The evaluation of these individuals raises many issues that clinicians need to address to formulate an accurate diagnosis and treatment plan that will be acceptable to the patient. The assessment of minority patients has additional layers of complexity when compared with assessment of nonminority patients, especially when the patient has a different cultural or ethnic background from the clinician. Thus, clinicians need to develop culturally competent knowledge, attitudes, and skills. Also, clinicians need to be aware of their own cultural identity and their attitudes and beliefs toward ethnic minorities, because these will affect their relationships with patients.
It's not just political correctness. Racial, ethnic and cultural disparities exist in all aspects of society, but nowhere are they more clearly documented than in health care. In addition, their infant mortality rates are generally higher, and their childhood immunization rates are lower.
A set of congruent behaviors, attitudes and policies that come together as a system, that system, agency or those professionals to work effectively in cross-cultural situations. The word competence is used because it implies having a capacity to function effectively.
Understanding patients' diverse cultures — their values, traditions, history and institutions — is not simply political correctness.
It is integral to eliminating health care disparities and providing high-quality patient care. Culture shapes individuals' experiences, perceptions, decisions and how they relate to others.
It influences the way patients respond to medical services and preventive interventions and impacts the way physicians deliver those services. In a society as culturally diverse as the United States, physicians and others in health care delivery need sensitivity toward diverse patient populations and work to understand culturally influenced health behaviors.
At the individual practice level, there are several things groups can do to cultivate cultural competence: In other words, do not merely tolerate people of differing backgrounds and viewpoints, but consider differences as strengths.
Conduct a cultural self-assessment. One example of a fairly comprehensive cultural competence self-assessment tool is shown below.
It was developed by Tawara D. Be conscious of the dynamics when people from different cultures interact. Diversity can cause conflict and force individuals out of their comfort zones, but it need not cause division. Its importance must be emphasized by those at the top of the organization, and it should be evident in the group's policies and practices.
Adapt service delivery to reflect an understanding of cultural diversity. In other words, move beyond theory and into practice by carrying out changes to meet the needs of your diverse patients. There is a vast difference between a group that merely preaches diversity and a group that lives it.
Physicians can lead the way in creating more culturally competent delivery systems and eliminating the striking disparities that exist among their patients.
Cultural competence self-test The following self-assessment can assist physicians in identifying areas in which they might improve the quality of their services to culturally diverse populations. Please enter A, B or C for each item listed below.
Communication Styles When interacting with individuals and families who have limited English proficiency, I always keep in mind that: How to use this checklist This checklist is intended to heighten the awareness and sensitivity of personnel to the importance of cultural and linguistic competence in health and human service settings.
It provides concrete examples of the kinds of beliefs, attitudes, values and practices that foster cultural and linguistic competence at the individual or practitioner level. There is no answer key with correct responses.
Self-assessment developed by Tawara D. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription.
Earn up to 6 CME credits per issue.The basic premise of the cultural assessment is that patients have a right to their cultural beliefs, values, and practices, and that these factors should be understood, respected, and considered when giving culturally competent care. To provide culturally responsive evaluation and treatment planning, counselors and programs must understand and incorporate relevant cultural factors into the process while avoiding a stereotypical or “one-size-fits-all” approach to treatment.
Doing a cultural assessment. and that these factors should be understood, respected, and considered when giving culturally competent care. but to respect the two positions and allow opportunities for teaching that recognize the importance of both generations.2 The transgenerational impact of migration is illustrated in books such as The.
isolated living Adverse cultural development Harmful environment Financial support to families Child-oriented culture Social What are the main factors that influence the implementation of disease prevention and health assessment criteria were used.
More about Using Material for Item a and Elsewhere, Asses the Importance of Cultural Factors in Causing Social Class Differences in Education Achievement. Using material from item A and elsewhere, Assess the view that working-class children under-achieve because they are culturally deprived.
Outline and asses cultural explanation of Social class difference in educational achievement Class differences in educational attainment have often been seen as a result of differences in class cultures.