Cross-Cultural Assessment and Management in Primary Care

Pratt, Helen D.; Apple, Roger W.

doi:10.1016/j.pop.2007.04.006

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…Unconscious underlying attitudes and assumptions of General Practitioners can alter their interactions with patients, and in turn the patients’ response to GP care [27, 31, 34, 41, 47, 49, 63]. Addressing underlying racism, assumptions, prejudices and non-conscious bias is therefore a vital component of cultural competence [27, 44, 49, 51, 59, 63] and needs to be directly addressed during training [27, 32, 34, 47].…”

Section: Resultsmentioning

confidence: 99%

“…Addressing underlying racism, assumptions, prejudices and non-conscious bias is therefore a vital component of cultural competence [27, 44, 49, 51, 59, 63] and needs to be directly addressed during training [27, 32, 34, 47]. …”

Section: Resultsmentioning

confidence: 99%

“…Developing specific cross-cultural skills and behaviours should enable the General Practitioner to facilitate more effective and respectful health care [5, 44, 49]. Communication was the most frequently cited barrier to effective cross-cultural interactions [26, 44, 53, 55, 56, 58–65] and at times had the potential to result in significant adverse outcomes for patients [25, 26, 45, 56, 61].…”

Section: Resultsmentioning

confidence: 99%

“…General Practitioners must also be trained to recognise and adapt to different cultural expressions of distress [61], cultural protocols [32, 36, 49, 50, 56, 57, 59] that act as demonstrations of respect, and nonverbal cues and behaviours [25, 36, 41, 53, 55, 59, 61], including those produced by non-conscious biases in the General Practitioner [47]. Many recognised patient-centred skills such as the ability to negotiate, build trust and rapport with patients, eliciting patient models of illness are all patient-centred techniques that are valuable in culturally competent practice [46, 48–51].…”

Section: Resultsmentioning

confidence: 99%

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Developing cultural competence in general practitioners: an integrative review of the literature

2016

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BackgroundCultural competence is a broad concept with multiple theoretical underpinnings and conflicting opinions on how it should be materialized. While it is recognized that cultural competence should be an integral part of General Practice, literature in the context of General Practice is limited.The aim of this article is to provide a comprehensive summary of the current literature with respect to the following: the elements of cultural competency that need to be fostered and developed in GPs and GP registrars; how is cultural competence being developed in General Practice currently; and who facilitates the development of cultural competence in General Practice.MethodsWe conducted an integrative review comprising a systematic literature search followed by a synthesis of the results using a narrative synthesis technique.ResultsFifty articles were included in the final analysis. Cultural competence was conceptualized as requiring elements of knowledge, awareness/attitudes and skills/behaviours by most articles. The ways in which elements of cultural competence were developed in General Practice appeared to be highly varied and rigorous evaluation was generally lacking, particularly with respect to improvement in patient outcomes. Formal cultural competence training in General Practice appeared to be underdeveloped despite GP registrars generally desiring more training. The development of most aspects of cultural competence relied on informal learning and in-practice exposure but this required proper guidance and facilitation by supervisors and educators. Levels of critical and cultural self-reflection amongst General Practitioners and GP registrars varied and were potentially underdeveloped. Most standalone training workshops were led by trained medical educators however the value of cultural mentors was recognised by patients, educators and GP registrars across many studies.ConclusionsCultural competency development of GP registrars should receive more focus, particularly training in non-conscious bias, anti-racism training and critical self-reflectiveness. There is a need for further exploration of how cultural competence training is delivered within the GP training model, including clarifying the supervisor’s role.It is hoped this discussion will inform future research and training practices in order to achieve quality and respectful care to patients across cultures, and to remove health inequities that exist between cultural groups.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Developing cultural competence in general practitioners: an integrative review of the literature

2016

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“…La prestación de servicios culturalmente apropiados es una preocupación que ha ido creciendo en la medida que poblaciones de origen extranjero se han asentado en países distintos al de origen, lo que ha motivado un interés por desarrollar servicios culturalmente sensibles, así como la puesta en marcha de estrategias de intervención que contemplen la diversidad cultural y prácticas de asesoramiento y gestión intercultural (Pratt y Apple, 2007). Pero, para ello, la constatación de la diversidad sobre un territorio es condición imprescindible.…”

Section: Introductionunclassified