SlideShare a Scribd company logo
Developing Cultural Competence An Introductory Look at Cultural Competency in Health Care Presented by Tom Rue, M.A.,  CASAC, CCMHC – AC II Richard C. Ward Addiction Treatment Center At Core Training – March 2002
“ Cultural competence… a journey, not a destination”
Objectives ,[object Object],[object Object],[object Object],. . .. . . . . . . . . . . . . . . . . . . .  . . . . . . . . . .
Cultural Norms “ Should’s and ought’s of the group. Examples are standards of behavior such as: - productivity norms - equity norms - styles of dress - power and control in relationships - acceptable behaviors, etc.
What is Culture? Culture is the acquired knowledge that people use to interpret experience and generate social behavior.
Cultural Value Orientations ,[object Object],[object Object],[object Object],[object Object],[object Object]
What is Cultural Diversity? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More Cultural Components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Functional Definition ,[object Object],[object Object],[object Object],[object Object],[object Object]
Components of Cultural Competence ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Competence in Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Competence in Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cultural Competence in Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why?
Demographic Statistics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Health Care Statistics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Individual Cultural Competence Continuum Model Cultural Proficiency Cultural Pre-Competency Cultural Competence Cultural Blindness Cultural Destructiveness Cultural Incapacity
Organizational Cultural Competence A journey, not a destination... Unaware, Competent Aware, Incompetent Aware, Competent Unaware, Incompetent
Journeying to a Culturally  Competent Organization ,[object Object],[object Object],[object Object],[object Object],[object Object]
Our Journey ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object]

More Related Content

What's hot

Cultural competence presentation
Cultural competence presentationCultural competence presentation
Cultural competence presentation
Carlos F Martinez
 
Cultural competence powerpoint new
Cultural competence powerpoint newCultural competence powerpoint new
Cultural competence powerpoint new
mlireton
 
Cultural Diversity (Physicians)
Cultural Diversity (Physicians)Cultural Diversity (Physicians)
Cultural Diversity (Physicians)
justinschreiber
 
Unit 3 ch by sn
Unit 3 ch by snUnit 3 ch by sn
Unit 3 ch by sn
sherkamalshah
 
Cultural diversity and health care
Cultural diversity and health careCultural diversity and health care
Cultural diversity and health care
justinschreiber
 
Cultural awareness nurses
Cultural awareness nursesCultural awareness nurses
Cultural awareness nurses
Stacy McDaniel
 
Cultural concerns in nursing
Cultural concerns in nursingCultural concerns in nursing
Cultural concerns in nursing
Jadekaniowski
 
Transcultural nursing
Transcultural nursingTranscultural nursing
Transcultural nursing
Mahesh Chand
 
CULTURAL DIVERSITY IN HEALTH CARE 2017
CULTURAL DIVERSITY IN HEALTH CARE 2017CULTURAL DIVERSITY IN HEALTH CARE 2017
CULTURAL DIVERSITY IN HEALTH CARE 2017
Meg Oser
 
Ethical dilemmas powerpoint3
Ethical dilemmas powerpoint3Ethical dilemmas powerpoint3
Ethical dilemmas powerpoint3
Iris Wilkins
 
Trans Cultural Nursing Concepts and Assessment by Azhar.pptx
Trans Cultural Nursing Concepts and Assessment by Azhar.pptxTrans Cultural Nursing Concepts and Assessment by Azhar.pptx
Trans Cultural Nursing Concepts and Assessment by Azhar.pptx
Azhar Munawar
 
Transcultural care practice_07
Transcultural care practice_07Transcultural care practice_07
Transcultural care practice_07
chettinad college of nursing
 
Diversity and cultural competency(1 hr)
Diversity and cultural competency(1 hr)Diversity and cultural competency(1 hr)
Diversity and cultural competency(1 hr)
advfundamentals
 
Transcultural nursing
Transcultural nursingTranscultural nursing
Transcultural nursing
Namita Batra
 
Standardized Cultural Competency In-Service Training
Standardized Cultural  Competency In-Service Training Standardized Cultural  Competency In-Service Training
Standardized Cultural Competency In-Service Training
ProceedNCTSTA
 
Standardized Terminologies for EHRs
Standardized Terminologies for EHRsStandardized Terminologies for EHRs
Standardized Terminologies for EHRs
Health Informatics New Zealand
 
Cultural Competency and Health Education
Cultural Competency and Health EducationCultural Competency and Health Education
Cultural Competency and Health Education
HPCareer.Net / State of Wellness Inc.
 
