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Culturally Competent Care

Culturally Competent Care. Communicating Across Cultural Boundaries. 11/18/2014. VNA Care Network & Hospice. Before we begin. Culture is deeply personal.  Respect difference.  Distinguish “generalizing” from “stereotyping.” And now . . . We’re pleased to meet you!.

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Culturally Competent Care

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  1. Culturally Competent Care Communicating Across Cultural Boundaries 11/18/2014 VNA Care Network & Hospice

  2. Before we begin . . . Culture is deeply personal.  Respect difference.  Distinguish “generalizing” from “stereotyping.” And now . . . We’re pleased to meet you!

  3. Setting the Stage: 11/18/2014 VNA Care Network & Hospice • Who we are & why we’re here Cathy Romeo Cultural Competency Program, VNA Care Network & Hospice Marilyn Gardner, RN Clinical Liaison, Care Coordination Program, MDPH

  4. 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

  5. . . . why isn’t this easier? Cultural Blindness Cultural Shock Cultural Conflict Cultural Imposition Ethnocentrism Racism & Discrimination Barriers that impede cross-cultural interactions . . . 11/18/2014 VNA Care Network & Hospice

  6. 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! 11/18/2014 VNA Care Network & Hospice

  7. 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.)

  8. Practical and Attainable Steps and Resources for Cultural Competency Celebrate, value and shareculture. 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. 11/18/2014 VNA Care Network & Hospice

  9. 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

  10. Questions or final thoughts?

  11. 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; cromeo@vnacarenetwork.org • Marilyn Gardner, Care Coordination Program MA Department of Public Health (617) 624-5408; marilyn.gardner@state.ma.us

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