Moving towards Community Cultural Competence

Garrido, Rocío; Ramı́rez, Manuel Garcı́a; Balcázar, Fabricio E.

doi:10.1016/j.ijintrel.2019.09.002

Cited by 21 publications

(19 citation statements)

References 51 publications

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“…In This study echoes the current evidence about the three necessary components of cultural responsiveness: cultural cognition, attitude and skills (Alizadeh & Chavan, 2016). The Chinese participants expected service providers to be respectful, which is consistent with cultural cognition and attitudes (Abbe et al, 2007;Garrido et al, 2019). The engagement between the Chinese participants and programme staff confirms the need for cultural skills to effectively elicit the unmet needs of service users (Garrido et al, 2019).…”

Section: Discussion and Con Clus I Onsupporting

confidence: 76%

“…Scholars agree that cultural responsiveness is an on-going process that comprises an integration of cognition, attitude and skills (Alizadeh & Chavan, 2016;Balcazar et al, 2009;Garrido et al, 2019;Kim-Godwin et al, 2001). Cultural cognition means holding knowledge of a certain culture and sensitivity to one's own cultural biases (Garrido et al, 2019;Lucas et al, 2008). Cultural attitude describes the willingness to engage with people from a different cultural background (Abbe et al, 2007;Deardorff, 2006).…”

Section: Culturally Responsive Social Servicesmentioning

confidence: 99%

“…Cultural attitude describes the willingness to engage with people from a different cultural background (Abbe et al, 2007;Deardorff, 2006). Cultural skills are the skills that enable someone to effectively participate in intercultural activities (Garrido et al, 2019).…”

Section: Culturally Responsive Social Servicesmentioning

confidence: 99%

See 2 more Smart Citations

How can coproduction help to deliver culturally responsive disability support? A case study from Australia

Fang

Fisher

2021

Health Soc Care Community

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How to improve access and quality of social services to respond to cultural diversity is receiving increased attention. Yet no approach to cultural responsiveness has been widely accepted. Coproduction has been championed in many service fields for better service outcomes and has the potential to inform practices for cultural responsiveness. This study explored how coproduction can be used to deliver culturally responsive social services. We conducted a qualitative case study and examined how an Australian disability service organisation operated a programme to improve cultural responsiveness with Australian Chinese people with disability and their families. The findings suggested that coproduction enabled the organisation to identify that the people with disability and their families considered services were culturally responsive when the staff were competent and committed to person-centred services. The coproduction contributed to continuous improvement of the services and revealed the qualities that were valued by the Australian Chinese service users. This study enriches the knowledge on coproduction by demonstrating the influence of the process of coproduction on outcomes for service users and providers. The study also contributes to the knowledge on cultural responsiveness by highlighting the elements of culturally responsive services valued by the service users. Coproduction could be more widely used for service development given its capacity to identify and respond to service needs. Practical implications for culturally responsive social services are that workforce training could focus on the principles of person-centred services and skills for working effectively with people from culturally diverse backgrounds.

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Section: Discussion and Con Clus I Onsupporting

confidence: 76%

Section: Culturally Responsive Social Servicesmentioning

confidence: 99%

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How can coproduction help to deliver culturally responsive disability support? A case study from Australia

Fang

Fisher

2021

Health Soc Care Community

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“…On the one hand, more research is needed into how to tailor the various dimensions of involvement to migrant and ethnic minorities' needs and preferences. Further inquiry into health care staff's beliefs, expectations and attitudes towards involvement is also needed, including how these may be influenced not only by (lack of) cultural competence but also by factors such as migrants' origin, status and duration of stay in the host country [75,79]. On the other hand, it is necessary to make resources available for effective implementation.…”

Section: Resultsmentioning

confidence: 99%

Involvement in maternal care by migrants and ethnic minorities: a narrative review

et al. 2020

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Background: Guidelines for improving the quality of maternal health services emphasise women's involvement in care. However, evidence about migrant and ethnic minorities' preferences for participation in maternal care remains unsystematised. Understanding these populations' experiences with and preferred forms of involvement in care provision is crucial for imbuing policies and guidelines with sensitivity to diversity and for implementing people-centred care. This paper presents a narrative synthesis of empirical studies of involvement in maternal health care by migrants and ethnic minorities based on four key dimensions: information, communication, expression of preferences and decision-making. Methods: Studies indexed in PubMed and Scopus published until December 2019 were searched. Original quantitative, qualitative and mixed methods studies written in English and reporting on migrant and ethnic minority involvement in maternal care were included. Backward reference tracking was carried out. Three researchers conducted full-text review of selected publications. Results: In total, 22 studies met the inclusion criteria. The majority of studies were comparative and addressed only one or two dimensions of involvement, with an emphasis on the information and communication dimensions. Compared to natives, migrants and ethnic minorities were more likely to (1) lack access to adequate information as a result of health care staff's limited time, knowledge and misconceptions about women's needs and preferences; (2) report suboptimal communication with care staff caused by language barriers and inadequate interpreting services; (3) be offered fewer opportunities to express preferences and to have preferences be taken less into account; and (4) be less involved in decisions about their care due to difficulties in understanding information, socio-cultural beliefs and previous experiences with care provision less attuned with playing an active role in decision-making and care staff detracting attitudes.

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“…The panel emphasized that cultural competence is a matter of intellectual flexibility. Cultural competence is not only the recognition that different cultures exist but also a fundamental acceptance of different styles and viewpoints [72][73][74]. Cultural competency has become increasingly important to meet the needs of diverse patient populations.…”

Section: Global Healthmentioning

confidence: 99%