Negotiating norms, navigating care: findings from a qualitative study to assist in decreasing health inequity in cardiac rehabilitation

2011 ◽  
Vol 35 (2) ◽  
pp. 185 ◽  
Author(s):  
Abbas Haghshenas ◽  
Patricia M Davidson ◽  
Arie Rotem
Keyword(s):  
Qualitative Study ◽  
Cultural Competence ◽  
Service Delivery ◽  
Cardiac Rehabilitation ◽  
Care Delivery ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Health Providers ◽  
Culturally Competent ◽  
Diverse Backgrounds

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.

Culturally and Linguistically Diverse Populations: Serving GLBT Families in Our Schools

2009 ◽  
Vol 16 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Ashley M. Frazier
Keyword(s):  
Sexual Orientation ◽  
Cultural Competence ◽  
Service Delivery ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Diverse Populations ◽  
Cultural Issues ◽  
Willingness To Disclose ◽  
Bisexual And Transgender ◽  
Societal Changes

Abstract School speech-language pathologists (SLPs) are increasingly likely to serve children of gay, lesbian, bisexual, and transgender (GLBT) parents or GLBT students as cultural and societal changes create growth in the population and increased willingness to disclose sexual orientation. The American Speech-Language-Hearing Association (ASHA) has a progressive nondiscrimination statement that includes sexual orientation as a protected status and strongly urges the membership to develop cultural competence as a matter of ethical service delivery. The purpose of this article is to describe cultural competence in relation to GLBT culture, discuss GLBT parent and student cultural issues as they are important in parent-school or student-school relations, and to provide suggestions for increasing sensitivity in these types of interactions. A list of resources is provided.

The Impact of Culture on Parental Perceptions about Autism Spectrum Disorders: Striving for Culturally Competent Practices

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Brenda L. Barrio ◽  
Yun-Ju Hsiao ◽  
Nydia Prishker ◽  
Callie Terry
Keyword(s):  
Linguistically Diverse ◽  
The United States ◽  
Autism Spectrum ◽  
Culturally And Linguistically Diverse ◽  
Culturally Competent ◽  
Number Of Children ◽  
Wide Range ◽  
Diverse Backgrounds ◽  
Parental Perspectives ◽  
The Impact

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.

Multicultural Neurogenics: A Call and Response to Embrace Global Issues in Neurogenics

2017 ◽  
Vol 2 (2) ◽  
pp. 142-145 ◽  
Author(s):  
Gloriajean L. Wallace
Keyword(s):  
Service Delivery ◽  
Linguistically Diverse ◽  
Communication Disorders ◽  
Training Needs ◽  
Culturally And Linguistically Diverse ◽  
Global Issues ◽  
Call And Response ◽  
Diverse Backgrounds ◽  
The World ◽  
Over Time

This epilogue outlines the call to address the clinical needs of adults from culturally and linguistically diverse backgrounds with neurogenic communication disorders, and the training needs of speech-language pathologists (SLPs) who provide those services. A response to those needs is provided in terms of advances that have been made over time, and limited areas that require future attention. Brief summaries are provided for articles in this issue, with reference to how each article contributes to advances in service delivery to culturally and linguistically diverse adults with neurogenic communication disorders around the world.

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

2008 ◽  
Vol 32 (2) ◽  
pp. 223 ◽  
Author(s):  
Andre Renzaho
Keyword(s):  
Cultural Competence ◽  
Health Services ◽  
State Government ◽  
Service Providers ◽  
Group Discussion ◽  
Linguistically Diverse ◽  
Community Health Services ◽  
Culturally Competent ◽  
Diverse Backgrounds ◽  
Using Data

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.

VISION

2008 ◽  
Vol 29 (3) ◽  
pp. 141-148 ◽  
Author(s):  
Monica L. Bellon-Harn ◽  
Michael T. Garrett
Keyword(s):  
Cultural Competence ◽  
Service Delivery ◽  
Culturally Competent ◽  
Speech Language Pathologists ◽  
Knowledge And Skills ◽  
Linguistic Differences

The American Speech-Language-Hearing Association has established knowledge and skills needed for culturally competent service delivery by speech-language pathologists. Among these are skills needed to demonstrate sensitivity to cultural and linguistic differences. The purpose of this article is to describe a model, VISION, to assist in development of cultural competence. This article includes a description of the components of VISION followed by vignettes to illustrate its application.

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