Cultural Diversity
Cultural Diversity Cultural Diversity
Cultural Diversity
Chesapeake Medical Staffing
 
Cultural Competence Orientation
Cultural Competence OrientationCultural Competence Orientation
Cultural Competence Orientation
Carlos F Martinez
 
Diversity & inclusion HHS Presentation
Diversity & inclusion HHS PresentationDiversity & inclusion HHS Presentation
Diversity & inclusion HHS Presentation
Reggie Clark
 

What's hot (20)

Cultural competence presentation
Cultural competence presentationCultural competence presentation
Cultural competence presentation
 
Cultural competence powerpoint new
Cultural competence powerpoint newCultural competence powerpoint new
Cultural competence powerpoint new
 
Cultural Diversity (Physicians)
Cultural Diversity (Physicians)Cultural Diversity (Physicians)
Cultural Diversity (Physicians)
 
Unit 3 ch by sn
Unit 3 ch by snUnit 3 ch by sn
Unit 3 ch by sn
 
Cultural diversity and health care
Cultural diversity and health careCultural diversity and health care
Cultural diversity and health care
 
Cultural awareness nurses
Cultural awareness nursesCultural awareness nurses
Cultural awareness nurses
 
Cultural concerns in nursing
Cultural concerns in nursingCultural concerns in nursing
Cultural concerns in nursing
 
Transcultural nursing
Transcultural nursingTranscultural nursing
Transcultural nursing
 
CULTURAL DIVERSITY IN HEALTH CARE 2017
CULTURAL DIVERSITY IN HEALTH CARE 2017CULTURAL DIVERSITY IN HEALTH CARE 2017
CULTURAL DIVERSITY IN HEALTH CARE 2017
 
Ethical dilemmas powerpoint3
Ethical dilemmas powerpoint3Ethical dilemmas powerpoint3
Ethical dilemmas powerpoint3
 
Trans Cultural Nursing Concepts and Assessment by Azhar.pptx
Trans Cultural Nursing Concepts and Assessment by Azhar.pptxTrans Cultural Nursing Concepts and Assessment by Azhar.pptx
Trans Cultural Nursing Concepts and Assessment by Azhar.pptx
 
Transcultural care practice_07
Transcultural care practice_07Transcultural care practice_07
Transcultural care practice_07
 
Diversity and cultural competency(1 hr)
Diversity and cultural competency(1 hr)Diversity and cultural competency(1 hr)
Diversity and cultural competency(1 hr)
 
Transcultural nursing
Transcultural nursingTranscultural nursing
Transcultural nursing
 
Standardized Cultural Competency In-Service Training
Standardized Cultural  Competency In-Service Training Standardized Cultural  Competency In-Service Training
Standardized Cultural Competency In-Service Training
 
Standardized Terminologies for EHRs
Standardized Terminologies for EHRsStandardized Terminologies for EHRs
Standardized Terminologies for EHRs
 
Cultural Competency and Health Education
Cultural Competency and Health EducationCultural Competency and Health Education
Cultural Competency and Health Education
 
Cultural Diversity
Cultural Diversity Cultural Diversity
Cultural Diversity
 
Cultural Competence Orientation
Cultural Competence OrientationCultural Competence Orientation
Cultural Competence Orientation
 
Diversity & inclusion HHS Presentation
Diversity & inclusion HHS PresentationDiversity & inclusion HHS Presentation
Diversity & inclusion HHS Presentation
 

Similar to Cultural Competence in Healthcare (Rue, 2002)

4. culturalcompetence
4. culturalcompetence4. culturalcompetence
4. culturalcompetence
micola71
 
Cultural Diversity Training by OMH
Cultural Diversity Training by OMHCultural Diversity Training by OMH
Cultural Diversity Training by OMH
Atlantic Training, LLC.
 
