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Cultural Competence

 

Definition

"Cultural competence is a set of congruent behaviors, attitudes and policies that come together as a system, agency or among health professionals and enable that system, agency or those professionals to work effectively in cross-cultural situations." [Source: Cross, T., Bazron, B., Dennis, K., & Isaacs, M., (1989). Towards A Culturally Competent System of Care, Volume I. Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.  Definition available at National Center for Cultural Competence  http://www.nccccurricula.info/culturalcompetence.html ]

 

Web sites

The National Center for Cultural Competence
http://gucchd.georgetown.edu/nccc/index.html
“The mission of the National Center for Cultural Competence (NCCC) is to increase the capacity of health and mental health programs to design implement, and evaluate culturally and linguistically competent service delivery systems.”

Office of Minority Health
http://www.omhrc.gov/
This site contains links to initiatives, programs, national standards, and health disparities information. 

National Standards on Culturally and Linguistically Appropriate Services (CLAS)
http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15
From the Office of Minority Health web site, “The CLAS standards are primarily directed at health care organizations; however, individual providers are also encouraged to use the standards to make their practices more culturally and linguistically accessible. The principles and activities of culturally and linguistically appropriate services should be integrated throughout an organization and undertaken in partnership with the communities being served.”

Cross Cultural Health Care Program
http://www.xculture.org/
Through a combination of cultural competency trainings, interpreter trainings, research projects, community coalition building, and other services, the CCHCP serves as a bridge between communities and health care institutions to ensure full access to quality health care that is culturally and linguistically appropriate.

Think Cultural Health
http://www.thinkculturalhealth.org/
Sponsored by the Office of Minority Health, this site offers a free online program for health professionals interested in cultural competence.  

EthnoMed: Cross-Cultural Health Care Program
http://ethnomed.org/
This site contains information about cultural beliefs, medical issues and other related issues pertinent to the health care of recent immigrants to US.

DiversityRX
http://www.diversityrx.org/
This site is dedicated to “Promoting language and cultural competence to improve the quality of health care for minority, immigrant, and ethnically diverse communities.” Includes sections titled Overview of Models and Strategies for Overcoming Linguistic and Cultural Barriers to Health Care and Organizational Policies and Protocols

Cultural Competence Resources for Health Care Providers

http://www.hrsa.gov/culturalcompetence/

The Health Resources and Services Administration, U.S. Department of Health and Human Services.
Includes the following resources: assessment tools, training information, and information on health care delivery to special populations.

CulturedMed

http://culturedmed.sunyit.edu/index.html

Includes bibliographies and other resources on specific minority groups and cultural concerns for health care providers. Provided by SUNYIT.

 

Selected Books

Transcultural Medical Care

Anand, R. (2004). Cultural competency in health care : a guide for trainers (3rd ed.). Washington, DC: National MultiCultural Institute.
Located at Hardin Library, Call number: FOLIO RA418.5.T73 A5254 2004

Andrews, J. D. (2005). Cultural, ethnic, and religious reference manual for health care providers (3rd ed.). Winston-Salem, NC: JAMARDA Resources
Located at Hardin Library, Call number: FOLIO RA418.5.T73 A55 2005.

Bigby, J., & American College of Physicians--American Society of Internal Medicine. (2003). Cross-cultural medicine. Philadelphia: American College of Physicians
Located at Hardin Library, Call number: RA418.5.T73 C765 2003.

Ghosh, P., & Khan, S. A. (2005). Transcultural geriatrics : caring for elderly people of Indo-Asian origin. Oxford ; Seattle: Radcliffe
Located at Hardin Library, Call number: RA448.5.A83 G46 2005.

Gwatkin, D. R., Wagstaff, A., & Yazbeck, A. (2005). Reaching the poor with health, nutrition, and population services : what works, what doesn't, and why. Washington, DC: The World Bank.
Located at Hardin Library, Call number: RA418.5.P6 R43 2005

Healy, J., & McKee, M. (2004). Accessing healthcare : responding to diversity. Oxford ; New York: Oxford University Press
Located at Hardin Library, Call number: RA418.5.T73 A33 2004.

Hollins, S. (2006). Religions, culture, and healthcare : a practical handbook for use in healthcare environments. Oxford ; Seattle: Radcliffe Pub.
Located at Hardin Library, Call number R725.55 .H65 2006

Jones, S. S. (2005). Education and speech pathology : perspectives of Sudanese parents and neighborhood center staff. 2005.
Located at Hardin Library, Call number: T2005 .J796.

Satcher, D., Pamies, R. J., & Woelfl, N. N. (2006). Multicultural medicine and health disparities. New York: McGraw-Hill
Located at Hardin Library, Call number: RA418.5.T73 M855 2006.

Spector, R. E. (2004). Culture care : guide to heritage assessment and health traditions (3rd ed.). Upper Saddle River, NJ: Prentice Hall
Located at Hardin Library, Call number: RA418.5.T73 S643 2004.

