Higher stakes ahead for cultural competence

Vega, William A.

doi:10.1016/j.genhosppsych.2005.06.007

Cited by 58 publications

(50 citation statements)

References 16 publications

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“…Furthermore, some researchers and practitioners remain skeptical toward the cultural competence curriculum design ranging from its mission, subject matter as well as pedagogic models (Vega 2005;Murray-Garcia and Garcia 2008;Kumagai and Lypson 2009;Kripalani et al 2006;Hunt 2005). A number of critiques demonstrate the lack of evidenced outcomes in which health disparities are indeed reduced through the implementation of cultural competence programs (Brach and Fraserirector 2000;Smedley et al 2003).…”

Section: Elements Of Cultural Competencementioning

confidence: 99%

Integrating cultural humility into health care professional education and training

Chang

Simon

Dong

2010

Adv in Health Sci Educ

190

135

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As US populations become increasing diverse, healthcare professionals are facing a heightened challenge to provide cross-cultural care. To date, medical education around the world has developed specific curricula on cultural competence training in acknowledgement of the importance of culturally sensitive and grounded services. This article proposes to move forward by integrating the concept of cultural humility into current trainings, in which we believe, is vital in complementing the current model, and better prepare future professionals to address health challenges with culturally appropriate care. Based on the works of Chinese philosophers, cultural values and the contemporary Chinese immigrants' experience, we hereby present the QIAN (Humbleness) curriculum: the importance of self-Questioning and critique, bi-directional cultural Immersion, mutually Active-listening, and the flexibility of Negotiation. The principles of the QIAN curriculum reside not only between the patient and the healthcare professional dyad, but also elicit the necessary support of family, health care system as well as the community at large. The QIAN curriculum could improve practice and enhance the exploration, comprehension and appreciation of the cultural orientations between healthcare professionals and patients which ultimately could improve patient satisfaction, patient-healthcare professional relationship, medical adherence and the reduction of health disparities. QIAN model is highly adaptable to other cultural and ethnic groups in multicultural societies around the globe. Incorporating its framework into the current medical education may enhance cross-cultural clinical encounters.

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Section: Elements Of Cultural Competencementioning

confidence: 99%

Integrating cultural humility into health care professional education and training

Chang

Simon

Dong

2010

Adv in Health Sci Educ

190

135

View full text Add to dashboard Cite

show abstract

“…A culturally competent health care system must also consider social, racial, and cultural factors in their separateness and yet in their reciprocal influences. Studies suggest that culturally competent health care leads to improved therapeutic outcome and may decrease disparities in medical care [4,34,63]. Teaching cultural competence to western medical student and young oncologists involves the provision of relevant information about different cultures with respect to different health issues, such as different cultural practices of truth telling or different decision-making styles throughout the world [59].…”

Section: Culture and Cultural Competence In Oncologymentioning

confidence: 99%

“…Among these are the lack of formal consensus on a clear definition of cultural competence (which inevitably shapes the contents of teaching programs), the fact that most cultural competence programs are limited to a brief training, and the scarcity of commitment and resources to develop comprehensive strategies including individual and also organizational changes. Empirical outcome studies that collect evidence on the effectiveness of cultural competence training programs are needed [63]. In addition, specific research on cultural competence training in the field of oncology is necessary [10].…”

Section: Culture and Cultural Competence In Oncologymentioning

confidence: 99%

Cultural aspects of communication in cancer care

Surbone

2008

Support Care Cancer

152

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Cultural competence in oncology requires the acquisition of specific knowledge, clinical skills, and attitudes that facilitate effective cross-cultural negotiation in the clinical setting, thus, leading to improved therapeutic outcomes and decreased disparities in cancer care. Cultural competence in oncology entails a basic knowledge of different cultural attitudes and practices of communication of the truth and of decision-making styles throughout the world. Cultural competence always presupposes oncology professionals' awareness of their own cultural beliefs and values. To be able to communicate with cancer patients in culturally sensitive ways, oncologists should have knowledge of the concept of culture in its complexity and of the risks of racism, classism, sexism, ageism, and stereotyping that must be avoided in clinical practice. Oncologists should develop a sense of appreciation for differences in health care values, based on the recognition that no culture can claim hegemony over others and that cultures are evolving under their reciprocal influence on each other. Medical schools and oncology training can teach communication skills and cultural competence, while fostering in all students and young doctors those attitudes of humility, empathy, curiosity, respect, sensitivity, and awareness that are needed to deliver effective and culturally sensitive cancer care.

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“…We know that culture plays an important role in the symptom presentation of distress and illness and, moreover, that cultural factors have quite an impact on the diagnostic process and the treatment strategies in all populations [3,39,77,101,108,122]. Cultural competence is one concept that has been advanced as a way of capturing the capacity to provide appropriate care for diverse patients, overcoming socio-cultural differences and other systemic challenges to reduce disparities with regard to mental health care provision [6,16,79,91,117,129]. Cultural competence is defined as the ability to understand and be aware of cultural factors in the therapeutic interaction between the therapist and the patient [6,8,13,39,71,111,112].…”

Section: Introductionmentioning

confidence: 99%

EPA guidance on cultural competence training

et al. 2015

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The stress of migration as well as social factors and changes related to the receiving society may lead to the manifestation of psychiatric disorders in vulnerable individuals after migration. The diversity of cultures, ethnicities, races and reasons for migration poses a challenge for those seeking to understand how illness is experienced by immigrants whose backgrounds differ significantly from their clinicians. Cultural competence represents good clinical practice and can be defined as such that a clinician regards each patient in the context of the patient's own culture as well as from the perspective of the clinician's cultural values and prejudices. The EPA Guidance on cultural competence training outlines some of the key issues related to cultural competence and how to deal with these. It points out that cultural competence represents a comprehensive response to the mental health care needs of immigrant patients and requires knowledge, skills and attitudes which can improve the effectiveness of psychiatric treatment. To reach these aims, both individual and organizational competence are needed, as well as teaching competence in terms of educational leadership. The WPA Guidance on Mental Health and Mental Health Care for Migrants and the EPA Guidance on Mental Health Care for Migrants list a series of recommendations for policy makers, service providers and clinicians; these are aimed at improving mental health care for immigrants. The authors of this paper would like to underline these recommendations and, focusing on cultural competency and training, believe that they will be of positive value.

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Higher stakes ahead for cultural competence

Cited by 58 publications

References 16 publications

Integrating cultural humility into health care professional education and training

Integrating cultural humility into health care professional education and training

Cultural aspects of communication in cancer care

EPA guidance on cultural competence training

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