Cultural Diversity And Cultural Competency - PowerPoint PPT Presentation

1 / 33
About This Presentation

Cultural Diversity And Cultural Competency


Diversity in New Jersey: You know it. The challenge of connections ... Collectivism. Group unity/harmony. Group oriented. Group goals. Conforming/interdependent ... – PowerPoint PPT presentation

Number of Views:414
Avg rating:3.0/5.0
Slides: 34
Provided by: gave3


Transcript and Presenter's Notes

Title: Cultural Diversity And Cultural Competency

Cultural Diversity And Cultural Competency
  • The Time Has Come

  • Why Is It So Important?

Some of the reasonsadd yours
  • Diversity in New Jersey You know it
  • The challenge of connections
  • The role of third places
  • Thinking globally, acting locally

At the Heart of Community
  • Hospitality to the Stranger
  • Political Necessity
  • Moral and Spiritual Imperative

Hospitality to the Stranger
  • Why?
  • We are all strangers to someone else.
  • The spice of diversity and difference
  • Many eyes to see truth

Differences In The Ways Cultures And Faiths
Answer Fundamental Questions Including
  • Who am I? Image of personhood
  • Why am I? Purpose in life
  • Whose am I? Understandings of family,
    connection, and community
  • Why something has happened? E.g., illness,
    accident, injury, disability, tragedy.

Why? Includes
  • What is it? What caused it?
  • Whats the purpose of the _______?
  • How should the individual respond to it?
  • How should others respond to the individual and
    their family?

  • Culture refers to the shared meanings, values,
    and belief systems that are learned and
    transmitted in society and within social groups
    and influence individuals as well as social
    institutions and organizations in terms of
  • customs
  • social, political, and other norms and practices
  • religious and spiritual traditions
  • psychological processes, and
  • behavioral norms
  • Cultural groups are not necessarily linked by a
    common sense of ancestry.

In the broadest sense, culture is
  • race
  • ethnicity
  • age
  • linguistic grouping
  • gender
  • sexual orientation
  • political affiliation
  • Religious beliefs
  • spiritual beliefs
  • regional affiliation
  • ability/disability identification
  • socio-economic status
  • professional affiliation
  • any other characteristic that marks a group

Wider Arenas Of How We Look At The World
  • Individualism
  • Self autonomy
  • Self oriented
  • Personal Goals
  • Unique and Independent
  • Individual privacy
  • Nuclear family
  • Individual rewards
  • Competition
  • Collectivism
  • Group unity/harmony
  • Group oriented
  • Group goals
  • Conforming/interdependent
  • Group belongingness
  • Extended family
  • Equal distribution of rewards
  • Cooperation
  • From Presentation by Paula Sotnik at AUCD, 2004

Activity Orientation
  • Doing
  • Clocks, appointments
  • Schedules
  • Activity evaluated by product
  • Problem solution
  • World can be changed
  • Being
  • Life is relaxed, less hectic
  • Activity is not measured by external, observable
  • Accept world as is
  • (See The Tourist and The Fisherman)

Think About Practical And Practice Areas This
  • Interviewing
  • Assessing
  • End of Life Issues
  • Food
  • Visiting
  • Gender differences
  • Rituals of Healing
  • Language
  • Parenting
  • Family
  • Decision making
  • More?

So cultural competence is??
  • Cultural Competence is defined as
  • A set of congruent behaviors, attitudes and
    policies that come together as a system, agency
    or among professionals and enable that system,
    agency or those professionals to work effectively
    in cross-cultural situations. (Cross
  • The word competence is used because it implies
    building capacity to function effectively in
    cross-cultural encounters

Cultural Competence
  • Focuses on understanding the different
    experiences of members of diverse cultural groups
  • Attempts to address the barriers in communication
    across cultures
  • Helps develop professionals abilities to work
    effectively with individuals from various
  • (Pope-Davis Dings, 1995)
  • (Center on Capacity Building for Minorities with
    Disabilities, University of Illinois at Chicago)

Cultural Competence
  • Is the result of awareness of our own biases and
    knowledge of the factors that influence cultural
    differences and similarities
  • Is a process that requires the development of
    skills, attitudes and behaviors
  • (Center on Capacity Building for Minorities with
    Disabilities, University of Illinois at Chicago)

Or, breaking it down further
  • Most definitions have the common elements
  • Recognition and adjustment of ones own cultural
    imperatives (cultural awareness plus)
  • and
  • knowledge and understanding of the culture of the
    patient/consumer (cultural sensitivity plus and
    cultural knowledge)
  • with the goal of obtaining
  • effectiveness in service delivery in a cross
    cultural encounter. (specific skill/capacity)
  • Dr. Anita McClean, Princeton University

Cultural Competence Is A Continuum And A Journey
  • Cultural destructiveness
  • Cultural incapacity
  • Cultural blindness
  • Cultural pre-competence
  • Cultural competence
  • Cultural proficiency
  • - Tawara Goode, National Center on Cultural
    Competency, Georgetown University Child
    Development Center

Cultural Competence Is A Continuum And A Journey
  • Cultural destructiveness is characterized by
    attitudes, policies, structures and practices
    that are destructive to a cultural group in part
    because only one way of being is acknowledged and
  • Cultural incapacity is the lack of capacity of
    systems and individuals to respond effectively to
    the needs, interests and preferences of
    linguistically and culturally diverse groups so
    that systematic biases and devaluation mechanisms
  • Cultural blindness is based on the assumption
    that all people should be treated equally - what
    works with members of one culture should work
    within all other cultures.

