scholarly journals Re-visioning cultural competence in community health services in Victoria

2008 ◽  
Vol 32 (2) ◽  
pp. 223 ◽  
Author(s):  
Andre Renzaho

There are few studies exploring the need to develop and manage culturally competent health services for refugees and migrants from diverse backgrounds. Using data from 50 interviews with service providers from 26 agencies, and focus group discussion with nine different ethnic groups, this paper examines how the Victorian state government funding and service agreements negatively impact on the quest to achieve cultural competence. The study found that service providers have adopted ?one approach fits all? models of service delivery. The pressure and competition for resources to address culturally and linguistically diverse communities? needs allows little opportunity for partnership and collaboration between providers, leading to insufficient sharing of information and duplication of services, poor referrals, incomplete assessment of needs, poor compliance with medical treatment, underutilisation of available services and poor continuity of care. This paper outlines a model for cultural consultation and developing needs-led rather than serviceled programs.

2017 ◽  
Vol 23 (4) ◽  
pp. 342 ◽  
Author(s):  
Mandy Truong ◽  
Lisa Gibbs ◽  
Yin Paradies ◽  
Naomi Priest ◽  
Maryanne Tadic

Health and social service agencies need to be responsive to the healthcare requirements of culturally and linguistically diverse (CALD) groups in the community. This is a challenging proposition, particularly due to shifting demographics in developed Western countries such as Australia. Organisations that strive for cultural competence can potentially reduce the barriers associated with inequitable access to services by CALD groups. Community health services play a vital role in the provision of culturally competent health services to people from CALD groups. Additional research related to cultural competence in the community health context is needed. Thus, the aim of this paper is to explore the positioning of cultural competence within community health from multiple perspectives using a qualitative case study of a community health service located in Victoria, Australia. The findings suggest that if the essential needs of clients are met, regardless of cultural background (e.g. able to communicate with staff, trust and a respectful and caring environment), then issues related to cultural background may be of less significance for some clients.


2011 ◽  
Vol 35 (2) ◽  
pp. 185 ◽  
Author(s):  
Abbas Haghshenas ◽  
Patricia M Davidson ◽  
Arie Rotem

Purpose. People from culturally and linguistically diverse backgrounds (CaLDBs) have lower rates of participation in cardiac rehabilitation (CR). Systematically evaluating barriers and facilitators to service delivery may decrease health inequalities. This study investigated approaches for promoting cultural competence in CR. Methods. A qualitative study of 25 health practitioners was undertaken across three CR programs using a purposive sampling strategy. Interviews and participant observation were undertaken to identify factors to promote culturally competent care. Results. Three key foci were identified for implementing cultural competence approaches: (1) point of contact; (2) point of assessment; and (3) point of service. Based upon study findings and existing literature, a conceptual model of cultural competency in CR was developed. Conclusion. Culturally competent strategies for identifying and tailoring activities in the CR setting may be a useful approach to minimise health inequities. The findings from this study identified that, in parallel with mainstream health services, CR service delivery in Australia faces challenges related to cultural and ethnic diversity. Encouragingly, study findings revealed implementation and integration of culturally competent practices in rehabilitation settings, in spite of significant odds. What is known about the topic? Cultural competence can improve the ability of health systems and health providers to deliver appropriate services to diverse populations in order to reduce disparities and improve health outcomes. What does this paper add? Description of cardiac rehabilitation practitioners’ interaction and views on interacting with patients from culturally and linguistically diverse backgrounds. An empirically derived model of cultural competence identifying key points of intervention. What are the implications for practitioners? This model improves practitioner’s ability to address diverse needs of individuals from culturally and linguistically diverse backgrounds and improve equity in health care delivery in Australia.


Author(s):  
Trang-Thi-Thuy Ho ◽  
Jina Oh

Cultural competence is a crucial requirement of nursing to promote caring for patients with diverse backgrounds. The purpose of this study was to develop a cultural competence course and to evaluate the effects of the course on undergraduate nursing students in Vietnam. A concurrent triangulation mixed-methods study was adopted using quantitative and qualitative data sources. Sixty-six nursing students were recruited for the following groups: cultural competence course with field experience (n = 22), stand-alone cultural competence course (n = 22), and a control group (n = 22). The findings indicated that significant group by time interactions in total cultural competence score (F = 66.73, p < 0.001) were found. Participants’ perceptions reflected on three categories: (a) journey to cultural competence, (b) satisfaction of cultural competence course, and (c) suggestions for improvements. No statistically significant differences between the two experimental groups were revealed, but “obtaining cultural experiences” and “expanding understanding of cultural competence through field experience” were immersed from participants having field experience. It is vital to expand cultural competency education into nursing curricula to enhance nursing students’ perspective of culturally competent care.


