210 © 2016 Springer Publishing Company http://dx.doi.org/10.1891/1078-4535.22.3.210 A t a national health care conference I recently attended, a psychologist, Dr. Smith, shared a patient encounter with Mr. Thomas (names changed to protect confidentiality). “When Mr. Thomas, an inmate sentenced for murder told me that he would be going home soon, I was pleased to hear it.” After serving 13 years of his sentence, Thomas was a model prisoner. “Finally, the penal system is doing something right: allowing a rehabilitated man to start over,” I thought. “After my return from a few days off, I walked into the prison to be met with a custody officer’s remarks: ‘Did you hear that Mr. Thomas hung himself?’ Initially I was stunned by the news, then I slowly began to realize that I had not really heard what the inmate had told me during our last visit. ‘Going home’ meant different things to each of us. Why didn’t I listen to him?” Smith admonished himself. “Filled with my own cultural ideas, I assumed he was speaking my language.” The psychologist’s remorse opened his eyes to cultural humility, a concept analyzed by Foronda, Baptiste, Reinholdt, and Ousman in an article published in the Journal of Transcultural Nursing. According to the authors, the term cultural humility is frequently used, but society’s understanding is unclear about the concept— hence their study. In their review of 12 articles that met their search criteria, they uncovered attributes, antecedents, and consequences of cultural humility used in a variety of contexts, from differences in ethnicity, race, gender orientation, and social status to interprofessional roles and health care provider–patient relationships.

Cultural Humility: A Concept Analysis

After several decades of slow progress, researchers are beginning to make advances in linking constructs based on the multicultural competencies tradition-especially those focused on qualities of the therapist-to therapy outcomes. The multicultural orientation framework was developed in response to several trends within the multicultural competencies tradition, with a particular emphasis on integrating the multicultural competencies tradition into research on psychotherapy process. We provide a narrative review of studies that include one of the three constructs (i.e., cultural humility, cultural opportunities, and cultural comfort) articulated by the multicultural orientation framework. Results indicate initial evidence linking multicultural orientation constructs to therapy outcomes (e.g., perceived improvement, racial/ethnic disparities in termination, and therapy alliance). Results also supported the social bond and social oil hypotheses from theorizing on humility. Implications for future research and therapy practice are discussed. (PsycINFO Database Record

The multicultural orientation framework: A narrative review.

Concept Development In Nursing Foundations Techniques And Applications

Therapists and mental health professionals strive to provide competent treatment to increasingly diverse populations, but can struggle to effectively engage with clients from different cultural backgrounds. Cultural humility is an approach and process that can help facilitate strong working alliances between therapists and diverse clients, leading to better therapy outcomes. In this article, we first consolidate definitions of cultural humility and work to better operationalize the construct. Next, we provide a brief review of empirical studies examining the role of cultural humility in therapy. Then, we offer a 4-part framework for applying cultural humility in therapy by (a) engaging in critical self-examination and self-awareness, (b) building the therapeutic alliance, (c) repairing cultural ruptures, and (d) navigating value differences. Finally, we illustrate what cultural humility looks like in the therapy room with two case studies.

Cultural humility: A therapeutic framework for engaging diverse clients.

Healthcare Simulation Standards of Best PracticeTM Simulation Design

Diversity is being increasingly recognized as an area of emphasis in health care. The term cultural humility is used frequently but society's understanding of the term is unclear. The aim of this article was to provide a concept analysis and a current definition for the term cultural humility. Cultural humility was used in a variety of contexts from individuals having ethnic and racial differences, to differences in sexual preference, social status, interprofessional roles, to health care provider/patient relationships. The attributes were openness, self-awareness, egoless, supportive interactions, and self-reflection and critique. The antecedents were diversity and power imbalance. The consequences were mutual empowerment, partnerships, respect, optimal care, and lifelong learning. Cultural humility was described as a lifelong process. With a firm understanding of the term, individuals and communities will be better equipped to understand and accomplish an inclusive environment with mutual benefit and optimal care.

Cultural Competency and Cultural Humility in Simulation-Based Education: An Integrative Review

Traditionally, a therapy dog has been a complimentary tool used by healthcare providers to provide stress relief to patients. However, animals can perform functions at an even greater capacity. Service animals are becoming a part of the healthcare team, by providing unique assistance to the healthcare providers rather than the patients. Thus, the workforce has expanded to include service dogs as a part of the healthcare team. This article discusses the unique challenges and opportunities provided by the use of service animal as a part of the healthcare team, as provided by the piloted use of a service animal with a student nurse in an acute care facility.

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Prim-ly adding care: Case report of a student nurse/service dog team

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Maren M. Reinholdt

Papers

Cultural Humility: A Concept Analysis

Cultural Competency and Cultural Humility in Simulation-Based Education: An Integrative Review

Prim-ly adding care: Case report of a student nurse/service dog team

Cultural Humility in Simulation Education: A State of the Science