Cultural Diversity, Awareness, and Competency

1. Cultural Diversity, Awareness, and Competency Presented by Matthew L. Ware .

2. Diversity CLASS • Change thoughts and behaviors • Learning about other subcultures • Adaptation through interaction • Share experiences • Sensitivity development

7. What are some common Cultural/ Subcultural steroetypes? • All black people have no jobs and live in the ghetto. • All Asians are smart and stuck up. • Hispanics have a lot of children, speak no english and are illegal immigrants. • All Arab, Iranian, or Middle Easterns are terrorists.

8. Other Cultural Stereotypes • Americans are fat, lazy, and selfish. • Cheerleaders are Dumb, mean and boy crazy. • Rich Kids are spoiled and get everything they want. • White people cannot dance.

9. Basic Concepts • Culture • Subculture • Values • Norms

10. Key Concepts • Cultural Diversity • Cultural Desire • Cultural Awareness • Cultural Competency

12. Cultural Desire Cultural desire is defined as the motivation of the Care Provider to "want to" engage in the process of becoming culturally aware, culturally knowledgeable, culturally skillful, and seeking cultural encounters. It stands in contrast to the feeling of "having to" participate in this process.

13. Cultural Desire • Cultural desire is the pivotal and key construct of cultural competence, for it is the Healthcare provider’s desire that evokes the entire process of cultural competence. This desire must come from one's aspiration, and not out of one's desperation. • Cultural desire involves the concept of caring. It has been said that people don't care how much you know, until they first know how much you care .

14. Cultural Desire Continued • Cultural desire includes a genuine passion to be open and flexible with others, to accept differences and build on similarities, and to be willing to learn from others as cultural informants. This type of learning is a life-long process which has been referred to as cultural humility

15. Desire births Competency • Involves assimilation and acculturation • Eventually adaptation provides competency that is comfortable to all parties involved. • LEARNING EMPATHY INCREASES YOUR SELF-CONTROL AND EMOTIONAL INTELLIGENCE!

16. Cultural Knowledge and Awareness • Definition of cultural knowledge"Cultural knowledge" is the familiarization with selected cultural characteristics, history, traditions, values, belief systems and behaviorsof the members of other ethnic groups. • Cultural knowledge is notstereotyping, it is ongoing learning, understanding and accepting others'culture, race ethnicity, nationality, religion, customs or belief systems.

17. Knowledge/ Awareness Continued • Cultural intelligence is a person's capability to function effectively in situations characterized by cultural (or social) diversity. Cultural intelligence is a critical capability that enhances individual and organizational effectiveness. It also enhances interpersonal interactions in a wide range of social contexts.

18. Examples of Cultural Sensitivity in Provision of Care • African Americans • Address patients by their formal names, especially elderly patients. • Make direct eye contact. • Because there may be a reluctance to disclose personal information, explain why the information is needed before asking. • Be aware of historic mistrust of the health care profession by some African American people.

19. Chinese Patients • When asking the patient his or her name also ask how they want to be addressed. • Be aware that people from China may be more formal than Americans or other cultures. • Chinese believe that foods can assist in healing disease so inquire about food choices and preferences.

20. Chinese Cont • Since treatment decisions are often made by family members, include all family members medical discussions if the patient desires. • Be aware of the importance of "saving face" and "pride" in the Chinese culture. • When taking blood samples, explain the need for such tests. The Chinese culture places great importance on the blood and considers it the source of life. Some feel blood is not regenerated.

21. Muslim Patients • Muslims can be reluctant to share personal information with others. Explain the importance of disclosing such information to health care providers. • To gain the patient's trust, consider sharing a small bit of personal information about yourself. • Be aware that a family spokesman or even a community spokesman may represent the patient when dealing with health care providers. • Being frank when communicating bad news or prognosis may not be appropriate

22. Mexican • Be aware that religion and spirituality is an important part of this culture. Allow religious items, rosary beads, etc. at the bedside if the family and patient so wishes. • Be aware that prayer is also important and may take place at the bedside and include family and friends.

23. Other Important Cultural and Subcultures information • Cultures • Subcultures

24. Cultural Awareness and Competence Test • http://www.asha.org/uploadedFiles/Cultural-Competence-Checklist-Personal-Reflection.pdf

25. Do’s and Don’ts of Cultural Competence • Don’t Stereotype • Don’t make assumptions • Avoid Hasty generalizations • Avoid assessing without adequate knowledge of facts • Don’t assume that you are right and “they” are wrong.

26. Do’s and Don'ts • Do become culturally competent • Do interact with others outside cultural norm. • Do regard and respect differences and cultures/subcultures of others.

27. Awareness Challenge • Deprogramming • Reprogramming • Getting Rid of Viruses

28. Questions and Conclusion • Remember, this is not about education, but instead about raising consciousness about your everyday interactions with those within your particular subcultures!