Cultural Competence

5466 Words Sep 24th, 2015 22 Pages
Arthur H. Woodard, Jr., MSW
Jim Wuelfing, NRPP

 Name?
 From

 Doing what?
 Why here?

Be open
Participate at your own comfort level
Take risks
Practice good listening
“Ouch” rule
“Stretch” rule

In small groups, please discuss the following: ◦ What personal lessons did you take from yesterday’s training?
◦ What connection might they have to your becoming culturally competent with any special population?


 Multi-Layered
 Ethnic

 Living Culture in an Organization
 Living
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Overcome such perceptions by sitting closer, leaning forward, giving a comforting pat on the shoulder, or other gestures that indicate an interest in the patient.
• Ask about their life (family, friends, and work) and share life stories and pictures. Converse with all of the family members present, but be respectful of gender.
• Do not give an impression of being too familiar, however. Make personal notes in medical records to cue other providers of family names or special events to discuss during another visit.

Encourage the asking of questions
Out of a sense of respeto, many Hispanic patients will avoid disagreeing with or expressing doubts to their health care provider about the treatment they are receiving. They may be reluctant to ask questions or admit they are confused about instructions or treatment. There is a cultural taboo against expressing negative feelings directly. This taboo may manifest itself in a patient's withholding information, not following treatment orders, or terminating medical care.
Take seriously the responsibility and respeto conferred on the provider by many Hispanic patients. Explain all procedures and treatments thoroughly, and ascertain through careful questioning whether the patient has fully understood all explanations and instructions.

• Community-based organizations within Hispanics neighborhoods, barrios, colonias, and other ethnic enclaves provide a

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