Core Concepts in Cultural Competence

Core Concepts in cultural Competence identify Concepts (printable) Cultural Competence comment Cultural Competence is a banding of determine, ways, attitudes and practices within a system, organization, program or among individuals that enables them to work effectively across cultures.Cultural competence refers to the ability to honor and respect the beliefs, language, inter personal styles and behaviors or squirtren and families receiving checkup c ar, as well as those of the staff who argon providing some(prenominal)(prenominal) c are. Cultural competence is a dynamic, ongoing developmental heed to that requires a spacious term commitment and is achieved over time. practice sessions look Cultural Competence in the following examples suit 1 Maria Hernandez arrives late for her appointment, and explains that she spent a few hours with her elderly aunt on the way to her appointment.The nurse, Ella, greets Maria warmly and comments on Marias devotio n to her family. Ella understands that in the Hispanic community, fondness for family often comes before an individual need such as an appointment. Example 2 When Gina, the social worker, enters an examining room she is already alert to the fact that the family she is conflict whitethorn confine views rough health care that are dissentent than her own.She inquires or so the familys beliefs, drawing on her realiseledge of the culture, solely primarily interested in what the family tells her rough their unique views. Example 3 Fred, the pharmacist, becomes frustrated with an Asiatic family who has been using herbal remedies. With great authority, he tells them that they are doing the wrong thing. Fred is non behaving in a culturally competent manner. Application When meeting a affected role or family for the first time, be aware that their beliefs and practices may differ from your own. Try to learn as much as you can near the familys life and how they vie w the world. Culture Definition Culture is defined as the sum of ones beliefs, rituals, customs and practices that guide thinking, decisions and actions in a patterned way.They are learned throughout a lifetime and passed on through generations. Examples quiz Culture in the following examples Example 1 Among some cultures in India, the occasion on which a child first eats unfluctuating foods is celebrated with great ceremony. Example 2 Family is defined differently in different cultures in some cultures, family means primarily parents and children. In different cultures, family accommodates a large number of relatives, loosely related. Example 3 Disabilities are viewed differently in different cultures. In some cultures, flock with disabilities are hidden, in others they are considerd to be endowed with special gifts.In some cultures, people with disabilities are encouraged to become independent and live independently in others, it is the familys wish and responsibility to care for the disabled person. Application Because of differences surrounded by cultures, patients behaviors and beliefs may be different from ones own. Explanatory sit down Definition The Explanatory exemplar is the belief system that people from a given culture have about what has caused their chargeness and what the illness does to them.Patients beliefs about what volition ease cure them depend on their explanatory model. Examples Examine the Explanatory Model in the following examples Example 1 A Romani patient may believe that bad luck, bad behavior or contamination has caused his illness. Example 2 An Hispanic mother may believe that her child has Mal dojo, or has been cursed with the evil eye. Example 3 An Asian patient may believe she is having a awkward birth because of an imbalance between hot and cold in her body. As pregnancy is a cold condition she may request a drink of hot water, for balance. Application In o rder to learn about your patients explanatory model, you may want to ask something like I know different people have very different ways of misgiving illnessPlease help me understand how you see things. Health Beliefs Definition Patients beliefs about their health. Health eliefs include cultural beliefs about what causes illness, what ordain help illness and who is best prepared to help the illness. The Health Belief Model as defined by Becker, postulates that patients weigh more general beliefs such as whether or not they really believe they are ill and whether they believe the treatment offered by the physician allow offer relief, against authority disadvantages of the treatment. Examples Examine Health Beliefs in the following examples Example 1 A mothers health belief may involve the imagination that a particular amulet will protect her daughter. Example 2 well-nigh Native American tribes health beliefs include the idea that victorious a photogr aph of a person will rob the person of his or her soul. Example 3 A mother may believe that her daughter doesnt have asthma, but just coughs occasionally and that the inhaled steroids are dangerous for her daughter. She may therefore decide that the potential risks of the medication outweigh the benefits. Application A patient whose health belief is that his illness is a punishment for past sins may not believe that biomedical care will help him. He may believe that he will only get better when he atones for his sins. complaisant Factors Definition Social Factors refer to environmental factors which affect how the family functions.These include (but are not special(a) to) financial factors (such as socioeconomic status or type of or lack of insurance), logistical factors (such as transportation or juggling galore(postnominal) demands), housing, childcare and accessible health care. Social factors sometimes also include family relationships or family d ynamics which affect a child or family member. This often, in turn, influences emotional factors. Examples Some examples of Social Factors are Example 1 Some families do not buy medications that they need because they do not have insurance or cannot afford the co-pay. Example 2 A child may come to clinic dirty, not because the mother doesnt care about cleanliness but because the water has been off and the landlord refuses to return her phone calls. Example 3 A childs divorced parents may be angry at each other, do tension in the family and interfering with the consistency of his care as he moves between their homes. Application It is always important to learn as much as you can about the social factors that affect a family. This will help you understand the choices they make and the constraints they are under. refinement Definition The betrothal of the behavior patterns of the dominant culture the process of assimilating new ideas into an brisk cogniti ve structure. Acculturation is the process of acquiring a second culture.Assimilation is the process of replacing ones first culture with a second culture. Examples Some examples of Acculturation are Example 1 A first generation Italian who lives in an Italian enclave in he United States may expand to speak just Italian and to follow the norms and mores of his Italian origins. This person will not have become highly acculturated to American culture. Example 2 The granddaughter of a Chinese immigrant has gone to American schools and will now attend an American college. She spends time primarily with her American friends, dresses as they do and shares their values and interests.She has become highly acculturated into American culture. Application The degree to which a patient holds the health beliefs of his country-of-origin will depend in part on how acculturated he has become to American culture.