Cultural Competence

ability of healthcare professionals to: Provide effective care within the patient's cultural context.

Cultural Competence

5 elements of Cultural Competence

Respect, Awareness, Knowledge, Skills, Sensitivity

It is a life long process

Cultural Competence

5 components of cultural competence

cultural awareness, cultural knowledge, cultural skill, cultural encounters, cultural desire

Recognition of:

• your own cultural beliefs

• your own values

• your own biases

cultural awareness

Cultural Awareness prevents 2 things

Ethnocentrism, Stereotyping

Seeking information about:

• different cultures

• health practices

Cultural Knowledge

It is the ability to perform CULTURALLY SENSITIVE ASSESSMENTS where you will ask appropriate questions and assess the patient respectfully.

Cultural Skill

Direct interactions with people from: Diverse backgrounds

Cultural Encounters

Personal motivation to engage in: CULTURAL COMPETENCE

Cultural Desire

 It is the process where a nurse gathers information about: BELIEFS AND PRACTICES AFFECTING HEALTHCARE

Cultural Assessment

6 areas of cultural assessment

Communication
Family Roles

Religion and Spirituality
Health Beliefs

Nutrition

Pain Expression

Assess:

• Preferred language

• Eye contact

• Gestures

“How does this patient communicate?”

Communication

Assess:

• Decision-makers in the family

• Gender roles

“Who participates in healthcare decisions?”

Family Roles

Assess:

• Prayer practices

• Dietary restrictions

“Are there religious or spiritual practices that may affect care?”

Religion and Spirituality

Assess:

• Causes of illness

• Preferred treatments

“What does the patient believe caused the illness?”

“What treatments does the patient prefer or believe in?”

Health beliefs

Assess:

Cultural food practices

“Are there foods the patient prefers, avoids, or is restricted from eating?”

Nutrition

Assess whether the patient tends toward:

• Stoicism

• Verbal expression

Culture can influence:

HOW PAIN IS EXPRESSED.

Pain Expression

4 barriers to culturally competent care

Language difference, Ethnocentrism, Stereotyping, Prejudice & Bias

MISCOMMUNICATION

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Miscommunication may lead to:

MEDICATION ERRORS

Language Differences

Belief that:

ONE'S OWN CULTURE IS SUPERIOR

Ethnocentrism

Ethnocentrism may lead to deadpool

Discrimination, Poor Patient Rapport

Assuming:

ALL individuals from a culture behave similarly.

Stereotyping

Definition

Negative attitudes toward:

Certain cultural groups

Prejudice and Bias

STRATEGIES FOR PROVIDING CULTURALLY COMPETENT CARE: If there is a language barrier

Use a ____ if not utilized it can lead to miscommunication

Interpreter

STRATEGIES FOR PROVIDING CULTURALLY COMPETENT CARE: If a cultural practice is safe and possible to accommodate ____ and _____ it

respect and support

STRATEGIES FOR PROVIDING CULTURALLY COMPETENT CARE: Listen carefully, without judging and interrupting

Don't just hear the patient. Understand what the patient means.

Practice Active Listening

STRATEGIES FOR PROVIDING CULTURALLY COMPETENT CARE: Use culturally appropriate language and examples and adjust the explanation so the patient can understand it within their language and cultural context.

ADAPT patient education

STRATEGIES FOR PROVIDING CULTURALLY COMPETENT CARE: Some cultures value COLLECTIVE DECISION-MAKING instead of only "I decide for myself.”

Encourage Family Participation

STRATEGIES FOR PROVIDING CULTURALLY COMPETENT CARE

Use of Interpreter, Respect Cultural Practices, Active Listening, Adapt patient Education, Encourage Family participation