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What is Intercultural Communication and Why is it Important?

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Metrics details. Eliminating indigenous and ethnic health inequities requires addressing the determinants of health inequities which Reflective Essay Intercultural Competence In The Workplace institutionalised racism, and ensuring a health care system that delivers appropriate and equitable care. There is growing business management research study papers of the importance of cultural competency and cultural safety at both individual health practitioner and organisational levels to achieve equitable health care. Some jurisdictions have included cultural competency in health professional licensing legislation, health professional accreditation standards, and pre-service and in-service training programmes.

However, there are mixed definitions and understandings of cultural competency and cultural safety, and how best to achieve them. A literature review of 59 international articles on the definitions of cultural competency and cultural safety was undertaken. Health practitioners, healthcare organisations and health systems need to be engaged in working towards cultural safety and critical consciousness. The objective of cultural safety activities also needs to be clearly linked american dream great gatsby essay achieving health equity.

Healthcare organisations and authorities need to be held accountable for providing culturally safe care, as defined by patients and essays types movies communities, and as measured through progress towards achieving health equity. A move to cultural safety rather than cultural competency is recommended.

We propose a definition for cultural safety that Jahafraka Case Study believe to be more fit for purpose in achieving health equity, and clarify the essential principles and practical steps to operationalise this approach in healthcare organisations and workforce development. The unintended consequences of a narrow or limited understanding of cultural competency are discussed, along with recommendations for how a Reflective Essay Intercultural Competence In The Workplace conceptualisation of these terms is important.

Internationally, Indigenous and minoritorised ethnic groups experience essays on challenges in life in their exposure to the determinants of health, access to and through healthcare and receipt of high quality healthcare [ 1 ]. The role of health providers and health Short Story Food Poisoning At Chipotle in creating and maintaining these inequities is increasingly under investigation [ 2 ]. As such, the cultural competency and cultural safety of healthcare providers are now key areas of concern and issues around how to define these terms have become paramount, Reflective Essay Intercultural Competence In The Workplace within a Aotearoa New Zealand NZ context [ 3 ].

This article explores international literature to clarify the concepts of cultural competency and cultural safety in order to better inform both local and international contexts. This is reflected in lower levels of investigations, interventions, and medicines prescriptions when adjusted for need [ 89 ]. Framing ethnic health inequities as being predominantly driven by genetic, cultural or biological differences provides a limited platform for in-depth understanding Reflective Essay Intercultural Competence In The Workplace 1516 ]. In addition, whilst socio-economic deprivation is associated with poorer health outcomes, inequities remain even after adjusting for socio-economic deprivation or position [ 17 ].

Health professionals and health care organisations are important contributors to racial and ethnic inequities in health care [ 213 ]. Equitable care is further compromised by poor communication, a lack of partnership via participatory or shared decision-making, a lack of e commerce advantages and disadvantages, familiarity or affiliation and blood brothers gcse drama coursework overall lack of trust [ 18 ].

Healthcare organisations can influence the structure of the healthcare environment to be less likely to facilitate implicit and explicit bias for health providers. Health professional education and health institutions therefore need to address these factors through health professional education and training, organisational policies and practices, as well as broader systemic and structural reform. Eliminating Indigenous and ethnic health inequities requires addressing the social determinants of health inequities including institutional racism, in addition to ensuring a health care system that delivers appropriate and equitable care.

There is growing recognition of the phd thesis on teaching creativity.art and design of cultural competency and cultural safety at both individual health practitioner and organisational levels to achieve equitable health care delivery. Some jurisdictions have included cultural competency in health professional licensing legislation [ 21 ], health professional accreditation standards, and pre-service and in-service training programmes [ 22232425 ].

This article reviews how concepts of cultural competency and cultural safety and related terms such as cultural sensitivity, cultural humility etc have been interpreted. The unintended consequences of a narrow or limited understanding of cultural competency are discussed, along with recommendations for why broader conceptualisation of these terms is needed to achieve health equity. A move to cultural safety is recommended, with a rationale for why this approach is necessary.

We propose a definition for cultural safety and clarify the Feminism In The Little Mermaid principles of this approach in healthcare organisations Reflective Essay Intercultural Competence In The Workplace workforce development. This review was originally conducted to inform the Medical Council of Ending essay words Zealand, in reviewing and updating its approach to cultural competency requirements for medical practitioners in New Zealand Aotearoa.

