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PubMedDate not supplied

Beyond cultural competence: language access and Latino civil rights.

Social services remain largely unresponsive to the values and needs of Latino families, who often need Spanish-language services. This article discusses access to linguistically appropriate services, not just as a culturally competent practice, but also as a civil rights issue. Spanish speakers have protection from discrimination in federally funded human services under Title VI of the Civil Rights Law of 1964. The article discusses implications for all aspects of private and public child welfare, including investigations, foster care, family preservation, adoption, and quality assurance.

Child↗
PubMed2001

Occupational health nursing with Navajo workers. Providing culturally competent care.

1. Native Americans in the southwestern United States are considered a "vulnerable population." Native Americans have economic difficulties, poor health, and little access to health care. The Navajo nation is the largest Native American reservation in the United States. 2. Occupational health nurses who provide culturally competent care increase the likelihood for Navajo workers to obtain optimal benefits from workplace health services. 3. The nurse uses cultural assessment skills and critical thinking abilities to maximize therapeutic interactions and minimize barriers in communications with workers of other cultural backgrounds. 4. The nurse who is knowledgeable about the Navajo way can help achieve a balance between the traditional ways and Western ways of addressing serious health care issues facing the Navajo worker. This knowledge and cultural awareness also increases the effectiveness of health promotion and health education programs offered to workers, their families, and their communities.

Cross-Cultural Comparison↗
PubMed2002

Developing a multisite project in geriatric and/or gerontological education with emphases in interdisciplinary practice and cultural competence.

PURPOSE: This 2-year, multisite, curriculum-development project aimed to increase the pool of professionals trained in geriatric and/or gerontological social work. DESIGN AND METHODS: Our methods included (a) providing advanced training in aging, cultural competence, and interdisciplinary practice to social work professionals and masters degree students, (b) developing, implementing, and testing an innovative student curriculum based on standardized learning competencies identified by project participants, (c) revising the university curriculum to support such competencies, and (d) producing a practicum handbook. RESULTS: The project achieved its out-comes. IMPLICATIONS: Project conceptualization, implementation, and evaluation are discussed together with approaches for its replication.

Aged↗
PubMed1999

Culturally competent research: an ethical perspective.

This article addresses the perspective of the Ethical Principles and Guidelines for Providers regarding issues affecting research with ethnic minority populations. Issues such as failure to report or give informed consent to research participants, lack of diversity among researchers, inappropriate study of ethnic minority populations, and culturally insensitive assessment instruments are discussed. Examples of recommended responsibilities and criteria for culturally competent research are provided, including increased involvement of minorities in research, both as investigators and concerned citizens. In sum, the recommendations address the larger problem of failure to acknowledge people in their cultural context. Finally, implications for the Ethical Principles and Guidelines for Providers are considered.

Cultural Diversity↗
PubMed2005

Intersections of care: an analysis of culturally competent care, client centered care, and the feminist ethic of care.

Many of us work within a healthcare field, but do we think about the meaning of the care that we provide? This paper examines three approaches to practices in the caring professions; culturally competent care, client centered care, and the feminist ethic of care, in an effort to discover if and where the three intersect. Although philosophically similar, the essence of caring practice discovered in this examination resulted in the simple equation: Provider knowledge and skills + client respect = client empowerment. An examination of the meaning of this formula and its implication for practice is included.

Allied Health Personnel↗
PubMed2003

Cultural competency: dentistry and medicine learning from one another.

The Institute of Medicine (IOM) report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care is serving as a catalyst for the medical profession to re-examine the manner in which its institutions and training programs relate to cultural competence. This report found that racial and ethnic disparities exist in health care and that a lack of access to care does not fully explain why such disparities exist. The IOM study found bias, stereotyping, prejudice, and clinical uncertainty as possible contributing causes. The U.S. Surgeon General's Report on the Oral Health of the Nation also pointed to oral health disparities related to race, ethnicity, and culture. This paper discusses how medicine is responding to the Unequal Treatment report and the lessons to be considered for dentistry. Recommendations on how dentistry can apply the knowledge from this report to help reduce oral health disparities are suggested.

Attitude of Health Personnel↗
PubMed2006

Cultural competence in nursing: new meanings.

Shortages of nurses challenge the provision of health care in developed countries including those in the European Union (EU), but there has been no upward trend in recruitment of nurses from EU countries with a surplus. A remedy is to facilitate migration of nurses around Europe. However, the importance of the concept of cultural competence has been overlooked within EU health care systems. Migrant nurses from EU countries employed in the United Kingdom indicate that they have experienced problems arising from a variety of issues related to cultural diversity. Countries such as the United Kingdom could benefit from introducing enculturation courses for migrant nurses.

