Cultural competence dimensions and outcomes: a systematic review of the literature

Alizadeh, Somayeh; Chavan, Meena

doi:10.1111/hsc.12293

Cited by 196 publications

(230 citation statements)

References 49 publications

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“…Approach to the patients who seek care shall need a good understanding and trust between the victim and health care provider, safe environment, several interviews and overcoming the barriers (language and cultural). 35,36,37 It has been shown that in the presence of culturally competent people [36][37][38] and professional interpreter [39][40][41] the chance of getting details information are more than when there is no interpreter or there was a non-professional interpreter 42…”

Section: How To Approach?mentioning

confidence: 99%

Burden of traumatic brain injury in refugee population: unmet need of care and gaps in knowledge

Deora¹,

Agrawal²,

Pal³

et al. 2019

roneuro

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Background and objectives. Due to marked increase in violence, the world is facing problem of refugee population either as a source of refugee population or shelter provider. These refugee population is exposed to prolonged physical and emotional distress over years, may result into spectrum of neuropsychiatric disease conditions including traumatic brain injury (TBI). Although trauma is one of the major events faced by refugee population, the exact details of the injuries still not documented and there is paucity of published literature; further these injuries may be recorded as unspecified. Methods. The present article is intended to provide a theoretical overview of existing knowledge and gaps on trauma and injuries in the refugee population. Authors analysed all relevant articles available on PubMed and Medline using the keywords: “Refugee”, “Traumatic Brian Injury”, “Head Injury”. Results. There is a gap in knowledge for this particular demographic population. They suffer a wide range of physical and emotional to social traumatic events. The most common cause of head injury was assault; however, motor vehicle accidents were less prevalent, and there is an ongoing struggle for resources to fulfil basic needs leading to health care taking a backseat. There is high prevalence of post-traumatic stress disorder. Many of the refugees are settled in relative economically poorer countries which further add to the burden of a nation already besotted with internal requirements. There is a need for international collaboration to tackle unique problem. Conclusion. Authors recommend urgent need to handle the root causes responsible for the generation of refugee population and at the same time it is necessary to identify the epidemiology, patterns, management challenges and consequences of injuries and barriers to seek and provide care in refugee population.

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Section: How To Approach?mentioning

confidence: 99%

Burden of traumatic brain injury in refugee population: unmet need of care and gaps in knowledge

Deora¹,

Agrawal²,

Pal³

et al. 2019

roneuro

View full text Add to dashboard Cite

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“…This review also revealed that cultural desire and cultural encounter/interaction were incorporated in several conceptual models and assessment tools. 14 Another literature review 15 , which included research conducted in clinics and hospital settings, examined the effectiveness of Patient Care Centered models (PCC) that incorporate a Cultural Competence perspective in improving health outcomes among culturally and linguistically diverse patients. Renzaho's literature review 15 showed evidence supporting the effectiveness of cultural competence and PCC training in increasing cultural knowledge and awareness; two of the constructs included in the CCM model.…”

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confidence: 99%

It's All About Trust and Respect: Cultural Competence and Cultural Humility in Mobile Health Clinic Services for Underserved Minority Populations

Peralta¹,

Gillispie²,

Mobley³

et al. 2019

Journal of Health Care for the Poor and Underserved

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Objectives. To explore participants' perceptions of cultural competence and cultural humility in mobile health clinic (MHC) service delivery, using the Cultural Competence Model (CCM) as an organizing framework. Methods. We conducted five focus groups with an ethnically diverse group of English-and Spanish-speaking men and women, ages 20-67, residing in five underserved neighborhoods in a Southeastern U.S. city. Data analysis followed a thematic approach and iterative qualitative content analysis. Results. Participants expressed a desire for well-trained and caring staff who practice cultural humility. Conclusions. By applying the CCM's five-pronged constellation of cultural abilities, health care personnel could ultimately be more responsive to ethnically diverse clients. There is a need to reinforce compliance with Culturally Linguistic and Appropriate Service (CLAS) standards and to develop programs to Mobile health providers' cultural competence 2 increase providers' cultural awareness, knowledge, and skills that ultimately would potentially reduce the amount of non-emergent Emergency Room visits and their associated costs.

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“…In another study, students gained a broader perspective on health care delivery by comparing a health care system different from that of their home country 45 . Finally, other studies found that students gained social and cultural competence, both through explicit content delivery in the didactic portion of the course and indirectly through interacting with other experts and individuals who have social and cultural experiences different from their own 46‐48 . Such awareness and knowledge are critical not only for future patient care but also in preparing the next generation of leaders in global health 49…”

Section: Discussionmentioning

confidence: 99%

Integrating Competency‐Based Didactic and Experiential Global Health Learning for Dental Students: The Global Health Learning Helix Model

Yu¹,

Lambert²,

Alvarado³

et al. 2020

Journal of Dental Education

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The aim of this study was to evaluate the feasibility and preliminary outcomes of immersive integrated experiential and didactic courses in strengthening competency‐based global health learning in dental education. To address global inequities in oral health and student interest in global health, the Harvard School of Dental Medicine introduced two global health courses in 2017‐18. The first was a didactic course in the core predoctoral curriculum, and the second, in collaboration with the Inter‐American Center for Global Health, was a five‐day elective experiential learning course in rural Costa Rica. The experiential course was an extension of the didactic course. All 33 second‐year dental students completed the didactic course, and three of those students completed the experiential course. A pre‐post survey and a six‐month follow‐up survey on self‐reported knowledge based on course learning objectives were administered. The experiential course students also completed journals and interviews for qualitative analysis. Thirty‐two students completed the pre‐post didactic course surveys, for a response rate of 94%. There was a 100% response rate on the pre‐post didactic surveys by those students who participated in the experiential learning course. While the experiential learning group scored similarly to the class average before the didactic course, they had higher scores than the class averages both immediately after and at the six‐month follow‐up. All three students reported that the experiential learning course was “extremely effective” in building on what they learned in the didactic course. Qualitative analysis of the journals and interviews suggested enhanced learning from the combination of didactic and experiential methods. These preliminary results support the Global Health Learning Helix Model, a theoretical competency‐based teaching model for ethical student global health engagement to better prepare the future generation in tackling oral health disparities both locally and worldwide.

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Cultural competence dimensions and outcomes: a systematic review of the literature

Cited by 196 publications

References 49 publications

Burden of traumatic brain injury in refugee population: unmet need of care and gaps in knowledge

Burden of traumatic brain injury in refugee population: unmet need of care and gaps in knowledge

It's All About Trust and Respect: Cultural Competence and Cultural Humility in Mobile Health Clinic Services for Underserved Minority Populations

Integrating Competency‐Based Didactic and Experiential Global Health Learning for Dental Students: The Global Health Learning Helix Model

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