Cultural Competency, Cultural Sensitivity and Cultural Safety

2020 ◽  
Keyword(s):  
Cultural Competency ◽  
Cultural Sensitivity ◽  
Cultural Safety

scholarly journals Cultural competency and nursing care among sundanese nurses ethnic group in Indonesia

2021 ◽  
Vol 3 (2) ◽  
pp. 131-137
Author(s):  
Upit Pitriani ◽  
Kusman Ibrahim ◽  
Sandra Pebrianti
Keyword(s):  
Ethnic Group ◽  
Cultural Competency ◽  
Nursing Care ◽  
Cultural Sensitivity ◽  
Cultural Awareness ◽  
Sampling Technique ◽  
Cultural Knowledge ◽  
Cultural Competencies ◽  
High Category ◽  
Cultural Skills

Background: Nurses as one of the health professionals who are expecting to have competence in providing nursing care to patients based on cultural background.Purpose: To describe the cultural competency and nursing care among sundanese nurses' ethnic group in Indonesia..Method: A descriptive design with a quantitative approach. The sampling technique in this study used Cluster Random Sampling with the sample of 63 respondents. The instrument used the NCCS (Nurse Cultural Competence Scale). This research conducted on April 2019 at dr. Slamet Hospital, Garut - IndonesiaResults: Shows that the nurses' cultural competencies in dr. Slamet hospital was in a low category of 37 respondents (58.7%). While in a component, cultural awareness was in the low category (60.3%), the cultural knowledge component was in the high category (52.4%), the cultural sensitivity component was in the low category (58.7%) and the cultural skills component in the high category (58.7%).Conclusion: The most nurses' cultural competencies  was in a low category such as cultural awareness was in the low category (60.3%), the cultural sensitivity component was in the low category. Sundanese nurses' ethnic group need to develop training in culturally competent as a local wisdom.

scholarly journals The Importance of Understanding Social and Cultural Norms in Delivering Quality Health Care—A Personal Experience Commentary

2020 ◽  
Vol 5 (1) ◽  
pp. 22
Author(s):  
Ahmed S. Latif
Keyword(s):  
Health Care ◽  
Cultural Sensitivity ◽  
Culturally Diverse ◽  
Daily Basis ◽  
Cultural Safety ◽  
Determinants Of Health ◽  
Practical Training ◽  
Quality Health Care ◽  
Or Groups ◽  
Quality Health

The objectives of this paper are to provide a review of the author’s personal experiences working in culturally diverse environments and to emphasize the importance of recognizing the social determinants of health. While some determinants of health are modifiable others are not, in addition it is emphasized that cultural safety in delivering health care is crucial if services provided are to be appropriate and acceptable to health care seekers. Cultural sensitivity is needed if one is to make a change in health outcomes in culturally diverse environments. The development and delivery of culturally safe services is more acceptable to community members and is important if a difference is to be made in health inequities. Training in delivering culturally safe services should include both theoretical and practical components. Practical training should be conducted under supervision in remote settings so that trainees appreciate what their clients experience on a daily basis. Culturally “unsafe” clinical service has serious adverse effects. This commentary discusses the above factors and provides example cases from the author’s own career of where such factors have affected the health of individuals or groups.

Measuring Cultural Competence in Nursing: A Review Study

2020 ◽  
Vol 6 (3) ◽  
pp. 203-212
Author(s):  
Safoura Yadollahi ◽  
◽  
Abbas Ebadi ◽  
Marziyeh Asadizaker ◽  
◽  
...  
Keyword(s):  
Nursing Students ◽  
Cultural Competence ◽  
Cultural Competency ◽  
Cultural Sensitivity ◽  
Essential Factor ◽  
Time Limits ◽  
Framework Model ◽  
Library Resources ◽  
Cultural Care ◽  
Review Study

Background: Cultural competence is an essential factor in providing effective services to care seekers. Providing cultural care is a necessity in nursing; thus, measuring cultural competence in nurses is of great importance. Accordingly, the current study aimed at introducing the scales for measuring cultural competence in nursing. Methods: The current narrative review study was conducted by searching the internet and library resources through credible databases. The keywords “cultural competence, cultural competency, cultural instruments, the measurement of cultural competency, nursing, nursing students, and cultural sensitivity” were used individually and in combination. The selected articles were in English, without any time limits, and only in the medical fields. Results: Among 16 articles related to cultural competence scales, 19 scales were discovered; 12 of which were in English and applicable in nursing. Nine tools were designed based on a conceptual framework/model, and only 6 of them received psychometric evaluations. Conclusion: The comparison of the scales suggested that all of them were developed based on different conceptual frameworks; accordingly, various factors should be considered when using them. The compatibility of the scale with the culture and environmental conditions of the studied population, and the areas of cultural competence it investigates, are among such characteristics.

