scholarly journals Exploring Tertiary Health Science Student Willingness or Resistance to Cultural Competency and Safety Pedagogy

Author(s):  
Sowbhagya Micheal ◽  
Anita Eseosa Ogbeide ◽  
Amit Arora ◽  
Stewart Alford ◽  
Rubab Firdaus ◽  
...  

There is an increasing body of literature that considers the relevance and experiences of cultural competency and safety training in health professional students. However, less is written about Australian tertiary learners’ experiences of engaging with cultural competency training. The aim of this study is to explore tertiary students’ willingness or resistance to cultural competency and safety pedagogy. Qualitative student feedback to a teaching unit was collected and triangulated with data from focus groups with tutors. Results were thematically analyzed. Willingness and resistance to cultural competency and safety teaching emerged as two key themes. Willingness to engage with the unit was largely due to student interest in the content, teaching environment and relevance of cultural competency to students’ future practice. Resistance was linked to the students feeling personally attacked, or culturally confronted, with tutors noting the topics around sexuality and white privilege being more resisted. Acknowledging reasons for student resistance and developing strategies to reduce resistance can facilitate more student engagement with cultural competency topics, ultimately leading to their future provision of culturally competent healthcare.

1997 ◽  
Vol 78 (4) ◽  
pp. 405-412 ◽  
Author(s):  
Luis H. Zayas ◽  
Mary E. Evans ◽  
Luis Mejia ◽  
Orlando Rodriguez

As part of a research demonstration project focusing on children's psychiatric crises and their families, a cultural-competency training program was developed for staff delivering home-based crisis Intervention. The authors describe the training program, which was intended to teach culturally competent practice with Hispanic children and families. Training consisted of a day-long workshop, follow-up meetings with staff, and a half-day ‘booster’ session six months after the initial workshop. The workshop covered essential elements of Hispanic cultural diversity, values, family structure, interpersonal relations, child-rearing beliefs and practices, and points of interventions. Follow-up meetings provided counselors with the opportunity to discuss Issues and experiences not covered in the first workshop and allowed trainers to monitor the counselors' incorporation of culturally competent principles of practice. In the booster session, trainers addressed issues raised by counselors at the follow-up meetings in a more organized manner and addressed new, emergent issues.


2019 ◽  
Author(s):  
Michele Montecalvo

Abstract Introduction: The hierarchy of the American medical system and it’s disconnect of recognition beyond the binary of sexual minorities has created systematic inequitable care because of lack of appropriate cultural competency training. Healthcare providers are not adequately taught appropriate cultural competencies in standardized academic training. Methods: Given an online survey of varied health care providers (N = 208), the research examined “culturally competent health care delivery” knowledge, stage of change; precontemplation, contemplation, preparation, action, maintenance; as per the work of Prochaska & DiClemente, (1983) for taking action to be culturally sensitive, culturally competent, culturally appropriate, and future training desirability. Results: The sample population reported a high self-rating for aligning with definition of cultural competency; prevalence of 6 to 10 hours of engagement in cultural competence training; rating 3.97 (SD = .741) of quality for cultural competence training; Pre-Survey Stage of Change (N = 208) mean was 4.32 between action and maintenance, but closest to action (SD = 1.21); and with 71.2% already in maintenance it is noted that the research captured providers who have received equitable training, offering equitable care. Conclusions: Affirmation for LGBT clients is a critical adaptive response for practitioners recognizing the overt social injustices that have occurred historically as personal injustices and responding in a positive and accepting manner can dramatically improve patient engagement. Training within the confines of a grounded evidenced based theory can support appropriate and culturally competent equitable care. Keywords: healthcare providers, cultural competency, lesbian, gay, bisexual, transgender (LGBT), stages of change, transtheoretical model


2018 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Rahmaya Nova Handayani ◽  
Adiratna Sekarsiwi

