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Cultural Competence in Healthcare. An Important Refresher for Physicians. Session Objectives. After this session physicians will be able to:. Define Cultural Competence Describe why delivering Culturally Competent Care is important Understand being Culturally

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in Healthcare

An Important Refresher for Physicians

session objectives
Session Objectives

After this session physicians will be able to:

  • Define Cultural Competence
  • Describe why delivering Culturally

Competent Careis important

  • Understand being Culturally

Competent is a continual process

  • Use Culturally Competent Practices

in the provision of care

why do we focus on cultural competence at wheaton franciscan healthcare
Why do we focus on Cultural Competence at Wheaton Franciscan Healthcare?

It is our Mission

  • “Providing exceptional and compassionate health care service that promotes the dignity and well being of the people we serve.”

Clinical Excellence

  • Ensure equal and individualized care

is delivered to all patients

Our Patient and Family Experience

  • Nothing is more important than our

patient’s health and well being

Important reminder!

Culturally competent care meets the needs of our culturally diverse patient population!

The next few slides are common words and information to help you learn more about what cultural competence is and why it matters in healthcare and the workplace
what is culture
What is Culture?
  • It is the learned and shared values of a particular group that:
  • Guides thinking
  • Actions
  • Behaviors
  • Emotional reactions to daily living
  • It is the sum of beliefs, practices, habits, likes and dislikes.
  • It is norms and customs that are learned.
culture is central to the delivery of healthcare
Culture is central to the Delivery of Healthcare
  • It influences patients’ healthcare beliefs, practices attitudes toward care, and trust in the system and in the individual providers
  • Cultural differences affect how health information and healthcare services are received, understood and acted upon.

*US Department of Health & Human Services/ Office of Minority Health

what is cultural competence
What is Cultural Competence?

Cultural competence is the ongoing capacity of healthcare systems, organizations and professionals to provide for diverse patient* populations high quality care that is safe, patient- and family- centered, evidence-based, and equitable

The National Quality Forum

* The term “patient” refers to the individual recipient of care – i.e. patient, client, legal surrogate or person.

cultural competence in health care
Eliminate misunderstandings in diagnosis or in treatment planning that my arise from differences in language or culture

Improve patient adherences with treatments

Eliminate health care disparities

Cultural Competence in Health Care

Primary concerns:

associations we make
Associations We Make

What type of person do you think of when

you hear the following descriptions?

  • Alzheimer’s patient
  • Black male
  • Asian man
  • Welfare recipient
  • Teenager
associations we make1
Associations We Make

The people shown below fit into the descriptions

reviewed on the previous slide

Alzheimer’s victim

Black male

Asian man

Welfare recipient


President Ronald Reagan

Dr. Ben Carson

Jackie Chan

JK Rowling

Justin Beiber

Associations We Make
  • When we initially hear the profile of a patient, we all make associations and assumptions based on our past experience. We have a perception of the person before we ever meet them.
  • Our patients make the same associations when they meet us.
  • This can be described as a component of transference and counter-transference.
  • Transference occurs when the physicians or patients transfer past emotions, beliefs or experiences to the present situation.
  • The feelings can be positive or negative Counter-transference, but are ALWAYS a distortion of realty.
  • Transference is an unconscious process. When transference occurs around cultural issues, it becomes a serious barrier that keeps the patient from being receptive to medical advice and treatment.
  • It is up to us as Culturally Competent Providers to maintain and convey unconditional positive regard for our patients

The American Journal of Psychiatry, VOL. 157, No. 9

Cultural Competence is a Continuum
  • Gaining cultural competence is an ongoing PROCESS. It is developed as cultural knowledge increases
  • In order to achieve higher levels of competence, it is helpful to engage in self assessment
  • Self assessment provides

direction for improvement




The Center for Public Health Education

Cultural Competence is a Continuum

Moving From Basic Knowledge to Clinical Practice




Understanding the meaning of culture and its importance to healthcare

Having respect for variations in cultural norms

Eliciting patients’ explanatory models of illness

Physicians must continue skill development

to learn each culture

Journal of the Nation Medical Association, Nov. 2008

eliciting patient s explanatory model of illness
Eliciting Patient’s Explanatory Model of Illness

Role of the Physician . .

Asking questions to elicit the patient’s understanding of their illness

Having strategies for identifying and bridging the different communication styles

Having skills for assessing decision-making preferences and the role of family

Journal of the Nation Medical Association, Nov. 2008

eliciting patient s explanatory model of illness1
Eliciting Patient’s Explanatory Model of Illness

Utilizing techniques for ascertaining the patient’s perception of using biomedicine and his or her use of complementary and alternative medicine

Having tools for recognizing sexuality and gender issues

Having communication strategies for negotiating

Methods for bringing to bear an awareness of issues of mistrust and prejudices and of the impact of race and ethnicity on clinical decision-making

Journal of the Nation Medical Association, Nov. 2008

the culturally competent physician
The Culturally Competent Physician
  • Knows competency involves a deeper commitment to the people for whom we provide services
  • Recognizes and learns to work within the context of different languages, customs, worldviews, religions, spiritual views, health beliefs, gender roles, sexuality and family relationships when interacting with clients/patients
  • Develops specific practice skills

The Center for Public Health Education

the culturally competent physician1
The Culturally Competent Physician
  • Practice Skills
    • Has an awareness and acceptance of difference whereby diversity is valued
    • Understands how his own culture influences how he thinks, acts and delivers services
    • Understands the dynamics of difference and is conscious of those dynamics inherent when cultures interact

The Center for Public Health Education

the culturally competent physician2
The Culturally Competent Physician
  • Becomes familiar with the different aspects of various cultures in target areas where service is provided
  • Has the ability to adapt practice skills that fit the cultural context of the patient/client

Physicians must continue skill development

to learn each culture

The Center for Public Health Education

why is this important for physicians
Why is this important for Physicians?

At Wheaton Franciscan Healthcare, we recognize our patients as individuals with unique physical, emotional, spiritual, and cultural needs.

As a compassionate, faith-based health care provider, we believe developing a positive relationship with our patients and families is essential to the healing process and key to carrying out our Mission of providing exceptional and compassionate health care service.

the goal of each physician
The Goal of Each Physician

To always provide culturally competent health care services that are respectful of

and responsive to the health beliefs, practices, cultural and linguistic needs

of our diverse patients

additional resources
Additional Resources

Please click on the picture for a quick reference on delivery culturally competent care.

There are also CME credits:

“A Physician's Practical Guide

to Culturally Competent Care”

at .

diversity inclusion contacts
Diversity & Inclusion Contacts

Theresa Jones

Vice President of Diversity and Inclusion Strategies

[email protected]


Leslie Galloway Sherard

Director, Diversity and Inclusion Programs

[email protected]


Sandy Jones

Manager, Cultural Diversity

[email protected]