Cultural Competency

Are you competent?

Samuel Merritt University

Cultural Competence

The Institute for the Future (2000) predicted that by 2010 the country’s population will be 32% minority ethnic.

The IOM states that “a culturally diverse population poses challenges that go beyond simple language competency and include the need to understand the effects of lifestyle and cultural differences on health status and health-related behaviors” (Finkelman, 2011).

Culturally Competent Care

Age Sexual Orientation Disability Pregnant Teens Geographical Locations Socioeconomic Status

Statistics of Cultural Competency

In one study by Sargent, Selak, and Martsolf…

6% of 1st year students scored as culturally competent

13% of 4th year students scored as culturally competent

Camphina-Bacote Model

“The process in which the healthcare provider continuously strives to achieve the ability to work effectively within the cultural context of a client, individual, family or community” (2003).

Recognizes that Cultural Competence is… An ongoing process Needed to increase effective care in diverse patients

Camphina-Bacote Model

Five Constructs1) Cultural Awareness

-Examining your own culture and recognizing biases

2) Cultural Knowledge

- Learning and understanding different cultures

3) Cultural Skill

- Being able to conduct an assessment

Camphina-Bacote Model

4) Cultural Encounters

- Working with others of a different cultural background

5) Culture desire

- Yearning to work with others and work more about other cultures

“CRASH” Course in Cultural Competence

Consider CultureShow RespectAssess and affirm differencesShow SensitivityProvide care with Humility

“LEARN” model

ListenExplainAcknowledgeRecommendNegotiate

Diversity Competency Model

LinkagesCommitment

Drivers

Measurements

Culture

Four Elements of the Model

Drivers – describe how the organization leads and responds to internal and external forces

Linkages- examine how the organization integrates diversity throughout all levels of the workplace

Culture –describes how the organization creates a work environment that reinforces behaviors

Measurements- examine how the organization evaluates and improves for continuous progress and business results

Interviews with Nurse Leaders

Jaspreet Benepal

Chief Nursing Officer, CCRMC Pat Barron

ICU Manager, Kaiser Antioch Dr Michelle Hampton Renee Smith

Salient features from the various interviews

Cultural humility vs Cultural Competence

“Cultural humility incorporates a lifelong commitment to self evaluation and critique…developing mutually beneficial and non-paternalistic partnerships with communities on behalf of individuals and define populations” (Tervalon & Murray-Garcia, 1998).

Story Theory

“The purpose of the theory is to use the unique ability of nurses to gather a story regarding what matters most to patients, follow unfolding health stories, and guide healing interventions” (Liehr & Smith, 2008).

Self Reflection

I exist beyond countries, I am prevalent beyond races, I transcend beyond cultures. I am neither an infant nor a geriatric patient. I am the language barrier for every health care professional.

I am the fear that lurks within the heart of family members when their loved one is sick. I am care that longs for attention when the call light is unanswered.

I am a human body that is exhausted with aggressive treatments, I am the mind that is contorted with multiple thoughts while laying in the final days of my life.

I am neither black nor white. I am the love that is needed , the comfort that needs to be expressed. I am a Human. Look beyond my color, my accent, my language, my disability and treat me with care and respect. I am not the Nth ID badge number, I am not just a slew of medication administration . I am a life that has many experiences. Don’t judge me by the color of my eyes, but value me for the vision they share. The vision of love, respect and kindness for all humanity. I am the culture of love, compassion and care. The culture that prevails all humanity and hospital wall. A culture that is manifested within the soul and the heart. A culture that cannot be taught by reading 1000’s of books but a culture that lies at the core of humanity.

Broome, B., & McGuinness, T. (2007). A CRASH course in cultural competence for nurses. Urologic Nursing, 27(4), 292. Retrieved from http://proxy.samuelmerritt.edu:2251/login.aspx?direct=true&db=rzh&AN=2009643648&site=ehost-live

Finkelman, A. (2011). Leadership and Management for Nurses (2nd ed.). New Jersey, NJ: Pearson Education Inc.

Frusti, D., Niesen, K., Campion, J. (2003). Creating a culturally competent organization. Use of the diversity competency model. Journal of Nursing Administration, 33(1), 31-38.

Kardong-Edgren, S., Cason, C., Brennan, A., Reifsnider, E., Hummel, F., Mancini, M., & Griffin, C. (2010). Cultural Competency of Graduating BSN Nuring Students. Nursing Education Perspectives, 31(5), 278-285.

Groves, A. (2010). Cultural competency at the bedside. Med-Surg Matters, 19(4), 4-7.

Mittender, E. (2011). Using stories to bridge cultural disparities, one culture at a time. Journal of Continuing Education in Nursing, 42(1), 37-42. doi:10.3928/00220124-20100901-01

Racher, F. E., & Annis, R. C. (2007). Respecting culture and honoring diversity in community practice. Research & Theory for Nursing Practice, 21(4), 255-270. Retrieved from http://proxy.samuelmerritt.edu:2251/login.aspx?direct=true&db=rzh&AN=2009727598&site=ehost-live

Tervalon, M., & Murray-Garcia, J. (1998). Cultural Humility versus Cultural Competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 17.

References