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Evaluation Purpose, Logic and Indicators
Cultural competence is a set of values, behaviours, beliefs, and policies that come together in a service or amid practitioners, to enable the service or practitioners to work effectively in cross-cultural systems (Sonal-Valias 2009, p. 2). Understanding a person’s culture helps staff members understand how the person views their environment (Government of South Australia 2006, p. 8). By understanding the person’s culture staff members are equipped to avoid stereotypes and biases that can negatively impact the working relationship (Government of South Australia 2006, p. 8). The cultural competence staff training project’s goal is to assist frontline workers to be able to effectively communicate with
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clients of different cultures. This can result in positive working relationships, inclusive work environment, and positive responses from service users (Lumby & Farrelly 2009, p. 14; Sonal-Valias 2009, p. 2). The type of evaluation for this project will be an outcome evaluation.
An outcome evaluation is the evaluation of the changes that occurred from the implementation of the training project, which result from the established activities implemented to achieve the cultural competency training project goals, and a systematic evaluation of the extent that the activities selected caused the outcomes to occur (Sonal-Valias 2009, p. 2). This evaluation will determine the effectiveness of the cultural competency staff training project meeting the objectives and goals, determining the level of quality in service delivery, and identify the strengths and weaknesses in the project implementation (Savaya & Waysman 2005, p. 85). Outcome evaluations are focused on continuous quality improvement, this encourages the examination of ways to constantly improve the effectiveness and competence of the organisation’s services and programs in order to increase benefits for the service users (Sonal-Valias 2009, p. 2). Continuous quality improvement results in creating an environment in which quality improvement regarding cultural competence for service users is a key part of creating the organisational culture (Sonal-Valias 2009, p. 2).
The purpose of the outcome evaluation is to assess the effectiveness of the set activities in regards to the benefits achieved, identify the strengths and weaknesses of the training project, and to provide suggestions for improvement for future staff training projects
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(Sonal-Valias 2009, p. 2). This evaluation plan will be focusing on evaluating the outcomes of a cultural competence training program for frontline 100 staff members across four different sites.
The leadership has provided funding for the training to enable frontline staff, who interact directly with clients to provide a culturally competent service. The training project is still in the process of being conceptualised, therefore the training project is yet to be implemented. The evaluation audience includes the organisation, the staff, the service user, and key stakeholders such as government departments.
The logical framework model is a method of formatting a project logic, performance measured to demonstrate that measures are appropriate and link to the success of a program (Frey 2013, p. 63). The logical framework addresses the activities, outputs and outcomes. The activity is training program, with the output being the staff ready to practice in a culturally competent manner, resulting in the outcome of culturally competent staff and
practice. The evaluation plan will be of an experimental approach. Experimental evaluation designs can provide evidence of correlation or causal relationship between the training program and the intended outcomes (Ozanne & Rose 2013, p. 251). This involves comparing two groups to see if the desired outcomes are likely to occur in the group that received the cultural competency training (Ozanne & Rose 2013, p. 251). In an experimental design subjects are randomly assigned to two groups, one group will receive the cultural competence training, the other will not (the control group). Outcome indicators are utilised to assess if the training program objectives have been achieved. An indicator is determines what data needs to be gathered to assist in evaluating the progress of the training program (Sonal-Valias 2009, p. 2). Objectively Verifiable Indicators (OVIs) display the key features of the objectives and the standard expected to be reached in regards to quality, quantity, and the time frame. The means of verification refers to how the data will be attained to prove the objectives defined by the indicator have been achieved. The first key indicator is if the service user’s perspective of the organisation and their practice has improved. A second key indicator is the improvement of communication and service delivery between provider and to the service user, and between staff that promote cultural competence. A third key indicator is the changes in the staff’s awareness, knowledge, skills through culturally competent practice, resulting in delivering a culturally competent practice.
Cultural Competence is a substantiated body of knowledge based of cultural “values held by a particular cultural group and the ability to cohesively adapt to individualized skills that fit the cultural context, thus, increasing relationships between employees, managements, and stakeholders, including patience and research subjects. Cultural competency is critical to reducing disparities and improving access to high-quality services, respectful of and responsive to the needs of diverse working conditions and individualized characteristics. The main focus emphasizes the understanding of cultural competence provide internal resources with skills and perceptions to thoroughly comprehend ones cultural attitude, increase the ability to multicultural diversity, and the ability to effectively interact with other cultures (Shelley Taylor, 2006, pp. 382-383), which is absent within the case study of Joe and Jill. Essentially speaking, principles of cultural competence are acknowledgement to the importance of culture in people's lives, respect for cultural differences, an...
“Cultural competence is the ability to engage in actions or create conditions that maximize the optimal development of client and client systems” (Sue & Sue, 2013, p. 49). Multicultural competence includes a counselor to be aware of his or her biases, knowledge of the culture they are evaluating, and skills to evaluate a client with various backgrounds (Sue & Sue, 2013). Client assessment involves gathering information pertaining to the client’s condition. Making a culturally responsive diagnosis involves using the DSM-IV-TR axis (Hays, 2008). Following the axis backwards is ideal to discovering the client’s diagnosis, understanding the client’s ADDRESSING outline will help to come to a closer resolution for a diagnosis.
