The following resource was submitted with the purpose of distributing to AONE members as part of the AONE Diversity in Health Care Organizations Toolkit - PowerPoint PPT Presentation

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The following resource was submitted with the purpose of distributing to AONE members as part of the AONE Diversity in Health Care Organizations Toolkit

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The following resource was submitted with the purpose of distributing to AONE members as part of the AONE Diversity in Health Care Organizations Toolkit – PowerPoint PPT presentation

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Title: The following resource was submitted with the purpose of distributing to AONE members as part of the AONE Diversity in Health Care Organizations Toolkit


1
  • The following resource was submitted with the
    purpose of distributing to AONE members as part
    of the AONE Diversity in Health Care
    Organizations Toolkit
  • Submitted by Childrens Hospital Medical
    Center Contact person Lisa Aurilio, RN,
    MSN, NEA-BC Director, Maternal Fetal Neonatal
    Services Akron, OH

2
Culturally Competent Health Care Assessment
  • The Initial Interview
  • Asking Culturally Competent Questions
  • Lisa Aurilio, RN, MSN, NEA-BC

3
What Is Culture?
  • Culture is what you
  • believe
  • value
  • consider normal behavior
  • Culture is learned over time and experience
  • You are not born with culture!
  • Culture helps form your identity

4
Dimensions of Culture
  • Age
  • Ethnicity
  • Gender
  • physical abilities qualities
  • Race
  • Sexual orientation
  • Educational background
  • Geographic location
  • Berkley University of California Office of Human
    Resources
  • Military experience
  • Parental status
  • Religious beliefs
  • Work experience
  • Job classification
  • Marital status
  • Income
  • Customs
  • Personality unique style

5
Dimensions of Culture Visual
  • Dress Attire
  • Foods
  • Mannerisms
  • Accent
  • Body Language
  • Physical Features
  • Eye contact
  • Touch

6
Dimensions of Culture Non-visual
  • Religious rituals
  • Decision making processes or patterns
  • Self expression of pain
  • Health illness beliefs

7
Why Address Culture?
  • United States
  • In America 1 in 4 Americans belong to a minority
    or is foreign-born.
  • Women currently make up less than half the work
    force but are expected to fill 65 percent of the
    jobs created during this decade.
  • 30 of the general population describe themselves
    as being from a racial or ethnic minority

8
Why Address Culture?
  • OHIO
  • In 2004, Columbus, Ohio processed 14,211
    citizenship applications
  • triple the amount in 2003
  • In 2005, 808 new Americans from 92 countries
    became new citizens in Columbus, Ohio

9
Akron Childrens Hospital Inpatient Population
by Race
  • The diversity of the inpatient population of
    patients at Akron Childrens is growing
  • From 2003-2004 the Asian, Hispanic, American
    Indian and Middle Eastern patient population all
    grew.
  • The White population declined

10
Akron Childrens Inpatient Population by
Religious Subgroups
  • Amish/Mennonite population is 6
  • Muslim and Jewish populations are 1
  • Free Church Christians are the largest population
    (43)

11
Why do Healthcare Providers Need to be Culturally
Sensitive?
  • Helps staff work effectively in a diverse
    environment
  • Helps prevent discrimination
  • Helps promote inclusiveness

12
Why do Healthcare Providers Need to be Culturally
Sensitive?
  • Enhances the organizations responsiveness to
    an increasing diverse world of customers
  • Improves community relations
  • Increases the organizations ability to cope
    with change
  • Expands the organizations creativity
  • -Berkley

13
Why do Healthcare Providers Need to be Culturally
Sensitive?
  • Contributes to patients positive experiences
    at Akron Childrens Hospital
  • Enhances the effectiveness of patient care

14
Culturally Competent Care
  • Culturally competent care means that you
    understand the effects of the care or process on
    the individual and their culture
  • Culturally competent care does not mean you
    always accept the patient or familys beliefs

15
Caution Stereotyping
  • It is critical that health care providers
    recognize individual differences
  • Persons of same ethnicity can have very different
    beliefs and practices
  • Obtain particular circumstances of the patient or
    family information during the initial interview
    and assessment with the family.
  • Do NOT participate in cultural stereotyping.

16
Health Assessment Asking Culturally Competent
Questions Effectively
  • Elements of effective interviewing hold true
  • Privacy Confidentiality
  • Appropriate setting
  • Open respectful
  • Encourage two-way communications
  • Active listening

17
Language Word Choice
  • Instead of
  • What language do you speak?
  • Try
  • What language would you like your health care
    information delivered in?
  • What languages do you and your family speak in
    the home and those that you understand and
    speak.

18
Diet Word Choice
  • Instead of
  • Does your child have a special diet?
  • Try
  • What foods does your child like when he is sick?
  • What foods will help your child feel better?
  • Are there any times during the year when you
    change your diet in celebration of religious or
    ethnic holidays?

19
Health Illness Beliefs Word Choice
  • Instead of
  • Have you tried any home remedies to help your
    child?
  • Try
  • Tell me what you think caused your childs
    illness.
  • What meaning does this ill ness have for you and
    your family?
  • Have you sought assistance from individuals in
    your community with this illness?
  • Are there certain health care procedures and
    tests which your culture prohibits?

20
Decision Making Word Choice
  • Instead of
  • Who makes the decisions in your family?
  • Try
  • In addition to yourself, is there someone that
    you would like us to include in discussions about
    your childs medical condition?
  • How are decisions made in your family?
  • Are there certain family members that need to be
    directly involved in your childs care?

21
Pain Expression Word Choice
  • Instead of
  • Is your child in pain?
  • Try
  • How will I know if your child is having pain?
  • Hoe does your child express pain?

22
Spiritual Word Choice
  • Instead of
  • What is your religion?
  • Try
  • Is there any religious practice that your family
    would like to share that will help you in being
    comfortable here?
  • Tell me about any beliefs or practices that you
    feel I should know in helping to care for your
    child?

23
Family Social Structure Word Choice
  • Instead of
  • Who is in your family?
  • Try
  • Describe your family and who will be involved in
    your childs care.
  • Who is the most important person to help you with
    your childs care?
  • Who does your child go to for comfort and
    security?

24
Final Thought
  • Every family is a culture unto itself
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