Cultural Diversity↗
PubMed2006

Atmosphere, tolerance, and cultural competence in a baccalaureate nursing program: outcomes of a nursing workforce diversity grant.

The purpose of this article is to report the results of a comparison between the educational climate of a baccalaureate nursing program and that of a Nursing Workforce Diversity Grant. Fifteen Hispanic/Latino and American Indian upper-division baccalaureate nursing students completed 37 questionnaires. A 76-item questionnaire was designed to measure the effectiveness of grant services. There was a difference (t [34] = 3.174, p = .003) in satisfaction across the two climates on "caring and respect" and "atmosphere" (t [33] = 3.267, p = .003), with the grant climate rated higher. Although there was overall satisfaction with both the nursing program and grant services, students requested improvements in atmosphere, tolerance, and cultural competency. There is a need to create an atmosphere of trust, caring, and cultural congruity to recruit and to retain diverse students.

Adult↗
PubMedDate not supplied

Cultural competence in the assessment of poor Mexican families in the rural southeastern United States.

Increasing numbers of poor Mexican immigrant families are settling in the rural southeastern United States. Most of these families are from isolated agrarian communities in Mexico and are headed by unskilled laborers or displaced farm workers with little education. Child welfare workers and other service providers in rural communities may be poorly prepared to address the needs of this population. This article provides an overview of the cultural, social, and family dynamics of first generation, working class Mexicans to promote cultural competency among helping professionals. An ecological perspective is used to examine the strengths that poor Mexicans bring from their culture of origin, stresses of the migratory experience and ongoing adaptation, shifts that may occur in family structure and functioning, disruptions in the family life cycle, the role of social supports in family adaptation, and effect of institutional discrimination on family well-being. Suggestions also are made for essential components of adequate in-service education.

Child↗
PubMed2005

Cultural competence.

Explore the source record for details and available documents.

Cultural Characteristics↗
PubMed2001

Utilizing cultural immersion in a cultural competency curriculum: a conference report.

Overall, the evaluations of the conference were excellent and the speakers received high marks. Many participants were deeply moved and eager to share what they learned with colleagues and family. The constructive comments centered on the large number of topics covered in a short time. Requests that we decrease the number of speakers and increase the amount of time for discussion will be addressed in the planning of what will hopefully be another similar program next year. In summary, based on this experience, adding a cultural immersion experience to a cultural competency curriculum can be very successful because this approach enables learning to occur on several levels, not just from sitting in a lecture but through actual experiences of the culture--physically, emotionally, and spiritually.

Cultural Diversity↗
PubMed2004

Health care barriers for Latino children and provision of culturally competent care.

The demography of the United States is rapidly changing. The impressive growth rate of Latino populations within the United States has great impact on health care. This article includes discussion of a significant increase from 1988 to 2000 in Latino utilization of emergency department and inpatient services at a pediatric medical center in Salt Lake City, Utah, information on health care barriers for Latinos, and suggestions for providing culturally competent care.

Acculturation↗
PubMedDate not supplied

Culturally Competent Care: the awareness of self and others.

Today's healthcare environment is increasingly complex and provides significant challenges to nurses and patients alike. It is imperative that nurses strive to understand the diversity of their patients and coworkers to provide optimum care. One essential component of nursing practice is the ability to provide Culturally Competent Care (CCC). This article outlines several aspects of CCC and organizational efforts that support good nursing practice through staff education.

Attitude of Health Personnel↗
PubMed2001

Cultural competence and sensitivity. Getting it right.

In our search for equality in a heterogeneous society, we must remember that equality does not mean the same, it means balance. We must respect the need for others, particularly persons who hold membership in oppressed groups, to reconstruct and reconnect with their own worldviews. When we do this we help create opportunities for individuals and groups to discover their unique qualities rooted in a shared world view. Ultimately, this practice will lead to a healthier and more holistic heterogeneous cultural experience. The goal is not to adopt the worldview of others but to learn about the view of others, respect those views, and use that knowledge as a foundation for creating culturally competent advocacy and practice methods.

Adolescent↗
PubMed2004

Culturally competent responses for identifying and responding to domestic violence in dental care settings.

Dental care providers can play an important role in identifying and preventing intimate partner violence. Many victims of domestic violence interact with dental care providers, including dentists, dental hygienists, and dental assistants, thus placing dental professionals in a unique position to screen for early identification and even primary prevention of abuse. An effective and successful response to intimate partner violence in a dental care setting involves creating a safe and culturally competent environment for screening and disclosure, giving supportive messages to victims, educating patients about abuse and connection to health, offering strategies to promote safety, and informing clients about relevant community resources.

California↗