Can Cultural Competence Be Achieved Without Attending to Racism?

Tyson, Sheryl Y.

doi:10.1080/01612840701686518

Cited by 12 publications

(7 citation statements)

References 8 publications

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“…Academics have asked whether cultural competency can be achieved without focusing on issues related to racism and white privilege [54,55]. Concepts related to racism, bias and discrimination were noted in some reviews [3,5,6,14,15,23], although none were measured as outcomes in studies.…”

Section: Discussionmentioning

confidence: 99%

Interventions to improve cultural competency in healthcare: a systematic review of reviews

Truong

Paradies

Priest

2014

BMC Health Serv Res

473

383

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BackgroundCultural competency is a recognized and popular approach to improving the provision of health care to racial/ethnic minority groups in the community with the aim of reducing racial/ethnic health disparities. The aim of this systematic review of reviews is to gather and synthesize existing reviews of studies in the field to form a comprehensive understanding of the current evidence base that can guide future interventions and research in the area.MethodsA systematic review of review articles published between January 2000 and June 2012 was conducted. Electronic databases (including Medline, Cinahl and PsycINFO), reference lists of articles, and key websites were searched. Reviews of cultural competency in health settings only were included. Each review was critically appraised by two authors using a study appraisal tool and were given a quality assessment rating of weak, moderate or strong.ResultsNineteen published reviews were identified. Reviews consisted of between 5 and 38 studies, included a variety of health care settings/contexts and a range of study types. There were three main categories of study outcomes: patient-related outcomes, provider-related outcomes, and health service access and utilization outcomes. The majority of reviews found moderate evidence of improvement in provider outcomes and health care access and utilization outcomes but weaker evidence for improvements in patient/client outcomes.ConclusionThis review of reviews indicates that there is some evidence that interventions to improve cultural competency can improve patient/client health outcomes. However, a lack of methodological rigor is common amongst the studies included in reviews and many of the studies rely on self-report, which is subject to a range of biases, while objective evidence of intervention effectiveness was rare. Future research should measure both healthcare provider and patient/client health outcomes, consider organizational factors, and utilize more rigorous study designs.

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Section: Discussionmentioning

confidence: 99%

Interventions to improve cultural competency in healthcare: a systematic review of reviews

Truong

Paradies

Priest

2014

BMC Health Serv Res

473

383

View full text Add to dashboard Cite

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“…Nursing scholars need to critique cultural competency programs, especially in the degree to which they celebrate cultural differences, but fail to address power inequities of white people over black people (Canales, 1998;Kumis-Tan, Began, Lippie, MacLeod, & Frank, 2007). In the process, we can use frameworks regarding race as a politically consequential social construction, such as Critical Race Theory (Tyson, 2007;West, 2001).…”

Section: Making the Invisible Visiblementioning

confidence: 99%

Continuing the conversation in nursing on race and racism

Hall

Fields

2013

Nursing Outlook

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“…As noted by Sheryl Tyson (2007) in her recent column in this journal, nurses must increase their self-awareness as it relates to cultural racism, consider the hidden benefits of "White privilege" and beware of an over identification with clients and patients who are similar. Acknowledge ethnocentrism and then let us get past it.…”

Section: M Shattell and J Villalbamentioning

confidence: 96%