Transcultural Care

1. Transcultural Care Jean M. Gunderson, PHN, MA Minority Outreach Specialist The Office of Diversity Center for Patient Oriented Research

2. Objectives 1) To describe the Act of Intention integrating the Four Ways of Knowing defined by Chinn, Watson, and Kramer 2) To explore the transcultural context within acts of caring and healing through a cultural story 3) To provide skills training in working with interpreters, translators, and the art of cultural brokerage 4) To explore the potential added value and richness qualitative tools can add to care and research outcomes 5) To improve cultural sensitivity and competency in healthcare teams by acknowledging how our cultural perceptions influence health, healing, and communication outcomes

3. The Act of Intention(Reflecting on the writings of Jean Watson)

4. Integrated Knowledge Development

5. Dimensions of Care Transcultural Community Health Nursing Principles of Social Justice Outcomes Practice in the Margins Qualitative Research Design

6. Olmsted County Demographic Slice

7. Strategic Vision “Creating and maintaining multicultural research teams, culturally responsive recruitment tools, research designs, and outreach strategies will enable the ODCR to increase minority participation into Mayo clinical research studies.”

8. Our Services Consultative Services Protocol design Identification of target minority populations Development of minority recruitment strategies Cultural context

9. Our Services Education & Training Seminars about health disparity issues and the need for inclusion of minorities and multicultural teams in research Training sessions on minority recruitment, retention, and cultural competence

10. Our Services Community Outreach Relationships at the grassroots level Current outreach with GCRC partners Latino South East Asian (East Indian, Cambodian) African American, Native American Liaison between multicultural research teams and minority communities

11. Building Community Partnerships Churches, Public Health, Universities, High Schools, Temples, Community Based ServicesChurches, Public Health, Universities, High Schools, Temples, Community Based Services

12. Chue: His Story

13. The Cultural Meaning and Expression of Care Clan/elders Hot/cold food Strings around the wrists Herbal therapies Father/mother/grandmother Reincarnation Definitions of active treatment, symptomatology, consent, “passive and active behaviors,” life and death frequently conflict with western medical practices BodyMind

14. In relationship, we are both carried, and perhaps, wrestled with How can one measure or quantify the effectiveness of a touch or word, which instills solace, comfort, faith or energy? How does one describe the quantum realities: the shaman’s journey, the touch of the healer across generations, which cannot be duplicated, counted, measured, or placed within boundaries? I can sense the grief surrounding loss, the opening of the heart center, and the recognition I have become transformed. My bodymind continues to teach me about my connection to the heart and heavens, as the art of my hands and spirit within practice.

16. Transcultural Transformation Learning to see another Discovering a common humanity Learning how to see health Mindfulness about culture, skill, & cultural desire Encounter Skills of negotiation, cultural brokering and the development of transcultural worldviews within multicultural relationships

17. What We Are Learning Community context is key in addressing health conditions and outcomes Relationship building must come before recruitment Ongoing institutional presence in community Cultural guides & community elders are links to the community’s trust and care Access to care #1 barrier across cultures Health promotion activities are essential