Building Cultural Competence & Proficiency For more information, contact the Center for Diversity and Health Equity at healthequity @aafp.org Learning Objectives Define and describe cultural proficiency Understand the need for culture competence and culturally proficient care Identify the key aspects of cultural proficiency Describe culturally proficient services that can be implemented in primary health care settings
Review Discussion Questions/Guide 2 Defining Cultural Proficiency Cultural proficiency is: the knowledge, skills, attitudes, and beliefs that enable people to work well, respond effectively to, and be supportive of people in cross-cultural settings. Family physicians care for a wide variety of patients and need these skills to offer better patient care. American Academy of Family Physicians. Cultural Proficiency: The Importance of Cultural Proficiency in Providing Effective Care for Diverse Populations, updated 2014. Leawood: American Academy of Family Physicians; 2014: Position Paper. 3
Defining Cultural Proficiency Not solely the acceptance of cultural differences Care and services are responsive to the cultural and linguistic needs of all individuals American Academy of Family Physicians. Cultural Proficiency: The Importance of Cultural Proficiency in Providing Effective Care for Diverse Populations, updated 2014. Leawood: American Academy of Family Physicians; 2014: Position Paper. 4 Defining Cultural Competence Cultural competence is a set of congruent behaviors, attitudes, and policies that come together and enable a system, agency or
professionals to work effectively in cross-cultural situations. Five essential elements contribute to the ability to become more culturally competent which include: Valuing diversity Having the capacity for cultural self-assessment Being conscious of the dynamics inherent when cultures interact Having institutionalized culture knowledge Having developed adaptations to service delivery reflecting an understanding of cultural diversity
Policy Brief 1: Rationale for Culture Competence in Primary Care. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development. Goode TD and Dunne C. 5 Need for Cultural Competence and Culturally Proficient Care Respond to current and projected demographic changes in the United States. Eliminate long-standing disparities in the health status of people of diverse racial, ethnic and cultural
backgrounds. Improve the quality of services and primary care outcomes. Meet legislative, regulatory and accreditation mandates. Decrease the likelihood of liability/malpractice claims. Policy Brief 1: Rationale for Culture Competence in Primary Care. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development. Goode TD and Dunne C. 6 Key Aspects of Cultural Proficiency
Organizational/Systems Organizations embrace the principles of equal access and non-discriminatory practices in service delivery Practice & Service Design Tailored services are designed and implemented to meet the unique needs of the individuals and communities served Community Engagement The needs of the communities are determined by the community and members are full partners in decision making Family & Consumers There is an inherent awareness that family is defined differently by different cultures Culturally Competent Guiding Values & Principles. Washington, DC: National Center for Cultural Competence, Georgetown University,
Center for Child and Human Development. Goode TD and Dunne C. 7 Key Aspects of Cultural Proficiency National Standards for Culturally and Linguistically Appropriate Services (CLAS): The National CLAS Standards are a set of 15 action steps intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services. National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care: A Blueprint for Advancing and Sustaining CLAS Policy and Practice. Office of Minority Health, US Department of Health and Human Services, 2013.
8 Key Aspects of Cultural Proficiency National CLAS Standards cont. Principle Standard: Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs. These standards are important because they provide guidance on effectively introducing cultural competence into healthcare services.
9 Cultural Proficiency in Primary Care What can you do to improve the cultural proficiency in your organization? Identify challenges or existing needs in your community Brainstorm solutions Determine needed resources Take your first step 10 Cultural Proficiency in Primary Care
Convene cultural competent workgroup or task force Determine percentage of population affected by healthcare disparities Conduct assessment of staff to determine developmental needs Seek Resources Convene brown bag lunches to educate key staff
Build a network of helpers Network with advocacy orgs. Planning, Implementing and Evaluating Culturally Competent Service Delivery Systems in Primary Health Care Settings. Washington, DC: National Center for Cultural Competence, Georgetown University, Center for Child and Human Development. Goode TD 11 Self-Assessments Cultural and Linguistic Competence Health Practitioner Assessment (CLCHPA) Cultural and Linguistic Competence Policy Assessment (CLCPA)
Cultural Competence Organizational Assessment National Center for Cultural Competence, Georgetown University, Center for Child and Human Development. Washington, DC. Goode TD 12 Discussion Questions/Guide Does the definition of Cultural Proficiency reflect your own thoughts? What challenges do you experience as a practitioner or within
your system when addressing the needs of diverse populations? What simple improvements do you think could be implemented in the short term? What additional resources are needed to become more successful at addressing the needs of diverse populations?
Have you personally or has your organization completed a selfassessment on cultural and linguistic competence? 13 2018 American Academy of Family Physicians. All rights reserved. All materials/content herein are protected by copyright and are for the sole, personal use of the user. No part of the materials/content may be copied, duplicated, distributed or retransmitted in any form or medium without the prior permission of the applicable copyright owner. 14
Feasible Successors EIGRP Design Features EIGRP Technologies Neighbor discovery and recovery Reliable Transport Protocol DUAL finite-state machine algorithm Protocol-dependent modules By forming adjacencies, EIGRP routers: Dynamically learn of new routes that join their network Identify routers that become either unreachable...
Stage National Wilms' Tumor Study Group staging system I - tumor confined to the kidney and completely resected II- tumor extend beyond the kidney but is completely resected (none at margins, no lymph nodes). ... midline tumor with bilateral extension...
Similarly, Prof. Wilson's classes are very interesting too. (The meaning of riveting is likely to be similar to interesting as indicated by similarly and too.) Text Study—Structure analysis Clue II: Antonyms Definition: An antonym is a word meaning the opposite...
This suggests that the amount of food available to the juvenile salmon during the warm-ocean year of 2016 may have been sufficient for their early marine growth. Condition of the June yearling Chinook salmon was the highest of the time-series,...
SIGMOD 2003, followed up by Ganguly, 2005 and Ganguly, Majumder 2006 Graham Cormode, S. Muthukrishnan, Irina Rozenbaum: Summarizing and Mining Inverse Distributions on Data Streams via Dynamic Inverse Sampling. VLDB 2005 Gereon Frahling, Piotr Indyk, Christian Sohler: Sampling in dynamic...
Century Gothic Arial Wingdings 2 Verdana Calibri Verve 1_Verve 2_Verve 3_Verve 4_Verve 5_Verve 6_Verve 7_Verve Posture, Body Mechanics, and Back Pain Background Information Background Information Objectives How Common is Back Pain?? How Common is Back Pain?? Shocking Fact What Causes...
Integration of retroviral vectors only in host cells replicating their DNA. Many vectors illicit an immune response. Insertion into genes can inactivate them. Vectors can carry a limited amount of DNA. New generation vectors are addressing these problems.
Ready to download the document? Go ahead and hit continue!