...K**** I**** Grand Canyon University: Transcultural HealthCare February 28, 2016 Applying Purnell’s Model What is cultural competence? To be culturally competent healthcare provider one needs to understand their own world outlook and those of their patients, at the same time avoiding stereotyping and their own biases. Cultural competence is obtaining cultural data and then relating that knowledge. Cultural competence is a conscious ongoing process. Cultural awareness allows a healthcare provider to see the entire picture and improves the quality of care and health outcomes. Familiarizing ones self to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence requires the ability to listen to the patient, to learn about the patient’s beliefs of health and illness. The Purnell Model for Cultural Competence is a framework having detailed questions and a format that could be used to assess culture in healthcare setting. The Purnell Model for Cultural Competence in a healthcare setting place an importance on effective communication as well as the need to know the cultural views of patients. Purnell’s definition of cultural competence is, the totality of socially transmitted behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristics of a population of people that guide their worldview and decision making (Purnell, 2002,pg6-7). In other words...
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...NCVER Cross-cultural training and workplace performance Robert Bean Robert Bean Consulting The views and opinions expressed in this document are those of the author/project team and do not necessarily reflect the views of the Australian Government, state and territory governments or NCVER Publisher’s note Additional information relating to this research is available in Cross-cultural training and workplace performance: Support document. It can be accessed from NCVER’s website . To find other material of interest, search VOCED (the UNESCO/NCVER international database ) using the following keywords: cross cultural training; cultural awareness; workplace learning; capacity building; training provider; employee attitude; employer attitude. © Australian Government, 2008 This work has been produced by the National Centre for Vocational Education Research (NCVER) under the National Vocational Education and Training Research and Evaluation (NVETRE) Program, which is coordinated and managed by NCVER on behalf of the Australian Government and state and territory governments. Funding is provided through the Department of Education, Employment and Workplace Relations. Apart from any use permitted under the Copyright Act 1968, no part of this publication may be reproduced by any process without written permission. Requests should be made to NCVER. The NVETRE program is based upon priorities approved by ministers with responsibility for vocational education and training (VET)...
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...end of this module, you should be able to: Describe the concept of Cultural Competence in Research Explain the importance of Cultural Competence in Research Describe ways to enhance the engagement of diverse populations and communities in research Identify cultural competence challenges faced by researchers when working with culturally diverse populations Cultural Competence in Research Culture is fundamental to everyone's perceived identity. It is a mix of one's values, beliefs, standards, norms, behaviors, language, communication styles, and thinking patterns.[1] Cultural competence refers to understanding the importance of social and cultural influence on the beliefs and behaviors of the patient, student, colleague or client.[2] Cultural competence in health care describes the ability of systems and health care professionals to provide high quality care to patients with diverse backgrounds, values, beliefs, and behaviors, including communicating effectively and tailoring delivery to meet patients' social, cultural and linguistic needs and perspectives.[3] By definition, diversity can include differences in race, ethnicity, age, gender, size, religion, sexual orientation, and physical and mental ability.[4] Many terms are used to describe cultural competence: awareness[5], responsiveness, safety[6] and sensitivity. But, unlike cultural responsiveness, sensitivity[7], or appropriateness, cultural competency...
