The Concept Of Cultural Humility

Murray-García, Jann; Tervalon, Melanie

doi:10.1377/hlthaff.2014.0564

Cited by 18 publications

(13 citation statements)

References 2 publications

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“…The concept of cultural humility emerged in the late 1990s in the medical field (Tervalon & Murray-Garcia, 1998), and is promoted as the contemporary conceptualization of culturally sensitive healthcare (Foronda et al, 2016; Kools et al., 2015). Interestingly, before cultural humility has established itself in cross-cultural discourse, it is already embroiled in a controversy over who coined the term (see Dong & Chang, 2014a, 2014b; Murray-Garcia & Tervalon, 2014). Like cultural competence, cultural humility originated in America, and both concepts seem more prominent in American social work than elsewhere.…”

Section: Cultural Humility: Conceptual Backstorymentioning

confidence: 99%

Cultural competence and cultural humility: A critical reflection on key cultural diversity concepts

Danso

2016

Journal of Social Work

209

148

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Cultural competence has commanded respectable attention since its introduction in cross-cultural discourse. Cultural competence has been presented as a framework capable of promoting culturally sensitive practice and for training crosscultural workers. However, a smorgasbord of definitions and conceptualizations has generated intense controversy around the construct, with many questioning its relevance or ability to address structural problems. Disenchantment has led to calls to jettison and replace cultural competence with cultural humility. This paper presents a critical reflection on cultural competence and cultural humility, including critiquing the critiques of cultural competence. Findings: A critically reflective analysis suggests that semantic appeal does not necessarily give cultural humility a utilitarian edge over the construct it seeks to supplant. Cultural humility appears not to add more value to social work practice than cultural competence. From a social work perspective, cultural humility is essentially a repackaging of anti-oppressive practice; the fundamental ideas underpinning cultural humility have previously been developed and are foundational principles of anti-oppressive social work practice and education. Critical analysis also reveals that many of the critiques of cultural competence lack analytical rigour. Applications: Deep-level theoretical analyses can lead to innovative perspectives that allow for critical re-examination of extant methodological approaches and promote culturally empowering social work practices in our super-diverse, postmodern world. Rather than dismissing long-standing, potentially effective theoretical and practice tools with happy abandon, adapting them in light of current developments would help move social work to a new, enlightened level of relevance in working with diversity and difference.

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Section: Cultural Humility: Conceptual Backstorymentioning

confidence: 99%

Cultural competence and cultural humility: A critical reflection on key cultural diversity concepts

Danso

2016

Journal of Social Work

209

148

View full text Add to dashboard Cite

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“…This fits a growing body of international research on the neurobiology of trauma‐sensitive care and the role of creative practices for trauma recovery . Australian and international guidelines on trauma‐informed service delivery identify these key principles: safety (physical and emotional), trustworthiness, choice, collaboration and empowerment and cultural humility . Trauma researcher Judith Herman conceived of three treatment phases for trauma recovery: safety, remembrance and mourning, reconnection .…”

Section: Discussionmentioning

confidence: 99%

Artspace: Enabling young women’s recovery through visual arts: A qualitative study

Brooks

Hooker

Barclay

2020

Health Prom J of Aust

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“…[24][25][26] While developing this competence is seen as a step in the right direction, critical perspectives indicate that cultural competence misinterprets culture as stagnant and homogenous; increasing cultural competency may be an elusive goal, as one can never be truly competent in understanding or interacting with another's culture. [27][28][29][30] In addition, this concept is devoid of considering the context and shifting power dynamics in the therapeutic relationship. [27][28][29][30] Cultural humility, which emerged around 1998, is a more recent concept than cultural competence.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…The concept of ‘cultural competence’ has been used for over 50 years within healthcare and is defined as ‘a set of congruent behaviours, attitudes and policies that come together in a system, agency or among professionals and enable that system, agency or those professionals to work effectively in cross-cultural situations’ 24–26. While developing this competence is seen as a step in the right direction, critical perspectives indicate that cultural competence misinterprets culture as stagnant and homogenous; increasing cultural competency may be an elusive goal, as one can never be truly competent in understanding or interacting with another’s culture 27–30. In addition, this concept is devoid of considering the context and shifting power dynamics in the therapeutic relationship 27–30…”

Section: Introductionmentioning

confidence: 99%

“…The prior literature has highlighted the need for healthcare providers to learn about and practice cultural humility,20 21 27–30 32 33 50 but to our knowledge few have applied this concept directly to OT practice (eg, 33 51–53). For instance, Foronda et al 32 conceptually analysed cultural humility, yielding a general understanding of the concept in healthcare,32 and Mosher et al 50 performed a ‘brief review’ of the empirical literature to create a framework that guides the application of cultural humility in psychotherapy 50.…”

Section: Introductionmentioning

confidence: 99%

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Applying ‘cultural humility’ to occupational therapy practice: a scoping review protocol

et al. 2022

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IntroductionCultural humility is becoming increasingly important in healthcare delivery. Recognition of power imbalances between clients and healthcare providers is critical to enhancing cross-cultural interactions in healthcare delivery. While cultural humility has been broadly examined in healthcare, knowledge gaps exist regarding its application in occupational therapy (OT) practice. This scoping review protocol aims to: (1) describe the extent and nature of the published health literature on cultural humility, including concepts, descriptions and definitions and practice recommendations, (2) map the findings from objective one to OT practice using the Canadian Practice Process Framework (CPPF), and (3) conduct a consultation exercise to confirm the CPPF mapping and generate recommendations for the practice of cultural humility in OT.Methods and analysisWe will search Ovid Medline, Ovid Embase, Ovid PsycINFO, Ebsco CINAHL Plus, ProQuest ASSIA, ProQuest Sociological Abstracts, ProQuest ERIC, WHO Global Index Medicus, and Web of Science databases. Published health-related literature on cultural humility will be included. There will be no restrictions on population or article type. Following deduplication on Endnote, the search results will undergo title, abstract, and full-text review by two reviewers working independently on Covidence. Extracted data will include descriptors of the article, context, population, and cultural humility. After descriptive extraction, data describing cultural humility-related content will be descriptively and interpretively analysed using an inductive thematic synthesis approach. The data will also be mapped to OT practice through deductive coding using the CPPF. Occupational therapists and clients will be consulted to further critique, interpret and validate the mapping and generate practice recommendations.Ethics and disseminationEthics approval was not required for this scoping review protocol. We will disseminate the findings, which can enhance understanding of cultural humility in OT, facilitate cross-cultural encounters between occupational therapists and clients and improve care outcomes through publications and presentations.

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The Concept Of Cultural Humility

Cited by 18 publications

References 2 publications

Cultural competence and cultural humility: A critical reflection on key cultural diversity concepts

Cultural competence and cultural humility: A critical reflection on key cultural diversity concepts

Artspace: Enabling young women’s recovery through visual arts: A qualitative study

Applying ‘cultural humility’ to occupational therapy practice: a scoping review protocol

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