Cultural Competency

Cultural competency is a set of appropriate behaviours, attitudes and policies among professionals and enables them to work efficiently in cross-cultural situations (NCCC, 2006). A culturally competent health care system can eliminate cultural inequities, provide greater quality of care, and have less patient dissatisfaction and more positive health consequences. A conclusion reached in a study (Palafox et al., 2002) states, culture influences the outcome of medical examination and; therefore, it is vital to provide culturally competent health care services. Cultural competency is especially important in the context of radiographic examination due to the variety of culturally different patients a radiographer comes in contact. The following case study effectively highlights the impact of cultural competency.

As a native New Mexican woman with many different ethnic and cultural backgrounds (Hispanic, African American, Native American), I feel I can influence Midwifery practice in New Mexico. New Mexico is a state with deep cultural roots and traditions. Often providers are aware of their patients’ cultural practices but are unaware of how to incorporate them into the patient’s care. Culturally competent care should be emphasized

In 1988 Giger and Davidhizar created their Transcultural Assessment Model (TAM) to facilitate “…the discovery of culturally sensitive facts… (and) provide culturally appropriate and competent care.” (Giger & Davidhizar, 2002) The TAM was developed for an undergraduate nursing curriculum to train students to assess and provide care for patients that are culturally diverse. This paper will employ the six cultural phenomena defined by TAM to assist in identifying cultural attributes of Mexican Americans that should be considered by nurses in assessment and care.

Hispanics continue to be underserved and understudied with the lack of set guidelines to evaluate the efficacy of cultural developments and implemented interventions as proven with the scarcity of studies for review. Concerns arise with the potential a population of this magnitude has incurring economic burden due to non-adherence given their cultural beliefs, practices and socioeconomic status. Disciplines in healthcare delivery would benefit by incorporating cultural understanding in their practice as it is imperative in establishing trust, compliance and patient satisfaction (Martin, Williams, Haskard, & DiMatteo, 2005). This paper will incorporate an adaptive framework amenable to the Hispanic culture that can explore and describe contributing factors of patient satisfaction regarding their healthcare delivery. Application of a cultural theoretical framework that evokes reliant provider-patient relationship and will stimulate consideration of possible interventions for the future that ensues evidence-based quality outcomes.

Competency is something education and care services and educators strive for constantly. It is what a service must demonstrate to prove it is meeting or exceeding the National Quality Standard. But there is a special type of competency that all services must achieve to deliver high quality education and care to all children—cultural competency. Cultural competence is an essential practice of both the Early Years Learning Framework and the Framework for School Aged Care—My Time, Our Place. It is based on the principle contained in both frameworks—respect for diversity. Can educators and services ever truly become culturally competent? Many would say that achievement of this competency is always just beyond grasp. That is why the

Another outstanding point that you made in reference to applying cultural competence in your personal life is phenomenal. I believe getting to know who we are will help us pinpoint the areas that are not the strongest when providing cultural care to patients. Allowing us to work on our weaknesses and become proficient in the areas we lack. In order for us to become an expert in cultural competency and cultural care we need to apply it in every aspect of our lives.

In this great nation we live in today that has been vastly increasing diversity bring so many great opportunities. But with these great opportunities there are also challenges that are continually looked over constantly. One of the challenges is our health care system that fails to deliver culturally competent services. Cultural competency helps to enable providers to deliver services that are respectful to diverse patients. This helps with patients own health beliefs, practices and cultural and linguistic needs. This is why this training is needed in every health facility. Many doctors go through this problem not understanding their patient’s needs. If I were a doctor I would use this skill. Certain racial and ethnic minorities receive poorer

I would have to rate our school between cultural precompetence and cultural competence depending on the year in question and even the time of year. We are aware that we have achievement gaps in our minority populations, particularly our African American and special education students. When test scores come back and we see the lack of progress for these special groups, we have meetings and provided professional development on differentiation and small group instruction. Only one year did I participate in a professional development where an expert on teaching African American led the discussion. Usually staff development sessions are more generalized.

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.

Cultural, traditional, and religious values have an influence on health patterns and behaviors exhibited by the community. Hispanic culture is dominant due to the close proximity to the U.S.-Mexico border. Fifty-two percent of households use a language other than English at home (U.S. Census Bureau, 2015). Therefore, an understanding of Hispanic culture is necessary for health care workers to effectively care for patients in this community.

Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations. Culture, the shared beliefs and attitudes of a group, shapes ideas of what constitutes illness and acceptable treatment. A cross-cultural interview should elicit the patient’s perception of the illness and any alternative therapies he or she is undergoing as well as facilitate a mutually acceptable treatment plan. Patients should understand instructions from their physicians and be able to repeat them in their own words. To protect the patient’s confidentiality, it is best to avoid using the patient’s family and friends as interpreters. Potential cultural conflicts between a physician and patient include differing

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.

1. What is cultural competence for nurses? Cultural competence for nurses “is a combination of culturally congruent behaviors, practice attitudes, and policies that allow nurses to work effectively in a cross- cultural situations. (Stanhope & Lancaster, 2018, p. 74).

“Americans can take come pride in the fact that attaining what the medical profession calls “cultural competency” is a goal of most health care institutions. However, achieving this goal in today’s health care environment, filled with diverse patient and provider populations, is no easy task. American hospitals are increasingly being staffed by and serving diverse populations. This creates the ideal breeding ground for conflict and misunderstanding among the staff and inferior patient care” (Galanti, 2011). To gain a more thorough understanding of this concept, I will be giving four examples or viewpoints that are completely different, when looking at the Hispanic belief against the Native American point of view.

Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.