DB2

You must use the terms for this course and cite support when you research the cultural piece.

7.  You are educating a mother on how to help her child best meet their developmental milestones.  The facility that you are working in is located in the Appalachians.  The young mother is clearly anxious about letting you hold the baby, and the baby begins to cry when you get too close.  Your co-worker comes in the room to get something they need and makes this comment; “Oh, they all cry.  You just need to take control and just take the baby and get done what you need to.”  You notice the mother lower her head and hang onto the baby even tighter.  What might you address with your co-worker in terms of culturally competency?  How would you have handled this situation in a more culturally competent manner?

8.   An older adult African American gentleman is being treated in your facility post stroke.  When he is finished, his nursing aide makes is next appointment.  Soon after they leave his wife calls, who is also African American, and cancels the appointment with a firm tone and expressing her upset.  She then states that “all future appointments are to only be made through her and her only.” Please consider this from the viewpoint of what the role of the wife/woman is in the African American culture when you respond to this scenario; because we are addressing cultural aspects, so do your research. Initially what might be your assumptions and how might you address this in a culturally competent manner?

· What assumptions have been made

· What cultural context is impacting this interaction

· How would you have handled this differently

It is important to understand these definitions and to be able to use them in your scenarios, discussions, book review and final exam. Please review the definitions and apply them as needed to the assignments.

Culture-  An integrated pattern of learned beliefs and behaviors that can be shared among groups, including thoughts, styles of communicating and ways of interacting, views on roles and relationships, values, practices, and customs.

Rose (2013) stated, "Cultural competence involves ensuring that the needs of diverse patients/clients/customers are met by health service professionals based on the acquisition of specific skill sets, valuing diversity, and taking concrete steps to ensure efficacy in serving minority populations" (pg.50).

Rose, P. R. (2013). Cultural competency for the health professional. Jones & Bartlett Publishers.

Cultural Awareness -  the ability of healthcare providers to appreciate and understand their client's values, beliefs, lifeways, practices, and problem-solving strategies.

Cultural Blindness -  Scenarios in which all people are viewed the same without taking into consideration that cultural differences matter.

Cultural Competence -  cultural and linguistic competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations., Per the cultural competence continuum: involves ensuring that the needs of diverse patients/clients/customers are met by health service and public health organizations based on the acquisition of specific skill sets, valuing diversity and taking concrete steps to ensure efficacy in serving minority populations.

Cultural Desire -  the ability of the healthcare provider/health service administrator/public health practitioner to possess a drive to achieve cultural competence.

Cultural Destructiveness -  characterized by attitudes, policies, structures, and practices within a system or an organization that are destructive to a cultural group.

Cultural Humility  -ability to maintain an interpersonal stance that is other-oriented (or open to the other) in relation to aspects of cultural identity that are most important to the [person]” APA

Cultural Incapacity -  the lack of capacity to respond effectively to culturally and linguistically diverse groups.

Cultural Knowledge -  the ability to have insight and knowledge about physical, psychological, and biological variations among groups as well as having knowledge about various cultures to better understand their clients.

Cultural Sensitivity - An awareness of and respect for a patient's cultural beliefs and values.

Cultural Pre-competence - When a healthcare organization is aware of its strengths and areas for growth and there is a clear commitment to human and civil rights.

Cultural Proficiency -  Takes the process of cultural competence a step further by employing staff and consultants with cultural expertise, ensuring assessment and training efforts, and reviewing policies and procedures to ensure the inclusion of culturally competent language.

Paradigm Shift - A revolutionary change from one way of thinking to another, which does not just happen but is driven by agents of change.