A guiding framework for delivering culturally competent services in case management

Culturally sensitive communication in healthcare: A concept analysis

“…The second attribute involves prioritising cultural considerations in the planning and provision of care. This prioritisation can be achieved by demonstrating respect for the culture of the patient and their family by asking culturally sensitive questions about the patient's and family's values, beliefs and practices; obtaining information about the patient's perceptions and beliefs associated with their presenting illness; and assessing the individual's psychological, physiological and sociocultural needs, secondary languages, non-verbal communication techniques, religion and food preferences (Campinha-Bacote & Munoz, 2001;Maier-Lorentz, 2008). Findings should then be communicated to other clinicians, verbally and in writing in the medical record, and incorporated into a plan to prioritise care (Maier-Lorentz, 2008).…”

“…The use of a professional interpreter, in person, is the preferred method for many health services, as it involves a trained professional directly participating in the conversation with the patient, family and clinician, helping to address language and cultural difficulties, and communication challenges (Matteliano & Street, 2012). The use of a professional interpreter is preferred over use of staff or family members, to ensure accurate, unbiased information is being communicated (Campinha-Bacote & Munoz, 2001;McCarthy, Cassidy, Graham, & Tuohy, 2013). Accurate interpretation is crucial to clinician-patient and clinician-family interactions, as it demonstrates respect for the other person's language and input, contributing to the development of a trusting therapeutic relationship (Eckhardt, Mott, & Andrew, 2006;McCarthy et al, 2013).…”

Helping medical learners recognise and manage unconscious bias toward certain patient groups

“…Many recognise that cultural competence is gained incrementally through developmental phases and plan cultural competence education accordingly 22,23 . Multiple developmental models for cultural competence exist and emphasise that the developmental process is multi‐phased, 24 continues beyond formal education, 25 and requires both cognitive and affective elements 26 . Regardless of the model, individuals may progress through these stages at different paces and certain stages may be more difficult than others.…”

Cultural competence in nursing: Foundation or fallacy?

“…C ulturally competent care has emerged as the mantra of contemporary nursing practice. [2][3][4][5][6][7] Clinical practice publications (eg, Nurse Week, Journal of Pediatric Nursing, and Caring) abound with formulas and instruction for health providers on how to become more culturally sensitive and celebrate diversity, preparing nurses for a practice world in which ethnic diversity is the norm. The Transcultural Nursing Society, whose mission is to enlighten nurses about cultural diversity and promote culturally competent care, now has been joined by other professional organizations, including the American Nurses Association 8 and the American Association of Colleges of Nursing, 9 along with a variety of clinical specialty organizations such as the Emergency Nurses Association.…”