is our ability to understand how someone feels while
sympathy is our relief in not having the same problems.”
“Apathy is the lack of interest, enthusiasm, or concern.”
-Dictionary.com
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44. Closing Thoughts
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45. When we understand the importance
of diversity and culture and how to
respect difference, we can provide the
highest quality of care and can avoid
misunderstandings.
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46. Beware of cultural and linguistic
factors that may
influence provider and
patient behaviors.
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47. Think of cultural and linguistic
competence as a lifelong,
participatory, intentional process, not
an end point.
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48. “
Cultural and Linguistic Competence can be achieved
when we renew our minds, desire to expand our
horizons, and make an intentional effort to get to
know, care for, and respect another human being.
- Dr. Mirlina E. Bryant
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49. FINAL REFLECTION
When I meet someone (a student,
patient, co-worker, stranger) who
does not have my cultural
background and/or does not speak
my language, and that person needs
my assistance…
I will ___________________
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50. Please complete an evaluation on
WHOVA right after the presentation
Session
Evaluation
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51. Thanks!
Any questions?
Email me at
mbryant@howardcc.edu
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For 1 CE credit:
Please enter your full name and
email address in the chat

52. References
◎ Goode, Tawara D. (Revised 2009). Adapted from Promoting Cultural Competence and
Cultural Diversity in Early Intervention and Early Childhood Settings, June 1989. National
Center for Cultural Competence, Georgetown University Center for Child & Human
Development, University Center for Excellence in Developmental Disabilities Education,
Research & Service.
◎ Michigan Department of Community Health, Behavioral Health and Developmental
Disabilities Administration. (2012). Transforming Cultural and Linguistic Theory into
Action: A Toolkit for Communities. Retrieved from
http://www.michigan.gov/documents/mdch/Transform_Cultural-
Linguistic_Theory_into_Action_390866_7.pdf
◎ Inclusive Language – booklet http://insite.albertahealthservices.ca/Files/hr-inclusive-
language.pdf
◎ American Speech-Language-Hearing Association. (2010). Cultural Competence
Checklist: Personal reflection. Available from
http://www.asha.org/uploadedFiles/Cultural-Competence-Checklist-Personal-
Reflection.pdf.
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53. References
◎ Interpretation and Translation Services
http://insite.albertahealthservices.ca/10180.asp
◎ Communicating with Diverse People http://insite.albertahealthservices.ca/phc/tms-
phc-orientation-diversity-comm-diverse-people.pdf
◎ Communication Checklist for People with limited English Proficiency
http://insite.albertahealthservices.ca/phc/tms-phc-communicating-checklist-limited-
english.pdf
◎ Culture in Practice http://insite.albertahealthservices.ca/amh/tms-amh-culture-in-
practice.pdf
◎ Towards an Understanding of Health Equity: Annotated Glossary: Prepared by AHS Tri-
Project Glossary
◎ Working Group, Population and Public Health: Available at:
http://www.albertahealthservices.ca/poph/hi-poph-surv-shsa-tpgwg-glossary.pdf
◎ https://diversity.nih.gov/sociocultural-factors/implicit-bias
◎ https://www.un.org/en/fight-racism/test-yourself/what-do-you-see
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54. Credits
Special thanks to all the people
who made and released these
awesome resources for free:
◎ Presentation template by
SlidesCarnival
◎ Photographs by Unsplash
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