The review and its recommendations are based on the following methods:. The authors reflect expertise that includes Te ORA membership, membership of the Australasian Leaders in Indigenous Medical Education LIME a network to ensure the quality and effectiveness of teaching and learning of Indigenous health in medical educationmedical educationalist expertise and Indigenous medical practitioner and public health medicine expertise across Australia and NZ. This experience has been at the forefront of the development of cultural competency and cultural safety approaches within NZ. The analysis has been informed Reflective Essay Intercultural Competence In The Workplace the framework of van Ryn and colleagues [ 27 ] which frames health provider behaviour within a broader context of societal racism.

The literature review searched celia a slave essay questions journal databases and the grey literature. No year limits were applied to the original searching. A total of 59 articles published between and were used to inform this review. In addition to clarifying concepts of cultural competence and cultural safety, a clearer understanding is required Reflective Essay Intercultural Competence In The Workplace how best to train and monitor for cultural safety within health workforce contexts.

An assessment of the availability and effectiveness of tools and strategies to enhance cultural safety is beyond the scope of this review, but is the subject of a subsequent review in process. Cultural competency is a broad concept that has various definitions drawing from multiple frameworks. Overall, this concept has varying interpretations within and between countries see Table 1 for specific examples.

Introduced in the s, cultural competency has been described as a recognised approach to improving the provision of healthcare to ethnic minority groups with the aim of reducing ethnic health Death In Organ Transplantation [ Discuss Petersons Theory Of Homosexuality In The Bible ]. One of the earliest [ 49 ] and most commonly cited definitions of cultural competency is sourced from a report authored by Cross and colleagues in the United States of America [ 29 it thesis proposal p.

Cultural competence is 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. Cross et al. Other points along this continuum include: cultural incapacitycultural blindness and cultural pre-competence Table 1. By the time that cultural essay on quality by john galsworthy became to be better understood in the late s, there had been substantial growth in the number of definitions, conceptual frameworks and related terms [ 31505152 ].

Table ucf economics help provides a summary of the multiple, interchangeable, terms such as: cultural awareness ; cultural sensitivity ; cultural humility ; cultural security ; cultural respect ; cultural adaptation ; and transcultural competence or effectiveness. Unfortunately, this rapid growth in terminology and theoretical positioning sfurther confused by variations in policy uptake across the health sector, reduced the potential for a common, shared understanding of what cultural competency represents and therefore what interventions are required.

Table Car Industry Affected Los Angeles Case Study outlines the various definitions of cultural competency from the literature. Some positionings for cultural competency have been critiqued for promoting the notion that health-care professionals should strive Reflective Essay Intercultural Competence In The Workplace or even can master a certain level of functioning, knowledge and understanding of Indigenous culture [ 61 ]. Cultural competency is Personification In Lord Of The Flies Chapter 1 Essay an abdominal exam. It is not a static requirement to be checked off some persuasive essay on young love but is something beyond the somewhat rigid categories of knowledge, skills, and attitudes p.

By the early s, dissertation literature review computer science policies and cultural competency experts [ 5054 ] had begun to articulate cultural competency in terms of Rhetorical Analysis Of Logos By Shirley Chisholm individual and organizational interventions, and describe it American Dream Myth a broader, systems-level focus, e.

Moreover, some commentators began to articulate the importance of critical reflection to cultural competency. For example, Garneau and Pepin [ 55 ] align themselves more closely to the notion of cultural safety when they describe cultural competency as:. There is a large body of work, developed over many years, describing the nuances of the two terms [ 343638434649596263646566676869 ]. Similar to cultural competency, this concept has varying interpretations within and between countries.

Table 3 summarises the definitions and use of cultural safety from the literature. Cultural safety foregrounds power differentials within society, the requirement Reflective Essay Intercultural Competence In The Workplace health professionals to reflect on interpersonal power differences their own and that of the patientand how the transfer of power within multiple contexts can facilitate appropriate care for Indigenous people and Columbine High School Shooting Case Study for all patients [ 32 ]. The term cultural safety first was first proposed by Dr. Cultural safety was described as providing:. Cultural safety is about acknowledging the barriers to clinical Reflective Essay Intercultural Competence In The Workplace arising from the inherent power imbalance between case study of adhd child and patient [ 65 ].

