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May 3, 2024 · Cultural competency is a vital skill for delivering quality nursing care across culturally diverse groups. Our guide offers tips from nursing professionals on incorporating it into nursing culture and practice.
Mar 1, 2021 · Cultural competence in health care means delivering effective, quality care to patients who have diverse beliefs, attitudes, values, and backgrounds. This practice requires systems that can personalize health care according to cultural and linguistic differences.
Cultural competence in nursing is the ability of nurses to provide nursing care to patients while demonstrating cultural awareness toward the patient and their loved ones. How is Cultural Competence Different From Cultural Humility?
Culturally competent care respects diversity as well as the cultural factors that can affect health and health care, such as language, communication styles, beliefs, attitudes, and behaviors.1 The Office of Minority Health, Department of Health and Human Services, has established national standards for culturally and linguistically appropriate ...
- Overview
- What is cultural competency?
- Cultural competency vs. cultural humility
- How aware are doctors of cultural barriers?
- Generational differences
- Cultural competency hurdles
- Improving physician cultural competency
What is cultural competency, and how does it fit in with healthcare? A recent survey among physicians in the United States shows that cultural competency is a key issue both for healthcare practitioners and their patients, so what are the obstacles to efficient cross-cultural communication in a healthcare setting?
Since the time of the Ancient Greeks, medical professionals have sworn the Hippocratic Oath, through which they commit to providing their patients with the best care possible. This includes patients of all different ethnic groups, religions, sexual orientations, and cultures.
But not all people feel the medical community understands their unique needs. For example, a study from Stanford University found that Black men were more likely to talk about their health concerns with a Black doctor. Another study found that Hispanic people in the United States delay going to the doctor because they do not understand the healthcare system.
And not all doctors may believe they are capable of serving patients of all backgrounds. Past research shows that doctors from minority backgrounds, as well as female doctors, are more likely to serve minority, financially precarious, and Medicaid-eligible populations.
Furthermore, a study from 2015 found that physicians and medical students felt underprepared when seeing patients who identified as lesbian, gay, bisexual, transgender, or queer. These are some of the reasons why cultural competency plays a large role in patient care.
A new survey conducted by Healthgrades — an online resource offering comprehensive information about physicians and hospitals — found that 31% of responding physicians agreed that their level of cultural competency affected their ability to provide the best possible care for their patients either somewhat or a lot.
Cultural competency is the ability to understand and respect the beliefs, values, and histories of individuals of all cultural backgrounds.
“For medical professionals, cultural competency is essential in providing effective quality care to patients of diverse backgrounds, particularly people from historically marginalized communities,” said Dr. Luz Maria Garcini, assistant professor in the Department of Psychological Sciences at Rice University, faculty scholar for the Center of the United States and Mexico, Baker Institute for Public Policy, and affiliate faculty at the Center for Research to Advance Community Health at UT Health San Antonio.
“Cultural competence improves interpersonal interactions, helps to build trust, conveys respect, reduces biases that may lead to inaccurate diagnoses and treatments, and increases the chances that patients may be more compliant with the medical recommendations given,” she told Medical News Today.
Dr. Arlette Herry, assistant dean of multicultural affairs at St. George’s University, agreed that cultural competence is of paramount importance in the healthcare system.
“Cultural competence, in combination with cultural humility, is a powerful tool in addressing these disparities that people from diverse backgrounds experience, whether that diversity is culture, race, sexual orientation, socioeconomic status, religion, gender, disability — invisible or visible — to name a few,” Dr. Herry added.
Additionally, Dr. Herry pointed out that cultural humility acknowledges the historical realities — such as the Tuskegee study and the Stanford Prison experiment — that have given rise to a lack of trust in the healthcare system among vulnerable populations.
In the Healthgrades survey, 831 United States doctors were asked if a person’s personal identity traits — including language, race, gender, sexual orientation, and religion — had ever stopped them from providing the best possible care to them.
More than half — 54% — of responding physicians said none of these had affected their ability to provide care. Of the individual traits, language was the largest reason at 31%.
Healthgrades reportedly conducted a separate survey with the public at large. When asked if any of their personal identity traits prevented them from receiving proper care from their doctor, 10% of the participants who identified as people of color stated “yes.”
When doctors were asked to rate their readiness to care for people of different cultural or racial backgrounds, 87% rated themselves as “excellent” or “very good.”
However, only 68% of individuals who identified as people of color rated their doctor’s rate of readiness care as either “excellent” or “very good” in the parallel survey.
A combined 31% of responding doctors agreed their level of cultural competency impacts their ability to provide medical treatment either “a lot” or “somewhat.”
Responses to this question also showed a generational difference as younger doctors — in practice for less than 10 years — made up more of that 31% than older doctors who have been in practice for over 20 years.
And when asked if additional training would help a doctor improve the care they provide to people with different cultural backgrounds, a generational difference emerged yet again.
A combined 55% of younger doctors in practice for 10 years or less said more training would help them care for people from different cultural and racial backgrounds, and people of a different gender or sexual orientation.
And 63% of doctors in practice for 20 or more years said they did not need any additional training.
According to Dr. Herry, the process to ensure healthcare workers are sufficiently culturally literate when treating patients of different cultural backgrounds has begun, but we are not there yet.
For example, she said medical schools have incorporated cultural competency in their curricula, and medical professionals have training options through organizations and platforms like LinkedIn Learning and the U.S. Department of Health and Human Services, Office of Minority Health’s “A Physician’s Practical Guide to Culturally Competent Care.”
“But we are not there yet because cultural competence is a dynamic, life-long process,” Dr. Herry noted.
“Dimensions of diversity are fluid so to provide equitable and inclusive care means that healthcare workers, organizations, and health systems have to continuously explore relevant content.”
– Dr. Arlette Herry
And Dr. Garcini added that the shortage of providers from historically marginalized backgrounds makes it particularly challenging for patients who want to see providers that understand their background, life experiences, and culture.
What can medical schools do to help ensure new doctors are entering the medical field with cultural competence?
Dr. Herry said creating culturally competent and humble medical care workers starts from the recruitment process.
“Universities and medical schools should create mechanisms to hire diverse faculty and recruit a diverse student body,” she detailed. “Students should ‘see’ themselves reflected in their faculty. These practices foster a sense of [belonging] and allow for learning and sharing ideas in a safe, inclusive space.”
“Curricular strategies for cultural competency training must move beyond the lecture modality,” Dr. Herry continued. “The use of small group discussions and simulated patients where the nuances of diverse identities, such as disabilities, rurality, spirituality and end of life, gender and sexual minorities, and age, can be explored is a powerful learning and teaching tool.”
And for both new and current doctors, Dr. Garcini said the best way to build cultural competence is through exposure to diverse environments and communities.
“This is why systemic change to diversify our organizations and institutions is key,” she explained. “We need to learn, listen, and consult with each other [in] our everyday lives.”
This principle highlights the importance of learning and understanding cultural context and how an increased awareness of, for example, disabilities, sexual identity and anti-Indigenous and anti-Black racism, can influence client care.
Oct 23, 2024 · Cultural Competency in Health Care Can Save Lives. Medical professionals who connect with their patients’ language and culture provide better care. Rod McCullom is a science writer whose work ...
