Cultural Competency for the Health Professional (Book with Access Code)

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  • Edition: 1st
  • Format: Paperback w/ Access Code
  • Copyright: 2012-06-07
  • Publisher: Jones & Bartlett Learning

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Cultural Competency for the Health Professional reviews the importance of the implementation of cultural competency by allied health professionals, and the process of assessment, training and evaluation. This comprehensive text includes a clear and concise overview of the necessary tools to apply cultural competency processes as well as systematic and disciplined approaches to the process of achieving it. Attention is also given to some of the reservations that may exist in various health professions with interests in moving in the direction of cultural competency such as associated costs, limited time, and beyond. Cultural Competency for the Health Professional provides health professions students with key cultural competency information and practical insight into how to apply this knowledge in their day-to-day work environments as they deal with patients on a clinical basis.FEATURESOverview of the demographic changes in the United StatesAccreditation requirements (programmatic, specialized and institutional) Cultural nuances of specific groupsComprehensive view of the Culturally and Linguistically Appropriate Services (CLAS) standards with an emphasis on the clinical aspect of various allied health professionsAttitudinal survey with established reliability and validity

Table of Contents

Prefacep. xiii
Acknowledgmentsp. xvii
About the Authorp. xix
Contributorsp. xxi
Reviewersp. xxiii
Introductionp. 1
Chapter Organizationp. 5
Overview and Specific Details of Various Racial, Cultural and Ethnic Groupsp. 7
Introductionp. 7
Racial Groupsp. 9
African American/Blackp. 9
Native American/Alaska Nativep. 10
Asian American and Pacific Islanderp. 13
Whitep. 14
Ethnic Groupp. 15
Hispanic/Latinop. 15
Conclusionp. 16
Chapter Summaryp. 18
Chapter Problemsp. 18
Referencesp. 19
Suggested Readingsp. 20
Relevance of Cultural Competency to Various Health Professionsp. 21
Introductionp. 22
Political Correctness as a Necessary Consideration for Cultural Competencyp. 22
Considering Cultural Competency in All Healthcare Settingsp. 24
Difference Between Interpretation and Translationp. 29
Visual Affirmation in the Healthcare Settingp. 32
Diversifying the Health Service Professional Workforcep. 33
Trustp. 34
Conclusionp. 37
Chapter Summaryp. 38
Chapter Problemsp. 9
Referencesp. 39
Suggested Readingsp. 41
Health Professions and Understanding Cultural Concernsp. 43
Introductionp. 44
Cultural Views Regarding Modern Medical Practicesp. 45
Recruiting Diverse Healthcare Professionalsp. 46
Cultural Competence Continuump. 47
Cultural Destructivenessp. 48
Cultural Incapacityp. 48
Cultural Blindnessp. 49
Cultural Precompetencep. 49
Cultural Competencep. 50
Cultural Proficiencyp. 50
Cultural Competence Frameworkp. 51
Parameters that Differentiate Culturesp. 51
Purnell Model for Cultural Competencep. 53
Learn Modelp. 54
Assumption Exercisep. 54
Conclusionp. 56
Chapter Summaryp. 57
Chapter Problemsp. 58
Referencesp. 58
Suggested Readingsp. 59
US Educational System and the Intersection of Cultural Competency and Health Literacyp. 61
Introductionp. 61
Educational Interventions in the United Statesp. 62
Teach for Americap. 62
No Child Left Behind and Race to the Topp. 68
Health Literacyp. 69
Responsibility of Health Professionalsp. 70
Conclusionp. 71
Chapter Summaryp. 72
Chapter Problemsp. 72
Referencesp. 73
Suggested Readingsp. 73
Cultural Competency and the Need to Eliminate Health Disparitiesp. 75
Introductionp. 75
Health Disparities Definedp. 76
An Historical Overview of Health Disparitiesp. 77
Health Disparities and Minority Groupsp. 80
Immigration and Cultural Competencyp. 82
Cultural Competency as a Contributing Factor Toward Health Disparitiesp. 83
The Role of Culturally Competent Health Professionals in Closing the Gapp. 85
Conclusionp. 86
Chapter Summary!p. 87
Chapter Problemsp. 87
Referencesp. 88
Cultural Competency and Assessmentp. 91
Introductionp. 92
Attitudesp. 92
Assessmentp. 92
Test-Retest Reliabilityp. 93
Alternative form Reliabilityp. 93
Internal Consistency Reliabilityp. 93
Validityp. 94
Cultural Competence Assessment Toolp. 95
Importance of Valid and Reliable Assessment Toolsp. 95