Learning Through Academic Collaborations In/With the East: North American Adult Education Scholars’ Insights

2021 ◽  
pp. 074171362110501
Author(s):  
Qi Sun ◽  
Haijun Kang
Keyword(s):  
Adult Education ◽  
Cultural Competency ◽  
North American ◽  
Cultural Sensitivity ◽  
Cross Cultural ◽  
Cultural Barriers ◽  
Self Awareness ◽  
Global Learning ◽  
American Adult ◽  
International Collaborations

Applying Culture and Appreciative Education lenses, this qualitative study, eliciting detailed descriptions, examines six North American adult and higher education scholars’ lived learning experiences and insights gained from their academic collaborations in and with the East. Our findings indicate that participants hold unique international collaboration experiences with commonalities. Most participants experienced language and cultural barriers in real-time, on-site collaborations that they would not have considered otherwise without these experiences. Many differences made them realize the fundamentals for intercultural collaborations. They consciously learned to reposition with appreciative mindsets and co-construct goals and solutions with counterparts. All participants indicated that transnational contexts enable profound reflective and authentic learning, renewed understandings of cross-cultural sensitivity, and different ways of thinking and doing. This study demonstrates that international collaborations promote adult learning with self-awareness for a new dimension of global learning and cultural competency in the internationalization of adult education.

scholarly journals The United States Does CAIR About Cultural Safety: Examining Cultural Safety Within Indigenous Health Contexts in Canada and the United States

2016 ◽  
Vol 28 (3) ◽  
pp. 269-277 ◽  
Author(s):  
Francine Darroch ◽  
Audrey Giles ◽  
Priscilla Sanderson ◽  
Lauren Brooks-Cleator ◽  
Anna Schwartz ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Cultural Competence ◽  
American Indian ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Cultural Awareness ◽  
The United States ◽  
Cultural Safety ◽  
Care Providers

Purpose: This article examines the concept and use of the term cultural safety in Canada and the United States. Design: To examine the uptake of cultural awareness, cultural sensitivity, cultural competence, and cultural safety between health organizations in Canada and the United States, we reviewed position statements/policies of health care associations. Findings: The majority of selected health associations in Canada include cultural safety within position statements or organizational policies; however, comparable U.S. organizations focused on cultural sensitivity and cultural competence. Discussion: Through the work of the Center for American Indian Resilience, we demonstrate that U.S. researchers engage with the tenets of cultural safety—despite not using the language. Conclusions: We recommend that health care providers and health researchers consider the tenets of cultural safety. Implications for Practice: To address health disparities between American Indian populations and non–American Indians, we urge the adoption of the term and tenets of cultural safety in the United States.

scholarly journals Cultural Safety: A Framework for Interactions between Aboriginal Patients and Canadian Family Medicine Practitioners

2013 ◽  
Vol 9 (1) ◽  
pp. 15
Author(s):  
Ava C. Baker ◽  
Audrey R. Giles
Keyword(s):  
Family Medicine ◽  
Cultural Sensitivity ◽  
Aboriginal People ◽  
Family Physicians ◽  
Aboriginal Health ◽  
Cultural Safety ◽  
Colonial History ◽  
History Of ◽  
Family Medicine Residents

Current approaches for non-Aboriginal family medicine practitioners encountering Aboriginal patients are based in cultural sensitivity, which is an inadequate model to satisfy the obligation of family medicine residents and physicians to Aboriginal health in Canada. In this paper, we advocate for the adoption of a cultural safety approach as a superior method for training family medicine residents in interactions with Aboriginal patients. Family medicine programs can integrate cultural safety into their curriculum by teaching residents about the colonial history of Aboriginal people to foster understanding of power imbalances. This knowledge can then be used to help family medicine residents learn to identify their own biases that may affect the care of Aboriginal patients. By advocating for family medicine practitioners to use cultural safety to challenge their own concepts of culture and to address their own worldviews, patient encounters between non-Aboriginal family physicians and Aboriginal patients may be made safer and more productive.

scholarly journals Evaluation of the Aboriginal Relationship and Cultural Competency Courses among a sample of Indigenous Services Canada nurses

2019 ◽  
Vol 14 (1) ◽  
pp. 29-41 ◽  
Author(s):  
Michelle Rand ◽  
Amanda J. Sheppard ◽  
Sehar Jamal ◽  
Alethea Kewayosh ◽  
Angela Mashford-Pringle
Keyword(s):  
Focus Group ◽  
First Nations ◽  
Cultural Competency ◽  
Truth And Reconciliation Commission ◽  
Cultural Safety ◽  
Truth And Reconciliation ◽  
Online Module ◽  
Competency Training ◽  
Group Data ◽  
Focus Group Data

