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Results for “Cultural Competency”

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PubMed1992

Working with diverse families: building culturally competent systems of health care delivery.

In the face of increasing heterogeneity among American families, it is imperative health care systems and professionals be culturally sensitive and competent. As we enter a new era of parent-professional collaboration, where services are family centered, community based and coordinated, grasping the richness, and complexity, of working with a pluralistic clientele is essential. Self-awareness regarding one's personal heritage, and the desire to know how clients view and accept Western health practices, are the beginnings of cultural competence. This article examines various strategies professionals can use to assure that such competent programs are a norm.

Cultural Characteristics↗
PubMedDate not supplied

Improving substance abuse service delivery to Hispanic women through increased cultural competencies: a qualitative study.

In 1985, one woman in seventeen in the US was Hispanic-an estimated 8.5 million-and it is predicted that by the end of this century, Hispanics will comprise the largest ethnic group in this country (Amaro & Russo, 1987). Although the term "Hispanic" suggests a homogeneous group, united by similarities, this is not the case. The term refers to an ethnic group, not a racial one, whose chief commonalities are the Spanish language and some broad cultural values. Making substance abuse treatment services accessible to Hispanic women and their families requires that agencies become culturally competent to deal with this population. The authors of this qualitative study interviewed female Hispanic substance-abuse treatment clients and therapists to find what agencies might do to create a receptive atmosphere for Hispanic women.

Acculturation↗
PubMed2005

Smoking cessation, obesity and weight concerns in black women: a call to action for culturally competent interventions.

Approximately 20.8% of black women and 23.1% of white women smoke, and significantly more blacks (37.4%) than whites (22.4%) are obese. Although the average amount of weight gain after quitting smoking is 6-8 lbs for women, blacks tend to gain substantially more weight. This large increase in postcessation weight gain in blacks may further augment the health risks that blacks face in conjunction with obesity. Interventions that promote smoking cessation, while simultaneously reducing weight concerns or weight gain has been proposed as a strategy to help weight-concerned women quit smoking. However, these studies have included primarily white samples and no studies have examined the feasibility or effectiveness of smoking-cessation and weight-control interventions for black women smokers. This review describes the literature on smoking, obesity/weight control and weight concerns in smokers, with a particular attention to black women smokers. A call to action to develop comprehensive and culturally competent smoking-cessation and obesity/weight-control interventions for black women is emphasized due to their high rates of smoking, obesity and postcessation weight gain.

Black or African American↗
PubMedDate not supplied

Cafecitos and telenovelas: culturally competent interventions to facilitate Mexican American families' decisions to use home care services.

Latino elders have higher rates of chronic illness and death than their non-Latino counterparts Latino elders are also the fastest growing minority group in the United States. Although many Mexican American (MA) elders could benefit from home care services (HCS), many MA elders and family caregivers resist using these services. The purpose of this study was to test using cafecitos and telenovelas to affect MA elders' and caregivers' attitudes toward use of HCS. Cafecitos are traditional informal discussions among similar people. Discussions about attitudes toward using HCS were tested with 3 samples in 3 settings at local and neighborhood associations (n = 43). Telenovelas are dramatizations of compelling stories in Spanish. These were tested with 4 samples in 4 settings (n = 55). Todo ha cambiado portrayed the story of an older MA woman who grappled with her attitudes toward using HCS. Themes of the cafecitos indicated that participation increased knowledge that HCS existed. Anecdotal comments revealed that the participants identified with the Telenovela story. Although the pilot samples was too small to derive Statistical significance, comparisons of pre- and post- tests showed a trend toward increased knowledge. Cafecitos and telenovelas are promising, culturally competent strategies for increasing MA elders' and caregivers' knowledge and willingness to consider using HCS.

Aged↗
PubMedDate not supplied

The quest for cultural competence in nursing care.

Conducting a culturally sensitive cultural assessment is a critical factor in rendering culturally relevant services to our growing ethnically diverse patient population. The author examines issues affecting the process of conducting culturally sensitive cultural assessments. A review of several cultural assessment tools is presented, along with suggestions for conducting effective cultural assessments.

Clinical Competence↗
PubMed2000

A study on recruitment of black Americans into clinical trials through a cultural competence lens.

