4/6 - 4/11 Notes
4/6 - 4/11 Notes HTH231
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This 2 page Class Notes was uploaded by Kristin Coggins on Thursday March 3, 2016. The Class Notes belongs to HTH231 at James Madison University taught by Dr. Mary Ott Walter in Winter 2016. Since its upload, it has received 18 views. For similar materials see population health determinents in Health Sciences at James Madison University.
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Date Created: 03/03/16
HTH 231 Cultural Competency & Health Care Culture: A totality of socially transmitted behavioral patterns, beliefs, values, customs, lifeway’s, arts, and all other products of human work and thought characteristics of a population of people that guide their worldview and decision making o Learned first in family, school, community, social organizations o Healthcare providers must recognize that there are different cultures that may change the way care can be provided Subculture: A group of people from several cultures who join together for an array of reasons o AA o Bikers o Veterans Variant Characteristics of Cultures: Major attributes that shape peoples’ worldview and the extent to which people identify with their cultural group of origin o Nationality o Gender o Occupation o Military experience o Marital Status o Parental status o Sexual orientation Awareness vs. Sensitivity o Cultural awareness: Appreciation of external and internal signs of diversity Arts, music, dress, physical characteristics o Cultural sensitivity: Personal attitudes and not saying things that might be offensive to someone from a culture or ethnic background Cultural Competence: a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables that system, agency, or those professionals to work effectively in crosscultural situations self awareness without influence Also refers to a set of academic and interpersonal skills that allow individuals to increase their understanding and appreciation of cultural differences and similarities within, among, and between groups. This requires a willingness and ability to draw on communitybased values, traditions, and customs and to work with knowledgeable persons of and from the community in developing targeted interventions, communications, and other supports. the ability to effectively operate in different cultural contexts. Cultural competency emphasizes the idea of effectively operating in different cultural contexts. Knowledge, awareness, and sensitivity do not include this concept. o Nonjudgmental o Open o Comfortable o Engaging conscious process o Responsibility for continued education Purnell Model of Cultural Competence o All HCP need similar info about cultural diversity o One culture is not better than another, just different o Differences exist within, between and among o Change slowly over time o VCC determines variation from dominant culture o Co Participation increases positive outcomes o Culture has powerful influence on interpretation of and responses to HC o Individuals and families belong to several subcultures o Right to be respected for heritage o Caregivers need cultural info to provide culturally sensitive and competent care o Learning culture is ongoing process o Prejudices and biases can be minimized with understanding o HC must reflect the unique understanding of values, beliefs, attitudes, lifeways, and worldview of diverse populations and individual acculturation patterns o Language and Health Literacy Examples: Medical jargon Inadequate reading level Lack of fluency in English Negative perceptions of patient and provider, patient doesn’t return for followup Written materials in patient’s native language Unsuccessful interpretation Availability: A health related system offering a needed service and doing so at a time that is reasonable Expanded hours of service in the Emergency Room