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Health Disparities
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Yvonne Commodore-Mensah, Ruth-Alma Turkson-Ocran, Oluwabunmi Ogungbe, Samuel Byiringiro, Diana-Lyn Baptiste
Most cultural competency training has focused on knowledge and skills for responding to sociocultural issues during clinical encounters. Such approaches have been criticized as stereotypical and inaccurate representations of entire populations. As such, cultural competence training should focus on understanding how culture shapes people’s lives and lifestyle behaviors, effective integration of cultural competence into healthcare practices, continuous value clarification, and awareness of personal biases and prejudices (Hark & DeLisser, 2011; Purnell, 2012).
Engaging with the Health Issues of Gypsies and Travellers
Published in James Matheson, John Patterson, Laura Neilson, Tackling Causes and Consequences of Health Inequalities, 2020
Elizabeth Keat, Milena Marszalek, Helen Jones, James Matheson
Primary care teams are not immune from conscious or unconscious bias. A recent paper published by Friends, Families and Travellers [5] found that of 50 practices, all rated good or outstanding, 24 refused to register a Traveller seeking medical help. Where it’s lacking, cultural competence training can be useful and is available from a number of local and national organisations.
Working with diversity
Published in G. Hussein Rassool, Alcohol and Drug Misuse, 2017
Professional development is essential to develop a workforce in the provision of competence care. In a recent review of cultural competence in mental health care, a study by Bhui et al. (2007) shows that there is limited evidence on the effectiveness of cultural competency training and service delivery. The educational curriculum of nurses and allied health and social care professionals should include cultural awareness, cultural knowledge and cultural sensitivity. The curriculum must also address issues of stereotyping, discrimination and racism that are prevalent in society and an examination of societal and institutional issues that affect minority cultures should be included (Bhui et al. 2007). Classroom discussions that challenge biases, generalisations and language used such as the terms “us” and “them” are beneficial for student cultural knowledge building (Browne et al. 2002). It is stated that when a person has an inherent caring, appreciation and respect for others they can display warmth, empathy and genuineness and this enables them to have culturally congruent behaviours and attitudes (Administration on Ageing 2001). However, when these three essentials intersect, practitioners can exemplify cultural competence in a manner that recognises values and affirms cultural differences among their clients (Administration on Ageing 2001). Whether this could be achieved solely through the process of education and training development remains to be seen.
Nursing Education to Enhance Culturally and Linguistically Diverse (CALD) Community Access to Mental Health Services: A Scoping Review
Published in Issues in Mental Health Nursing, 2021
Reshmy Radhamony,, Wendy M. Cross,, Louise Townsin,
The cultural competency training modules were created using a wide array of theoretical frameworks. The majority of the studies used a valid and reliable framework for cultural competency training. In contrast, some studies used evidence-based educational techniques from the literature (Delgado et al., 2013). The Race Equality and Cultural Capability (RECC) training model (Bennett, 2013) focussed on improving mental health nurses’ knowledge and skills. Some studies Berlin et al. (2010), Wilson et al. (2010), and Lin and Hsu (2020) used the theoretical models; for instance, the cultural competence model by Campinha-Bacote (2002) was employed to inform the design of interventions. A nursing theory named Leininger’s Culture Care Theory (CCT), directed on culture and care relationships, formed the theoretical outline in the study by Bhat et al. (2015); (Abitz, 2016). Besides this, to endorse the cultural competence changes in nurses, Bhat et al. (2015) adopted the “Kurt Lewin’s Change Model.”
Cultural Adaptations in Clinical InteractiONs (CoACtION): a multi-site comparative study to assess what cultural adaptations are made by clinicians in different settings
Published in International Review of Psychiatry, 2021
Shanaya Rathod, Elizabeth Graves, David Kingdon, Kerensa Thorne, Farooq Naeem, Peter Phiri
The findings of this study are in line with other research that shows that clinicians often rate their communication skills highly; patients are likely to report that they are not satisfactory (Tongue et al., 2005). Bhui et al. (2007) reviewed evaluations of cultural competence in mental healthcare which modified clinical practice and organizational performance. They reported that all the nine studies identified were performed in North America. Few studies published their teaching and learning methods. Only three studies described quantitative outcomes. One of these showed a change in attitudes and skills of staff following training. The cultural consultation model led to significant satisfaction by clinicians using the service but none of the studies investigated patient experiences and outcomes. Authors concluded that there is limited evidence on the effectiveness of cultural competency training (CCT) and service delivery.
Barriers to Utilization of Mental Health Services amongst Male Child Sexual Abuse Survivors: Service Providers’ Perspective
Published in Journal of Child Sexual Abuse, 2019
Marudan Sivagurunathan, Treena Orchard, Marilyn Evans
An interesting finding from the current study that is novel in the area of male CSA was the complicated relationship that exists in terms of the ethnicity of the service provider and male CSA survivor. While previous studies (Jerant, Bertakis, Fenton, Tancredi, & Franks, 2011; Meghani et al., 2009) have examined the effect of race concordance of patient-provider in the healthcare of other patient populations, no studies have examined patient-provider concordance and its effect on service utilization amongst male CSA survivors. Similar to previous research (Jerant et al., 2011; Meghani et al., 2009) participants in the current study noted that race concordance may not necessarily have a positive impact on male CSA survivors’ decision to continue working with the specific service provider. Rather, cultural sensitivity or familiarity with the ethnic population may play a larger role in a positive therapeutic relationship than race concordance. Participants expressed that male CSA survivors from ethnic communities may feel reluctant to meet with a service provider from their own community due to fear of being judged. Service providers familiar with the cultural and ethnic practices of the male CSA survivor may be able to understand the issues within a cultural context and relate to the client in a more enriched capacity. This finding supports findings of a systematic review (Beach et al., 2005) on the impact of cultural competency which showed cultural competency training having a positive impact on knowledge, attitudes, and skills of health professionals while also having a beneficial effect on patient satisfaction.