Moral reasoning as a catalyst for cultural competence and culturally responsive care

Markey, Kathleen

doi:10.1111/nup.12337

Cited by 10 publications

(9 citation statements)

References 52 publications

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“…Hal minimal yang perlu dipertimbangkan yaitu gagasan identitas moral yang digunakan sebagai tujuan tindakan moral sehingga individu akan mampu bertindak secara moral untuk menegakkan identitas moral mereka (Krettenauer, 2020). Sebagai sarana alternatif untuk mendorong motivasi moral, pelayan publik dituntut harus kritis untuk menanamkan nilai-nilai profesional ke dalam praktik sehari-hari (Markey, 2021).…”

Section: Identifikasi Aspek-aspek Perilaku Etis/tidak Etis Berdasarka...unclassified

Satu Dekade Gratifikasi Di Indonesia (2010-2019)

Marliana

Marini

2022

JIPAGS UNTIRTA

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The echo of 'Bureaucracy Reform' in Indonesia, has been sounded since 2010. The implementation of a clean and serving government is the main concept in Indonesia's 'Bureaucracy Reform'. Clean here, of course, is meant to be clean from Corruption, Collusion and Nepotism, where one of the branches of this KKN action is 'Gratification'. Triggered by gratification which is associated as unethical behavior in the administration of government and/or public services, we want to get an idea of how the struggle for 'Bureaucratic Reform' compares to acts of gratification during the decade after it was proclaimed. By using James Rest's 'Four-component Analysis Model' method (1986), we hope to be able to identify the aspects that influence the emergence of ethical behavior in the administration of the state and/or public services. Based on the results of observations of the CPI Score data, Indonesia has not yet succeeded in breaking through the top 80 in terms of taking action against corruption, and until 2019 there have been prosecutions for 119 cases of bribery. In order to prevent state administration and/or public services from receiving gratification, civil servants and state administrators must cognitively consider moral awareness, moral judgment and moral motivation in the form of 'intentions' and then decide to take actions that are classified as ethical behavior or moral behavior. A. PENDAHULUANSejak ditetapkannya grand design 'Reformasi Birokrasi' melalui Perpres 81 Tahun 2010, dapat dipastikan sebagian besar komponen lembaga pemerintah berduyun-duyun melakukan pembenahan dalam berbagai bidang sebagai bentuk dukungan atas tujuan menciptakan birokrasi pemerintah yang profesional dengan karakteristik adaptif, berintegritas, berkinerja tinggi, bersih dan bebas KKN, mampu melayani publik, netral, sejahtera, berdedikasi, dan memegang teguh nilai-nilai dasar dan kode etik aparatur negara. Namun sangat disayangkan, negara justru cukup banyak mengalami banyak kasus gratifikasi yang masuk kategori tuntutan Tindak Pidana Korupsi (TPK) oleh Komisi Pemberantasan Korupsi. Dua contoh dari sekian banyak kasus penerimaan hadiah atau janji yaitu kasus gratifikasi terkait dengan kegiatan yang dilakukan oleh Satuan Kerja Khusus Pelaksanaan

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Section: Identifikasi Aspek-aspek Perilaku Etis/tidak Etis Berdasarka...unclassified

Satu Dekade Gratifikasi Di Indonesia (2010-2019)

Marliana

Marini

2022

JIPAGS UNTIRTA

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“…Reviewing 'taken for granted' assumptions and practices, whilst remaining open to differing realities, experiences and perspectives within the intercultural team, is critical. The importance of examining intercultural encounters through a moral reasoning lens (Markey, 2021) and capitalizing on moral emotions (Cook & Brunton, 2017) can support effective collaboration in culturally diverse teams. This requires providing dedicated time for staff to reflect, review and discuss 'right' and 'wrong' actions and omissions during intercultural working experiences.…”

Section: Nurturing Interpersonal Cultural Humility Developmentmentioning

confidence: 99%

Fostering an ethos of cultural humility development in nurturing inclusiveness and effective intercultural team working

Markey

Prosen

Martin

et al. 2021

J Nursing Management

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Aim: To discuss the importance of fostering an ethos of cultural humility development in cultivating inclusiveness and effective intercultural team working.Background: Widening cultural and ethnic diversity of the health care workforce enriches the working environment and encourages a broader perspective on health care services and delivery. However, the intricacies of learning to work effectively within intercultural health care teams and adapting to new ways of working are often under estimated and thus overlooked.Evaluation: In adopting a framework for cultural humility development (Hughees et al., 2020(Hughees et al., , 10.1016(Hughees et al., /j.profnurs.2019, this paper proposes some practical suggestions for nurturing intrapersonal, interpersonal and system level cultural humility simultaneously.

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“…Self‐awareness and cultural awareness in acknowledging and addressing implicit biases and prejudices (Kaihlanen et al, 2019; Markey, 2021)…”

Section: Introductionmentioning

confidence: 99%

“…Unsurprisingly, there is an ongoing problem with translating evidence into practice to improve standards of care for CaLD populations. The purpose of this paper, therefore, Markey, 2021) is to re-frame culturally responsive care delivery as a complex intervention and to advocate for whole system implementation approaches that give greater attention to the complexities inherent to providing care for CaLD populations. A further aim is to show how participatory implementation strategies can be harnessed to investigate and support its implementation at both individual and organizational levels.…”

Section: Introductionmentioning

confidence: 99%

Time to re‐envisage culturally responsive care: Intersection of participatory health research and implementation science

Markey,

Macfarlane,

Manning

2023

Journal of Advanced Nursing

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AimIn the context of widening societal diversity, culturally and linguistically diverse patients continue to experience inequities in healthcare access and deficiencies in standards of nursing care. Re‐framing culturally responsive care as a complex intervention spanning multiple interacting factors at micro, meso and macro levels is an essential prerequisite for addressing knowledge translation gaps into everyday nursing practice. To this end, this paper proposes and explicates the potential of applying synergistic participatory implementation methodologies for developing effective implementation strategies with impact at individual and wider structural levels.DesignDiscussion Paper.Data SourcesA co‐design case study is presented as an example of combining normalization process theory and participatory learning and action to investigate and support the implementation of culturally responsive care in general practice nursing.Implications for NursingEnacting culturally responsive health care is inherently complex in that it is influenced by multiple interacting factors. Viewing culturally responsive care as a complex intervention and incorporating a synergistic participatory implementation science approach offers possibilities for addressing the documented shortcomings in the implementation of culturally responsive nursing care.ConclusionThere is a need to move away from conventional approaches to conceptualizing and generating evidence on culturally responsive care. Incorporating participatory implementation methodologies can provide a new lens to investigate and support whole system implementation strategies.ImpactThe combination of participatory and implementation methodologies is both theoretically and empirically informed. Engaging stakeholders in the co‐design and co‐production of evidence and solutions to long standing problems has the potential to increase the likelihood of influencing iterative and sustainable implementation and changes to clinical practice and systems.Patient or Public ContributionThis work is part of a wider programme of participatory health research on migrant health, partnering with a non‐governmental organization that supports migrants.

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Moral reasoning as a catalyst for cultural competence and culturally responsive care

Cited by 10 publications

References 52 publications

Satu Dekade Gratifikasi Di Indonesia (2010-2019)

Satu Dekade Gratifikasi Di Indonesia (2010-2019)

Fostering an ethos of cultural humility development in nurturing inclusiveness and effective intercultural team working

Time to re‐envisage culturally responsive care: Intersection of participatory health research and implementation science

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