One World Many Cultures For Health Commu
One World  Many Cultures For Health CommuOne World  Many Cultures For Health Commu
One World Many Cultures For Health Commu
cclemm1
 
FW_Inservice
FW_InserviceFW_Inservice
FW_Inservice
Kemi Olarinde
 
Improving Cultural Competence TIP 59 Part 1
Improving Cultural Competence TIP 59 Part 1Improving Cultural Competence TIP 59 Part 1
Improving Cultural Competence TIP 59 Part 1
Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training
 
Nupd 400 chapter 3 culture
Nupd 400 chapter 3 cultureNupd 400 chapter 3 culture
Nupd 400 chapter 3 culture
4161
 
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Plain Talk 2015
 
Cultural competence april 16
Cultural competence april 16Cultural competence april 16
Cultural competence april 16
rrosing
 
Salon 2 15 kasim 11.00 12.00 nuran aydin-ing
Salon 2 15 kasim 11.00 12.00 nuran aydin-ingSalon 2 15 kasim 11.00 12.00 nuran aydin-ing
Salon 2 15 kasim 11.00 12.00 nuran aydin-ing
tyfngnc
 
04chap ppt
04chap ppt04chap ppt
04chap ppt
stanbridge
 
Lecture051616
Lecture051616Lecture051616
Lecture051616
Fanaye Dadi
 
Cafe Scientifique: Cultural Competency and Safety
Cafe Scientifique: Cultural Competency and  SafetyCafe Scientifique: Cultural Competency and  Safety
Cafe Scientifique: Cultural Competency and Safety
National Aboriginal Health Organization
 
Cult Comp Diabetes Ed Final
Cult Comp Diabetes Ed FinalCult Comp Diabetes Ed Final
Cult Comp Diabetes Ed Final
Mary Shah
 
Cultural competence and dementia care
Cultural competence and dementia careCultural competence and dementia care
Cultural competence and dementia care
wef
 
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Sea Mar Community Health Centers
 
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Sea Mar Community Health Centers
 
Bostick- HPOE Building a Culturally Competent Organization
Bostick- HPOE Building a Culturally Competent OrganizationBostick- HPOE Building a Culturally Competent Organization
Bostick- HPOE Building a Culturally Competent Organization
Nathan (Andy) Bostick
 
Restpadd Cultural competency
Restpadd Cultural competencyRestpadd Cultural competency
Restpadd Cultural competency
Kirt Edgar
 
2016: Cultural Aspects of Geriatric Care: The Latino Experience-Talavera
2016: Cultural Aspects of Geriatric Care: The Latino Experience-Talavera2016: Cultural Aspects of Geriatric Care: The Latino Experience-Talavera
2016: Cultural Aspects of Geriatric Care: The Latino Experience-Talavera
SDGWEP
 
Culture, Generational Differences and Spirituality in Nursing
Culture, Generational Differences and Spirituality in NursingCulture, Generational Differences and Spirituality in Nursing
Culture, Generational Differences and Spirituality in Nursing
Elizabeth Novak
 

Similar to Cultural Competence in Healthcare (Rue, 2002) (20)

4. culturalcompetence
4. culturalcompetence4. culturalcompetence
4. culturalcompetence
 
Cultural Diversity Training by OMH
Cultural Diversity Training by OMHCultural Diversity Training by OMH
Cultural Diversity Training by OMH
 
One World Many Cultures For Health Commu
One World  Many Cultures For Health CommuOne World  Many Cultures For Health Commu
One World Many Cultures For Health Commu
 
