10/10/2014VNA Care Network & Hospice Culturally Competent Care Communicating Across Cultural...
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Transcript of 10/10/2014VNA Care Network & Hospice Culturally Competent Care Communicating Across Cultural...
04/11/23 VNA Care Network & Hospice
Culturally Competent Care
Communicating Across Cultural Boundaries
Before we begin . . .
Culture is deeply personal.
Respect difference. Distinguish “generalizing”
from “stereotyping.”
And now . . .
We’re pleased to meet you!
04/11/23 VNA Care Network & Hospice
Who we are & why we’re here
Cathy RomeoCultural Competency Program, VNA Care Network & Hospice
Marilyn Gardner, RNClinical Liaison, Care Coordination Program, MDPH
Setting the Stage:
Evaluation Summary & Next Steps
October 8, 2010
Mount Auburn Hospital Diversity Committee Review of Barriers, Tools, Resources Evaluation summary through pictures Evaluation summary through words Next steps – what may work
04/11/23 VNA Care Network & Hospice
Barriers that impede cross-cultural interactions . . .
. . . why isn’t this easier?
Cultural Blindness Cultural Shock Cultural Conflict Cultural Imposition Ethnocentrism Racism & Discrimination
04/11/23 VNA Care Network & Hospice
Breaking Down the Barriers
(CLAS, US/HHS, IOM, MetroWest Foundation & Harvard School of Public Health Report, etc.)
Promote cultural self-awareness Train providers in cultural competency Improve cross-cultural communication Recruit diverse staff Identify client/community needs or gaps Listen to voices from the community ASK!
To build communication bridges, ASK!
Don’t assume . . .
“ASK!” Acknowledge what we don’t know. Seek the knowledge we need. Know the comfort of culture for everyone!
(Consult resources on cross-cultural communication & interviewing techniques.)
04/11/23 VNA Care Network & Hospice
Practical and Attainable Steps and Resources for Cultural Competency
Celebrate, value and share culture. Survey staff, identify key cultural
informants. Listen to ‘Community Voices’ (Diversity
Council); plan WITH, not for, the community.
Learn about cultural health practices. Seek to understand both the rationale and
the meaning behind the practices. ASK! Don’t assume. Identify cultural needs, such as visual and
translated pain scale. Cultural profiles, books and Internet sites.
Possible Next Steps
Beliefs & Barriers Panel (longer time needed) 3 person panel General and disease specific questions Generous time allotment for discussion
Organizational & Self Assessments Conducting a Cultural Competence Self-Assessment Andrulis, Dennis
et al. http://erc.msh.org/provider/andrulis.pdf National Center for Cultural Competence
Cultural Competence Health Practitioner Assessment
https://www4.georgetown.edu/uis/keybridge/keyform/form.cfm?formID=277
Questions or final thoughts?
Other Resources http://www.eperc.mcw.edu Gordon & Bidar-Sielaff. “Cultural Aspects of Pain
Management.” Fast Facts, July 2006. End of Life/Palliative Education Resource Center.
Cultural Competence in Cancer Care: A Health Professional’s Passport. 2006: Baylor College of Medicine.
http://nurseweb.ucsf.edu/public/npress/ord-culture.htm Culture and Clinical Care. Winner of a Book of the Year Award from the American Journal of Nursing.
http://www.socialworkers.org/practice/standards/NASWCulturalStandards.pdf http://www.youtube.com/user/TAHITOnline#p/a/u/0/UBLuaoGXOBg PSA, Texas
Association of Healthcare Interpreters and Translators.
Cathy Romeo, Cultural Competency ProgramVNA Care Network & Hospice(888) 663-3688, Ext. 4528; [email protected]
Marilyn Gardner, Care Coordination ProgramMA Department of Public Health(617) 624-5408; [email protected]