In 2015, Cancer Care Ontario launched the Aboriginal Relationship and Cultural Competency (ARCC) courses, which stress the importance for healthcare professionals to understand and apply First Nations, Inuit, and Métis (FNIM) cultural safety to provide effective person-centred care. The courses address a key recommendation from the Truth and Reconciliation Commission of Canada report, to provide skills-based training in cultural competency, conflict resolution, human rights and anti-racism. The objective of the evaluation is to validate the tool to assess: if the delivery mechanism is appropriate and feasible; if participants acquire an increased knowledge of the courses' contents; and if positive change in how healthcare practice is delivered is perceived to have resulted. After the ARCC courses were mandated for Indigenous Services Canada (ISC) nurses, an anonymous survey was delivered and a focus group was conducted at a regional meeting. The responses from the surveys were gathered in an excel spreadsheet for analyses and the focus group data were analyzed for key themes. All the nurses in attendance completed the survey (n=22) and a portion participated in the focus group (n=8). Our evaluation demonstrated that free, online, module formatted courses were appropriate and relevant for ISC nurses (81%); the courses increased the knowledge about FNIM people (72%); and the nurses have/will apply what they learned in their practice (82%). There has been an increasing movement for regions and organizations in Canada to complete cultural competency training. Our evaluation demonstrated that free, online, module formatted courses were successful at meeting learning objectives.

scholarly journals Cultural Sensitivity in ATOD Agencies: Administrator and Staff Perceptions in the Hispanic Heartland

10.18060/19 ◽  
2000 ◽  
Vol 1 (2) ◽  
pp. 137-147
Author(s):  
David R. Hodge ◽  
Paul Cardenas ◽  
Harry Montoya
Keyword(s):  
Rural Area ◽  
Cultural Competency ◽  
Cultural Sensitivity ◽  
Cultural Issues ◽  
Staff Perceptions ◽  
Predominantly Hispanic

Administrator and staff perceptions (N = 72) of alcohol, tobacco, and other drugs (ATOD) agency cultural sensitivity were explored in a predominantly Hispanic rural area with elevated levels of acculturation and high ATOD usage. While providers generally agreed that a relatively moderate need existed for training related to cultural issues, a more nuanced picture emerged in the purview of culturally- related barriers. Administrators viewed the lack of appropriate interpreters and language as a greater barrier than did the staff. Administrators also held higher perceptions of agencies’ cultural competency. The overall high assessment of cultural sensitivity may result from the substantial number of Latino providers.

scholarly journals Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Elana Curtis ◽  
Rhys Jones ◽  
David Tipene-Leach ◽  
Curtis Walker ◽  
Belinda Loring ◽  
...  
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Literature Review ◽  
Health Professional ◽  
Health Equity ◽  
Cultural Competency ◽  
Health Inequities ◽  
Cultural Safety ◽  
Medical Council ◽  
Medical Practitioners

Abstract Background Eliminating indigenous and ethnic health inequities requires addressing the determinants of health inequities which includes institutionalised racism, and ensuring a health care system that delivers appropriate and equitable care. There is growing recognition of the importance of cultural competency and cultural safety at both individual health practitioner and organisational levels to achieve equitable health care. Some jurisdictions have included cultural competency in health professional licensing legislation, health professional accreditation standards, and pre-service and in-service training programmes. However, there are mixed definitions and understandings of cultural competency and cultural safety, and how best to achieve them. Methods A literature review of 59 international articles on the definitions of cultural competency and cultural safety was undertaken. Findings were contextualised to the cultural competency legislation, statements and initiatives present within Aotearoa New Zealand, a national Symposium on Cultural Competence and Māori Health, convened by the Medical Council of New Zealand and Te Ohu Rata o Aotearoa – Māori Medical Practitioners Association (Te ORA) and consultation with Māori medical practitioners via Te ORA. Results Health practitioners, healthcare organisations and health systems need to be engaged in working towards cultural safety and critical consciousness. To do this, they must be prepared to critique the ‘taken for granted’ power structures and be prepared to challenge their own culture and cultural systems rather than prioritise becoming ‘competent’ in the cultures of others. The objective of cultural safety activities also needs to be clearly linked to achieving health equity. Healthcare organisations and authorities need to be held accountable for providing culturally safe care, as defined by patients and their communities, and as measured through progress towards achieving health equity. Conclusions A move to cultural safety rather than cultural competency is recommended. We propose a definition for cultural safety that we believe to be more fit for purpose in achieving health equity, and clarify the essential principles and practical steps to operationalise this approach in healthcare organisations and workforce development. The unintended consequences of a narrow or limited understanding of cultural competency are discussed, along with recommendations for how a broader conceptualisation of these terms is important.

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