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Title: Cultural Competence in Healthcare An Important Refresher for


1
Cultural Competence in Healthcare
An Important Refresher for Physicians
2
Session Objectives
After this session physicians will be able to
  • Define Cultural Competence
  • Describe why delivering Culturally
  • Competent Care is important
  • Understand being Culturally
  • Competent is a continual process
  • Use Culturally Competent Practices
  • in the provision of care

3
Why do we focus on Cultural Competence at
Wheaton Franciscan Healthcare?
  • It is our Mission
  • Providing exceptional and compassionate health
    care service that promotes the dignity and well
    being of the people we serve.
  • Clinical Excellence
  • Ensure equal and individualized care
  • is delivered to all patients
  • Our Patient and Family Experience
  • Nothing is more important than our
  • patients health and well being

4
  • The next few slides are common words and
    information to help you learn more about what
    cultural competence is and why it matters in
    healthcare and the workplace

5
What is Culture?
  • It is the learned and shared values of a
    particular group that
  • Guides thinking
  • Actions
  • Behaviors
  • Emotional reactions to daily living
  • It is the sum of beliefs, practices, habits,
    likes and dislikes.
  • It is norms and customs that are learned.

6
Culture is central to the Delivery of Healthcare
  • It influences patients healthcare beliefs,
    practices attitudes toward care, and trust in the
    system and in the individual providers
  • Cultural differences affect how health
    information and healthcare services are received,
    understood and acted upon.

US Department of Health Human Services/ Office
of Minority Health
7
Our Patients Represent Many Cultures
8
Our Patients Represent Many Religions and
Languages
9
What is Cultural Competence?
  • Cultural competence is the ongoing capacity of
    healthcare systems, organizations and
    professionals to provide for diverse patient
    populations high quality care that is safe,
    patient- and family- centered, evidence-based,
    and equitable
  • The National Quality Forum

The term patient refers to the individual
recipient of care i.e. patient, client, legal
surrogate or person.
10
Cultural Competence in Health Care
  • Eliminate misunderstandings in diagnosis or in
    treatment planning that my arise from differences
    in language or culture
  • Improve patient adherences with treatments
  • Eliminate health care disparities

Primary concerns
11
Associations We Make
What type of person do you think of when you
hear the following descriptions?
  • Alzheimers patient
  • Black male
  • Asian man
  • Welfare recipient
  • Teenager

12
Associations We Make
The people shown below fit into the descriptions
reviewed on the previous slide
Alzheimers victim Black male Asian man Welfare
recipient Teenager
President Ronald Reagan
Dr. Ben Carson
Jackie Chan
JK Rowling
Justin Beiber
13
Associations We Make
  • When we initially hear the profile of a patient,
    we all make associations and assumptions based on
    our past experience. We have a perception of
    the person before we ever meet them.
  • Our patients make the same associations when they
    meet us.
  • This can be described as a component of
    transference and counter-transference.

14
Transference
  • Transference occurs when the physicians or
    patients transfer past emotions, beliefs or
    experiences to the present situation.
  • The feelings can be positive or negative
    Counter-transference, but are ALWAYS a distortion
    of realty.
  • Transference is an unconscious process. When
    transference occurs around cultural issues, it
    becomes a serious barrier that keeps the patient
    from being receptive to medical advice and
    treatment.
  • It is up to us as Culturally Competent Providers
    to maintain and convey unconditional positive
    regard for our patients

The American Journal of Psychiatry, VOL. 157, No.
9
15
Cultural Competence is a Continuum
  • Gaining cultural competence is an ongoing
    PROCESS. It is developed as cultural knowledge
    increases
  • In order to achieve higher levels of competence,
    it is helpful to engage in self assessment
  • Self assessment provides
  • direction for improvement

SKILLS
ATTITUDES
KNOWLEDGE
16
Cultural Competence is a Continuum
Moving From Basic Knowledge to Clinical Practice
ATTITUDES
SKILLS
KNOWLEDGE
Understanding the meaning of culture and its
importance to healthcare
Having respect for variations in cultural norms
Eliciting patients explanatory models of illness
Physicians must continue skill development to
learn each culture
17
Eliciting Patients Explanatory Model of Illness
  • Role of the Physician . .
  • Asking questions to elicit the patients
    understanding of their illness
  • Having strategies for identifying and bridging
    the different communication styles
  • Having skills for assessing decision-making
    preferences and the role of family

18
Eliciting Patients Explanatory Model of Illness
  • Utilizing techniques for ascertaining the
    patients perception of using biomedicine and his
    or her use of complementary and alternative
    medicine
  • Having tools for recognizing sexuality and gender
    issues
  • Having communication strategies for negotiating
  • Methods for bringing to bear an awareness of
    issues of mistrust and prejudices and of the
    impact of race and ethnicity on clinical
    decision-making

19
The Culturally Competent Physician
  • Knows competency involves a deeper commitment to
    the people for whom we provide services
  • Recognizes and learns to work within the context
    of different languages, customs, worldviews,
    religions, spiritual views, health beliefs,
    gender roles, sexuality and family relationships
    when interacting with clients/patients
  • Develops specific practice skills

20
The Culturally Competent Physician
  • Practice Skills
  • Has an awareness and acceptance of difference
    whereby diversity is valued
  • Understands how his own culture influences how he
    thinks, acts and delivers services
  • Understands the dynamics of difference and is
    conscious of those dynamics inherent when
    cultures interact

21
The Culturally Competent Physician
  • Becomes familiar with the different aspects of
    various cultures in target areas where service is
    provided
  • Has the ability to adapt practice skills that fit
    the cultural context of the patient/client

Physicians must continue skill development to
learn each culture
22
Why is this important for Physicians?
  • At Wheaton Franciscan Healthcare, we recognize
    our patients as individuals with unique physical,
    emotional, spiritual, and cultural needs.
  • As a compassionate, faith-based health care
    provider, we believe developing a positive
    relationship with our patients and families is
    essential to the healing process and key to
    carrying out our Mission of providing exceptional
    and compassionate health care service.

23
The Goal of Each Physician
  • To always provide culturally competent health
    care services that are respectful of
  • and responsive to the health beliefs, practices,
    cultural and linguistic needs
  • of our diverse patients

24
Additional Resources
  • Please click on the picture for a quick reference
    on delivery culturally competent care.
  • There are also CME credits
  • A Physician's Practical Guide
  • to Culturally Competent Care
  • at https//cccm.thinkculturalhealth.hhs.gov .

25
Diversity Inclusion Contacts
  • Theresa Jones
  • Vice President of Diversity and Inclusion
    Strategies
  • Theresa.Jones_at_wfhc.org
  • 414-465-3433
  • Leslie Galloway Sherard
  • Director, Diversity and Inclusion Programs
  • Leslie.gallowaysherard_at_wfhc.org
  • 414-465-3504
  • Sandy Jones
  • Manager, Cultural Diversity
  • Sandy.jones_at_wfhc.org
  • 414-465-3005
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