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Issues with cross cultural communication
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What daily demonstrations lend themselves to the development of stronger relationships with regards to being culturally competent?
A significant role of healthcare professionals is the development of strong relationships with regards to being culturally competent. According to K. Davis, “cultural competence is the integration and transformation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes used in appropriate cultural settings to increase quality of services…” ((Dreachslin, Gilbert & Malone, 2013, p. 109). Cultural competence in healthcare has been a continuous goal that follows four main steps: cultural awareness (recognition of the strong effects of culture on self and others),
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College is the best time to interact with people, especially peers, who have different backgrounds and beliefs as myself. A great way to become cultural aware is to submerge oneself in situations that are unfamiliar, so that one can learn from experience rather than in a classroom setting. One of the biggest ways that I can translate these concepts into my daily practice is through my service-learning project, which involves working with individuals with physical and/or mental handicaps. This project gives me experience with working with vulnerable populations and encourages me to look at situations through a new perspective. The setting of my service-learning is the closest replica, except for the time spent at facilities for my observation hours, to that of my future career, so it allows me to utilize the skills that I learn in the classroom in everyday practice. Another way that I can integrate those concepts into my daily life is getting involved in as many different organizations that I can and form bonds with different groups of people who have both similar and dissimilar ideas as myself. I am a firm believer that more can be learned through involvement than anything that can be read in a textbook, and that means making mistakes as well. Challenging oneself and suffering occasional defeat will teach one how to cope with failure and learn how to correct it for the future, which is an important skill in the medical field, where everything may not always be
Douglas, Rosenkoetter, Pacquiao, Callister, Hattar-Pollara, Lauderdale, Milstead, Nardi, & Purnell (2014) outline ten guidelines for implementing culturally competent care; knowledge of cultures, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research. One specific suggestion I will incorporate is to engage in critical reflection. This is mentioned both by Douglas, et al. (2014) and Trentham, et al. (2007) as an important part of cultural competency. I will do this by looking at my own culture, beliefs, and values and examining how they affect my actions. I will use this information to better inform my day to day practice when working with patients with a different culture than my
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
For example, the Campinha-Bacote model views cultural competence as an ongoing process that involves the integration of the following constructs: cultural awareness, cultural knowledge, cultural skill, cultural encounters, and cultural desires (Campinha-Bacote, 2002). This model can be implemented into practice as I can recognize my own cultural background to prevent the tendency to impose any biases on another individual’s culture. I can begin to build upon my cultural knowledge by asking questions in a respectful manner to seek information about one’s culture. Most importantly, a desire to want to engage in the process of becoming culturally competent will be a deciding factor for positive patient outcomes. Examples of this desire may include, the willingness to learn how to conduct cultural assessments or a genuine passion to be open and accept differences between cultures. Moreover, it is important to recognize that cultural competency is not an end result, but an ongoing learning process (Campinha-Bacote,
The healthcare system within America reflects increasing numbers of cultural diversity and awareness. According to Holloway (2004), cultural awareness is defined as the deliberate, cognitive process by which health care providers become appreciative of and sensitive to the values, beliefs, practices, and problem solving strategies of the clients’ cultures. Cultural awareness include an examination of one’s personal biases. In order to understand cultural diversity, individuals must strive to acknowledge the prejudices they may already hold toward different cultures. On the other hand, cultural competence is a process through which health professionals can integrate their knowledge and skills to improve culturally effective interactions with clients (Tjale & Villiers, 2004).
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 in health care provision refers to the capacity of health care systems to offer good care to patients and accommodate employees, who have diverse beliefs, behaviors, and values to meet their cultural, linguistic, and social needs. It comprises of policies, attitudes, and behaviors that integrate to form a system that can operate efficiently in cross cultural conditions. Healthcare organizations look at cultural competence from two major viewpoints. Firstly, it is a tool to enhance patient care from all backgrounds, social groups, languages, religions, and beliefs. Secondly, it is a tool that strategically attracts potential clients to their organizations and, hence, expands
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
Cultural competency refers to the ability to recognize and understand values, mindsets, and behaviors of different cultures without judgment. This form of acceptance is still a developing skill in the United States health care system. Place of birth, family, socioeconomic status, education, and personal experience influence a culture, but can also serve as an access to care barrier. Perceived need for treatment and health literacy should be considered as it varies with each culture. Patients of Hispanic American, African American, Asian American, and Native American origin often experience poor oral health, compared to white Americans. Minorities have an increased risk for dental caries, periodontal disease, and other oral conditions. Health care providers must be aware of health disparities in minority communities, in order to provide quality care for all patients.
Cultural competence is necessary within todays health care industry. Continuing training and knowledge of how to interact with dissimilar cultures must be employed by health care facilities. Cultural competence is described as the ability to provide services to individuals who are different whether this be race, gender, sexual preference, ethnicity, social status, economic status or any other form of cultural difference.
The topic of cultural competency in public administration tends to be seen as a necessity during times of change. Within the last two decades the Unites States has continue to move toward a culturally diverse and ever changing demographic population, especially with a large growth in the Hispanic and Latino communities. Organizations are continuing to adapt to the changes within the population through the implementation and delivery of public program and services to underserved populations with different backgrounds, beliefs, practices, and languages have never been more essential. Research indicates that organizations that manage diversity well show a reduction in workforce turnover, an increase in productivity, an edge in attracting talented
Today’s management in the workforce is composed of all types of people verses thirty years ago when white males held a majority of upper-management positions in companies. These positions are now held by a mixture of ethnic back grounds and women who hold just as many if not more management positions then men. Just by looking at the changes in management demographics shows how important it is for people to understand cultural competency in the workplace. Dr. Roosevelt Thomas Jr. (1999) stated, “Diversity is the collective mixture of whomever we have in our workforce characterized by their differences and similarities” (p.11). Managers and supervisors must understand the characteristics of a diversity mature individual; they also need to be able to articulate the differences between affirmative action, managing diversity, understanding and valuing diversity to build skills that transforms awareness into productive and supportive workplace behaviors.
Cultural competency is a philosophy that is directly related to the interactions I have with people that are similar to my culture, but as well different. To me the philosophy of cultural competency is a way of life. It's the acceptance of everyone's individual characteristics. For example, all my roommates are from different parts of the world. Pellegrino R., (2014), illustrates that when we meet someone that is not similar to ourselves it’s because it is not accepted or familiar retrieved January 27, 2017 from https://www.youtube.com/watch?v=YMyofREc5Jk. I completely agree with him. When I first met my roommates it was a little strange, but as I kept an open mind I
Cultural sensitivity occurs when people recognize and are aware that each country or various ethnic groups of people have their own set of experiences, beliefs, values, and language that affect their perceptions toward life. Addressing Cultural sensitivity permits people to comprehend that there are differences between cultures. Furthermore, having awareness in the differences between cultures permits a culturally competent person to communicate effectively with others that are outside of one’s realm. Some of the differences of Cultural sensitivity can be discovered while traveling outside of the country, such as through Cross-cultural sensitivity experiences. Likewise, a culture has its own norms and beliefs to how one should dress; how one should greet others, such as by referring to a significant individual by his or her first name or surname (comprehending which name should be stated first in foreign names); and/or what foods are permitted to eat or forbidden to eat or understanding what may offend a person (e.g. not accepting a home cooked meal). There are norms, taboos, cultural cues, and cultural etiquette standards that are significant to learning about one’s culture before exploring another country or while working with people who are from your country but who are part of another racial group. It takes time and patience to build a high level of Cultural sensitivity. Educating oneself with a culture’s psychology and its norms is significant toward achieving an increasing awareness toward Cultural sensitivity.