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...CAP-STONE- PSY 490. INSTRUCTOR: SEYMORE, RICHARD DEL VILLERS. Date: 12/17/2012 Student: Ramy Barrett * OUT LINE: “Cultural competence an important skill to a health care practice”: * What is cultural competence? What is not? 1. It’s not cultural awareness, cultural sensibility. 2. According to the anthropologist, Williams Haviland: Cultural 3. According to the office of Minority Health, defined Cultural and linguistic ( Website: www.competence (http://minorityhealth.hhs.gov/) 4. Kate Berardo as Cultural Awareness is the foundation of communication. 5. Stephanie Quappe and Giovanna Cantatore( 2007). * Why is cultural competence important in the health field? 1. I’ am an immigrant (My experience) : I have seem poor quality of care 2. Personal experience as an interpreter. (Example). * The Benefit and the lack of cultural competence:(Negative & positive effects): 1. Zborowski, M. (1952). Cultural Components in Responses to Pain. Journal Of Social Issues, 8(4), 16-30. 2. Dr Elyse R. Pork PhD from, Massachusetts General Hospital/Harvard Medical School, Boston, MA, (2006) 3. http://xculture.org/why-cultural-competency 4. Used: Schwartz, M. C. (1978). Helping the worker with counter-transference. Social Work, 23(3), 204. 5. Cultural Competence in Psychosocial and Psychiatric Care: A Critical Perspective with Reference to Research and Clinical Experiences in...
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...University of Phoenix. All rights reserved. Course Description The purpose of this course is to assist students in understanding and applying the principles of effective intercultural communication in a diverse society and in global commerce. Students will develop an understanding of why and how cultural issues influence effective communication. This course introduces techniques for improving written, oral, and interpersonal communication skills in response to intercultural settings. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Lustig, M. W. & Koester, J. (2010). Intercultural competence: Interpersonal communication across cultures...
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...The Need for cultural Competency for Better Health Care Patients’ satisfaction and safety are the two concerns of the health care system today. In order to provide these the nurses must have full knowledge of the patents’ background and ethnic traditions. This will enable the Nurses to serve them better. Otherwise they will end up in lower levels of patients’ satisfaction. The patients from different ethnic groups are to be respected, cared and treated with a homely atmosphere to give them full satisfaction. If not they go home with the feeling of dissatisfaction and hurt (Georgetown University, 2004). An understanding of cultural knowledge of the patients will help the Nurses to render better care and treatment solutions. The Nurse should have the cultural competency before she deal with patient from particular ethnic group. A better knowledge of the culture, race, view, traditions and expectation of the patient will help the Nurse to render a better care (studymode.com, 2013). Patients come from families, societies, those are founded in different belief traditions, so we need to respect their support group (Lanette Anderson, 2012). Though we all have racial preferences, it should not block and paralyze the growth and progress system where we work for our livelihood. According to ‘Dr. Campinha-Bacote (2002)’ there are five essential factors Nurses need to know. They are ‘awareness, skill, knowledge, encounters and desire’ (2002). These are the five...
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...Introduction to Cross-Cultural Psychology Paper Yekaterina Tarkovsky PSY/450 Diversity and Cultural Factors in Psychology Stephen Northam / Professor November 23, 2015 The author of this paper would like to share the results of the study performed on the effects of cognitive appraisals of communication competence in conflict interactions. This study involves both Chinese and Western cultures. The researchers were investigating how differently people from both of these cultures perceive competence, appropriateness, and effectiveness of another party’s communication during conflict. At first, there was a pilot study which had thirty employees in Singapore. They were examining appraisals of communication competence in recalled intercultural conflict incidents. The competence of others was judged by western expatriates. They were determining whether the style of communication itself was direct as well as engaged. This was deemed to be judgements of effectiveness. The competence on interactional skills as well as knowledge on culture was judged by host-nationals. This was deemed to be judgments of appropriateness. The quasi-experimental study followed the pilot study. In this study, two parties comprising of university students. One party had one hundred twenty eight Australian students and the other one had on hundred eight Chinese students. The results of this study had showed that students from Australia discriminated between four different types of conflict styles more...
