Cultural Competence in Health Care A Practical Guide

by Rundle, Anne; Carvalho, Maria; Robinson, Mary

• ISBN13: 9780787962210
• ISBN10: 078796221X
• Edition: 2nd
• Format: Paperback
• Copyright: 2002-05-01
• Publisher: Jossey-Bass

Summary

A manual written for health care professionals who care for patients from diverse religious and cultural backgrounds. First developed by doctors and nurses at Children's Hospital in Boston, it contains detailed, practical information for working with dozens of religious and cultural groups and is designed to help providers best meet needs of their ethnically diverse patients while satisfying stringent new regulatory standards for culturally sensitive care.

Author Biography

ANNE RUNDLE, R.N., has served as manager of specialty programs at South End Community Health Center in Boston, Massachusetts and Coordinator of the Center for Families at Children's Hospital in Boston. She has founded a consulting firm that specializes in improving hospitals' skills at patient communica-tions, called Health Care Competence (healthcarecompetence.com). She also is an instructor in the graduate school for health studies at Simmons College in Boston.

MARIA CARVALHO, LICSW, is a clinical social worker and head of the Spanish Service Team at Children's Hospital.

MARY ROBINSON, M. Div., is a board-certified chaplain and Director of Pastoral Care at Children's Hospital.

Table of Contents

Preface	xi
About the Editors	xiii
Editors and Consultants	xv
Introduction	xxi
Culture of the Health Care Provider	xxii
Purpose of the Book	xxiii
Strategies for Providers	xxiv
PART ONE. CULTURAL TRADITIONS	1	(98)
Africa	3	(20)
Cape Verde	3	(4)
Eritrea	7	(4)
Ethiopia	11	(4)
Nigeria	15	(3)
Somalia	18	(5)
Asia	23	(20)
Cambodia	23	(4)
China	27	(4)
India	31	(4)
Japan	35	(4)
Vietnam	39	(4)
Central America and the Caribbean	43	(10)
Central America and Mexico	43	(4)
Dominican Republic	47	(3)
Haiti	50	(3)
Europe	53	(14)
Greece	53	(3)
Gypsies (Roma)	56	(5)
Portugal	61	(3)
Russia	64	(3)
The Middle East	67	(4)
Saudi Arabia	67	(4)
South America	71	(4)
Brazil	71	(4)
North America	75	(12)
African American	75	(4)
Native American (North American Indian)	79	(4)
Puerto Rico	83	(4)
Nationality-Independent Cultural Groups	87	(12)
Deaf or Hard-of Hearing	87	(4)
Families with Gay or Lesbian Parents	91	(8)
Case Study: Caribbean Culture	95	(4)
PART TWO. RELIGIOUS TRADITIONS	99	(62)
Religion and Spirituality	101	(6)
Special Issues for Providers	101	(2)
Facilitating Discussion About Spiritual Matters	103	(4)
Religions	107	(54)
Buddhism	107	(4)
Church of Jesus Christ of Latter-Day Saints (Mormon)	111	(5)
First Church of Christ, Scientist (Christian Science)	116	(6)
Hinduism	122	(4)
Islam (the Faith of Muslims)	126	(5)
Jehovah's Witness	131	(4)
Judaism	135	(5)
Eastern Orthodox	140	(4)
Protestantism (Christian)	144	(4)
Roman Catholicism	148	(5)
Santeria	153	(8)
Case Study: Rabbi Shapiro	157	(4)
PART THREE. TOOLS	161	(42)
Utilizing Resources to Better Serve Multicultural Patients	163	(12)
Consultation on Cultural or Religious Issues	163	(1)
Interpreter Services	164	(5)
Pastoral Care	169	(1)
Other Members of the Health Care Team	169	(1)
External Consultants	169	(1)
Template for Collecting Cultural Information	170	(2)
Template for Collecting Information About Religious Traditions	172	(3)
Meeting Joint Commission Standards Related to Culture and Religion	175	(28)
Assessment of Patients	177	(2)
Patient and Family Education	179	(7)
Care of Patients	186	(4)
Patient Rights	190	(6)
Standards Update, 2001	196	(3)
Ongoing Challenges	199	(4)
APPENDIX	203	(20)
Standard for Nursing Practice: Culture and Care	203	(2)
Emergency Baptism Procedures	205	(2)
Ethics Committee Consultation	207	(2)
Ethics of Redirecting Goals of Care	209	(5)
Religious Objections to Blood Transfusions	214	(2)
Organ and Tissue Donation	216	(3)
Patient and Family Education	219	(4)
References and Other Resources	223	(6)
Index	229