scholarly journals ReCAP: Assessing Cultural Competence Among Oncology Surgeons

2016 ◽  
Vol 12 (1) ◽  
pp. 61-62 ◽  
Author(s):  
Ardith Z. Doorenbos ◽  
Arden M. Morris ◽  
Emily A. Haozous ◽  
Heather Harris ◽  
David R. Flum ◽  
...  
Keyword(s):  
Cultural Competence ◽  
Cultural Awareness ◽  
Diversity Training ◽  
Puget Sound ◽  
Cultural Diversity Training ◽  
Culturally Congruent ◽  
Cancer Care Continuum ◽  
Cultural Competence Assessment ◽  
Oncology Providers ◽  
Racial Ethnic

QUESTION ASKED: Are there attributes of surgical providers that are associated with culturally congruent care? SUMMARY ANSWER: Surgical providers reported treating diverse patient populations; 71% encountered patients from six or more racial/ethnic groups. More than half (58%) reported completing cultural diversity training, with employer-sponsored training the most common type reported (48%; 71 of 147). Cultural Competence Assessment scores ranged from 5.99 to 13.75 of a possible 14 (mean = 10.3; standard deviation ± 1.3), and receipt of diversity training was associated with higher scores than nonreceipt (10.56 v 9.82, respectively; P < .001). METHODS: Surgical providers from six hospitals in the Puget Sound region of Washington State were invited to participate. Participants completed a 50-item survey that assessed demographic data and incorporated the Cultural Competence Assessment and the Marlowe-Crowne Social Desirability Scale. Survey response rate was 51.1% (n = 253). BIAS, CONFOUNDING FACTORS(S), DRAWBACKS: Our study has several limitations. Although our survey response rate of 51% was better than that of most physician surveys reported in the literature, we acknowledge that our data cannot represent the experience of all surgeons in the United States who care for racial/ethnic minority patients, as our survey was limited to surgeons practicing in the Puget Sound region. Our survey items on the racial/ethnic and special population diversity encountered by providers were limited to experiences in the past 12 months. We might have obtained a more accurate description of providers’ experience by using a more detailed quantitative measure, but we elected not to use this approach in order to limit respondent burden and thereby improve response rates. This study only surveyed surgical providers, which represents only a snapshot of the cancer care continuum. Future research should include medical oncology providers and others oncology providers to provide a more complete picture of cultural competency across the cancer care continuum. REAL-LIFE IMPLICATIONS: Culturally competent care is an essential but often overlooked component of high-quality health care. In our study sample, most surgical providers who treated racially and ethnically diverse patients perceived that they had a high level of cultural awareness, and their perceived and measured cultural awareness were highly correlated in our analyses. As US demographics become increasingly diverse, these data provide encouraging evidence that surgical providers are generally culturally sensitive and culturally aware, and perhaps more important, that they place a high value on cultural awareness. Our results also demonstrate that exposure to cultural diversity training was the single most important contributor to culturally congruent care, indicating a substantial need to continue existing diversity training interventions. Future work should compare training offered by various hospital systems. [Table: see text]

scholarly journals Behavior, Awareness and Sensitivity of Healthcare Providers in a Multicultural Environment

2019 ◽  
Vol 8 (2) ◽  
pp. 58
Author(s):  
Russel Salvador Abalos-Fabia ◽  
Shadia Mohamed Khadrawi ◽  
Rosanta Oligan Ellasus
Keyword(s):  
Saudi Arabia ◽  
Cultural Competence ◽  
Cultural Diversity ◽  
Cultural Awareness ◽  
Diversity Training ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Demographic Variables ◽  
Cross Sectional ◽  
Laboratory Technology

Background:  The healthcare workforce of Saudi Arabia is characterized by diverse cultural backgrounds as a consequence of employment of expatriate workers from various countries. The heterogeneity of both providers of health services and clients resulted to cultural barriers that affected the delivery care.  It is paramount to evaluate the cultural competence of the healthcare providers (HCPs) to maintain quality holistic care. Objective: The primary objective of this study was to assess the cultural diversity experience, cultural competence behavior (CCB) and cultural awareness and sensitivity (CAS) of HCPs in a hospital setting of Saudi Arabia. Methods: This was a cross-sectional study involving survey of HCPs from medical, nursing and laboratory technology disciplines using the Cultural Competence Assessment (CCA) tool.  Results: There were a total of 104 HCPs who completed the survey. The characteristics of the respondents resulted to a mean age of 38.7 ±10.4 who were predominantly Asians and nurses. The majority had working experience of 10 years and below, with more than half who had prior diversity trainings. Reported cultural diversity experience included all HCPs caring for Arab Middle Easterners and Asians and encountering at least one or more special population groups. There was an overall high cultural competence (5.28 ±0.46), high CCB (5.84 ±0.56) but only moderately high CAS (4.72 ±0.35). Significant differences were only identified between CCB scores and three demographic variables (racial/ethnic identification, area of discipline and years of experience). No significant result was found between CAS scores and demographic variables as well as between CCB and CAS scores.     Conclusions: In spite of high CCB, the HCPs responded with lower CAS scores. Interventions should be initiated to increase CAS such as cultural diversity training and availability of cultural care resources.