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
Let’s begin with what is the Culture? It is defined as “the shared knowledge and schemes created by a set of people for perceiving, interpreting, expressing, and responding to the social realities around them" Lederach, J.P. (1995). Now let’s understand what cultural competence is. It can be defined as “the ability to honor and respect the beliefs, language, interpersonal styles, and behaviors of individuals and families receiving services, as well as staff who are
Working as a research nurse at the Ohio State University, I often encounter patients that
Hastings, C. (2002). So, how do you become culturally competent? Family Therapy Magazine, 1(2), 18-24.
Introduction Cultural Competency is fundamentally linked to the principles of social justice and human rights because it provides the nurses with the opportunity to develop interpersonal skills to provide equal care despite one’s cultural background. However, using the principles of social justice and human rights to educate nurses allows them to learn how to negotiate cultural differences. Removing their own cultural filters, and seeing events through the eyes of those who are culturally different, accomplish this. An embedded experience, in which nurses interact with various cultures, would encourage them to adopt cultural competency knowledge (Office of the High Commissioner for Human Rights, 2008). Environmental justice can affect the population’s health.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
Cultural competence does not assume that knowledge of a culture will provide all of the information
In today’s society were an abundance of resources exist, social workers are often the entry point for people to access services. Therefore, it is imperative for social work professionals to have a clear understanding of themselves in relation to the client from a cultural perspective. While the social work profession has always focused on social justice and oppression it wasn’t until the civil rights movement that there was a conscious shift in the social work pedagogy to focus the social service practice on race, racism, and training the workforce in cultural competences. Later in the mid 1980’s, the tone of cultural competence would shift from race and racism to a more inclusive language, which includes a more robust list of all types of
Cultural competence as defined by the American Medical Association acknowledges the responsibility of healthcare providers to understand and appreciate differences that exist in other cultures (as cited by McCorry & Mason, 2011). Moreover, it is the healthcare provider’s responsibility to not only become knowledgeable of other cultural differences, but to assess and adapt their skills to meet the needs of those patients (McCorry & Mason, 2011). Culturally competent healthcare providers recognize and incorporate cultural diversity, awareness, and sensitivity into the total care of a patient (Matzo & Sherman, 2015). Mr. L. is a Chinese-American man and it appears his culture is influencing his end of life (EOL) experience. It is essential
...nsider the intentions of evaluation varying from essentially procedural and scientific to determine the effectiveness of the program. The four levels of training evaluates the reactions to the training, skill gain at the end of training, the behavior on the job as to how it was changed due to the training, and the improvements of the overall program and outcomes. Stufflebeam’s model analyzes what the program is intended to do and it facilitates in the decision making process of program development. This model of evaluation is a better fit for the environment in which I work because, it is intended for the use of administrators, management, and other professionals. The model is designed for use in internal evaluations performed by organizations, carried out by individual administrators or management, and contracted external evaluations. (Stufflebeam, 2000, p. 279)
Cultural Competence is being able to engage in respectful and effective practice with diverse individuals, families, and communities, preserving their dignity and affirming their worth. A social worker should be aware of their clients’ cultural and environmental contexts, in order to know a client’s strengths, but cultural competence is never fully realized, achieved, or completed, but rather cultural competence is a lifelong process for social workers who will always encounter diverse clients and new situations in their practice. Social workers should have a knowledge base of their clients’ cultures and be able to demonstrate competence in the provision of services that are sensitive to clients’ cultures. Social workers should obtain education
The lowest level and most undesirable level is cultural destructiveness. Organizations in this level do not want to learn or understand the cultural diversity within their population. The second level is cultural incapacity and is consist of organizations not being able to accept other cultural differences even though they recognize these cultures. There is a sense of a dominant culture and others must adhere to the dominate culture. The third level is cultural blindness. This is when organizations prefer to handle every individual the same without any consideration for cultural differences or preferences. Cultural precompetence is the fourth level and involves organizations that are aware of cultural diversity. They are willing to make changes to improve their cultural competency, but do not have a define method in doing so. The fifth level is cultural competency. These organizations have a deep understanding of incorporating other cultures into their organization and embrace changes. The last level is the most desired level and is the ultimate goal on the continuum, cultural proficiency. These organizations are able to provide a positive environment for all cultural diverse patients. These organizations are constantly making improvements to ensure overall cohesiveness with all cultural encounters while expanding their cultural knowledge. Involvement from upper level members all the way down to bottom staff are utilized to ensure overall productivity and cohesiveness. A health service administer should utilize the Cultural Framework; cultural awareness, skills, desires, and encounters to help the upward progress on the Cultural Competence Continuum to reach the ultimate goal. Increased productivity, overall care, revenue, and patient satisfaction are just some positive influences when reaching the ultimate goal. There will also be a decrease in malpractice suits and negative impacts due to
There are several reasons organizations initiate performance evaluations, however the standard purpose for performance evaluations is to discuss performance expectations; not only from the employers perspective but to engage in a formal collaboration where the employee and the manager are both able to provide feedback in a formal discourse. There are many different processes an organization should follow when developing its performance evaluation tool; in addition essential characteristics that must accompany an effective performance appraisal process. I will discuss in detail the intent of a performance evaluation, the process an organization should follow in using its performance evaluation tool, along with the characteristics of an effective