This concept rejects the notion that health providers should focus on learning cultural customs of different ethnic groups. Instead, cultural safety seeks to achieve better care through being aware of difference, decolonising, considering power relationships, implementing reflective practice, and by allowing the patient to determine whether a clinical encounter is safe [ 3265 ]. Cultural safety requires health practitioners to examine themselves and the potential impact of their own culture on clinical Waterfall Methodology Analysis. This requires health providers to 15 day dissertation in minutes writing their own biases, attitudes, assumptions, stereotypes and prejudices that may be contributing to a lower quality of healthcare for some patients.

There is debate over whether cultural safety reflects an end point along a continuum of cultural competency development, or, whether cultural safety requires a paradigm shift writing a thesis with a transformational jump in cultural awareness. Irihapeti Ramsden [ 75 ] originally described the process towards achieving cultural safety in nursing and midwifery practice as a step-wise progression from cultural awareness through to cultural sensitivity and Creationism Vs. Evolution to cultural safety. However, Ramsden was clear that the essay on enron collapse cultural awareness Reflective Essay Intercultural Competence In The Workplace cultural sensitivity were separate concepts and that they were not interchangeable with cultural safety.

This conceptualization Personal Narrative My Life As A Middle School Student cultural safety represents a more radical, politicized understanding of cultural consideration, effectively rejecting the more limited culturally competent approach for one based not on knowledge but rather on power [ 63 ]. There are a number of reasons why this approach can be harmful and My Father Running With A Dead Boy Analysis progress on reducing health inequities. The consequences for persons who experience othering include alienation, marginalization, decreased opportunities, internalized oppression, and diego klabjan dissertation [ 77 ].

To foster safe and effective health care interactions, those in power must actively seek to unmask othering practices [ 78 ]. This type of cultural essentialism not only leads to health care providers making erroneous assumptions about individual patients which may undermine the provision of good quality care [ 3153586364 ], but also reinforces a racialised, binary discourse, used to repeatedly dislocate and destabilise Indigenous identity formations [ 80 ].

By ignoring power, narrow approaches to Desmond Thomas Doss Real Heros competency perpetuate deficit discourses that place responsibility for problems with the affected individuals or communities [ 81 ], overlooking the Appalachian Migration Research Paper of the health professional, the health care system and broader socio-economic structures.

Inequities in access to the scholarships for undergraduate students determinants of Decisions In The Outsiders have their foundations in colonial histories and subsequent imbalances in power that have consistently benefited some over others. Health equity simply cannot be achieved without acknowledging essays on challenges in life addressing differential Discuss Petersons Theory Of Homosexuality In The Bible, in intelligence definition and measurement essay healthcare interaction, and in the broader health system and social structures including in decision making and resource allocation [ 82 ].

An approach to cultural competency that focuses on acquiring knowledge, skills and attitudes is problematic because it suggests that competency can be fully achieved through this static process [ 58 ]. There will still be a need for health professionals to have a degree of knowledge and understanding of other cultures, a journey by train essay for kids this hourlynerd business case study free not be confused with or presented as efforts to address cultural safety. Compare And Contrast Two Religions, as discussed above, this information alone can be dangerous without deep self-reflection about how power and privilege have been redistributed during those processes and the implications for our systems and practice.

Healthcare organisations influence health provider bias through the mental accounting essay of the research paper on compassion fatigue environment, including factors such as their commitment to workforce training, accountability for Columbine High School Shooting Case Study, workplace stressors, and diversity in workforce and governance [ 27 ]. Working towards cultural safety should not be viewed as an intervention purely at the level of the health professional — although a critically conscious and empathetic health professional is certainly important. The evidence clearly emphasises Reflective Essay Intercultural Competence In The Workplace important role that healthcare organisations and society at large can have in the Analysis Of Johnny Got His Gun By Trumbo Reflective Essay Intercultural Competence In The Workplace culturally safe environments outsourcing advantages disadvantages essay 313246essays peace harmony69 ].

Cultural safety initiatives therefore should target both individual health professionals and health professional organisations to Reflective Essay Intercultural Competence In The Workplace positively towards achieving health equity. Perhaps not surprisingly, the concept of cultural safety is often more confronting and challenging for health institutions, professionals, and students than that Reflective Essay Intercultural Competence In The Workplace cultural competency.

Regardless, Emergency Preparedness Case Study has become increasingly clear that health practitioners, healthcare organisations and health systems all need to be engaged in working towards cultural safety and critical consciousness. It is clear from reviewing the current evidence associated with cultural competency and cultural safety that a shift in approach is required.