Developing a curriculum designed to overcome intolerance: A conceptual approach

2020 ◽  
Vol 16 (2) ◽  
pp. 181-201
Author(s):  
Michael B. Hinner
Keyword(s):  
Multicultural Education ◽  
Diversity Training ◽  
Self Esteem ◽  
Language Instruction ◽  
Foreign Language Instruction ◽  
Self Awareness ◽  
Conceptual Approach ◽  
Cultural Diversity Training ◽  
Self Image ◽  
Low Levels

Abstract The paper examines the theoretical foundation of intolerance and explores potential topics for a curriculum designed to overcome intolerance. Previous research has shown that a negative self-image and low self-esteem seem to foster intolerance. Likewise, individuals with low levels of self-awareness tend to be more willing to express intolerance while paying less attention to the impression their behaviour and communication has among others. Individuals with a negative self-image and low self-esteem often resist change and tend to look for information that confirms and reinforces their existing viewpoints while ignoring information that contradicts their viewpoints. The research of Kruger and Dunning (1999), though, suggests that instruction in metacognition can overcome these negative characteristics. Especially if metacognitive training is coupled with multicultural education, cultural diversity training, and foreign language instruction as other research has revealed.

scholarly journals Exploring students’ cultural competence development during a short-term international experience: A Q-sort study

2020 ◽  
Vol 1 (2) ◽  
pp. 65-78
Author(s):  
Shelli Rampold ◽  
Bradley Coleman ◽  
J. C. Bunch ◽  
Richie Roberts
Keyword(s):  
Cultural Competence ◽  
Lived Experiences ◽  
Cultural Awareness ◽  
Q Methodology ◽  
International Experience ◽  
Competence Development ◽  
Cultural Knowledge ◽  
Short Term ◽  
The Impact ◽  
Q Sort

This study was conducted to understand how students’ cultural awareness, knowledge, sensitivity, and communication abilities combine to influence their development of cultural competence. Q methodology (Q) was used to capture the subjectivity and lived experiences of participants of an international experience (IE) and assess the impact of the program on their cultural competence development. When viewed through the lens of the Personal Cultural Competence Enhancement Framework (PCCEF), findings suggested students’ cultural competence development could be interpreted through three typologies: (a) Cultural Learners, (b) Cultural Engagers, and (c) Cultural Samplers. Cultural Leaner students demonstrated new awareness of their limited amounts of cultural knowledge and desired to learn more about other cultures through future travel, but were still apprehensive about engaging and communicating with people from other cultures. Cultural Engagers, on the other hand, expressed greater confidence in stepping out of their comfort zones and communicating in a different language. Lastly, Cultural Samplers demonstrated increased awareness of the benefits of experiencing other cultures and they comforts they have back home, and they expressed a desire to continue traveling abroad in the future. These findings support the use of short-term IE programs as supplemental activities to foster agricultural students’ progression toward cultural competence.

Is All Classroom Conduct Equal? Teacher Contact with Parents of Racial/Ethnic Minority and Immigrant Adolescents

2016 ◽  
Vol 118 (11) ◽  
pp. 1-36
Author(s):  
Hua-Yu Cherng
Keyword(s):  
Teacher Perceptions ◽  
Representative Sample ◽  
Student Behavior ◽  
Diversity Training ◽  
Latino Youth ◽  
Secondary Data ◽  
Immigrant Parents ◽  
Third Generation ◽  
Nationally Representative ◽  
Racial Ethnic

