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Prevention and intervention
Published in Tony Cassidy, Stress, Cognition and Health, 2023
Many organisations currently operate in multicultural societies or communities and need to take into account both the varied cultural backgrounds of both their employees and clients. Cultural competence is a construct that has recently evolved to capture the essence of an ability to work effectively with people from different cultural backgrounds. It has largely been considered within health care, and several training programmes and guidelines have been produced (Constantine & Sue, 2007). A related construct that has been applied in some preliminary work to organisations is cultural intelligence (Earley & Ang, 2003). It is related to emotional intelligence and refers to the ability to adapt successfully to different national, organisational and professional cultures. A centre for Leadership and Cultural Intelligence can be found at the Nanyang Technological University in Singapore. This is a new area and one that promises to become more relevant to health at work as the world of work expands its horizons.
Considerations in the initial healthcare assessment for new arrivals
Published in Miriam Orcutt, Clare Shortall, Sarah Walpole, Aula Abbara, Sylvia Garry, Rita Issa, Alimuddin Zumla, Ibrahim Abubakar, Handbook of Refugee Health, 2021
To engage sensitively with patients from different cultural backgrounds, it is necessary to have sufficient knowledge and understanding of cultural beliefs and practices, as well as recognising one’s own cultural influences, gaps in understanding and prejudices. There are many different definitions, but, in short, cultural competence refers toawareness of one’s own cultural worldview;attitudes towards cultural differences;knowledge of different cultural practices and worldviews; andskills in working across cultures.
Healthcare decision-making
Published in Joseph Tham, Alberto García Gómez, Mirko Daniel Garasic, Cross-Cultural and Religious Critiques of Informed Consent, 2021
Joseph Tham, Marie Catherine Letendre
The ethical concerns and experiences of clinical practice tested bioethics as it met diverse cultural perspectives at the crossroads of the twentieth-century biomedicine. Multiculturalists state that physicians, patients and their families can inhabit distinctively different social worlds and may be guided by diverse understandings of moral practice.35 The concepts of medicine and healing have definitions rooted in a myriad of cultural aspects: accumulated observation and writings, attitudes about health and illness, diverse medicinal approaches that are either natural or chemical and most recently in scientific-technological advances.36 Communication between patient and physician is more aptly associated with patients’ perceptions of finding common ground with their physicians and trusting them and with improved health outcomes.37 Therefore, the enormous force of cultural viewpoints and the contemporary transformation of the physician/patient relationship in accommodating bioethical principles and gaining cultural competence mark a new step in shared decision-making.38 Cultural competency in the clinician’s skill set becomes an asset in dealing with the aspects of care rooted in cultural differences and knowledge of the fact that a person of a particular ethnic background may not subscribe to his/her cultural medical tradition is foundational.
Adaptation of the All Aspects of Health Literacy Scale (AAHLS) for Karen refugees: factor analysis
Published in Social Work in Health Care, 2023
Wooksoo Kim, Jangmin Kim, Krisztina Baltimore, Isok Kim
In addition to the importance of enhancing an individual’s health literacy, the role of healthcare providers and healthcare systems is paramount. Providers and administrative professionals across healthcare settings bear a significant responsibility in ensuring that health information is accessible, readable, and understandable in spite of potential language barriers so that minority populations are empowered to make their own health-related decisions. Enhancing health literacy among minority populations largely depends on the cultural competence of healthcare providers. Research has shown that cultural competence is associated with higher engagement in greater patient satisfaction particularly among minority communities (Mygind et al., 2008; Weech-Maldonado et al., 2012). Unfortunately, Asian immigrants and refugees in particular have reported unfavorable interactions with the healthcare system – citing a lack of cultural competence from providers as a key factor in their lack of engagement with healthcare services (Ngo-Metzger; Taira et al., 2001). To address this issue, it is critical to implement cultural competence training, which involves being aware of and respectful toward other cultures, values, and beliefs, among interpreters, physicians, and providers to provide adequate and accessible healthcare across healthcare settings serving minority populations (Harrison et al., 2019; Nair & Adetayo, 2019).
Walking the talk: understanding how language barriers affect the delivery of rehabilitation services
Published in Disability and Rehabilitation, 2022
Mansha Mirza, Elizabeth A. Harrison, Marissa Roman, Kathryn A. Miller, Elizabeth A. Jacobs
Available research on language barriers in rehabilitation settings is limited. A recent scoping review on cultural competence in rehabilitation services examined 35 studies from the field of audiology, speech-language pathology, physiotherapy, and occupational therapy. The review found language barriers to be one of the main obstacles to cultural competence, hindering communication and relationship-building with patients [31]. Communication difficulties were also reported in a qualitative study on cross-cultural care for patients admitted to a post-accident rehabilitation center in Vienna, Austria. Occupational, physical, and speech therapists interviewed for the study were unable to even explain the benefits and objectives of rehabilitation to patients without proficiency in German thus raising concerns about patient dropout [32].
Communication Strategies for Discussing PrEP with Men Who Have Sex with Men
Published in Journal of Homosexuality, 2022
Communication plays a major role in culturally competent healthcare. Healthcare providers who demonstrate cultural competence are able to build rapport and trust with their patients, explore patients’ needs, preferences, and beliefs, and find common ground between themselves and their patients (Saha, Beach, & Cooper, 2008). Appropriately, communication plays a major role in Campina-Bocote (1999) model of culturally competent healthcare. The model includes five dimensions: (1) cultural awareness, (2) cultural knowledge, (3) cultural skill, (4) cultural encounters, and (5) cultural desire. Cultural awareness refers to the process of healthcare providers becoming cognizant of their own biases and prejudices toward a patient’s culture. Cultural knowledge involves healthcare providers obtaining an in-depth understanding of a patient’s worldview. Cultural skill refers to the ability of healthcare providers to collect information from a patient in a sensitive and appropriate manner. Cultural encounters stresses the importance of interacting with a variety of patients and not generalizing about a culture based on just a few of its members. Lastly, cultural desire is a healthcare provider’s motivation to “want to” engage in cultural competence (Campina-Bacote, 1999, p. 205).