2017 ◽  
Vol 18 (3) ◽  
pp. 466-475 ◽  
Author(s):  
Mandy Truong ◽  
Lisa Gibbs ◽  
Veronika Pradel ◽  
Michal Morris ◽  
Pauline Gwatirisa ◽  
...  

Author(s):  
Shukran Abd Rahman ◽  
Jasni Sulong ◽  
Zarina Mat Saad ◽  
Nor Diana Mohd Mahudin ◽  
Zulkarnain Ahmad Hatta ◽  
...  

Hajj is a series of activities which involve the presence of many people of diverse backgrounds in specific sites. It is an annual event which necessitates Muslims from all over the world to travel to Makkah during the Hajj season. The participation in hajj involves a number of remarkable experiences by the pilgrims who encounter various new incidents that involve their physical, psychosocial and social experiences. Despite the widely reported accounts of hajj, less has been conducted to study the experience of people who travel from different parts of the world to Makkah. The objective of this paper is to report the findings from a focus group discussion which examined the experiences of hajj among Pakistani female pilgrims. Data was collected from 11 respondents from Lahore, Pakistan. They were required to state their confrontations in hajj sites; and the reasons for having such experiences. They reported both positive and negative feelings during hajj; highlighted their and others’ pattern of behaviours when performing hajj including commendable and hazardous actions that they observed among pilgrims and hajj service providers. They also reported their concerns over crowd management issues, and the pilgrims’ lack of mental preparation to be with others of different cultural backgrounds. The findings serve as a basis for the development of interventions to help hajj managers, policy makers, and future hajj pilgrims to understand the psychological states and sociological conditions during hajj.  Keywords: hajj, crowd, pilgrims, psychology, emotion, cognition, behavior. Abstrak Ibadat haji merupakan beberapa siri aktiviti-aktiviti yang melibatkan kehadiran kumpulan manusia yang ramai datang dari pelbagai latar belakang di lokasi haji yang ditetapkan. Ia adalah aktiviti tahunan bila mana jamaah haji dari seluruh pelusuk dunia pergi ke Mekah dalam bulan haji untuk mengerjakan ibadat tersebut. Penyertaan dalam ibadat haji tersebut  memberikan beberapa pengalaman yang luar biasa kepada jamaah di manamereka alami pelbagai pengalaman secara  fizikal, psikososial dan sosial. Walaupun wujud pelbagai pengalaman yang dilaporkan jamaah haji, tidak banyak kajian yang dilakukan untuk mengkaji pengalaman jamaah yang datang daripada seluruh pelosok dunia ketika berada di Mekah, bercampur gaul dengan jamaah-jamaah yang berlainan budaya dan tingkahlaku. Objektif artikel ini adalah untuk melaporkan dapatan kajian hasil daripada perbincangan kumpulan berfokus untuk mengenalpasti pengalaman haji dalam kalangan jamaah wanita Pakistan. Data telah dikumpulkan daripada 11 orang responden dari Lahore, Pakistan. Mereka dikehendaki menyatakan pengalaman mereka semasa berada di lokasi ibadat haji; dan sebab mereka mengalami pengalaman-pengalaman sedemikian. Mereka melaporkan wujud perasaan positif dan negatif semasa menunaikan haji; turut menekankan bentuk tingkah laku mereka dan orang lain ketika menunaikan haji, termasuk memperihalkan tindakan terpuji dan berbahaya yang mereka perhatikan dalam kalangan jemaah haji dan penyedia-penyedia perkhidmatan haji. Mereka turut melaporkan kebimbangan mereka mengenai isu-isu pengurusan sesakan/kerumunan jamaah haji, dan kekurangan persiapan mental para jemaah untuk berhadapan dengan jamaah-jamaah lain yang berlainan latar belakang. Dapatan ini berfungsi sebagai asas bagi membangunkan kaedah-kaedah untuk membantu pengurus haji, pembuat dasar, dan jamaah haji di masa depan untuk memahami keadaan psikologi dan sosiologi jamaah semasa menunaikan ibadat haji. Cadangan kaedah-kaedah untuk menangani kesesakan jemaah haji dihuraikan pada bahagian perbincangan. Kata Kunci: Haji, kesesakan orang ramai, jamaah haji, psikologi, emosi, kognitif, tingkah laku.  


