Cultural Competence : Cultural Incompetency From A Practice Perspective

Cultural competency is critical in psychology practice. In the United States, the groups, which considered as cultural and ethnic minorities, are growing in the population (APA, 2003). Culture often influences the content and quality of people’s experience, perception, and response. Thus, it is important for psychologists to be aware of cultural influences on client’s presenting experience(s) (Gardiner & Kosmitzki, 2010). Without a regard for cultural influence, there is a significant risk for the psychologist to misunderstand, misinterpret, and misguide his or her client. Such misunderstanding, misinterpretation, and misguidance are not only unhelpful but can be detrimental for the client (Corey, Corey, & Callanan, 2011; Pope, & Vasquez, 2011).

The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque

I have learned that it is important that educators  and health providers be trained on cultural competency to understand the population they are serving. Marks, Sims, and Osher (King, Sims, & Osher, n.d.) define cultural competency  as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations" ( as cited in Cross et al., 1989; Isaacs & Benjamin, 1991). Health providers and educators should investigate demographic patterns or trends in the place where they live and work. This brings awareness of the types of cultures that they might come across when they are working with people. Organizations should integrate and implement policies that promote the value of  diversity, self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, and adapt to diversity and the cultural contexts of communities they serve (Georgetown  University, 2004). Georgetown University (2004) also stresses that culture competency grows gradually and is always open for improvement.

Culture is a very important aspect for health care professionals to examine when interacting with their clients. By having an understanding of different cultural practices, a clinician can more effectively treat a patient. Kagawa-Singer, M. & Kassim-Lakha, S. (2003) theorizes that patients resist lifestyle changes, and culture forms lifestyle. Therefore, if physicians attend to the influence of culture on health behavior, outcomes of medical care might well be improved.

Cultural self-assessment is a reflection on a nurse own idea’s, values and attitudes and how they were formed on the nurses journey. Nurse find their strength and there weakness along the path and they may change as the nurse grows in self-discovery through experience and furthering education. I grew up in a small country town and when I moved to a large hospital I found out that one of my weaknesses is that I do not have that much experience with foreign patients. I have never had a Russian speaking patient and I had no idea what kind of cultural things I would see like the patient wanted sausage, potatoes and rolls for breakfast with oatmeal and it was such a shock that this patient could eat so much for breakfast even though she was her for abdominal pain and she should have been on a clear diet but because of her culture that’s what she at every day for breakfast back in Russia. I think that it’s important the health care professionals keep learning and

Cultural competency is the capacity of people or services to include ethnic/cultural considerations into all aspects of their work related to health promotion, disease prevention and other and other healthcare interventions (Cultural competence is important for several reasons, (Purnell, 2008a).First, it can contribute in the development of culturally sensitive practices which can reduce barriers that effect treatment in healthcare settings. Second, it can promote understanding, which is detrimental in cultural competence assessment, to know whom, the individuals known as the primary care provider and whom they view as the primary healer, can attribute to the promotion of trust and increase the person’s interest in participating

While examining the life of the Lee family, it was easy to identify that Hmong culture is much different than Western culture today. The Lee’s faced many adversities that not only affect their lives but the life of their ill daughter Lia. By analyzing culture, stigma, prevention, and implications, one can begin to see how the Hmong culture collides in the care of Lia.

Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of

Some of the author’s major points are the lack of understanding of what cultural competence really means which is bringing confusion about ways it can be utilized in the social work field. The confusion of the utilization of cultural competence is leading to the lack of consensus concerning the effective training that providers should obtain and the population being served with the cultural competence skills lack clear description. According to the author, the most popular cultural competence intervention in the healthcare system is the cultural competency training which is for health care providers and the two approaches that have been utilized in creating the intervention are; the programs aimed at improving knowledge which is group specific,

Cultural Competency can be described as one’s ability to learn about cultures other than their own. It speaks to the value one places on diversity and their desire to foster an open exchange of ideas between dissimilar cultures. While in a perfect world, cultural competency would be of heightened importance in all aspects of life, there are certain industries where cultural competency factor more heavily; one of those being health care. This is especially true in areas with increased diversities of cultures, ethnic groups and a variety of languages.

Cultural competences are behaviours, values, attitudes and policies that a body of professionals should encompass in order to effectively work with other cultures (Bureau of Primary Health Care 2005). Culture includes shared values, beliefs, religion, norms and customs. Competence is the ability to function as an individual and part of a team (Office of Minority Health 2017). According to Mayhew cultural competence also involves the impact that culture has on how an individual perceives health, illness and recovery (Mayhew 2016). The Georgetown University emphasized that cultural competence is being able to provide health services that meet social, cultural and language needs of service users. There are different definitions because cultural competency can be viewed from different angles. One angle is from the healthcare professional and what skills they require in order to present cultural competency. The second view is from the service users and one’s culture may affect their perception of health.

Understand cultural competence and why is it important especially for that have a diverse workforce.

Part of a social worker’s job is to be culturally competent and to be able to work successfully with people from diverse backgrounds. In the field of social work, being culturally competent is crucial for many reasons. For example, cultural competence requires social workers to inspect their own cultural backgrounds in order to expand awareness of their own personal assumptions, values, beliefs, stereotypes, biases, and attitudes. Being aware will help with client relationships. Cultural competence can be seen and discussed in the journal article, Cultural Competence and Social Work Education: Moving Toward Assessment of Practice Behaviors, by Jayshree S. Jani, Philip Osteen, and Stacy Shipe (2016).

Culture competence is a quality that any nurse should have. The article that I decided to research refers to the impact that language and different cultures have on a patient’s health. It is the duty of health care professionals to attempt to learn about different cultures and to be sensitive to the way patient’s feel about their beliefs. Once the nurse understands a patient’s

Defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural and linguistic needs (Georgetown University, 2004) Cultural competence is an ideal that spans across not only healthcare, but also law enforcement. Utilizing the same mindset as the healthcare industry, law enforcement has the dubious task of deciphering how to provide a service meant for all and ensure that the needs of all citizens and businesses are met. According to Terry Cross (1988), culturally competent agencies are characterized by acceptance and respect for difference, continuing self-assessment regarding culture, careful attention to the dynamics of difference, continuous expansion of cultural knowledge and resources, and a variety of adaptations to service models in order to better meet the needs of minority populations. The culturally competent agency works to hire unbiased employees, seeks advice and consultation from the minority community and actively decides what it is and is not capable of providing to minority clients.