This document provides information on cultural competence in healthcare. It begins with definitions of cultural competence, culture, and competence. It then discusses the importance of cultural competence given the increasing diversity in the US and how culture can influence health beliefs and outcomes. The LEARN model and Campinha-Bacote's constructs of cultural competence are explained as frameworks for developing cultural competence. Barriers to providing culturally competent care and examples of cultural health practices are provided. The document emphasizes asking questions, explaining care, acknowledging beliefs, making recommendations respectfully, and negotiating care that considers a patient's cultural background.

1. Fanaye Dadi M.D., M.P.H.
RiteHealth Consultancy

2.  Lecture
 Short video clips
 Group discussion and reflection
 Comments and conclusion

3.  Define cultural competence, culture , diversity
 COMPETENCE in the context of culture / tradition and
diversity.
 The importance of cultural competence in health care.
 Traditional beliefs and health related practices.
 Explain Cultural competence model the LEARN model
 Self assessment

4. CULTURAL COMPETENCE: A set of congruent behaviors, attitudes,
and policies that come together in a system, agency, or among
professionals that enables effective work in cross-cultural situations.
CULTURE: integrated patterns of human behavior that includes
language, thoughts, communications, actions, customs, beliefs, values,
and institutions of racial, ethnic, religious, or social groups.
COMPETENCE: The capacity to function effectively as an individual
and an organization within the context of the cultural beliefs, behaviors,
and needs presented by patients and their communities.

5. Caring
Ongoing
Multidimensional
Proactive
Ethics
Trust
Education
Network
Confidence
Evaluation

6.  The United States is becoming increasingly diverse, health care
professionals need to be prepared to deliver culturally competent
care to patients with diverse background.
 Culture influences patients health beliefs, choice of treatment
options, trust and compliance which highlights the need for cultural
competence in healthcare.
 Culturally competent care improves patient health seeking behavior
and narrows the gap in health disparities among racial/ethnic
minorities.

8. Health beliefs/ practices
Cultural/ Tradition LanguagesReligious beliefs
Past experience
Disability
Dress and grooming
Physical appearance
Race/Ethnicity
Gender
AgeSexual Orientation
National OrigenEducation Status

14.  Familiarizing with diverse cultures and traditional health practices.
 Dealing with language barriers.
 Not supportive work environment in the context of
organizational cultural competence
 Building trust .
 Changing the attitude and behavior of a noncompliant patient.
 Making self reflection recognizing our own biases
and prejudices.
.

16. Consulting the medicine man or woman when they are sick.
 Belief that vaccine causes disease or disability in children.
 Home remedies
The Holey water
 Female genital Circumcision.
 Coin rubbing and Ancestor Worship in Asians
Colostrum and newborn
 Bloodletting

17. (campinha-bacote)

18. CULTURAL COMPETENCE CONSTRUCTS
 Cultural Awareness
 Cultural Knowledge
 cultural Skills
 Cultural Desire
 Cultural Encounter

19.  To be aware, appreciative and sensitive to
the values , beliefs life ways , practices and
problem solving stratagies of other cultures
 Awareness about our own biases and
prejucices toward other cultrues and
explore our own cultural background
Cultural Awareness

20. Cultural Knowledge
 Is the process by which we seek out and botain
education about various worldviews of different
cultures
 To become familiar with culturally diverse groups
, world views, beliefs practices, lifestyles and
problem solving stratgies
 Cultural knowledge can be aquired by reading
about different cultures, attending cultural
competence continuing education courses.
.

21.  Developing the capicity of assessing each
patient’s unique cultural values, beliefs and
practices
 Developing the skills to collect relevant
data and.
 Determine explicit needs and intervention
practices within the contexts of the people
being served.

Cultural Skills

22. Cultural Desire
The motivation of the healthcare
professional to “want to” engage in the
process of becoming culturally aware
culturally knowledgeable, culturally
skillful and seeking cultural encounters.

23. Cultural Encounter
Engage in cross-cultural interactions with
clients, and families with diverse cultural
background
Assess client’s linguistic needs and use
formally trained interpreter if needed

24. THE BOTTOM LINE IS

25. ASK & LISTEN
EXPLAIN
ACKNOLEDGE
RECOMMEND
NEGOTIATE

26. Group discussion and Reflection
 Join the conversation
 Be proactive
Share your experience
 Let us learn from each other

27. Treat everyone with respect and dignity, don't make assumptions and
withhold judgments.
Ask alternative approaches to healing, try to understand the patient’s
belief system and refrain from forcing your own belief system.
 Explain plan of care, answer questions (evidence based), if you don’t
know the answer be honest, and use the appropriate support system.
Know your clients, the community, identify what is critical ( patient’s
best interest) accommodate and Educate.
 Do not assume and be honest with yourself.
 Treat others like you want to be treated
Remember we all carry our own values and preferences.