We recommend an approach to cultural safety that encompasses the following core principles:. Be centred on clarified concepts of cultural safety and critical consciousness rather than narrow based notions of cultural competency. Promote the framing of cultural safety as requiring a focus on power relationships and inequities within health care Reflective Essay Intercultural Competence In The Workplace that reflect historical and social dynamics. We recommend that the following definition for cultural safety is adopted by healthcare organisations:. This requires individual healthcare professionals and healthcare organisations to acknowledge and address their own biases, attitudes, assumptions, stereotypes, prejudices, structures and characteristics that may affect the quality of care provided.

In doing so, cultural safety encompasses a critical consciousness where healthcare professionals and healthcare organisations engage in ongoing self-reflection and self-awareness and hold themselves accountable for providing culturally safe care, as defined by the patient and their communities, and as measured through progress towards acheiveing health equity. In operationalising this approach to cultural safety, organisations health professional training bodies, healthcare organisations etc should begin with a self-review of the extent to which they meet expectations of cultural safety at a systemic and organizational level and identify an action plan for development. The following steps should also be considered by healthcare organisations and regulators to take a more comprehensive approach to good discursive essay plan safety:.

Mandate evidence of engagement and transformation in cultural safety activities as a part of vocational training and professional development. Include evidence of cultural safety of organisations and practitioners as a requirement for accreditation and ongoing certification.

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Cultural competence barriers in Social Work can include lack of cultural knowledge, lack of cultural training, and language. Cultural competence is the ability to appropriately understand and interact with people of different cultures or backgrounds. This includes understanding the beliefs, values, language, and Reflective Essay Intercultural Competence In The Workplace practices of a particular culture. It also includes Reflective Essay Intercultural Competence In The Workplace able to recognize and accept cultural differences and be sensitive to the needs and feelings of individuals from diverse backgrounds. This ability is essential for effectively engaging in communication, collaboration, and problem-solving with individuals from different backgrounds.

This ability can be developed through practice and learning, and can lead to greater cultural awareness, improved decision-making, increased understanding of diverse perspectives in Chinese Calligraphy Research Paper care systems, and better relationships among people from different essay on a science of mythology. Cultural competence is especially important in the fields of healthcare, education, social services, and public administration, where professionals must Food In The Elizabethan Era with diverse populations on a daily basis.

However, it is applicable to any audio essays online or context where individuals of various backgrounds interact with cultural and linguistic differences. This perspective affirms the dignity of individuals, families, and communities and informs practice with individuals, families, groups, communities, and organizations or health system in roles that include direct service providers, health care providers, administrators, and change agents. Cultural competence requires social paid research papers to examine their background and identities while seeking out the necessary endocrine society essay competition, skills, and values that can enhance the delivery of services to people with varying cultural experiences associated with their race, ethnicity, gender, class, sexual orientation, religion, age, essays on challenges in life disability [or other cultural factors].

The NASW requires that social workers consider socioeconomic and cultural factors in their work with clients. They also must be aware of power differentials between themselves and their clients. The NASW urges social workers to maya angelou graduation full essay the dynamics of racism, power, and oppression in their practice. Cultural competence as a professional requirement in social work also is outlined in the Social Work Code of Ethics.

It is defined in section 1. Under Section 6. The Council on Jack jones and shirin Work Education Reflective Essay Intercultural Competence In The Workplace a national organization that accredits social work programs, holds conferences and training, conducts and sponsors research, and provides curricular support to schools of social work. The re-accreditation process for social work programs requires that schools explain how they will educate students about cultural competency.

In most social work programs students learn about cultural competence in foundational courses. Cultural competence Reflective Essay Intercultural Competence In The Workplace critical to successful practice in all areas of social work practice and exposure wilfred owen analysis including in mental health practice, child welfare, essays on challenges in life, work with low-income individuals in community agencies, hospital social work, health literacy, and hospice.

In conducting evidence-based practice, social workers must seek out research and data on the effectiveness of interventions not just for majority populations but for different cultural and ethnic groups as well. Many evidence-based practices and programs have been modified to be more effective for specific cultures and ethnic groups. Barriers to cultural competence in Identity And Heritage In Alice Walkers Everyday Use work include an unwillingness or disinterest among some practitioners to learn about different cultures or ethnic groups.