FW_Inservice
FW_InserviceFW_Inservice
FW_Inservice
 
Improving Cultural Competence TIP 59 Part 1
Improving Cultural Competence TIP 59 Part 1Improving Cultural Competence TIP 59 Part 1
Improving Cultural Competence TIP 59 Part 1
 
Nupd 400 chapter 3 culture
Nupd 400 chapter 3 cultureNupd 400 chapter 3 culture
Nupd 400 chapter 3 culture
 
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
 
Cultural competence april 16
Cultural competence april 16Cultural competence april 16
Cultural competence april 16
 
Salon 2 15 kasim 11.00 12.00 nuran aydin-ing
Salon 2 15 kasim 11.00 12.00 nuran aydin-ingSalon 2 15 kasim 11.00 12.00 nuran aydin-ing
Salon 2 15 kasim 11.00 12.00 nuran aydin-ing
 
04chap ppt
04chap ppt04chap ppt
04chap ppt
 
Lecture051616
Lecture051616Lecture051616
Lecture051616
 
Cafe Scientifique: Cultural Competency and Safety
Cafe Scientifique: Cultural Competency and  SafetyCafe Scientifique: Cultural Competency and  Safety
Cafe Scientifique: Cultural Competency and Safety
 
Cult Comp Diabetes Ed Final
Cult Comp Diabetes Ed FinalCult Comp Diabetes Ed Final
Cult Comp Diabetes Ed Final
 
Cultural competence and dementia care
Cultural competence and dementia careCultural competence and dementia care
Cultural competence and dementia care
 
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
 
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
 
Bostick- HPOE Building a Culturally Competent Organization
Bostick- HPOE Building a Culturally Competent OrganizationBostick- HPOE Building a Culturally Competent Organization
Bostick- HPOE Building a Culturally Competent Organization
 
Restpadd Cultural competency
Restpadd Cultural competencyRestpadd Cultural competency
Restpadd Cultural competency
 
2016: Cultural Aspects of Geriatric Care: The Latino Experience-Talavera
2016: Cultural Aspects of Geriatric Care: The Latino Experience-Talavera2016: Cultural Aspects of Geriatric Care: The Latino Experience-Talavera
2016: Cultural Aspects of Geriatric Care: The Latino Experience-Talavera
 
Culture, Generational Differences and Spirituality in Nursing
Culture, Generational Differences and Spirituality in NursingCulture, Generational Differences and Spirituality in Nursing
Culture, Generational Differences and Spirituality in Nursing
 

Recently uploaded

Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
BrissaOrtiz3
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Dr. Madduru Muni Haritha
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Swetaba Besh
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
ShashankRoodkee
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
Anurag Sharma
 
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat EuropeLight House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
Lighthouse Retreat
 
Best Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and IndigestionBest Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and Indigestion
Swastik Ayurveda
 
Top-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India ListTop-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India List
SwisschemDerma
 
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
chandankumarsmartiso
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Saeid Safari
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
rishi2789
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
rishi2789
 
A Classical Text Review on Basavarajeeyam
A Classical Text Review on BasavarajeeyamA Classical Text Review on Basavarajeeyam
A Classical Text Review on Basavarajeeyam
Dr. Jyothirmai Paindla
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
SwisschemDerma
 
Aortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 BernAortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 Bern
suvadeepdas911
 

Recently uploaded (20)

Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
 
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat EuropeLight House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
 
Best Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and IndigestionBest Ayurvedic medicine for Gas and Indigestion
Best Ayurvedic medicine for Gas and Indigestion
 
Top-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India ListTop-Vitamin-Supplement-Brands-in-India List
Top-Vitamin-Supplement-Brands-in-India List
 
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
 
A Classical Text Review on Basavarajeeyam
A Classical Text Review on BasavarajeeyamA Classical Text Review on Basavarajeeyam
A Classical Text Review on Basavarajeeyam
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
 
Aortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 BernAortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 Bern
 

Cultural Competence in Healthcare (Rue, 2002)

