The challenge of cultural competence in the workplace: perspectives of healthcare providers.
Stephane M. Shepherd,Cynthia Willis-Esqueda,Danielle Newton,Diane Sivasubramaniam,Yin Paradies +4 more
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TLDR
Findings indicate a need for interventions that acknowledge the value of cultural awareness-based approaches, while also exploring the utility of more comprehensive cultural competence and safety approaches.Abstract:
Cross-cultural educational initiatives for professionals are now commonplace across a variety of sectors including health care. A growing number of studies have attempted to explore the utility of such initiatives on workplace behaviors and client outcomes. Yet few studies have explored how professionals perceive cross-cultural educational models (e.g., cultural awareness, cultural competence) and the extent to which they (and their organizations) execute the principles in practice. In response, this study aimed to explore the general perspectives of health care professionals on culturally competent care, their experiences working with multi-cultural patients, their own levels of cultural competence and the extent to which they believe their workplaces address cross-cultural challenges. The perspectives and experiences of a sample of 56 health care professionals across several health care systems from a Mid-Western state in the United States were sourced via a 19-item questionnaire. The questionnaire comprised both open-ended questions and multiple choice items. Percentages across participant responses were calculated for multiple choice items. A thematic analysis of open-ended responses was undertaken to identify dominant themes. Participants largely expressed confidence in their ability to meet the needs of multi-cultural clientele despite almost half the sample not having undergone formal cross-cultural training. The majority of the sample appeared to view cross-cultural education from a ‘cultural awareness’ perspective - effective cross-cultural care was often defined in terms of possessing useful cultural knowledge (e.g., norms and customs) and facilitating communication (the use of interpreters); in other words, from an immediate practical standpoint. The principles of systemic cross-cultural approaches (e.g., cultural competence, cultural safety) such as a recognition of racism, power imbalances, entrenched majority culture biases and the need for self-reflexivity (awareness of one’s own prejudices) were scarcely acknowledged by study participants. Findings indicate a need for interventions that acknowledge the value of cultural awareness-based approaches, while also exploring the utility of more comprehensive cultural competence and safety approaches.read more
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Racial Diversity Among American Cardiologists: Implications for the Past, Present, and Future.
Amber E. Johnson,Mehret Birru Talabi,Eliana Bonifacino,Alison J. Culyba,Esa M. Davis,Paula K. Davis,Laura M. De Castro,Utibe R. Essien,Alda Maria Gonzaga,MaCalus V. Hogan,Alaina J. James,Charles R. Jonassaint,Naudia Jonassaint,Loreta Matheo,Melonie Nance,G. Sarah Napoé,Oladipupo Olafiranye,Sylvia Owusu-Ansah,Tomar N. Pierson-Brown,A.J. Conrad Smith,Tomeka Suber,Orquidia Torres,Rickquel Tripp,Eloho Ufomata,J. Deanna Wilson,Jeannette E. South-Paul +25 more
TL;DR: In this article, the authors outline documented barriers to achieving workforce diversity and suggest evidence-based strategies to overcome these barriers, including improving recruitment and retention of racially diverse members of the cardiology workforce and focusing on cardiovascular health equity for patients.
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Culturally Sensitive Care: Definitions, Perceptions, and Practices of Health Care Professionals
Ann Claeys,Ann Claeys,Saloua Berdai-Chaouni,Saloua Berdai-Chaouni,Sandra Tricas-Sauras,Sandra Tricas-Sauras,Liesbeth De Donder +6 more
TL;DR: The discussion reveals the significance of increasing cultural awareness and understanding, sensitizing about current narrow perceptions, and enhancing culturally sensitive care in the Belgian health care setting.
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Access to preventive sexual and reproductive health care for women from refugee-like backgrounds: a systematic review
TL;DR: A systematic review of qualitative, quantitative and mixed methods studies of women aged 18 to 64 years and health care providers' perspectives on barriers to and enablers of preventive sexual and reproductive health (SRH) care was undertaken as mentioned in this paper .
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Rejecting the myth of equal opportunity: an agenda to eliminate racism in nursing education in the United States.
TL;DR: In this paper, a narrative literature review was conducted with a focus on pulling together the strongest evidence on which to base policy recommendations, based on the available literature, they put forth five recommendations aimed at modifying nursing education in the US as a strategy to counter racism in the United States in the nursing field.
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Challenges and approaches to transcultural care: An integrative review of nurses' and nursing students' experiences
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References
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Cultural Humility Versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education
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Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care.
Joseph R. Betancourt,Alexander R. Green,J. Emilio Carrillo,J. Emilio Carrillo,Owusu Ananeh-Firempong +4 more
TL;DR: A framework of organizational, structural, and clinical cultural competence interventions can facilitate the elimination of racial/ethnic disparities in health and improve care for all Americans.
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Physician gender effects in medical communication: A meta-analytic review
TL;DR: Female primary care physicians engage in more communication that can be considered patient centered and have longer visits than their male colleagues, and gender-related practice patterns in some subspecialties may differ from those evident in primary care.
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Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model:
Cindy Brach,Irene Fraser +1 more
TL;DR: A conceptual model of cultural competency’s potential to reduce racial and ethnic health disparities is developed, using the cultural Competency and disparities literature to lay the foundation for the model and inform assessments of its validity.