Measures of Cultural Competence: Examining Hidden Assumptions

Kumas-Tan, Zofia; Beagan, Brenda L.; Loppie, Charlotte; MacLeod, Anna; Frank, Blye

doi:10.1097/acm.0b013e3180555a2d

Cited by 248 publications

(218 citation statements)

References 31 publications

Supporting

Mentioning

212

Contrasting

Unclassified

Order By: Relevance

“…This focus on the individual level is consistent with experience in the US, where cultural competence is a mandated requirement in healthcare. In a systematic review of instruments that seek to measure cultural competence, Kumaş -Tan et al 32 found problematic assumptions about what it is, and a tendency to reduce it to the level of individual knowledge and skills. This focus on the individual, leading to an overemphasis on training, has been noted by others in this field 33 and in international development programs.…”

Section: Discussionmentioning

confidence: 99%

Hospitals caring for rural Aboriginal patients: holding response and denial

Dwyer¹,

Willis²,

Kelly³

2014

Aust. Health Review

View full text Add to dashboard Cite

Objective. To investigate how policy requiring cultural respect and attention to health equity is implemented in the care of rural and remote Aboriginal people in city hospitals.Methods. Interviews with 26 staff in public hospitals in Adelaide, South Australia, were analysed (using a framework based on cultural competence) to identify their perceptions of the enabling strategies and systemic barriers against the implementation of official policy in the care of rural Aboriginal patients.Results. The major underlying barriers were lack of knowledge and skills among staff generally, and the persistent use of 'business as usual' approaches in their hospitals, despite the clear need for proactive responses to the complex care journeys these patients undertake. Staff reported a sense that while they are required to provide responsive care, care systems often fail to authorise or guide necessary action to enable equitable care.Conclusions. Staff caring for rural Aboriginal patients are required to respond to complex particular needs in the absence of effective authorisation. We suggest that systemic misinterpretation of the principle of equal treatment is an important barrier against the development of culturally competent organisations. What is known about this topic?The care received by Aboriginal patients is less effective than it is for the population generally, and access to care is poorer. Those in rural and remote settings experience both severe access barriers and predictable complexity in their patient care journeys. This situation persists despite high-level policies that require tailored responses to the particular needs of Aboriginal people. What does this paper add? Staff who care for these patients develop skills and modify care delivery to respond to their particular needs, but they do so in the absence of systematic policies, procedures and programs that would 'build in' or authorise the required responsiveness. What are the implications for practitioners? Systematic attention, at hospital and clinical unit level, to operationalising high policy goals is needed. The framework of cultural competence offers relevant guidance for efforts (at system, organisation and care delivery levels) to improve care, but requires organisations to address misinterpretation of the principle of equal treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Hospitals caring for rural Aboriginal patients: holding response and denial

Dwyer¹,

Willis²,

Kelly³

2014

Aust. Health Review

View full text Add to dashboard Cite

show abstract

“…In a comprehensive review of the literature, Kumas-Tan et al [5] identified the 10 most commonly used measures in their evaluation of 54 cultural competence measures identified in the literature. These measures included the Multicultural Counseling Inventory; Cultural SelfEfficiency Scale; Inventory for Assessing the Process of Cultural Competence Among Health Professionals; CrossCultural Adaptability Inventory; Quick Discrimination Index; Cultural Attitude Scale; Multicultural Awareness, Knowledge, and Skills Survey; Cultural Competence SelfAssessment Questionnaire; Cross-Cultural Counseling Inventory; and Multicultural Counseling, Knowledge, and Awareness Survey.…”

Section: Methodologies For Evaluating Cccementioning

confidence: 99%

Culturally Competent Care Pedagogy: What Works?

Dykes

White

2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

“…1 (Betancourt 2003(Betancourt , 2006Bromley and Braslow 2008;Crenshaw et al 2011;Eiser and Ellis 2007;Fung et al 2008;Green et al 2008;Guarnaccia and Rodriguez 1996;Hayes-Bautista 2003;Hershberger et al 2008; Kirmayer 2011Kirmayer , 2012aKripalani et al 2006;Kumaş-Tan et al 2007;Lié et al 2006;Lim and Lu 2008;Lo and Stacey 2008;Núñez 2000;Park et al 2006;Park et al 2009;Shapiro et al 2006;Smith et al 2007; South-Paul and Like 2008; Sue 1998Sue , 2003Sumpter and Carthon 2011;Teal and Street 2009;Tervalon 2003;Tervalon and Murray-Garcia 1998;Wachtler and Troein 2003;Wear 2003;Whitcomb 2003).…”

Section: Introductionmentioning

confidence: 99%