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Describe and explain the cultural overview of your selected group (i.e. orientation to time and space)
2. What are the keys to a good professional relationship with the selected group?
3. Explain how medical decisions are made in the cultural group selected.
4. Make suggestions for determining individual etiquette, beliefs and practices when treating a patient from the selected cultural group.
5. What are some of the specific health problems and concerns common to the selected cultural group?
6. What are the Folk or Spiritual beliefs common to the culture?
7. What are (if any) religious thoughts that affect health beliefs and practices?
8. Write a separate DO’s and DON’Ts list when working with this cultural group (bullets)
Cultural Religious Competence In Clinical Practice
Continuing Education Activity
The diversity of religion within our world’s population brings challenges for health care providers and systems to deliver culturally competent medical care. Cultural competence is the ability of health providers and organizations to deliver health care services that meet the cultural, social, and religious needs of patients and their families. Culturally competent care can improve patient quality and care outcomes. Strategies to move health professionals and systems towards these goals include providing cultural competence training and developing policies and procedures that decrease barriers to providing culturally competent patient care. This activity highlights the importance of cultural competence in clinical medicine and its consequences.
Objectives:
Identify the consequences of deficiencies in culture in healthcare.
Outline culturally competent healthcare.
Summarize cultural issues of concern in healthcare.
Identify interprofessional team strategies for improving care coordination and communication to advance cultural competency and improve outcomes.
Introduction
The diversity of religions around the world creates challenges for health care providers and systems to provide culturally competent medical care. Cultural competence is the ability of health providers and organizations to deliver health care services that meet the cultural, social, and religious needs of patients and their families. Culturally competent care can improve patient quality and care outcomes. Strategies to move health professionals and systems towards these goals include providing cultural competence training and developing policies and procedures that decrease barriers to providing culturally competent patient care.[1][2][3][4]
Consequences of Cultural Competence Deficiencies
If providers and health care systems are not working together to provide culturally competent care, patients may have untoward health consequences, receive poor quality care, and be dissatisfied with the care they receive. The quality of patient-health professional interactions is decreased. Lower-quality patient-health professional interactions are associated with decreased satisfaction in the healthcare provider. In fact, African Americans, Asian Americans, Latinos, and Muslims report that the quality of their care was diminished because of their ethnicity or race.[5][6][7][8]
Why should providers and systems be culturally and spiritually sensitive? The Joint Commission (TJC) requires hospitals to be accountable for maintaining patient rights, including accommodation for cultural, religious, and spiritual values. Healthcare professionals and systems must care for patients as whole persons; this includes the body, mind, and spirit.
It is important for healthcare to include the cultural and spiritual needs of the patient. Healthcare professionals should be empowered with the knowledge and skills to respond to the needs of patients and their families at an intensely stressful time. Institutions that seek or maintain TJC accreditation need to demonstrate expertise in cultural and religious competence.
Health systems and healthcare providers are developing strategies and techniques to respond to the religious and spiritual needs of patients and families for a number of reasons. One reason is that, in addition to TJC, state and federal guidelines encourage institutional responsiveness to population diversity. These strategies are essential to meeting the federal government’s Healthy People goal of eliminating ethnic and racial health disparities.[9][10][11][12]
Culturally Competent Medical Care
Patient’s beliefs, behaviors, and values are shaped by factors such as ethnicity, gender, language, mental ability, nationality, occupation, race, religion, sexual orientation, and socioeconomic status. Cultural competence is the provider and systems able to understand and integrate cultural intelligence into the delivery of healthcare. The goal of providing culturally competent health care services is to provide consistent quality of care to every patient, regardless of their cultural, ethnic, racial, or religious background.
Strategies for improving cultural competence in individuals and systems include:
Encouraging family to participate in healthcare decision making.
Incorporating culture-specific values into health promotion
Providing cultural awareness training
Providing an environment that allows traditional healers
Providing interpreter services
Recruiting minority staff
When individuals and systems are able to provide a positive environment of cultural competence that meets the religious and spiritual needs of those who are cared for, the outcome for patients improves, and the healthcare system as a whole becomes a more positive environment.
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