Introduction. Types of nursing education in Indonesia are vocational, academic and professional. Professional education is higher education after an undergraduate program that prepares students to have jobs with specific skill requirements. The purpose of this study was to identify factors that affect student interest in continuing professional education nurses based on perception, motivation and support system. Method. The study design was a descriptive analytic cross-sectional approach. Unstratified sampling using random sampling with a sample of 111 respondents in health education institutions in karisidenan Banyumas, there are Harapan Bangsa Purwokerto Institute of Health Science, Purwokerto Muhammadiyah University, Jenderal Sudirman University.Data was analysed by using multivariate logistic regression. Results. The results of the study showed that no correlation  perception, motivation, and support system of nurses Profession election interest in health education institutions in-karisidenan Banyumas (p=0,999; 0,956; 0,135).Discussion. The most dominant factor affecting the interest of the nurse profession was support system.Keywords: interest, perception, motivation, support system, professional nurses


2020 ◽  
pp. 002076402098161
Author(s):  
Vyjayanthi N Venkataramu ◽  
Bhavika Vajawat ◽  
Bharathram Sathur Raghuraman ◽  
SK Chaturvedi

Introduction: Cultural competence is a prerequisite skill for a psychiatrist. There is a dearth of information on the methods used for training of cultural competence and their outcomes. This study aims to explore and determine the existing methods used for cultural competency training (CCT) for psychiatry residents and how useful these training methods are. Method: A systematic review methodology based on PRISMA guidelines was adopted for this study. The literature search reviewed databases of PubMed and MesH, using keywords ‘psychiatry resident’, ‘psychiatry’, ‘psychiatrist’, ‘mental health’, and ‘mental health professional’. In the end,14 articles qualified for the detailed review. The level of evidence and quality of the studies were evaluated and recorded. Results: The methods of cultural competence training identified were grouped as, active/passive/mixed; group training/individual training. These included documentaries or non-feature films based teaching, secondary consultation and cross consultation models, case vignette discussions, Objective Structured Clinical Examination (OSCE), behavioral simulation, video demonstration, cultural discussion in rounds, and traditional clinical teaching. The studies covered participants from different cultural backgrounds, mainly urban and predominantly university/institution based. Conclusion: There is limited literature in the area to conclude one method to be better than the other with respect to CCT in psychiatry residents. However, this review identified a variety of training methods, which can be used and pave way for research on their effectiveness. Training and evaluation of psychiatry residents in the area of cultural competence should be done routinely during their training to enable them to practice in the multi ethic societies.


Author(s):  
Saidy Eliana Arias Murcia ◽  
Lucero Lopez

Abstract Objective: to understand the experience of nurses in care delivery to culturally diverse families. Method: qualitative meta-synthesis. Exhaustive search in seven databases, three repositories and a manual search in references without time limit, in English, Spanish and Portuguese, resulting in 1609 potentially relevant studies. These were assessed based on the title, summary and full text, determining the final inclusion of 14 studies. Two independent reviewers used the Critical Appraisal Skills Programme (CASP) to assess the quality. The interpretative synthesis implied permanent contrast and consensus among the authors, revealing four categories and one meta-theme. Results: "taking care of a culturally diverse family, the experience of crossing a tightrope". Conclusion: the experience of nurses in care delivery to culturally diverse families is demanding and challenging because it imprints a constant tension among barriers, cultural manifestations and the ethical responsibility of care, incipiently revealing elements of cultural competency. The omission of information in the participants' reports in the studies represents a limitation. The findings offer a baseline for professionals and organizations to focus their intervention efforts on the continuing barriers in care delivery to culturally diverse families and strengthens the need for cultural competency training for nurses.


2010 ◽  
Vol 53 (4) ◽  
pp. 542-555
Author(s):  
Emily Rian ◽  
David R. Hodge

As part of the fallout of the Iraq war, social workers may encounter Mandaean refugees. This article orients readers to this formerly isolated cultural group. After reviewing their unique history and values, practice suggestions are provided to enhance the provision of culturally competent services to this community.


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