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culture&cultural competence.docx

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Dan Popowich

Culture & Cultural Competence What is cultural competence?  The ability to interact effectively with people of different cultures  Provides patients with cultural, social & linguistic needs by tailoring care Kleinman: Cultural Competence Problems: 1. Failure to properly define culture - Culture is often made synonymous with ethnicity (ex. Care for Hispanic patients) - Core beliefs common to an ethnic group are often emphasized 2. Culture: Cookie Cutting - A series of lists of do’s & don’ts: stereotyping becomes common practice - Culture as ethnicity is perceived as a “characteristic that threatens to impede communication” (Jorelman 2010) 3. Not All Issues Are Cultural - However, there has been a tendency to blame culture for misunderstandings - Ex. Parent who doesn’t take HIV child to clinic – assumption the ethnic parent doesn’t get it. - What other issues might impact treatment? What is Culture?  Culture is a complex whole (Tyler 1881) - Includes knowledge, morals, art, beliefs, laws, customs or any other capabilities acquired by humans as a member of society. “ The totality of socially transmitted behavioural patterns that guide decision making & worldview” - Culture is like a recipe or what engineers call a blueprint for human behaviour (Geertz, 1982) - Tool kit (tools for action & understanding) that helps us organize information, predict & explain the world around us Culture is… 1) Dynamic (changes) 2) Shared 3) Symbolic 4) Integrated/Weaved 5) Learned 6) Cannot be separated from other variables Culture … Our beliefs & behaviours are influenced and are intertwined with a variety of factors Ex. Religion, Factory work & Medicine Some factors produce differences between groups of people: 1) Dominant Culture – CND 2) Subculture 3) Counter Culture – Omish Within any given society there are multiple “cultures” that interact.. We must be aware of our own culture Symbolic Components 1) Gestures 2) Language 3) Values & Norms 4) Folkways & Mores 5) Space & Touching  Culture: Universals, variation & stereotyping  Society is NOT culture
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