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Chapter 10
Cultural Competency
30
Art History
5th Grade
11/30/2013

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Term
What is a melting pot?
Definition
metaphor used to describe fusion of different nationalities, ethnicities and cultures
Term
What is cultural diversity?
Definition
Intricate mosaic consisting of numerous racial and ethnic groups
Term
Is a melting pot or cultural diversity more realistic?
Definition
cultural diversity
Term
What is a health disparity?
Definition
Population-specific difference in the presence of :
Disease
Health outcomes
Access to health care
Term
Why are racial and ethnic minorities’ use of preventive services diminished?
Definition
by an inability to obtain health services
Term
What are some factors that influence culture?
Definition
-Age
-Gender
-Geography
-Place of birth
-Religious beliefs
-Sexual preference
-SES
-Educational attainment
-Family
-Length of residency in the U.S.
-Individual experiences
-Power relationships
Term
Ethnocentrism
Definition
Judging other cultures by your own standards consistent with your values, not theirs
Term
What is cultural competency?
Definition
Describes the ability to provide care to patients with diverse values, beliefs, and behaviors
Term
Why do cultural competency models exist? (3 reasons)
Definition
-Self-assessment
-To determine implementation of cultural competency in organizations and systems
-To evaluate effectiveness of appropriate community outreach
Term
What is HRSA’s Health Disparities Substrategies goal?
Definition
to implement a plan to incorporate cultural competence principles throughout their programs, practices, and policies with a focus on targeted clinical areas and populations
Term
What are HRSA's health disparity strategies? (8)
Definition
1. reduce the incidence/prevalence of disease in certain pop
2. increase healthcare utilization by under served populations
3. focus on target populations
4. diversify the healthcare workforce
5. increase cultural competence of of the workers
6. enhance and establish new partnerships
7. translate knowledge into clinical practice
8. enhance data collection
Term
What does the cultural competency education model focus on?
Definition
Focuses on the process of developing cultural competency in health care practices
Term
What are the 3 areas of intervention?
Definition
1. Self-Exploration
2. Knowledge
3. Skill
Term
What is self exploration?
Definition
Awareness of one’s own cultural heritage and increased acceptance of different values, attitudes, and beliefs
Term
What is knowledge?
Definition
To understand that no one culture is intrinsically superior to another and to recognize individual and group differences and similarities
Term
What is skill?
Definition
To master appropriate strategies in communicating with persons from different cultures
Term
Through development of BLANL and BLANK that behaviors are adapted and implemented
Definition
Through development of self-exploration and skill that behaviors are adapted and implemented.
Term
The development of BLANK and BLANK creates the perception about people of diverse cultures.
Definition
The development of skills and knowledge creates the perception about people of diverse cultures.
Term
Attitude is broadened by the growth of BLANK and the gaining of BLANK about diversity and the importance of culture to our daily life.
Definition
Attitude is broadened by the growth of self-exploration and the gaining of knowledge about diversity and the importance of culture to our daily life.
Term
**See slide 26 for the cultural competency education model**
Definition
Term
What are the 6 steps of the Cultural Competency Continuum?
Definition
1. Cultural Destructiveness
2. Cultural Incapacity
3. Cultural Blindness
4. Cultural Pre-competence
5. Cultural Competence
6. Cultural Proficiency
Term
Cultural destructiveness
Definition
Negative end…most extreme example is actively participating in cultural genocide
Term
Cultural incapacity
Definition
Cultural destruction is not intentional but these individuals lack the capacity to help those of diverse backgrounds
Term
Cultural blindness
Definition
People of diverse cultures are anticipated to meet the needs and expectations of the dominant group
Term
Cultural pre-competence
Definition
Awareness of some sensitivity but not sure what is right
Term
Cultural competence
Definition
Characterized by acceptance and respect for difference
Term
Cultural proficiency
Definition
Most positive end where it indicates advocating for cultural competence through all systems and improves relations between cultures throughout society
Term
LEARN model
Definition
Listen
Explain
Acknowledge
Recommend
Negotiate
Term
Kleinman’s Explanatory Model to Elicit Health Beliefs in Clinical Encounters
Definition
Helps health care provider to understand and implement individualized health care, assists with gathering information
Term
What does cross-cultural communication involve?
Definition
Involves communicating effectively with someone of a different culture
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