Cultural Competency

Cultural competency can be viewed as an ongoing journey of commitment and active engagement through the process of cultural awareness, knowledge, skills and cultural encounter (Coolen, 2012).Trust is the underlying purpose behind cultural competency in the development of health care provider and patient relationship. Health care professionals need to become more sensitive, respectful and attentive to the patients cultural beliefs and practices. Self-awareness is particularly important when communicating where barriers exists, unconscious prejudices may hinder the successful building of therapeutic relationships. In order to provide culturally sensitive pain management, a patients pain must be considered within the context of the individual’s

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).

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 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.

“The new mestiza copes by developing a tolerance for contradictions, a tolerance for ambiguity. She learns to be an Indian in Mexican culture, to be Mexican from an Anglo point of view. She learns to juggle cultures. She has a plural personality, she operates in a pluralistic mode—nothing is thrust out, the good, the bad, and the ugly, nothing rejected, nothing abandoned. Not only does she sustain contradictions, she returns the ambivalence into something else”

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.

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.

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.

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

Campinha- Bacote and colleagues describes the components for cultural competence in healthcare. These includes cultural ; a) knowledge, b) awareness, c) skills, d) encounter and e) desire. Cultural awareness refers to self-examination as well as in-depth exploration of an individual cultural as well as professional background. I am able to explore my own cultural healthcare values and beliefs. This is because understanding another person's does not guarantee that one will become cultural competent. I am now able to use the cultural awareness assessment to assess my personal level of cultural awareness, and to get an insight on the understanding of my cultural values and beliefs

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,

Life experience coupled with professional experience has enriched the level of cultural competency that I function at daily. Starting my first career in the legal arena, almost twenty years ago, I carried more bias toward certain groups, often thinking in black and white rather than a rich rainbow of grays. Being empathetic to individuals that committed crimes against society and others was rarely accepted in my naïve viewpoint. After my first year of working with criminal clients, I began to understand that one simple act cannot define or give explanation to the beauty of multiple stories that fill the chapters in an individual’s life. I learned that I could not fully understand what led to the story that was playing out before me without

In today’s society, being able to communicate or participate in the exchange of information effectively is an essential skill for much of the healthcare providers in America today. Providing patient-centered care involves learning to communicate effectively with various barriers even with those patients who speak a different language than English. There are patients with other ethnicities and culturally influenced health behaviors that can be different than the health care beliefs of the most clinicians in this country.

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

Competencies that are necessary when working in a cultural diverse environment are, value in diversity, self-awareness of cultural, understanding dynamics within cultural interaction, and the institutionalization of dynamics within cultural dynamics. When valuing diversity, the organization should be respectful and accepting of the various cultural upbringings, traditions, communication and beliefs of others, thus providing a nondiscriminatory outlook of the individual (Van Roekel, 2008) Self-awareness of culture requires an individual to have an understanding of their own culture which is shaped by their interests, knowledge, experience, values, background, skills and beliefs. This awareness helps the individual to have an understanding of who they are, how they interact with others, and where they fit in with society and family and environment (Van Roekel, 2008).