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...Cultural Competence The city of Milwaukee in Milwaukee County area is an extremely ethnically and racially diverse city in the state of Wisconsin (Milwaukee Citywide Policy Plan, 2010). According to the American Community Survey (ACS) in 2008 the city residents made up about 63% of Milwaukee County’s total population. However, the city of Milwaukee accounts for almost 88% of the county’s minority population and that number is slightly increasing yearly (Milwaukee Citywide Policy Plan, 2010). There are primarily Blacks, Hispanics, and Asian minorities found living in the area but there are still many more other minorities found in the streets of the city of Milwaukee. Graph 1 and Graph 2 below show the minority population in Milwaukee County compares to the minority population in the city of Milwaukee. Graph 1: Milwaukee County Population 2013 Sources: United States Census Bureau, 2010 Graph 2: City of Milwaukee Population 2010 Sources: United States Census Bureau, 2010 With the continuing rise of minorities, one of Milwaukee’s largest health care facilities, Aurora Health Care, needs to focus more on how they can increase cultural competence. Cultural competence is the ability of a health care system to be able to provide care to their patients of diverse values, behaviors, beliefs (Betancourt, Green, & Carrillo, 2002). It is a continuous attempt and ongoing process to understand the traditions, values, customs, and beliefs of a diverse group and respecting...
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...INTRODUCTION In recent years, patient-centeredness and cultural competence have been promoted as integral to improving health care quality. Although patient- centeredness and cultural competence have grown out of separate traditions each with its own focus they have many similarities. Health care that is patient-centered is likely also to be culturally competent, and culturally competent care is likely to be patient-centered. Proponents of patient-centeredness may therefore view cultural competence as within its purview; likewise, proponents of cultural competence may view patient-centeredness as an essential element. THE EVOLUTION OF PATIENT-CENTEREDNESS Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment. The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions." The term “patient-centered medicine” was originally coined by Balint in 1969 to express the belief that each patient “has to be understood as a unique human being (Balint)".The concept has evolved and expanded, and today, no one would deny that health care should be patient-centered.2 However, despite universal endorsement of patient-centeredness, there is considerable ambiguity in its definition and use across settings...
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...Cultural Competence Tara Culberson Texas Tech University Healthcare is universal but there are many different views of how healthcare should be administered and given. Different cultures vary in the beliefs surrounding healthcare and the people of those cultures have norms that they believe should be followed when receiving healthcare. Cultural competence can only be administered when the healthcare professionals are educated and value the beliefs of their patients. Joey Guzman is a 19-year-old college student at Tarrant County College who is Hispanic. Both of his parents were born in Mexico and moved to the United States at different periods in their life. Joey’s mom, Sole, has her own views of healthcare and how it should be administered to her and her family. Cultural competence can only occur once healthcare professionals respect and accept cultural differences, and posses different cultural information. Cultural competence is an on-going process and is a learning experience. There should be some things that nurses should be aware of, but cultural competence will gradually be learned as nurses come in contact with different cultures. For example, people of Asian descent belief in acupuncture for healing along with herbal remedies while African Americans also believe in herbal remedies but do not think that acupuncture is a useful measure for healing. The beliefs that Hispanics have surrounding healthcare are very particular and specific and do not really overlap...
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...SELLERS IN MALAYSIA Many studies have been conducted related to communication competencies since the last decade until now. However, the availability of the studies on communication competencies has not been explored in depth particularly in the direct selling context in Malaysia. To understand the direct sellers’ communication competencies, a conceptual framework will be built based on related literature studies. Literature reviews have shown a variety of studies on communication competencies from the behavioral and cognitive perspectives. Although numerous studies have provide understanding of communication competence in various context, there is a gap in viewing communication competencies in a more dynamic context, particularly in the process of communication of direct sellers with their potential customers. This paper attempts to discuss the importance of a dynamic research related with communication competencies by developing a conceptual framework for a direct selling as a communication process. INTRODUCTION The key purpose of this paper work is to discuss the need of developing a conceptual framework for studying communication competencies of direct sellers in Malaysia. Research on...