Background/Context Parental involvement is a key ingredient in the educational success of students and an integral component of involvement is teacher-parent communication. One body of research finds that minority immigrant parents face barriers in interacting with schools, and communicate less with schools than native-born White parents. However, we know little of how schools reach out to parents. Purpose In this study, I use a nationally representative sample of high schoolers to examine patterns of teachers communicating with parents. Population/Participants/Subjects I utilize a nationally representative sample of U.S. high school sophomores, the Education Longitudinal Study of 2002 (ELS:2002). Research Design This study employs quantitative analyses of secondary data, including two-sample tests for proportions, logistic regression, and predicted percentages. Findings/Results Even after considering measures of student behavior and other factors, I find that mathematics teachers are more likely to contact parents of third-generation Black and Latino youth about disruptive behavior than parents of third-generation White youth. Mathematics and English teachers are less likely to contact immigrant Asian parents about academic and behavioral concerns, even when students are struggling. Teachers are also less likely to contact minority parents with news of accomplishments. Conclusions/Recommendations The findings of this study point to the important role that race and nativity play in shaping teacher communication with parents. Education policy should be cognizant that racial/ethnic and immigrant disparities exist in teacher-parent contact, and encourage more training in teacher preparation programs and professional development coursework for teachers and school administrators. Moreover, existing programs and interventions on multicultural / diversity training should be evaluated for their impact on teacher perceptions and behavior.

Why Candidates Win: Assessing Latino Voter Response to Anglo Candidate Characteristics

2020 ◽  
pp. 130-159
Author(s):  
Loren Collingwood
Keyword(s):  
Cultural Competence ◽  
Party Identification ◽  
Cultural Norms ◽  
Recent Success ◽  
Success Model ◽  
Candidate Characteristics ◽  
Racial Ethnic ◽  
The Way

Chapter 5 investigates Anglo/white candidate attributes that might prove beneficial to their Latino-targeted cross-racial mobilization. Building upon Beto O’Rourke’s recent success this chapter theorizes and empirically verifies a cross-racial mobilization success model composed of the following characteristics: (1) Partisan predisposition: Candidates will perform better when their party identification matches the party identification of the vast majority of cross-ethnic voters they seek to mobilize; (2) Issue convergence: Candidates who have or adopt policy views similar to the majority of cross-racial/ethnic voters are expected to outperform their candidates; (3) Cultural competence: Candidates that better understand the cultural norms and mores of other groups will feel more comfortable being around members of that group and so will ultimately outperform other candidates. (4) Candidates who conduct extensive amounts of cross-racial mobilization are expected to outperform candidates who conduct little cross-racial mobilization. Finally, the chapter develops a framework to understand why Latino voters respond the way that they do.

scholarly journals Foreign nursing students: Their profile and perceptions of nursing care in Namibia

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Louis Small ◽  
Louise Pretorius
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Cultural Competence ◽  
Nursing Care ◽  
Delivery Of Health Care ◽  
Cultural Awareness ◽  
Health Care Services ◽  
Profile Information ◽  
Care Services ◽  
Biographical Profile

A survey was conducted using open and close-ended questions to determine how visiting nursing students in Namibia could be assisted during their visits (cultural encounters). Many students decide to complete their clinical exposure in a foreign country, either for personal reasons or in order to meet the course requirements for transcultural nursing. Since 1998, Namibia has received a number of these students. In discussion and from passing remarks from the students themselves, the question has arisen as to how an optimum placement for each student might be achieved. Aspects of the Campina–Bacote model and The Process of Cultural Competence in the Delivery of Health Care Services were used to answer this question. It was decided to gather both biographical (profile) information and information on perceptions of nursing care in Namibia from such foreign nursing students.The biographical (profile) information collected indicates a prevalence of certain shared biographical characteristics among international students. Such students tend to be adventurous, caring and sensitive to human rights issues. This finding correlates with the constructs of cultural desire and cultural awareness as described in the model of Campina–Bacote. Based on this finding, specific recommendations were made for clinical allocations.From the data gathered from the open-ended questions, three themes emerged: firstly, nursing in Namibia has identifiable characteristics; secondly, there is a paternalistic and one-sided communication style among nursing caregivers in Namibia; and finally, nursing care delivery in this country is often characterised by a detached attitude. It was concluded that these themes correlated with a cultural awareness and cultural knowledge among the nursing students. The discovery of these themes was useful for making recommendations for clinical guidelines to help these students adapt, as well as for providing a foundation and substantiation for clinical placement.Opsomming’n Opname bestaande uit oop en geslote vrae is uitgevoer om te bepaal hoe besoekende verpleegstudente aan Namibië ondersteun kan word (kulturele ervarings). Baie studente besluit om hulle kliniese praktika in die buiteland te voltooi, óf om persoonlike redes óf om aan kursusvereistes in transkulturele verpleging te voldoen. Sedert 1998 het Namibië ’n aantal van hierdie studente ontvang. Uit gesprekke met sowel as spontane kommentaar deur hierdie studente het die vraag ontstaan hoe hulle optimum plasing verseker kan word. Aspekte van die model van Campina–Bacote, naamlik The process of cultural competence in the delivery of health care services , is benut om hierdie vraag te beantwoord. Daarom is besluit om biografiese inligting sowel as inligting oor die studente se persepsies van verpleging in Namibië in te samel. Die biografiese inligting (profiel) het die voorkoms van sekere biografiese kenmerke onder die internasionale studente getoon: Hulle neig daartoe om avontuurlik, deernisvol en sensitief vir menseregte te wees. Dié bevinding korreleer met die konstrukte van kulturele begeertes en kulturele bewustheid soos beskryf in die model van Campina–Bacote. Op grond van hierdie bevindinge is bepaalde aanbevelings aangaande hulle kliniese plasings gemaak. Die data deur die oop vrae verkry het drie temas gegenereer, naamlik dat verpleging in Namibië bepaalde identifiseerbare kenmerke openbaar, dat ’n paternalistiese en eensydige kommunikasiestyl onder verpleegkundiges in Namibië voorkom en dat verpleegsorg deur ’n onbetrokke houding gekenmerk word. Die gevolgtrekking was dat hierdie temas met ’n kulturele bewustheid en kulturele kennis onder die verpleegstudente korreleer. Die identifisering van hierdie temas was bruikbaar as basis vir die motivering van kliniese plasings en in die maak van aanbevelings ten opsigte van kliniese riglyne om die studente te help om aan te pas.

