Train staff members with this interactive presentation that includes various teaching tools such as: videos, quizzes, diagrams, visuals, discussion segments and hands-on activities to aid the learning process and maintain participant engagement.
Cultural Competency in the Clinical Setting
by Robert F. Jex, RN, MHA, FACHE
Wednesday, January 20, 2009
12:00 p.m. - 1:00 p.m. (Mountain)
Robert Jex, RN, MHA, FACHE is a Trauma System Clinical Consultant within the Emergency Medical Services and Preparedness at the Utah Department of Health. He has been a practicing RN for 33 years with experience in ER, OR, Med/Surg/ICU, Nursery, Labor and Delivery, and home health care. He has a BS in Zoology, an MS in Reproductive Physiology and a Master of Health Administration. Mr. Jex is a licensed long term care administrator, a Fellow in the American College of Health Care Executives, and a certified trainer in Cultural Competency.
Cultural Competency in the Clinical Setting
by Robert F. Jex, RN, MHA, FACHE
Wednesday, January 20, 2009
12:00 p.m. - 1:00 p.m. (Mountain)
Robert Jex, RN, MHA, FACHE is a Trauma System Clinical Consultant within the Emergency Medical Services and Preparedness at the Utah Department of Health. He has been a practicing RN for 33 years with experience in ER, OR, Med/Surg/ICU, Nursery, Labor and Delivery, and home health care. He has a BS in Zoology, an MS in Reproductive Physiology and a Master of Health Administration. Mr. Jex is a licensed long term care administrator, a Fellow in the American College of Health Care Executives, and a certified trainer in Cultural Competency.
This module discusses basic information about diversity and inclusiveness necessary for preparing employees to work in multicultural workplace settings.
The ppt describes cross cultural communication as an aspect of our business environment and notice the need of engagement of different cultures in a business scenario.
This module discusses basic information about diversity and inclusiveness necessary for preparing employees to work in multicultural workplace settings.
The ppt describes cross cultural communication as an aspect of our business environment and notice the need of engagement of different cultures in a business scenario.
Dissecting culture and its application to business.docxmadlynplamondon
Dissecting
culture and its
application to
business
What we’ll cover
1. What is the nature of culture?
2. Variety and variation in culture
3. How have globalisation, migration and diversity impacted on
national culture?
4. Use these insights to critically evaluate models of national culture
5. Culture traps: problems and pitfalls to avoid
6. Dynamic models of culture
7. Groupwork exercise: apply your cultural knowledge to business
practice
1. What is culture?
Read the following descriptions of national values
for China, India, Britain
•What do these descriptions tell us about the nature of
culture?
i.e. what kinds of things do we call ‘culture’?
• How long might it take an outsider to understand these
values?
So what is the nature of culture?
“a complex frame of reference that consists of patterns of traditions,
beliefs, values, norms, symbols, and meanings that are shared to varying
degrees by interacting members of a community”
(Ting-Toomey, 1999, p.10)
traditions rituals, ceremonies, rites of passage
beliefs, values, norms underlying principles governing behaviours
symbols language (verbal, non-verbal) also images
meanings Interpretations of symbols held by members
‘shared to varying degrees’ not every single member of the culture to the same degree!
‘a frame of reference’ for making sense of the world
Culture is socially constructed; a basis for shared, collective identities
What are the key
words to highlight
in this definition?
Another definition
“the coherent, learned, shared view of a group of people about life’s
concerns that ranks what is important, furnishes attitudes about what
things are appropriate, and dictates behaviour”
(Varner & Beamer, 2011, p.5)
coherent an entire, consistent world view
learned we are not born with it; culture is transmitted
view of a group agreed, shared views of a society
What are the key
words to highlight
in this definition?
The Iceberg of Culture
In awareness Visible
Out of conscious
awareness
Invisible
Self-awareness
The Iceberg of Culture Fine arts Literature
Drama Classical music Popular music
Folk dancing Games Cooking Dress
Notions of modesty Conceptions of beauty Ideas about child raising
Rules of descent Cosmology Relationship to animals Courtship practices
Patterns of superior/subordinate relations Definitions of sin
Conceptions of justice Notions of leadership Incentive to work Tempo of work
Attitudes to the dependent Approaches to problem solving
Patterns of group decision making Eye behaviour Conceptions of cleanliness
Theories of disease Conception of status mobility
Roles in relation to status by age, sex, class, occupation, kinship etc
Definition of insanity Nature of friendship Conception of self
Patterns of visual perception Body language Facial expression
Notions of logic and validity Patterns of handling emotions ...