  • 1. Developing Cultural Competence An Introductory Look at Cultural Competency in Health Care Presented by Tom Rue, M.A., CASAC, CCMHC – AC II Richard C. Ward Addiction Treatment Center At Core Training – March 2002
  • 2. “ Cultural competence… a journey, not a destination”
  • 3.
  • 4. Cultural Norms “ Should’s and ought’s of the group. Examples are standards of behavior such as: - productivity norms - equity norms - styles of dress - power and control in relationships - acceptable behaviors, etc.
  • 5. What is Culture? Culture is the acquired knowledge that people use to interpret experience and generate social behavior.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. Why?
  • 17.
  • 18.  
  • 19.
  • 20.  
  • 21.  
  • 22. Individual Cultural Competence Continuum Model Cultural Proficiency Cultural Pre-Competency Cultural Competence Cultural Blindness Cultural Destructiveness Cultural Incapacity
  • 23. Organizational Cultural Competence A journey, not a destination... Unaware, Competent Aware, Incompetent Aware, Competent Unaware, Incompetent
  • 24.
  • 25.
  • 26.

Editor's Notes

  1. Let’s break down this term “cultural diversity” so we better understand its meaning. The term “culture” refers to the patterns and conditions that bind people together as an identifiable group. Culture is shared with those with similar experiences. Cultural diversity refers to differences in race, ethnicity, language, nationality, religion, and other beliefs and practices among various groups within a community, organization, or nation. Although we usually associate culture with race and ethnicity, there are other cultural groups that add to diversity. What are some other cultures? Note: Ask group to name different cultural groups. Facilitate brief discussion. Note: Deaf community Single women Working mothers Working fathers Religious community People living with HIV Vegetarians Homeless
  2. We often think of cultural diversity as referring to our differences in racial background. In fact, many other things that contribute to who we are, are factors in our cultural diversity. These include not only race but: Country of origin Native language Socio-economic status Education level Religion Mental or physical abilities Note: List continued on next page.
  3. And: Heritage Acculturation Age Gender Sexual orientation Other characteristics that may result in a differing perspective, decision-making process, or learning style Now that we have defined culture, let’s look at why HCFA chooses to address culture in training.
  4. Cultural Competence is use of knowledge about individuals and groups of people to produce specific standards policies practices attitudes to be used in appropriate cultural settings to increase the quality of services, thereby producing better outcomes.
  5. Note: HCFA’s definition of Cultural Competency. Please read: “Cultural Competency in health is a set of attitudes, skills, behaviors, and policies that enable organizations and individuals to work effectively in cross-cultural situations. It reflects an understanding of the importance of acquiring and using knowledge of the unique health-related beliefs, attitudes, practices, and communication patterns of beneficiaries and their families to improve services, enhance beneficiary understanding of programs, increase community participation, and eliminate disparities in health status among diverse population groups.” This definition was taken from Cross, T, 1992 Culture shapes how people experience their world, interpret their environment, live with their families, choose their lifestyles, work, play, and reside in their communities. Most importantly, culture defines: How health care information is received How rights and protections are exercised What is considered to be a health problem How symptoms and concerns about the problem are expressed Who should provide treatment for the problem What type of treatment should be given
  6. Some Current and Projected Socio-Demographic Characteristics : An estimated 1 in 4 Americans (about 67 million) is classified by the U.S. Census as a member of one of the four major racial or ethnic minority population groups: African American, Latino/Hispanic, Native American, or Asian/Pacific Islander. Latinos almost equal African Americans in number, representing almost half of minority Americans: and, they are projected to be the largest racial/ethnic minority population by 2025 By the year 2050, the U.S. Census estimates that people of color will represent 1 in 3 Americans. This is largely due to higher birth rates and immigration among racial and ethnic minority populations. Diversity is found not only between the major U.S. minority population groups, but within them as well. Using Latinos as an example, the health beliefs or practices of a person with origins in Puerto Rico may differ greatly from those of someone from Mexico or El Salvador. Minority Americans, on average, are poorer than whites. While more than 20% of whites are poor or near poor (i.e., incomes below 200% of poverty), at least one-half of African Americans, Latinos, and Native Americans