Cultural Competence Is A Continuum And A Journey
  • Cultural pre-competence demonstrates an awareness
    of strengths in diversity and the need to respond
    effectively to culturally diverse groups but no
    clear plan for achieving cultural competence
  • Cultural competence is characterized by an
    acceptance and respect for difference, actively
    seeking advice and consultation, and a commitment
    and strategic plan for incorporating new
    knowledge and experiences into a wider range of
  • Cultural proficiency is demonstrated by holding
    cultural differences and diversity in high
    esteem, pro-active behaviors such as culturally
    competent research, innovation and practice and
    the promotion of improved cultural relations
    among diverse groups.

Building Skills Continuum
  • 1. Cultural awareness training
  • (See Family Values Exercise)
  • 2. Cultural sensitivity training
  • 3 Cultural information training
  • 4. Cultural competency training

Strategies And Resources
  • Self Assessment
  • Organizational Assessments
  • Training
  • Planning processes that are family/culturally

Questions For The Professional To Ask Him/Herself
  • Do I respect this familys culture?
  • When meeting parents, do I do most of the talking
    or do I listen to their concerns?
  • Do I ask parents their opinions or advice?
  • Could I learn something from them?
  • Do I power dress to meet parents, or do I make
    efforts to minimize social barriers
  • - C. Miles, Boggs Center presentation, May 2002

Questions for Professionals (cont.)
  • In what circumstances do parents have a share in
    decision making about what happens in the
  • Would I change my practice on the basis of
    something parents have said?
  • Do I believe parents if they describe their child
    behaving in a way that seems very different from
    my knowledge of the child?
  • Who sets the agenda for meetings with parents?
  • - C. Miles, Boggs Center presentation, May 2002

Self Assessment Checklists
  • National Center on Cultural Competence.
  • Self Assessments and Organizational Assessments
  • http//
  • foundations/assessment.html
  • http//

Organizations need to
  • Adopt cultural competence as mission and values
  • Incorporate cultural knowledge into policy
    making, infrastructure, personnel policies, and
    service provision.
  • Design culturally competent practice and service
    delivery mechanisms so that cultural competence
    is an on going part of organizational life
  • Require cultural competence from its employees
    and use in performance evaluations along with
    other measures of competency
  • Develop non-discriminatory policies and
    implementation mechanisms
  • Follow CLAS standards
  • Develop engagement with the diverse communities
    that they serve
  • Anita McClean, Ph.D.

Training Resources
  • Cultural Brokers Who are they in your community?
  • Liaisons
  • Cultural Guide
  • Mediator
  • Catalyst for change
  • Consultants/Trainers
  • Bridging the Cultural Divide in Health Care
    Settings. Developed for National Health Service
    Corps by
  • National Center on Cultural Competence.
  • 2004http//

New Jersey Resources
  • New Jersey Statewide Network on Cultural
  • Website http//
  • Organizational survey into a database
  • Listserv to share ideas, training, resources,
  • Quarterly forums for networking, planning, and

Considerations on Using Interpreters
  • Working with Interpreters
  • Prepare discuss using polite forms,
    non-insulting terms for disabilities (dialect
    differences may be a problem)
  • Be aware that the interpreter might not share the
    culture and values of the family because of
    different background in country of origin, or
    different experience of migration show that you
    value cultural difference
  • Be aware that the interpreter might speak a
    different dialect from the family
  • When using an interpreter, talk directly to the
  • Give the interpreter a chance to explain her role
    and answer the familys questions about herself

Considerations On Using Interpreters
  • Working with Interpreters (contd)
  • Do not laugh or joke or use body language with
    the interpreter that excludes the family
  • Avoid using jargon and idiomatic expression, or
    content free remarks try to make questions
  • Dont be afraid of silence parents need time to
  • If you need to discuss something with the
    interpreter, explain to the family what you are
  • The interpreter may need to use a lengthy
    explanation for something you conveyed quite
    quickly in English be patient, but then ask her
    to explain exactly to you what she said
  • - C. Miles, Boggs Center presentation, May 2002

Translator Training
  • New Jersey International Institute offers
    Translator Training and Cultural Competency
  • http//
  • Contact Sophia Rossovsky 201-653-3888 ext. 142
    or E-mail

Help Build the Network and Share the Knowledge
and Skills
  • Join NJ Statewide Network on Cultural Competence
    to share resources, trainings, and strategies.
  • Develop trainings at your agencies and
  • Invite cultural brokers to help you.

Cultural Competency Revisited
  • Cultural Competency
  • or
  • Cultural Humility

For more information
  • Rev. Bill Gaventa. Associate Professor
  • Department of Pediatrics, RWJMS/UMDNJ
  • Director, Community and Congregational Supports
  • The Elizabeth M. Boggs Center on Developmental
  • P.O. Box 2688
  • New Brunswick, N.J. 08903
  • 732-235-9304, email
  • Website http//
Write a Comment
User Comments (0)