#Diversity Management, Definition Of Diversity, Types of Diversity, Benefit of Diversity , Challenges of Diversity.
The Definition of Diversity and Diversity management, Prejudice and its step and expression, what diversity look like in organization like WKU
Minimizing the challenge, and best practice of Diversity management,
Is Diversity management is important in campus, and its benefit for student, and How it can be structured.
The four types of Diversity, Internal Diversity, External Diversity, Organizational Diversity, world wide diversity
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
2. Overview
• Hope
• Activity
• Objectives
• Keys to Learning
• Culture & Worldview
• Who Am I?
• Valuing Cultural Differences
• Cultural Competence
• Cultural Competence
Continuum
• Strategies for Enhancing
Cultural Competence
• Wrap up
3. Conversation Guidelines
• What do we need to establish to make this a
safe space?
– Ability to Pass or Participate
– Respect of Differing Opinions
– Meet people where they are
– Use of “I” Statements
– All Questions are Valid
– Confidentiality
– Risk-Taking Encouraged
– Have FUN while learning
• What is missing?
5. Objectives
Understand how one’s worldview, biases, and assumptions
impact relationships with others, including co-workers, clients,
and community stakeholders
Learn about the benefit of demonstrating culturally competent
attitudes and behaviors in an organizational setting
Explore the Cultural Competence Continuum as a personal and
organizational evaluation tool
Discuss strategies for enhancing cultural competence to
improve relationships and perform better in the work setting
6. Take Home Messages
Cultural Competence = Relationship Building
• INDIVIDUAL - Get to know yourself (worldview, values,
cultural identities) so you can better explore the
uniqueness of others
• ORGANIZATION - Get to know your community
(traditions, cultures, norms, practices, beliefs) so your
agency can be more in tune with their assets & needs
• SYSTEMS – Get to know your agency (culture, mission,
values, staff, services, polices, practices, philosophies)
so you can better serve the community
7. Keys to Today’s Learning
• Working with people is inevitably a
cross-cultural enterprise.
• Becoming culturally competent is a
process, not an endpoint.
• Everything we do exists within a cultural
context.
8. Keys to Today’s Learning
• Becoming aware of our own personal
cultural filters is essential to this work.
• “How to” and cookbook approaches to
cultural competency work to promote
stereotyping.
• Stereotyping is a natural part of what
we (people) do.
9. “… vast structures of behavior,
ideas, attitudes, values,
habits, beliefs, customs,
language, rituals, ceremonies,
and practices peculiar to a
particular group of people…
[that]…provides them with a
general design for living and
pattern for interpreting
reality…” Wade Nobel, M.D., TA
Partnership (2007)
Culture can be defined as…
11. Cultural Considerations:
Ethnicity
Race
Country of Origin
Gender
Age
Socio-economic Status
Primary Language
English Proficiency
Spirituality / Religion
Literacy Level
Sexual Orientation
Employment
Geographic Location
Physical Ability/Limitations
Immigration Status
Criminal Justice Involvement
Political Climate
12. CULTURAL ICEBERG
Race, Age, Physical Abilities, Gender, etc.
Marital Status, Religion/Spirituality, etc.
Military Experience, Ethnic Background, Nationality, Educational
Status, Socioeconomic Status, Language, Sexual Orientation,
Political Affiliation, Hobbies, Family Roles, Health Status, etc.
15. What if…
• Think about two of your most important
cultural identities on the diagram…
– Pretend that someone knew everything
about you except those two important
cultural identities.
– Now, pretend those two important cultural
identities were discussed in a negative
way.
16. Culture Shapes Worldview
• “A culturally based variable that directly affects
and mediates our belief systems, assumptions,
modes of problem solving, decision making and
conflict resolutions (Ibrahim, 1991):
• An individual's perception of his or her
relationship with the world, i.e., nature,
institutions, people, and things (Sue, 1978).
17. “At least half of the
exercise I get everyday
comes from jumping to
conclusions.”
Bruce Dexter, Journalist
19. Creating Prejudice:
How we learn to discriminate
The Cycle of Conditioning:
We are all influenced by our environment.
– Prepare
– Separate groups
– Differences pointed out
– Justify marginalized group’s behavior
– Continue cycle-reinforced stereotypes
20. Video: “A Class Divided”
Jane Elliot
http://www.pbs.org/wgbh/pages/frontline/shows/divided/
• Keep in mind the cycle of conditioning.
