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Unformatted text preview: GCH 421 GCH Gaining Cultural Competence in Gaining Community Nutrition Community Chapter 16 Today Comments on web assignments? What did you learn? Comments How might this assignment help concerning developing a community nutrition program? community Talk about volunteering for a community nutrition Talk project. Please come up with a couple of ideas by next week. (Field activity #2, due by April 21st). week. Go over chapter 16: “Cultural competence in community Go nutrition” nutrition” Work on outlines and turn in a draft next week for Health Work Fair. Fair. Work on plan of action regarding project #1, Work Cost/Nutrient analysis, and prepare to discuss with class next week. next Why do we choose the foods we do? Ethnic Heritage or Tradition Cultural Competence Refers to gaining attitudes, skills, and levels Refers of awareness so as to provide culturally appropriate, respectful, and relevant interventions. interventions. Cultural Terminology Culture – Shared history and is defined as “The Culture thoughts, communication, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or societal groups.” religious, Our culture is developed through life experiences Our and education and it directly and indirectly reflects how we view the world. how Cultural values – “Principles or standards that Cultural members of a cultural group share in common” members Diversity – Refers to differences among groups of Diversity people. people. Cross-cultural – Denotes interaction between or Cross-cultural among individuals who represent different cultures. cultures. Cultural Terminology Cont’d
Ethnocentric – Thinking that your own Ethnocentric cultural beliefs are best. cultural Multicultural – Refers to situations when Multicultural there are several cultural groups represented. represented. Need for cultural competence
Demographic diversity and projected Demographic population shifts. population Increased utilization of traditional therapies. Disparities in the health status of various Disparities racial and ethnic groups. racial Under-representation of health care Under-representation providers from culturally and linguistically diverse groups. diverse Legislative, regulatory, and accreditation Legislative, mandates. mandates. Demographics – Population Trends Since the 1970’s the US has moved to become Since more multicultural. more Hispanics, Asians, and Pacific Islanders have Hispanics, increased more rapidly than the rest of the US. increased Hispanics will account for 15.7% of the Hispanics population by 2008. population Immigration has increased. However, there is very little diversity in the However, healthcare workforce. healthcare Traditional Therapies Developing an understanding and Developing appreciating alternative health practices can help you develop more meaningful interventions. interventions. Health Disparities Occurs when a segment of the population bears a Occurs disproportionate incidence of a health condition or illness illness Minorities: Designated by the 2000 US census as Minorities: American Indians and Alaskan Natives, Asian Americans, Native Hawaiians, Other Pacific Islanders, Blacks or African Americans, and Hispanics or Latinos. The 2010 census will be taken this year Health Disparities Socioeconomic Status Lack of insurance (Minorities account for 40% of Lack the uninsured, but 25% of the population) the Culture (perhaps greater emphasis on God?) Access to and utilization of quality health care Access services. (minority populations are less likely to receive routine medical care) receive Discrimination/racism/stereotyping – Being Discrimination/racism/stereotyping treated in such a manner can cause more psychological stress psychological Environment – Minorities are more likely to live Environment in polluted environments in Under-representation of Ethnically Diverse Health care professionals
“Ideally the health care workforce should Ideally be as diverse as the population it serves.” be Very big gap concerning Spanish speaking Very providers. providers. Cultural Competency Model for Health Care Professionals Describes cultural competence as a process Describes process rather than an end result. rather Cultural awareness – Becomes appreciative of Cultural the influence of culture on the development of values, beliefs. values, Cultural knowledge – Develop a sound Cultural educational foundation concerning various worldviews to understand behaviors including food practices, health customs, and attitudes toward seeking help from health care workers. toward Cultural Competency Model for Health Care Professionals Cultural skill – Learn to perform culturally Cultural sensitive assessments and interventions. sensitive Cultural encounters – Providers seek and engage Cultural in cross-cultural encounters. in Cultural desire – To appear genuine and to be Cultural effective cross-culturally, the health care provider must have a true inner feeling of wanting to engage in the process of becoming culturally competent. competent. Development of Cultural SelfAwareness It is important to be aware of your own beliefs, It values, and attitudes and understand that they are biased. biased. This can be difficult because our views are often This part of our essence and feel so natural. part Worldview – the way individuals or groups view Worldview the universe to form values about their lives and the world. the Value – “Any belief or quality that is important, Value desirable, or prized” desirable, Examples of diverse values and behaviors
Family is defined differently by different cultures Individuals from culturally diverse backgrounds Individuals may desire varying degrees of acculturation may Male-female roles may vary significantly among Male-female cultures cultures Age and life-cycle factors must be considered in Age interactions with individuals and families interactions Examples of diverse values and behaviors
Meaning or value of medical treatment, health Meaning education, and wellness may vary among cultures education, Religion and other beliefs may influence how Religion individuals and families respond to illnesses, disease, and death disease, Folk and religious beliefs may influence a family’s Folk reaction and approach to a child born with a disability or later diagnosed with a disability or special health care needs special Customs and beliefs about food, its value, Customs preparation, and use are different from culture to culture culture Advantages of Cultural Competency Provides a vehicle for development of attitudes Provides congruent with cultural competency. congruent Helps us to avoid stereotypes and biases as we Helps learn to appreciate the strength of various cultures. learn Provides the tools needed to develop culturally Provides effective and relevant programs. effective Keep in mind you might feel uncomfortable about Keep learning new things about other cultures…. learning Make no assumptions! Strategies for learning about unfamiliar cultures Explore the media Arrange cultural encounters Set up focus groups Seek information from cultural experts Visit culturally diverse communities Check out websites Attend classes Take a language Travel Cross-cultural communication Don’t stereotype. Be considerate and recognize that many view Be Americans as too loud and too direct. Americans Let people establish a comfortable space. Always be courteous. Try to speak the language if different. Take a look at Tables 16-8, 16-9, 16-10, p539 For Take some generalizations about various cultural groups and their dietary practices. and Introduce to yourself to a classmate who Introduce appears to be culturally different than you are (country, religion, region of the country, etc.) Exchange information about dietary customs and food preferences. customs LEARN
Listen with sympathy and understanding to isten a client’s perception of a problem client’s Explain your perception of the problem Acknowledge and discuss differences and cknowledge similarities similarities Recommend treatment that is relevant, ecommend concise, and practical concise, Negotiate agreement Get into pairs (may be the same as you are now) One person take the role of client, other the One nutritionist nutritionist Explain your problem Nutritionist “feed back” problem to make sure it Nutritionist was communicated was Discuss ways to solve problem given cultural Discuss diversity and sensitivity diversity Recommend treatment Negotiate agreement Hand in outline of your interaction ...
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- Spring '08