2019 ◽  
pp. 1-18
Author(s):  
Tracy Nau ◽  
Genevieve Nolan ◽  
Ben J. Smith

AbstractGroup-based physical activity (PA) in community-based settings represents a promising avenue for promoting healthy ageing, however, lower levels of adherence have been found to be associated with aspects of social disadvantage. Providers are in a key position to provide important insights about strategies to improve adherence, however, few studies have examined their perspectives. In this study, 30 community service providers were interviewed, and 42 older people participated in focus groups to identify actions perceived as effective for promoting adherence to organised PA, with a focus on factors relevant to older people experiencing socio-economic disadvantage, social isolation, living with a disability or from culturally and linguistically diverse backgrounds. Data were analysed thematically. Adherence barriers included deteriorating health, lack of belonging and loss of motivation. Helpful strategies for addressing deteriorating health included maintaining programme flexibility, facilitating access to health and other services, and supporting participants to adapt to acquired limitations. Belonging can be fostered by creating positive and inclusive experiences, ensuring safe and stigma-free environments, providing opportunities to forge personal connections and demonstrating care. Motivation may be enhanced by ensuring activities are of interest and functional benefit, programme settings are suitable and appealing, and enjoyment is prioritised. In conclusion, a range of strategies is likely to be necessary to mitigate risks to adherence and support continued participation in organised PA among socially disadvantaged older people.


2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Brenda L. Barrio ◽  
Yun-Ju Hsiao ◽  
Nydia Prishker ◽  
Callie Terry

AbstractDespite the increasing number of children from culturally and linguistically diverse (CLD) backgrounds in the United States, limited research exists synthesizing what is known about the prevalence and diagnosis of autism spectrum disorder (ASD) in these communities. Children from culturally and linguistically diverse backgrounds are disproportionately diagnosed with ASD and, there is a need for practitioners and educators to be culturally competent at addressing challenges and practices related to ASD for children and youth. The purpose of this paper is to review the literature related to parental perspectives on ASD, in children from a wide range of culturally diverse backgrounds to provide information and resources to practitioners about the importance to strive for cultural competence in practice-related work.


1998 ◽  
Vol 4 (4) ◽  
pp. 105
Author(s):  
Gwyneth Jolley ◽  
Libby Kalucy ◽  
Joanne McNamara

Client feedback is an important component of two primary health care strategies: participation and evaluation. Workers need feedback from clients to ensure that their practice meets the criterion of providing affordable, accessible and appropriate services to enhance the health of their communities. Telephone interviews were conducted with thirty staff and thirty clients from women's and community health services in South Australia, to identify current practice in obtaining and using feedback from users of one-to-one services and group health promotion and community development activities. Factors which encourage feedback to be given and used include: trust and effective communications between all stakeholders; and supportive organisational philosophies, culture and practices. Client feedback is more likely to be used when given in written form. Collection and use of feedback are discouraged by inappropriate methods and timing, rapid organisational change, and clients' lack of awareness of, or confidence in, giving feedback about the services they receive. Verbal feedback, although preferred by many clients, is less likely to be recorded and used in service planning and evaluation. Client feedback is a valuable tool to reinforce the notion of partnership and power sharing between clients and health care workers. Staff at all levels should be engaged in obtaining feedback and the information gained should be disseminated throughout the agency in order to improve the quality and effectiveness of services. The challenge is now for service providers and users to adopt new, and support currently successful, ways of obtaining and using feedback so that service providers and users are engaged in working in partnership to ensure the needs of the community are best met.


2020 ◽  
Author(s):  
Rodrigo Mariño ◽  
Julie Satur ◽  
Eren Tuncer ◽  
Megan Tran ◽  
Elizabeth Milford ◽  
...  

Abstract Background: Australia possesses a highly multicultural demographic, and thus dental practitioners are likely to encounter culturally and linguistically diverse individuals regularly. It is important for dental practitioners to be culturally competent, however, cultural competency education is highly variable in the curricula of dentistry and oral health courses in Australia, and research is largely limited to dentistry students. This study aims to investigate and compare perceived attitudes, beliefs and practices of cultural competence amongst first and final year Doctor of Dental Surgery (DDS) and Bachelor of Oral Health (BOH) students at the University of Melbourne Dental School.Methods: Following ethics approval, anonymous questionnaires were completed by 213 participants. The questionnaire was adapted from Schwarz’s Healthcare Provider Cultural Competence Instrument (HPCCI) and consisted of five scales. Data was analysed using SPSS V 24.0 software.Results: A total of 213 students participated in this study (response rate = 88%) The majority of participants were female (n=114, 53.5%) and the mean age of 23.5 years (range 18 - 40). The majority of participants were Australian born (n=110) with 74.6 percent (n=159) first generation Australians. Participants who identified as Australian represented 35.7 percent (n=76) with 66.1 percent (n=141) identified as partly Australian. Multivariate analysis indicated that, after controlling for other independent variables in the model, those who had the highest cultural competence score were female, who self-identify as “Australian”, who were in the final year. Furthermore, those who were in the final BOH year scored significatively higher than final year DDS students.Conclusion: The findings of this study suggest that there is a significant difference in students self-reported cultural competence at different stages of their education. This may be attributed to differences in cultural competence education, scope of practice and the type of patient encounters that students may experience. Future research should involve follow up to create longitudinal data, as well as research at other dental schools in Australia and overseas.


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