• Note your reactions.
• Have you seen this in other settings?
21. Discussion about Video
• What did you notice about yourself and your
reactions / feelings?
• Have you ever felt left out, different, or
discriminated against?
• How did the cycle play out?
• How do you see the cycle playing out in society
today?
• How do we break or interrupt this cycle?
22. Cross-cultural Interactions
“We all use stereotypes, all the time, without
knowing it. We have met the enemy of
equality, and the enemy is us.”
~ Article from Psychology Today
23. Breaking the Cycle by
Becoming More Mindful
“Promising evidence in social cognitive
psychology indicates that with sufficient
motivation, cognitive resources, and
effort, people are able to focus on the
unique qualities of individuals, rather
than on the groups they belong to, in
forming impressions and behaving
toward others.”
From Reducing Racial Bias Among Health Care Providers:
Lessons from Social-Cognitive Psychology
24. Reducing the Impact of Stereotyping
These efforts may, over time, reduce the
strength of stereotyping:
Commit to change.
Monitor and attempt to make better
hidden attitudes before they are
expressed through behavior.
Make a conscious decision to be
egalitarian, which may lead one to widen
one's circle of friends and knowledge of
other groups.
26. Common Critiques of Cultural
Competency
It’s a Soft Construct because:
• It’s not skill-based
• It’s not data-driven
• It’s not linked to specific outcomes
• It’s hard to operationalize
27. • Value the differences/similarities
between persons and groups
• Make the knowledge of a
culture a part of oneself
• Focus on one’s strengths and
capacities
• Recognize the importance of a
person’s life context
Cultural competence enables a person to…
28. Cultural competence enables an agency
to…• Respond to demographic changes in
the community
• Work towards eliminating disparities in
the health status of multicultural people
• Improve quality of services & outcomes
• Meet legislative, regulatory, &
accreditation mandates
• Gain a competitive edge in the
marketplace
• Provide community focused service
delivery
• Enhance the workplace environment
29. What is Cultural Competence?
Multidimensional Construct
• Individual / Provider Level
• Organizational Level
• Systems Level
31. “A process of learning that leads to an ability to
effectively respond to the challenges and
opportunities posed by the presence of cultural
diversity in a defined social system.”
Cultural Competence
32. Elements of Cultural Competence
1. Awareness of one’s own culture
2. Understanding the dynamics of difference
3. Awareness and acceptance of difference
4. Development and application of cultural
knowledge
5. Celebration of diversity
33. “To be culturally competent doesn’t mean
you are an authority in the values and
beliefs of every culture. What it means is
that you hold a deep respect for cultural
differences and are eager to learn, and
willing to accept that there are many ways
of viewing the world.”
Dr. Okokon O. Udo
Cultural Competence
34. Cultural Competence is an
ongoing process so keep working
towards it even if you feel lost!
35. Quick Self-Check Using the Cultural Competence Continuum
What Stage Are You In? Characteristics
RED attitudes, behaviors, values, and practices that are
destructive to a cultural group
ORANGE lack of skill and knowledge to respond effectively
to the needs, interests and preferences of
culturally and linguistically diverse groups
YELLOW beliefs and practices that support viewing and
treating all people as the same
GREEN level of awareness about your strengths and areas
for growth to respond effectively to culturally and
linguistically diverse populations
BLUE has acceptance and respect for differences
PURPLE holds culture in high esteem
36. Cross, Bazron, Dennis & Isaacs, 1989
The Cultural Competence Continuum
CulturalDestructiveness
CulturalIncapacity
CulturalIgnorance
CulturalPre-Com
petence
CulturalCom
petence
CulturalProficiency
38. CULTURAL DESTRUCTIVENESS
Actively participates in purposeful attacks on
other cultures. Attitudes, policies and practices
are destructive to cultures and individuals within
the cultures, e.g., depriving gay or lesbian clients
access to quality care.
39. CULTURAL INCAPACITY
Lacking the capacity to help individuals from
other cultures. These individuals are extremely
biased, may believe in race superiority of the
dominant group or act paternalistic towards
Minorities.
40. CULTURAL IGNORANCE
The perspective that color or culture makes no
difference whatsoever, if the system works as it
should, all people, regardless of race or ethnicity,
shall be served with equal effectiveness, e.g.,
ignoring the individual differences of your community or
prevention activities, and treating them all the same.
