Cultural Competence Self Assessment Revealed

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.

Cultural competence has to do with one’s culture. Culture affects among other factors, how children are raised, how families communicate, what is considered normal or abnormal, ways of coping with issues, the way we dress, when and where we seek medical treatment, and so forth. I should know because I come from a very cultural home where it is considered bad to talk to a male doctor about anything gynecological.

I enjoyed reading your thoughtful discussion post on cultural competency of organizations and nurses. Your rationale for both the organization and the individual nurse being responsible to ensure culturally competent care was similar to mine. For example, I mentioned the need for nursing curriculums at all levels of nursing education to provide competency training (American Academy of Colleges of Nursing website, 2011).

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,

The EYLF proposes that cultural competency cannot be mastered but is something educators continually strive for; by respecting, understanding, engaging with and positively acknowledging and teaching cultural diversity within the childcare industry.

“Cultural competence is the ability to engage in actions or create conditions that maximize the optimal development of client and client systems” (Sue & Sue, 2013, p. 49). Multicultural competence includes a counselor to be aware of his or her biases, knowledge of the culture they are evaluating, and skills to evaluate a client with various backgrounds (Sue & Sue, 2013). Client assessment involves gathering information pertaining to the client’s condition. Making a culturally responsive diagnosis involves using the DSM-IV-TR axis (Hays, 2008). Following the axis backwards is ideal to discovering the client’s diagnosis, understanding the client’s ADDRESSING outline will help to come to a closer resolution

Cultural competent? What is the big deal? “The term cultural competence is used to describe a set of skills, values and principles that acknowledge, respect and work towards optimal interactions between the individual and the various cultural and ethnic groups that an individual might come in contact with” (HumanServicesEDU, para. 1). Being able to understand and effectively understand other cultures than your own, can make a huge difference in the patient’s treatment and how well the case manager can do his or her job.

Both articles were very informative and provided information about how agencies need to change in order to become culturally competent. The agency I intern with this year is the Toms River Regional School District, specifically High School East, in that respect, my agency is very different than those in the two articles reviewed. Some of the core issues are the same when it comes to needed to learn cultural competency in terms of race and sexual orientation specifically. I have seen a similar issue in my agency needing to address cultural competency. Toms River School District is not very culturally diverse, in the sense that the staff and students lack ethnic diversity, but there are students and staff who are part of the LGBT community. Slowly,

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.

"A set of congruent behaviors, attitudes and policies that come together as a system, agency or among professionals and enable that system, agency or those professionals to work effectively in cross-cultural situations. The word "culture" is used because it implies the integrated pattern of human thoughts, communications, actions, customs, beliefs, values and institutions of a racial, ethnic, religious or social group. The word competence is used because it implies having a capacity to function effectively."

I believe I can improve my cultural competence by learning to understand the opinions of family members about the intervention process with older and elderly individuals. I enjoy helping and serving people, so it is hard for me to understand that some patients and families do not want to seek help. I need to learn to set my own opinions aside and be competent toward the wants and needs of the family.

Diversity refers to an array of differences among individuals, groups, and communities (Pearson, p.1629, 2015).

Nursing is considered to be a noble and rewarding profession in the society. It is a unique discipline that serves to treat sick people in the community with compassionate care and by applying knowledge, skills and ethics, to promote the patients’ healing process. The role of nursing has been influenced by spiritual beliefs, religious practices as well as cultural norms and values. The culture is influenced by the valuable ideas of different philosophers over the past two centuries. As per Galanti "Culture is that it encompasses beliefs and behaviors that are learned and shared by members of a group" (Galanti, 2015). Basically, culture is the plan and set of rules, imposed by a society for the people to live successfully within that society.

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

After completing the “cultural competence checklist: personal reflection designed by T.D. Goode” for the first time, I was not surprised by my results. The results were a reflection of my personal understanding how culture impacts holistic care and my continuous need to improve my care. I have strived to become non-judgmental. I work to not let my personal beliefs and values influence my nursing care on decisions. When I practice this philosophy it provides better patient outcomes and promotes an improved understanding of cultural differences. This also enhances a safe and caring environment. “It is important for health care providers to recognize that care must be individualized and considerate of the cultural. Racial, and ethnic identity of the patients and their families” (Broome, 2006, p. 486) .There is much diversity in the beliefs and practices of the Indian culture and we should grant these individuals complete freedom to practice their personal cultural variations and the religion they choose.