Cultural Diversity (Physicians)


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Cultural Diversity (Physicians)

  1. 1. Cultural DiversityIn Health Care<br />
  2. 2. Cultural Diversity and Health Care<br /><ul><li>We All Have It! Obvious Manifestations:
  3. 3. Religion
  4. 4. Ethnicity (Race)
  5. 5. National Origin (Language)
  6. 6. Gender</li></li></ul><li>Cultural Diversity and Health Care<br />Less Obvious Manifestations:<br /><ul><li>Age
  7. 7. Educational Status
  8. 8. Mobility (including handicaps)
  9. 9. Sexual Orientation</li></li></ul><li>Cultural Diversity and Health Care<br />What is Culture?<br />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.<br />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.<br />
  10. 10. Cultural Diversity and Health Care<br />Cultural Sensitivity<br />The ability to be open to learning about and accepting of different cultural groups.<br />Multiculturalism<br />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.<br />
  11. 11. Cultural Diversity and Health Care<br />CULTURAL COMPETENCE<br /><ul><li>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).
  12. 12. 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.
  13. 13. Providing culturally competent care is an advocated strategy for reducing heath disparities.</li></li></ul><li>Continuum of Cultural Competency<br />Cultural Proficiency<br /> implement changes to improve services based upon cultural needs<br />Cultural Competence<br />recognize individual & cultural differences, seek advice from diverse groups, hire culturally unbiased staff<br />Cultural Pre-Competence<br />explore cultural issues, are committed, assess needs of organization and individuals<br />Cultural Blindness<br />differences ignored, “treat everyone the same”, only meet needs of dominant groups<br />Cultural Incapacity<br />racism, maintain stereotypes, unfair hiring practices<br />Cultural Destructiveness<br />forced assimilation, subjugation, rights and privileges for dominant groups only<br />SAMHSA<br />
  14. 14. Cultural Diversity and Health Care<br />Acquiring Cultural Competence Reduces the chance of stereotyping<br /><ul><li>Starts with Awareness
  15. 15. Grows with Knowledge
  16. 16. Enhanced with Specific Skills
  17. 17. Polished through Cross-Cultural Encounters</li></li></ul><li>Acquiring<br />Cultural Competence<br />Ask yourself these questions: <br /><ul><li>Who are my patients, families and co-workers?
  18. 18. How can I learn about them?
  19. 19. What are my beliefs about this group?</li></ul>Acquire knowledge of the cultural values, beliefs and practices of your customers: <br /><ul><li>Ask questions
  20. 20. Listen
  21. 21. Account for language issues
  22. 22. Be aware of communication styles</li></li></ul><li>Acquiring <br />Culturally Competence<br />Be sensitive to personal health beliefs and practices:<br /><ul><li>Special foods, drinks, objects or clothes
  23. 23. Avoidance of certain foods, people or places
  24. 24. Customary rituals or people used to treat the illness
  25. 25. Will the patient take medicine even when he/she doesn't feel sick?
  26. 26. Is the patient taking other medicines or anything else to help him feel well?
  27. 27. Who in the family makes decisions about health care?
  28. 28. Are illnesses treated at home or by a community member? </li></li></ul><li>Acquiring Cultural Competence<br />Be sensitive to language barriers: <br /><ul><li>Does the patient understand any English?
  29. 29. Consider literacy level
  30. 30. Use visual aids and demonstrate procedures
  31. 31. Check understanding
  32. 32. Is an interpreter necessary?</li></li></ul><li>AcquiringCultural Competence<br /> Consider body language:<br /><ul><li>Eye contact
  33. 33. Touching
  34. 34. Personal space
  35. 35. Privacy/modesty</li></ul>Other cultural factors to consider: <br /><ul><li>Gender
  36. 36. Wealth or social status
  37. 37. Presence of a disability
  38. 38. Sexual orientation</li></li></ul><li>Acquiring <br />Cultural Competence<br />Consider Religious/Spiritual factors<br />Are there sensitivities/beliefs associated with: <br /><ul><li>Birth, death
  39. 39. Certain treatments, blood products
  40. 40. Prayer, medication and worship
  41. 41. Food preparation, clothing, special objects, and gender practices</li></li></ul><li>Ways to Facilitate Communication <br />Across Cultural Boundaries<br />Recognize differences<br />Build your self-awareness<br />Describe and identify, then interpret<br />Don’t assume your interpretation is correct<br />Verbalize your own non-verbal signs<br />Share your experience honestly<br />Acknowledge any discomfort, hesitation, or concern<br />Practice politically correct communication<br />Give your time and attention when communicating<br />Don’t evaluate or judge<br />
  42. 42. Cultural Diversity and Health Care<br />It is because we are different that each of us is special.<br />