Waxler-Morrison, N. (2005). Cross-cultural caring : a handbook for health professionals (2nd ed.). Vancouver: UBC Press.
Located at Hardin Library, Call number: RA563.M56 C76 2005

Transcultural Nursing

De Chesnay, M. (2005). Caring for the vulnerable : perspectives in nursing theory, practice, and research. Sudbury, Mass.: Jones and Bartlett.
Located at Hardin Library, Call number: RT86.5 .C3645 2005

Giger, J. N., & Davidhizar, R. E. (2004). Transcultural nursing : assessment & intervention (4th ed.). St. Louis, Mo.: Mosby.
Located at Hardin Library, Call number: RT86.54 .T73 2004

Kavanagh, K. H., & Knowlden, V. (2004). Many voices : toward caring culture in healthcare and healing. Madison, Wis.: University of Wisconsin Press.
Located at Hardin Library, Call number: RT86 .M25 2004

Leininger, M. M., & McFarland, M. R. (2006). Culture care diversity and universality : a worldwide nursing theory (2nd ed.). Sudbury, Mass.: Jones and Bartlett.
Located at Hardin Library, Call number: RT86.54 .C85 2006

Munoz, C. C., & Luckmann, J. (2005). Transcultural communication in nursing (2nd ed.). Clifton Park, NY: Thomson/Delmar Learning.
Located at Hardin Library, Call number: RT23 .L83 2005

 

Selected Videos

Armstrong, T., Silberg, B., Armstrong Moving Pictures., & CRM Learning (Firm). (2001). Patient diversity [videorecording] : beyond the vital signs. Carlsbad, CA: CRM Learning
Located at Hardin Library, Video record 20799 DVD

Cross-Cultural Healthcare Program. (1998). Can you hear me? [videorecording] : Somali culture. Seattle, WA: Cross-Cultural Health Care Program.
Located at Hardin Library, Video record 12228 VHS

Graham, E., & Cross-Cultural Healthcare Program. (1998). Can you hear me? [videorecording] : East African communities. Seattle, WA: Cross-Cultural Health Care Program.
Located at Hardin Library, Call number: Video record 12229 VHS

Miller, S., Primedia Workplace Learning., & Medical Audio Visual Communications. (2002). Cultural diversity considerations for care providers [videorecording]. Niagra Falls, NY: Medical Audio Visual Communications Inc.
Located at Hardin Library, Video record 13676 VHS

Rahman, H., & Cross-Cultural Healthcare Program. (1998). Can you hear me? [videoreocording] : Arab communities. Seattle, WA: Cross-Cultural Health Care Program.
Located at Hardin Library, Video record 12227 VHS

Sanchez, A., Hidalgo, R., & Cross-Cultural Healthcare Program. (1998). Can you hear me? [videorecording] : Hispanic/Latino communities. Seattle, WA: Cross-Cultural Health Care Program.
Located at Hardin Library, Video record 12226 VHS

Teklemariam, M., Felema, E., & Cross-Cultural Healthcare Program. 74002 Delivering the bad news. (1998). Can you hear me? [videorecording] : East African communities and mental health and delivering the bad news. Seattle, WA: Cross-Cultural Health Care Program.
Located at Hardin Library, Video record 12230 VHS

Tocher, T., & Cross-Cultural Healthcare Program. (1998). Can you hear me? [videorecording] : Russian communities. Seattle, WA]: Cross-Cultural Health Care Program.
Located at Hardin Library, Video record 12225 VHS

 

Assessment Tools

Tools and Processes for Self-Assessment: Self-Assessment: An Essential Element of Cultural Competence.The National Center for Cultural Competence (NCCC). 
Retrieved 8/1/06
Includes four cultural competence self assessment checklists that focus on personnel in early childhood, early intervention, primary health care, mental health, children and youth with special health care needs and Sudden Infant Death Syndrome (SIDS)/and infant mortality.

Indicators of Cultural Competence in Health Care Delivery Organizations: An Organizational Cultural Competence Assessment ProfileThe Health Resources and Services Administration, U.S. Department of Health and Human Services.
http://www.hrsa.gov/culturalcompetence/indicators/
Retrieved 8/04/2006
Provides a framework for assessing an organization’s cultural competence.

Cultural competence self-test:
http://www.aafp.org/fpm/20001000/58cult.html
Retrieved: 7/31/2006
Published as a CME in the October 2000 electronic journal of Family Practice Management, this article offers a cultural competence self test and a list of steps that a group can do to cultivate diversity. 

Quality and Culture Quiz  Provider’s Guide to Quality and Culture,
http://erc.msh.org/mainpage.cfm?file=3.0.htm&module=provider&language=English
Retrieved: 8/04/2006
The purpose of this ten minute quiz is “to stimulate your thinking about cultural competence and help you to reflect on your experience, knowledge, and attitudes regarding culturally diverse populations.” 

 

Curriculum Resources

Achieving Diversity in Dentistry and Medicine - Diversity Project
http://www.amsa.org/addm/index.cfm#cult
Retrieved on 8/04/2006
Includes Cultural Competence and Ethnogeriatrics curriculum guidelines from current pilot projects at medical schools and dental schools.