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...As a measurement tool, heritage assessment helps a person appreciate further his cultural background, find strengths in his personality (based from his specific cultural background), and work on weaknesses that he has. Unlike other assessment tools, this is a quantitative-based approach aimed at threshing out a person’s family, religious and ethnic background that Influences the healthcare delivered to that person or to their culture The greater the number of the positive responses shows the person’s greater identification with traditional heritage. (Spector 365) .Based from the writers experience, a person needs to answer questions in a heritage assessment tool and these questions are * Place of birth of one’s parents * Place of birth of their respective parents * His or her age when family migrated to the United States * Composition of one’s family * Number of family members which that person lives with * Degree of interaction with family members living outside one’s home. * Religion of one’s family * Religion of one’s spouse * Religion of one’s neighbors * Degree of belief in one’s religion and observance of religious holidays Based on these questions which was answered by the writer she found that she is Christian catholic, and was born and raised in India along with her family and parents. The Indians beliefs are very different than other culture. We still believes in strong family and have long families who lives together in...
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...Personal Predjuges and Biases One personal bias I have would be in relationship to some of the beliefs of the Mormons. Although I infrequently come in contact with individuals of this belief, I have had some exposure to them in my work history and have done some reading about their beliefs. In less than 70 years, the number of Mormons has grown from less than a million to more than 6 million in the United States and 14 million worldwide. Their visibility and influence at all levels and walks of life have increased accordingly (Bohlen et al., 2010). The Church of Jesus Christ of Latter-day Saints (LDS), reflects the cultural impact of basic beliefs and traditions of church members practices and activities. The culture is geographically concentrated in the Western North American area, but is present to a lesser extent in many areas of the world where LDS live. Church members are encouraged to marry and have children, and as a result, LDS families tend to be larger than average. All sexual activity, both heterosexual and homosexual, outside of marriage is considered a serious sin. Same-sex marriages are not performed or supported by the LDS Church. When youth are in their late teens to early twenties they must put everything in their life on pause and go out for 18 to 24 months to spread the gospel. At least a tenth of a Mormon’s income must be given to tithing in order to contribute to the church’s growth. Sunday, the Sabbath...
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...1. The primary source of information that should be considered to modify the service environment to ensure visual affirmation in the area is determining what cultures or ethnic groups does the facility serve. This source of information will allow for them to appropriately create a visual affirmation in the area by appealing to the patients/clients/customers they are serving. 2. My view of the decision that more Jamaican members are not necessary since they already have two African Americans on the board is that this is not the best decision for the healthcare facility to make. It is also not a good business decision. It is important to have an organization of a diverse group of board members, staff, and providers. Two out of 15 African Americans will not represent or stand out (another word) as a diverse organization when the facility serves a significant number of Jamaica patients. Therefore, more Jamaican descent board members or people from an African descent are needed to adequately represent the population being served. As a result, the healthcare facility will better interact and connect with their patients, increase organization success, and patients will notice that the organization strives to meet their culture and health needs. 3....
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...diverse ethnic and cultural backgrounds has challenged health care providers to consider cultural competence as a priority (Capinha-Bacote, 2002). Patients within the hospitals are of every ethnic group and culture, and at times a mix of each. The term melting pot is used to describe the United States, which also has a tight relation to healthcare as well. For nurses, it is vital to maintain a sense of professionalism and unbiased opinions. Within the culture evaluation, a comparison of beliefs about health maintenance, protection, and restoration will be investigated amongst Asian-American, Caucasian, and Hispanic cultures. Cultural Competence Within such an eclectic amount of cultures, keeping cultural awareness, knowledge, skill, and the way culture is encountered maintains the ability to be culturally competent. Cultural awareness is the self examination and in depth exploration of one’s own cultural and professional background (Capinha-Bacote, 2002). Maintaining a sense of empathy and understanding regarding patient’s culture and beliefs assists in the individuals healing process. Cultural knowledge is the process of seeking and obtaining a sound education foundation about diverse cultural and ethnic groups (Capinha-Bacote, 2002). As healthcare officials, maintaining a solid foundation of knowledge pertaining to health, as well as sociological studies assists in approach and delivery of care. Cultural skill is the ability to collect relevant cultural data regarding the...
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