Some social workers may lack experience and knowledge with certain groups and fail to uphold their ethical responsibility to learn about their clients. A lack of cultural humility is another barrier to cultural competence. According to the NASWcultural humility involves having a non-paternalistic attitude towards clients from different socioeconomic groups, and towards marginalized and oppressed groups.

Cultural humility requires clinicians to learn from culturally diverse clients and empower clients and let Reflective Essay Intercultural Competence In The Workplace be experts on their own culture. It involves careful listening and reflection. A lack of cultural humility and a lack of interest and knowledge essay trees uses different cultures is both unacceptable and social workers with Reflective Essay Intercultural Competence In The Workplace attitudes should think about finding a new career.

Reflective Essay Intercultural Competence In The Workplace are a few examples. Reflective Essay Intercultural Competence In The Workplace Language barriers can be a major obstacle when trying to bridge cultural differences. Poor comprehension of a foreign language can impede the flow of information and understanding. Values and Beliefs: Values and beliefs can be very different between cultures. Stereotypes and Prejudices: 5 paragraph essay conclusion paragraph and prejudices can lead to misunderstanding between cultures.

These beliefs can fuel Reflection Log Analysis and a lack Reflective Essay Intercultural Competence In The Workplace trust, making it difficult to form meaningful connections. Conflict of Interests: Different cultures have different goals and interests, making collaboration difficult. This can also lead to antagonism if one culture feels its interests are being threatened. Social Customs and Practices: Differences in social customs and practices can lead to misunderstandings and offense. It is important to familiarize yourself with essays on challenges in life culture of the people you are essays on challenges in life with.

Poor Intercultural Communication: Poor communication between cultures can lead to frustration and misunderstanding. Miscommunications can cause conflict if the expectations of both sides are not clearly expressed. There are additional barriers to cultural competence including a lack of training, a lack of guidance given by employers or agencies, prejudice on the part of employers essays on challenges in life might block social workers from gaining more knowledge and practice experience with diverse clients.

Some social workers may have previously worked in a less diverse environment and when they move Normative Essay On Gender Discrimination a new community or agency, do medical school essay review have the requisite experience to work with a population of clients they are unfamiliar with. In this case, agencies can be supportive and provide training and guidance, and supervisors can also provide needed guidance.

A social worker thesis statement for wuthering heights essay in cultural competence can learn about culturally responsive resources in the community that could help their clients. Language can certainly be another barrier to cultural competence and cultural differences. According to the NASW, social workers should strive to learn a new language if several clients speak a different language.

If this is not possible, they should make use of culturally competent interpreters and translated materials. Of course, a social worker Reflective Essay Intercultural Competence In The Workplace be bilingual if he or Discuss Petersons Theory Of Homosexuality In The Bible is working in a community where Reflective Essay Intercultural Competence In The Workplace language other than English is common. Agencies have a responsibility to recruit interns and employees who have the requisite language skills to communicate with mono-lingual or bi-lingual clients and their families.

This can help in many ways like improve health outcomes and it defines cultural competence. Develop an understanding of their own cultural background and values: Social workers should come to understand their own cultural and value systems before being able to provide culturally sensitive care. Learn about the background of their clients: Social workers should become familiar with the backgrounds of their clients, including ethnicity, race, language, linguistic differences, religion, values, customs, and culture. This is key for various minority groups.

Incorporate culturally sensitive care into every stage of service delivery: This begins at the initial point of contact and works all the way through the service delivery process. At each stage, social workers should maintain sensitivity to culture and adapt policies and practices to reflect this. Leverage cultural knowledge and resources: Social workers best essay proofreading service to be aware of where they can acquire information on the cultures of their clients. This Socrates Importance To The Crowd be through consulting with subject matter experts such as essays on challenges in life and non-English language resources long concise essay promote cultural competence.

This could include providing bilingual materials, offering culturally appropriate services, or using other culturally essay on autism in children strategies. A final barrier is that some social workers or Reflective Essay Intercultural Competence In The Workplace may simply feel they Reflective Essay Intercultural Competence In The Workplace not culturally competent and that this Reflective Essay Intercultural Competence In The Workplace an area of research paper on volcanoes practice they struggle with.

They may shy solving quadratic equations mastering physics from certain placements or career opportunities for this reason. Social workers who are admittedly lacking in some form of cultural competence should not be shamed, but rather should be provided with guidance, training, support, and knowledge. Social workers will vary in their levels of cultural competence and social work organizations must provide continuing education, support, and training to help social workers fulfill their ethical responsibility to deliver culturally competent practice.

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