Conclusionp. 96
Chapter Summaryp. 96
Chapter Problemsp. 97
Referencesp. 97
Suggested Readingsp. 97
Cultural Competence Trainingp. 99
Introductionp. 99
Significance of Cultural Competence Trainingp. 100
Approaches to Trainingp. 100
Elements to Ensure Successful Training Programsp. 101
Cross-Cultural Education and Other Training Essentialsp. 101
Importance of Providing Key Terms Relevant to Cultural Competencep. 102
Key Components of Cultural Competence Trainingp. 104
Evaluation of Cultural Competence Trainingp. 106
Conclusionp. 107
Chapter Summaryp. 107
Chapter Problemsp. 107
Referencesp. 108
Suggested Readingsp. 108
Case Studiesp. 109
Introductionp. 109
Dental Hygienistsp. 110
Case Studyp. 110
Commentsp. 111
Physical Therapistsp. 111
Case Studyp. 111
Commentsp. 112
Occupational Therapistsp. 113
Case Studyp. 113
Commentsp. 113
Speech-Language Therapistsp. 114
Case Studyp. 114
Commentsp. 115
Pharmacistsp. 115
Case Studyp. 115
Commentsp. 116
Radiology Techniciansp. 116
Case Studyp. 116
Commentsp. 117
Emergency Medical Techniciansp. 117
Case Studyp. 117
Commentsp. 117
Medical Records Techniciansp. 118
Case Studyp. 118
Commentsp. 118
Physician Assistantsp. 119
Case Studyp. 119
Commentsp. 120
Medical Assistantsp. 120
Case Studyp. 120
Commentsp. 121
Nursesp. 122
Case Studyp. 122
Commentsp. 123
Dentistsp. 123
Case Studyp. 123
Commentsp. 124
Chapter Summaryp. 124
Referencesp. 125
Suggested Readingsp. 125
Healthcare Reform and Economic Concerns Regarding Cultural Competencyp. 127
Introductionp. 127
Interviewp. 129
Conclusionp. 135
Referencesp. 135
Suggested Readingp. 135
Psychosocial Impact of Culturally Incompetent Health Carep. 137
Introductionp. 138
What Exactly is Culture?p. 138
Prejudice, Discrimination, and Racismp. 140
Prejudicep. 140
Discriminationp. 140
Racismp. 142
Aversive Racismp. 143
Racial Microaggresionsp. 144
Microassaultp. 145
Microinsultp. 146
Microinvalidationp. 147
Psychosocial Outcomes of Culturally Incompetent Carep. 147
Clash of Racial Realitiesp. 148
Invisibility of Unintentional Expressions of Biasp. 149
Perceived Minimal Harm of Racial Microaggressionp. 150
Catch-22 of Responding to Microaggressionsp. 150
Conclusionp. 151
Chapter Summaryp. 152
Chapter Problemsp. 152
Referencesp. 153
Suggested Readingsp. 155
Health Professionals and the Paradigm Shiftp. 157
Introductionp. 157
Need for a Paradigm Shiftp. 158
Expansion of Minority Marketsp. 159
Investing in Cultural Competencep. 160
Business Aspect of Health Carep. 161
Decreasing Malpractice Claimsp. 164
Enhanced Customer Service and Quality of Carep. 164
Conclusionp. 165
Chapter Summaryp. 165
Chapter Problemsp. 166
Referencesp. 166
Suggested Readingsp. 167
Culturally and Linguistically Appropriate Services Standards: An Overviewp. 169
Introductionp. 169
Culturally and Linguistically Appropriate Standardsp. 170
Need for CLAS Standards and Action Plans for Administratorsp. 173
Qualitative Researchp. 174
Conclusionp. 176
Chapter Summaryp. 176
Chapter Problemsp. 177
Referencesp. 177
Suggested Readingsp. 178
Ultimate Challenge: Educational and Institutional Considerations for the Health Professionsp. 179
Introductionp. 180
American Medical Associationp. 180
Joint Commission on Accreditation of Healthcare Organizationsp. 181
Institute of Medicinep. 182
Agency for Healthcare Research and Qualityp. 182
Sullivan Commissionp. 182
Necessary Educational Requirementsp. 183
Challenging Health Professionalsp. 184
Conclusionp. 186
Chapter Summaryp. 186
Chapter Problemsp. 186
Referencesp. 187
Suggested Readingsp. 187
Cultural Competence Assessment Surveyp. 189
Executive Team and Managementp. 189
Cultural Competence Assessment Surveyp. 193
Staffp. 193
Cultural Competence Assessment Surveyp. 197
Health Professionalsp. 197
Glossary of Important Termsp. 201
Websites and Resourcesp. 207
Cultural Competence and Other Relevant Websitesp. 207
Journal Articles and Booksp. 208
Cultural Competence Planp. 211
Cultural Competence Accreditation Information for Selected (Examples) Health Professionsp. 213
Individual and Cultural Differencesp. 216
Professional Practice Expectation: Communicationp. 216
Professional Practice Expectation: Cultural Competencep. 216
Interaction and Personal Qualitiesp. 217
Sample Focus Group Questions for Qualitative Cultural Competence Researchp. 221
Questionsp. 221
Acronymsp. 223
Indexp. 225
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