Cultural Competency Among Pediatric Registered Nurses in Saudi Arabia: A Cross-Sectional Design

2020 ◽  
pp. 104365962096078
Author(s):  
Manal F. Alharbi ◽  
Manal H. Alhamlan ◽  
Ahmad E. Aboshaiqah
Keyword(s):  
Saudi Arabia ◽  
Cultural Competence ◽  
Cultural Competency ◽  
Cultural Awareness ◽  
Demographic Data ◽  
Self Report ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Cross Sectional Design ◽  
High Level

Introduction Saudi Arabia’s culturally diverse population is growing rapidly. The need for cultural competence is greatest in pediatric units where nurses provide care to children in collaboration with their parents. Method Nonprobability sampling of 394 nurses and cross-sectional descriptive design was used to investigate nurses’ cultural competence, and to examine the relationships between the variables and participants’ demographic data in pediatric units across five hospitals in Riyadh, Saudi Arabia, by asking nurses to complete a self-report questionnaire. Results The results suggest a high degree of cultural competency. Participants’ scores indicated high levels of perceived cultural awareness, sensitivity, and cultural competence behavior for performance. Discussion This study supports the 3-D Puzzle Model of culturally congruent care for cultural competence, which assumes that cultural competence is deeply influenced by one’s experiences. The findings revealed a high level of cultural competence despite a lack of information with respect to patient views.

scholarly journals Culturally Congruent Health Care of COVID-19 in Minorities in the United States: A Clinical Practice Paper From the National Coalition of Ethnic Minority Nurse Associations

2020 ◽  
Vol 31 (5) ◽  
pp. 434-443
Author(s):  
Norma G. Cuellar ◽  
Elizabeth Aquino ◽  
Martha A. Dawson ◽  
Mary Joy Garcia-Dia ◽  
Eun-Ok Im ◽  
...  
Keyword(s):  
Health Care ◽  
Ethnic Minority ◽  
Ethnic Groups ◽  
Epidemiological Data ◽  
The United States ◽  
Clinical Paper ◽  
Culturally Congruent ◽  
National Coalition ◽  
The Impact ◽  
Racial Ethnic

Introduction: Race and ethnicity along with social determinants of health have been identified as risk factors for COVID-19. The purpose of this clinical paper is to provide an overview of the National Coalition of Ethnic Minority Nurse Associations (NCEMNA), present COVID-19 epidemiological data on five racial–ethnic groups, identify culturally congruent health care strategies for each group, and provide directions for practice and research. Method: NCEMNA collaborated to provide a clinical paper that addresses information about COVID-19 and culturally congruent health care in five racial–ethnic groups. Results: Every organization presented common themes across the different groups and unique perspectives that each group is faced with during this challenge. Discussion: This article provides an introduction to the issues that minority groups are facing. It is imperative that data are collected to determine the extent of the impact of COVID-19 in diverse communities in the country.

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