41. CULTURAL PRECOMPETENCE
Awareness of one’s limitations in serving persons
of diversity and making small steps to improve on
some level, e.g., asking a colleague or client about
their culture in effort to acquire cultural knowledge
and sensitivity.
42. CULTURAL COMPETENCE
Accepting and respecting differences among and
within different cultures. Continuously assessing
one’s behavior to ensure it is congruent with
culturally competent practices. Expanding one’s
knowledge, resources and services in order to
better meet the needs of different racial and ethnic
groups.
43. CULTURAL PROFICIENCY
Taking a proactive approach towards cultural
competency to move it forward on a systemic level.
The advanced level specializes in cultural
competency and these individuals are often involved
in multicultural research, developing new preventions
and treatment modalities that address diversity
issues, publishing culturally-based knowledge, raising
society awareness and sensitivity to cultural issues.
44. Process of Gaining Cultural Competence
Views
themselves as
culturally
superior to
other cultures
Actively seeks
knowledge about other
cultures; educates
others about cultural
differences
Lacks cultural
awareness and
thinks there is
only one way of
doing things
Culturally
Incompetent
Sees all the same
people, and thinks
everyone should be
treated the same
Culturally
Competent
Recognizes
different cultures
and seeks to learn
about them
Accepts, appreciates and
accommodates cultural
differences. Understands
the effect his/her own
culture has in relating to
others
45. Reflections….
• Now, thinking about where you
fall on this continuum, what is
ONE thing you can do to move
along the continuum towards
cultural proficiency?
• Where does the agency fall on
this continuum?
• How can everyone work together
to move the agency along the
continuum towards cultural
proficiency?
46. We all need Cultural Competence
• Everyone will work with
people outside their own
cultural groups; so they must
be able to learn about, relate
to, and communicate with
people who are different from
themselves
• To build trust and rapport
• To be able to work effectively
47. Key Elements of Culturally Competent
Organizations and their Staff
Value diversity
Assess themselves
Manage the dynamics of difference
Acquire and institutionalize cultural
knowledge
Adapt to diversity and the cultural
contexts of individuals and
communities served
48. Exploring Strategies to Enhance
Cultural Competence so…
Together, we can move Forward!
Celebrate what works!
What does your agency do or
what do you do to effectively
work with and serve the
diverse groups in your
community?
49. Enhancing Cultural Competence
Georgetown University’s
National Center for Cultural Competence
“Infusing Cultural and Linguistic Competence
into Health Promotion Training – Video”
Chapter 4: Applying Cultural & Linguistic Competence
Video Presented by:
Suzanne Bronheim, Ph.D.
http://nccc.georgetown.edu/projects/sids/dvd/view_online/p4a.html
50. Enhancing Cultural Competence at the
Organizational Level
Organizational Values: An organization's perspective and attitudes with respect
to the worth and importance of cultural competence, and its commitment to
provide culturally competent care.
Governance: The goal-setting, policy-making, and other oversight vehicles an
organization uses to help ensure the delivery of culturally competent care.
Planning and Monitoring/Evaluation: The mechanisms and processes used to
guide cultural competence planning; and the systems and activities in place to
track and assess an organization's level of cultural competence.
Communication: The exchange of information between the
organization/providers and the clients/population, and internally among staff, in
ways that promote cultural competence.
51. Ensuring Cultural Competence at the
Organizational Level
Staff Development: An organization's efforts to ensure staff and other service
providers have the requisite attitudes, knowledge and skills for delivering
culturally-competent services.
Organizational Infrastructure: The organizational resources required to deliver
or facilitate delivery of culturally-competent services.
Services/Interventions: The degree to which the organization delivers services
in a culturally competent manner.
52. Leading with
Cultural Intelligence (CQ)
• Read (i.e., local paper
when you travel)
• Go to the movies /
museum
• Eat out
• Learn a new language
• Attend cultural
celebrations
• Find a cultural coach
• Visit a temple, mosque,
church
• Consume a variety of
news sources
• Look for culture
• Join a multicultural group
• Take a class
• Create a faith club
D. Livermore, 2010
53. Take Home Messages
Cultural Competence = Relationship Building
• INDIVIDUAL - Get to know yourself (worldview, values,
cultural identities) so you can better explore the
uniqueness of others
• ORGANIZATION - Get to know your community
(traditions, cultures, norms, practices, beliefs) so your
agency can be more in tune with their assets & needs
• SYSTEMS – Get to know your agency (culture, mission,
values, staff, services, polices, practices, philosophies)
so you can better serve the community