are poor or near poor. Similarly, elderly minority Americans are far more likely than their white counterparts to live in poverty. Eliminate disparities in the health status of people of diverse racial, ethnic and cultural backgrounds While the gap between blacks and whites cardiac catheterizations (used to diagnose heart disease) has narrowed over time, large racial disparities in the treatment of heart disease with angioplasty and coronary bypass surgery persist, with the chances of blacks undergoing these procedures about half those for whites Most telling are the (HCSUS) indicators that looked at the use of triple drug anti-retroviral therapy, a treatment regimen that is very effective in delaying disability and prolonging the life to persons with HIV. African Americans were more than twice as likely as whites to not receive combination drug therapy and 1.5 times more likely to not get preventive treatment for pneumocystic carinii pneumonia (a common, but preventable, infection in people with HIV) than whites. Latinos were 1.5 times more likely than whites to not get combination drug therapy (Shapiro et al, 1999). In a study of Medicaid beneficiaries (all from low-income families with health coverage for preventive services) African American children were more likely than white children to be treated for their asthma in emergency departments, to be hospitalized for asthma, and were less likely to have office visits for their asthma. While there were no differences in the amount of well-child care visits or prescriptions for asthma drugs, African American children were less likely to receive the drug therapy recommended in national asthma guidelines. A study of previously hospitalized African American and white adults (age 18-50) enrolled in a health maintenance organization, where financial barriers to care are minimized, found that African Americans made more emergency department visits, while whites made more primary care and allergy/pulmonary visits. In addition, while there were no racial differences in re-hospitalization for asthma, African Americans with Medicaid coverage were twice as likely to be re-hospitalized than African Americans with private coverage. Even in studies where everyone is similarly insured, racial differences in the use of cardiac procedures remain. For example, among Medicare beneficiaries, blacks were 60% less likely than whites to undergo heart bypass surgery. Adjusting for income made little difference in the findings -- black beneficiaries were still less than half as likely to undergo surgery than white beneficiaries. Improve the quality of Services and Health outcomes . In making a diagnosis, health care providers must understand the beliefs that shape a person’s approach to health and illness. Knowledge of customs and healing traditions are indispensable to the design of treatment and interventions. Health care services must be received and accepted to be successful. Increasingly, cultural knowledge and understanding are important to personnel responsible for quality assurance programs. In addition, those who design evaluation methodologies for continual program improvement must address hard questions about the relevance of health care interventions. Cultural competence will have to be inextricably linked to the definition of specific health outcomes and to an ongoing system of accountability that is committed to reducing the current health disparities among racial, ethnic and cultural populations. Some Current and Projected Socio-Demographic Characteristics : An estimated 1 in 4 Americans (about 67 million) is classified by the U.S. Census as a member of one of the four major racial or ethnic minority population groups: African American, Latino/Hispanic, Native American, or Asian/Pacific Islander. Latinos almost equal African Americans in number, representing almost half of minority Americans: and, they are projected to be the largest racial/ethnic minority population by 2025 By the year 2050, the U.S. Census estimates that people of color will represent 1 in 3 Americans. This is largely due to higher birth rates and immigration among racial and ethnic minority populations. Diversity is found not only between the major U.S. minority population groups, but within them as well. Using Latinos as an example, the health beliefs or practices of a person with origins in Puerto Rico may differ greatly from those of someone from Mexico or El Salvador. Minority Americans, on average, are poorer than whites. While more than 20% of whites are poor or near poor (i.e., incomes below 200% of poverty), at least one-half of African Americans, Latinos, and Native Americans are poor or near poor. Similarly, elderly minority Americans are far more likely than their white counterparts to live in poverty. Eliminate disparities in the health status of people of diverse racial, ethnic and cultural backgrounds While the gap between blacks and whites cardiac catheterizations (used to diagnose heart disease) has narrowed over time, large racial disparities in the treatment of heart disease with angioplasty and coronary bypass surgery