Cultural Competence & Cultural Humility

Competence

• Assumes gaining knowledge, learning curve
• New ideas, values, attitudes, approaches
• Proficiency, adequacy, expertise

Cultural Competency
is the portrayal of behavior, attitude, beliefs and the creation of systems that practice effective work in multicultural situations.

Is there a need for culturally competent

History that led to cc

• Racial Segregation
• Unethical medical research and practices
• Women sterilization

Response?

• AB1195: continued medical education courses to include curriculum in cultural and linguistic competency in all coursework that includes direct patient care (2005)

response...

• AB 800-Requires all medical facilities, including, but not limited to hospitals, clinics, and physician and surgeon's offices, to include a patient's language preference on the patient's health records (2005)

What role do we play in providing justice?

further bills

• Hill Burton Act
• Medicaid
• Medicare
• Emergency Medical Treatment and Active Labor

Point of CC

• Cultural competency includes regulations and practices used to increase the quality of interactions, thereby producing better outcomes.

Can we really be cultural masters?

Cultural Competence = policy based, mandated, regulated

Cultural Humility: Commitment to the process of life long self evaluation that checks the power imbalances that exist in the dynamics of communication

Cultural Humility Values

• Introspection
• Appreciation/Acceptance
• Openness
• Co-Learning/Respect

Introspection Limitation?

Limits of introspection

• Positive Cognitive Biases
• Impenetrable Unconscious
• Uncorrectable biases

How do we merge cultural competence

What is our general knowledge of the different types of cultural influences?

Cultural Influencers

• Sense of self and space
• Communication/Language
• Dress/Appearance
• Food and eating habits

cultural influencers

• Relationships
• Values/Norms
• Beliefs/Attitudes
• Mental Processes/Learning