Cultural Competency and Cultural Humility in Simulation-Based Education: An Integrative Review

2018 ◽  
Vol 15 ◽  
pp. 42-60 ◽  
Author(s):  
Cynthia L. Foronda ◽  
Diana-Lyn Baptiste ◽  
Teresa Pfaff ◽  
Roseann Velez ◽  
Maren Reinholdt ◽  
...  
2019 ◽  
Vol 47 (4) ◽  
pp. 544-555
Author(s):  
David A. Hurley ◽  
Sarah R. Kostelecky ◽  
Lori Townsend

Purpose The purpose of this paper is to introduce the idea of cultural humility, distinguish it from cultural competence and explore how it fits within librarianship. Design/methodology/approach The authors use an interdisciplinary exploration of the concept of humility to understand what cultural humility means and how it differs from cultural competence and other approaches to intercultural communication in libraries. Findings Despite some reservations with the term itself, the authors find that a practice of cultural humility is more appropriate to front-line interactions in library contexts than cultural competence models. Practical implications Libraries looking to address issues in intercultural communication and services to multicultural populations will find an approach that may be better suited to their contexts than prevailing models of cultural competency. Social implications Librarians need to commit to redressing the power imbalances and other structural issues that interfere with library service, for the benefit of the patrons, the library and librarians themselves. Originality/value While cultural humility is increasingly being used in librarianship, there has not been a systematic exploration of the concept and how it applies to library contexts.


2018 ◽  
Vol 7 (2) ◽  

Cultural humility can help planning faculty, students, and practitioners commit to ongoing self-reflection and critique of their social, cultural, racial, gendered, and other identities in an effort to identify how they are implicated in inequity, especially in relation to working in communities of color. While cultural competence has become an increasingly popular way to encourage more equitable relationships between professionals and communities, the author suggests that the colonial underpinnings of its logic make it not only less desirable than cultural humility but also a potential facilitator of inequity in planning work. Drawing from her experience as a planning theorist and faculty member, the author shows how the philosophical origins of Western colonial thinking have influenced planning. She also outlines concrete ways journal editors can relinquish their status as experts and gatekeepers of accepted knowledge, thereby decolonizing planning theory and the canon more generally. Finally, by describing two reflection activities—“What?/So What?/Now What?” and “Locating Oneself”—the author provides tools that planning educators can use to guide and reinforce reflection on students’ social, cultural, gendered, and racial identities, and to highlight injustices committed by planners. By injecting cultural humility, as opposed to cultural competency, into planning theory literature, and education, planning practice could be transformed, preventing the often-destructive history of planning practices in communities of color from being repeated.


Author(s):  
Kimlin Tam Ashing ◽  
Noé Rubén Chávez ◽  
Marshalee George

Increasing worldwide migration, especially from developing nations to developed nations is making our societies more multiethnic, multicultural, and multilingual. Hence, as healthcare providers we are confronted with the challenge and opportunity to provide quality care that embraces the diversity of our patients and their families and reflects a deeper appreciation of their cultures and communities. Therefore, the current chapter examines culture, cultural competency, and the consideration of these constructs towards improving care and communication with the focus on oncology patients from diverse backgrounds, particularly those from cultural and linguistic minority communities. To further advance health communication and quality care, we present a health equity care model that embraces three pillars—cultural competency, cultural humility, and cultural empathy, and provide some recommendations and a case study for putting into practice these fundamental patient-centred principles.


2020 ◽  
pp. 016327872091024
Author(s):  
Maria B. J. Chun ◽  
David S. Jackson

Identifying practical and effective tools to evaluate the efficacy of cultural competency (cc) training in medicine continues to be a challenge. Multiple measures of various lengths and stages of psychometric testing exist, but none have emerged as a “gold standard.” This review attempts to identify cc measures with potential to economically, efficiently, and effectively provide insight regarding the value of cc training efforts to make it easier for wider audience utilization. A scoping review of 11 online reference databases/search engines initially yielded 9,626 items mentioning cc measures. After the initial review, focus was placed on measures that assessed cultural competence of medical students, residents, and/or attending physicians. Six measures were identified and reviewed: (1) Cross-Cultural Care Survey, (2) Cultural Competence Health Practitioner Assessment, (3) Cultural Humility Scale, (4) Health Beliefs Attitudes Survey, (5) Tool for Assessing Cultural Competency Training, and (6) the Tucker-Culturally Sensitive Health-Care Provider Inventory. Relevant literature documenting use and current psychometric assessments for each measure were noted. Each measure was found to be of value for its particular purpose but needs more strenuous reliability and validity testing. A commitment to include psychometric assessments should be an expected part of studies utilizing these measures.


2017 ◽  
Vol 42 (2) ◽  
pp. 156-161
Author(s):  
Evan Hamman

Cultural competency has proven less effective than its proponents had envisioned. Disciplines outside of the law (social work, health and psychology) have turned to the more powerful theory of ‘cultural humility’ – a framework for lifelong learning and self-reflection. Cultural humility contends that one can never really ‘master’ another’s culture, but that we ought to remain respectful and reflective in our approach. In this article I make the case for teaching cultural humility in Australian law schools.


2019 ◽  
Vol 37 (6) ◽  
pp. 404-408 ◽  
Author(s):  
Petra Sprik ◽  
Danielle Gentile

Sexual and gender minorities experience disparities throughout the life course. These are especially detrimental at the end-of-life and can include disenfranchised grief, homophobia and transphobia from medical staff, and forced outing. The best healthcare training approach to ameliorate health disparities is debated. Cultural competency trainings for clinicians have been commonly proposed by major medical institutions and certifying bodies to ameliorate lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) health disparities. However, cultural competency trainings have limitations, including (1) false competence, (2) measurement issues, and (3) ecological fallacy (i.e., assuming individuals conform to the norms of their cultural group). The purpose of this commentary is to describe the limitations of cultural competency training and argue for healthcare systems to implement cultural humility trainings as a way to reduce LGBTQ health disparities at the end-of-life. The strengths of cultural humility training include focus on (1) individuals instead of their cultural groups, (2) self-reflection, and (3) active listening. While there are challenges to implementing cultural humility trainings in the health-care system, we assert that these trainings align with the aims of healthcare systems and can be an essential tool in reducing LGBTQ health disparities. We suggest practical components of successful cultural humility trainings including leadership buy-in, appropriate outcome measurements, multiple training sessions, and fostering a safe reflection space.


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