persist, with the chances of blacks undergoing these procedures about half those for whites Most telling are the (HCSUS) indicators that looked at the use of triple drug anti-retroviral therapy, a treatment regimen that is very effective in delaying disability and prolonging the life to persons with HIV. African Americans were more than twice as likely as whites to not receive combination drug therapy and 1.5 times more likely to not get preventive treatment for pneumocystic carinii pneumonia (a common, but preventable, infection in people with HIV) than whites. Latinos were 1.5 times more likely than whites to not get combination drug therapy (Shapiro et al, 1999). In a study of Medicaid beneficiaries (all from low-income families with health coverage for preventive services) African American children were more likely than white children to be treated for their asthma in emergency departments, to be hospitalized for asthma, and were less likely to have office visits for their asthma. While there were no differences in the amount of well-child care visits or prescriptions for asthma drugs, African American children were less likely to receive the drug therapy recommended in national asthma guidelines. A study of previously hospitalized African American and white adults (age 18-50) enrolled in a health maintenance organization, where financial barriers to care are minimized, found that African Americans made more emergency department visits, while whites made more primary care and allergy/pulmonary visits. In addition, while there were no racial differences in re-hospitalization for asthma, African Americans with Medicaid coverage were twice as likely to be re-hospitalized than African Americans with private coverage. Even in studies where everyone is similarly insured, racial differences in the use of cardiac procedures remain. For example, among Medicare beneficiaries, blacks were 60% less likely than whites to undergo heart bypass surgery. Adjusting for income made little difference in the findings -- black beneficiaries were still less than half as likely to undergo surgery than white beneficiaries. Improve the quality of Services and Health outcomes . In making a diagnosis, health care providers must understand the beliefs that shape a person’s approach to health and illness. Knowledge of customs and healing traditions are indispensable to the design of treatment and interventions. Health care services must be received and accepted to be successful. Increasingly, cultural knowledge and understanding are important to personnel responsible for quality assurance programs. In addition, those who design evaluation methodologies for continual program improvement must address hard questions about the relevance of health care interventions. Cultural competence will have to be inextricably linked to the definition of specific health outcomes and to an ongoing system of accountability that is committed to reducing the current health disparities among racial, ethnic and cultural populations.
  7. An estimated 1 in 4 Americans (about 67 million) is classified by the US Census as a member of one of the four major racial or ethnic population groups: African American, Latino/Hispanic, Asian/Pacific Islander.
  8. At each age of the life-span until age 44, African Americans, Latinos, and Native Americans have, on average, higher mortality rates than whites. Only Asians have, on average, lower mortality rates than whites. When overall mortality is examined by a measure of socio-economic conditions (e.g., income), differences between African Americans and whites are reduced but not eliminated. Infant mortality rates, considered one of the most sensitive indicators of the health and well-being of a population, are twice as high among African American infants as whites, even when analyzed by a measure of socio-economic conditions, such as the mother’s education. African Americans are more likely to rate their health as fair or poor than whites of similar incomes; however, this disparity is smaller between those with higher incomes than between those with lower incomes. In 1996, the top five leading causes of death for whites and minority Americans were very similar, with heart disease and cancer ranking number one and two across all groups. However in the past decade deaths due to HIV/AIDS have increased dramatically in the African American and Latino populations, moving this disease to the top five causes of death for both groups. In a study of Medicaid beneficiaries (all from low-income families with health coverage for preventive services) African American children were more likely than white children to be treated for their asthma in emergency departments, to be hospitalized for asthma, and were less likely to have office visits for their asthma. While there were no differences in the amount of well-child care visits or prescriptions for asthma drugs, African American children were less likely to receive the drug therapy recommended in national asthma guidelines.
  9. Rates on chart represent deaths per 1,000 people.
  10. Rates on chart represent deaths per 1,000 people.