Transcultural Diversity and Health Care

**cultural competence**

congruent with the client’s beliefs and practices

Cultural Competence

Multicultural societies continue as a major initiative for business, healthcare, and educational org. In the U.S and throughout most of the world.

White

• original peoples of Europe, the Near East, and the Middle East, and North Africa. This cate-

• gory includes Irish, German, Italian, Lebanese, Turkish, Arab, and Polish.

Black

• origins in any of the black racial groups of Africa, and includes Nigerians and Haitians or any per-

• son who self-designates this category regardless of origin.

American Indian and Alaskan Native

original peoples of North, South, or Central America and who maintain tribal affiliation or community attachment.

Asian

origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent. This Category Includes the terms Asian Indian, Chinese, Filipino ,Korean, Japanese, Vietnamese, Burmese, Hmong, Pakistani, and Thai.

Native Hawaiian and other Pacific Islander

any of the original peoples of Hawaii, Guam, Samoa, Tahiti, the Mariana Islands, and Chuuk.

Some other race

unable to identify with the other categories.

Culture

learned, shared, transmitted values and beliefs and practices of a particular group that guide the thinking, actions, behaviors, interactions, emotions and view of the world.

Culture

totality of socially transmitted behavior patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristics of a population of people that guide their worldview and decision making

**Dynamic**

created through interactions with the world

**Shared**

individuals agree on the way they name and understand reality

**Symbolic**

often identified through symbols such as language

**Learned**

passed on through generations

Ethnic

Social groups in complex societies

Ethnic

Groups differentiated not only on the basis on a range of shared cultural content, but also on the bases of social attitudes and economic and political consideration

**Attitude**

state of mind or feeling

**Belief**

something that is accepted as true

**ideology**

consists of the thoughts and beliefs that reflect the social needs and aspirations of an individual or ethnocultural.

**ethnocentrism**

universal tendency of human beings to think that their ways of thinking acting, and believing

**Values**

 principles and standards

**Race**

genetic in origin and includes physical characteristics that is similar among members

**Cultural Awareness**

appreciation of the external signs of diversity

**cultural sensitivity**

personal attitudes and not saying things that might be offensive.

Primary Characteristics

• Nationally

• Race

• Gender

• Race

• Religious (Can Be Changed)

Secondary Characteristics

• Educational Status

• Socioeconomic Status

• Occupation

• Military Experience

• Political Beliefs

• Place Of Residence

• Marital/Partial Status

• Physical Characteristics

• Sexual Orientation

• Gender Issues

• Reason To Migration To The United States

• Length Of Time Away From Country Origin

• cultural forces are powerful determinants of health-related behavior

• a lack of knowledge about or sensitivity to health beliefs and practices

**Why is it important in healthcare?**

Health seeking behavior

• is a symptom serious

• how long did it last

perceived causes of illness

some people believe that their illness cause by some other forces (supernatural)

patient's understanding of disease process

• perception of messages from diff. healthcare providers

• stigma/fear

• social network

• Contacts