Black Americans are stricken disproportionately with cancer. However, they continue to be underrepresented in clinical trials aimed at systematically investigating treatment methods or studying the effectiveness of cancer detection and prevention. Because participation in clinical trials can offer patients access to state-of-the-art therapy in a research context, it is imperative that black Americans have proportional representation in such trials. The purpose of this article is to describe findings from the first phase of a two-phase project on recruitment of black Americans into clinical trials. In the first phase, physicians and data managers in a large, urban prestigious cancer center were asked to identify factors they believed prevent black Americans from participating in clinical trials. Findings from this study were congruent with the literature about why physicians and other health care providers believe black Americans do not participate in clinical trials. However, the findings were examined through a cultural competence lens, adding a fresh perspective to the consideration of what interventions can be developed to eradicate underrepresentation of black Americans in clinical trials. The second phase will assess the knowledge, beliefs, attitudes, and behaviors of black Americans related to clinical trials in the geographic area of the cancer center.

Adult↗
PubMed2001

"Being dealt with as a whole person." Care seeking and adherence: the benefits of culturally competent care.

The purpose of this study is to characterize the relationship between identity and health care experiences (including antiretroviral therapy utilization) among HIV-positive sexual minority males. This qualitative study used grounded theory with data collection occurring through focus groups and interviews. A questionnaire was used to complete a demographic profile. The study included 47 HIV positive participants from three minorities: gay men, bisexual men and transgendered persons, gender identifying as female and or living as women. Sessions elicited information on: (1) general experiences with health care, (2) experiences with HIV antiretroviral therapies and issues surrounding access, and (3) adherence to these therapies and identity in relation to health care. These textual data revealed three themes: (1) the importance of sexual identity and its social and cultural context, (2) the differences in the health concerns between the sexual minorities and (3) a wide spectrum of experiences with the health care system that provide information surrounding the access to and adequacy of health care. Successful health care providers are aware of different issues that may play a role in the provision of health care to these sexual minorities. Providers awareness of sexual and social identity and the related different cultural values, beliefs and custom enhance care seeking and therapeutic adherence. For sexual minorities, primary care remains the most important entry point into the health care system. Cultural competence of care providers can foster patient's care seeking and adherence to treatment.

Adult↗
PubMed1999

Culturally competent care for psychiatric clients who have a history of sexual abuse.

Canadian psychiatric nurses (N = 1,701) participated in a survey in which they-assessed their ability to nurse clients with a history of sexual abuse when cultural differences are present. Thirty-nine percent worked at a facility having a significant number of clients from a different culture. Only 4.6% rated themselves as "very competent." Four themes emerged from nurses' assessment of their ability: culture is not the problem, culture is not an issue, culture influences perspective and responses, and culturally specific competence. Only one cultural group, First Nations, was identified by sufficient numbers of nurses to generate themes concerning the challenge of working with clients from a particular culture. These themes (abuse as a cultural norm, concurrent and related health and social problems, reluctance to talk about problems, a need to learn about First Nations culture, and developing culturally competent caregivers), critical areas of concern, and possible solutions suggested by the nurses are discussed.

Adult↗
PubMedDate not supplied

Linguistic and cultural competency.

The U.S. population is becoming more diverse and cultural and linguistic barriers may adversely affect the quality of health care for some individuals. Cultural and linguistic competencies are now a high priority for national health policy. Research commissioned by the American Society of Radiologic Technologists indicates that diversity among patients is a leading health care trend that will have an impact on radiologic technologists in the immediate future.

Aged↗
PubMed2004

Developing local public health capacity in cultural competency: a case study with Haitians in a rural community.

With the increase in cultural diversity in all regions of the United States, public health employees and other health care providers are more challenged than ever before to provide culturally sensitive care to citizens from an increasing range of cultures. Building on their existing experience and skill, health care staff must expand their competencies to address this changing diversity in their communities. This project serves as a case study of how 1 small rural health department in Delaware created a Web site using Purnell's model for cultural competence (Purnell & Paulanka, 2003) as the organizational framework and rose to the challenge of assisting public health staff to provide culturally sensitive health services to a rapidly increasing population of Haitian immigrants.

Adult↗
PubMed2000

Culturally competent care for members of sexual minorities.

Culture has historically been interpreted as the beliefs, mores, and lifeways of groups of people primarily related to race and ethnicity. However, individuals who self identify as being lesbian, gay, bisexual and/or transgendered experience ethnocentrism when seeking care from medical and health professionals. Using the principles and concepts of Lenninger's theory of Culture Care Diversity and Universality, members of sexual minorities can assist their health care providers to provide culturally sensitive and ethical care.

Attitude of Health Personnel↗