Culturally Appropriate Public Health Training Series. Josephina Campinha-Bacote Cultural Competency Model. Cultural Desire Cultural Awareness Cultural Knowledge Cultural Skill Cultural Encounters . Cultural Desire. You are here!.
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Cultural awareness is defined as the process of conducting a self-examination of one’s own biases towards other cultures and the in-depth exploration of one’s cultural and professional background.
Cultural awareness also involves being aware of the existence of documented racism and other "isms" in healthcare delivery.
Dr. Patty Hale
Dr. Charlene Douglas,
Dr. Courtney H. Lyder
Dr. Bennie Marshall
– Cultural emphasis on maintaining strong intimate,
and supportive relationships with both nuclear and
extended families. Often a protective factor.
– The Hispanic American has a very deep awareness of
and pride in his/her membership in the family.
- The importance of family membership and belonging cuts across class lines and socioeconomic conditions.
– An individual’s self-confidence, worth, security and
identity are determined by his/her relationship to other family membersCultural AttitudesHispanics
personal relationships will be critical.
from unscrupulous vendors
Patriarchal beliefs, values and practices
Unequal Power relationships
Status and role of women in society – culturally constructed
Norms of male and female behaviour
Example: KIRIBATI - legal recognition of men as official head of household
Women not included in decision making process
May experience challenges in “Patient centered care”. Often passive patients.Cultural Attitudes Asian Gender Roles/Authority
Very active in child’s achievements
Parents, especially the father, have the ultimate authority or power over the children. They act as supporters to assist their children to fit into the social structure.
There is always the hierarchy in the family and between the relationship of parents and children. Parents seem somewhat more serious than friendly and always apply a strict discipline to the children, but are always prepared to give encouragement and advice.Cultural Attitudes Child care/discipline
Denise DiCicco MSN, RNC, IBCLC,RLC
personal preferences & habits
cultural, religious & family customs
social & environmental setting
economic & political circumstances
Ann Hershberger, PhD, RN
Rebecca Greer, MSN, RN
“the effective integration of cultural awareness and cultural knowledge to obtain relevant cultural data and meet need of culturally diverse clients.”
(Stanhope,M, & Lancaster, J. (2004). Community and Public Health
Nursing. St. Louis: Mosby. p.156.)
Encourage and support the incorporation of scientifically supported cultural practices along with the biomedical system.
Support and facilitate cultural practices which scientific study has not been found to be harmful.
Work with the client to rework or modify cultural practices known to be harmful.
Advocate, mediate, and negotiate between the client’s cultural norms and the biomedical system.
Campinha-Bacote, J. (2003). The process of cultural competence in the delivery of healthcare services: A culturally competent model of care. Cincinnati: Transcultural C.A.R.E. Associates.
Fong, C. (1985). Ethnicity and nursing practice. Topics in Clinical Nursing 7(3),1-10.
Munoz, C. & Hilgenberg, C. Ethnopharmacology: Understanding how ethnicity can affect drug response is essential to providing
culturally competent care. Holistic Nursing Practice 20(5), 227-234. Retrieved July 20, 2007 from Ovid database.
Stanhope,M, & Lancaster, J. (2004). Community and Public Health
Nursing. St. Louis: Mosby. p.156.)
Transcultural Nursing. (1997-2005). The Hispanic American community. Retrieved August 8, 2007 from
Transcultural Nursing. (1997-2005). The Middle Eastern community. Retrieved August 8, 2006 from
Dr. Margaret Bassett
Dr. Scheherazade Taylor
Charlene Douglas, Ph.D., MPH, RN
George Mason University
yourself as an authority
not discount the father