Podcast
Questions and Answers
What is the primary focus of cultural competence?
What is the primary focus of cultural competence?
Which principle of cultural competence involves engaging the community?
Which principle of cultural competence involves engaging the community?
What is a crucial aspect missing from cultural knowledge, sensitivity, and awareness?
What is a crucial aspect missing from cultural knowledge, sensitivity, and awareness?
How does cultural competence aim to improve service quality?
How does cultural competence aim to improve service quality?
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What does the principle of 'define culture broadly' imply in cultural competence?
What does the principle of 'define culture broadly' imply in cultural competence?
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What action is suggested to ensure cultural competence within organizations?
What action is suggested to ensure cultural competence within organizations?
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Which of the following best describes the relationship between cultural competence and traditional cultural awareness?
Which of the following best describes the relationship between cultural competence and traditional cultural awareness?
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What does the principle of valuing clients' cultural beliefs prioritize?
What does the principle of valuing clients' cultural beliefs prioritize?
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What is the main focus of the physical therapy profession's advocacy?
What is the main focus of the physical therapy profession's advocacy?
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How do beliefs differ from attitudes and behaviors?
How do beliefs differ from attitudes and behaviors?
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Why is understanding a client’s cultural background important for healthcare professionals?
Why is understanding a client’s cultural background important for healthcare professionals?
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What do microaggressions typically refer to in a healthcare setting?
What do microaggressions typically refer to in a healthcare setting?
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What can be negatively influenced by unchallenged assumptions in patient care?
What can be negatively influenced by unchallenged assumptions in patient care?
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What role does personal space play in patient-practitioner interactions?
What role does personal space play in patient-practitioner interactions?
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In terms of healthcare communication, why is it important to be sensitive to clients' feelings of distress?
In terms of healthcare communication, why is it important to be sensitive to clients' feelings of distress?
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What can be a result of modifying initial beliefs in healthcare practice?
What can be a result of modifying initial beliefs in healthcare practice?
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What is one recommended practice when communicating with patients from different cultural backgrounds?
What is one recommended practice when communicating with patients from different cultural backgrounds?
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Why is it important to use qualified medical interpreters?
Why is it important to use qualified medical interpreters?
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How can healthcare professionals demonstrate respect for patients from different cultures?
How can healthcare professionals demonstrate respect for patients from different cultures?
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What is one way healthcare professionals can encourage patient engagement in their care?
What is one way healthcare professionals can encourage patient engagement in their care?
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What aspect of cultural competence should healthcare professionals be aware of regarding themselves?
What aspect of cultural competence should healthcare professionals be aware of regarding themselves?
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What is a key characteristic of cultural humility?
What is a key characteristic of cultural humility?
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What best describes cultural competence?
What best describes cultural competence?
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How does cultural humility specifically address power imbalances?
How does cultural humility specifically address power imbalances?
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Which factor is NOT typically considered when defining culture?
Which factor is NOT typically considered when defining culture?
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Which principle is central to the physical therapy profession's vision statement?
Which principle is central to the physical therapy profession's vision statement?
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What is a consequence of bias in patient care?
What is a consequence of bias in patient care?
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What role does empathy play in cultural humility?
What role does empathy play in cultural humility?
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What is the primary distinction between cultural competence and cultural humility?
What is the primary distinction between cultural competence and cultural humility?
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What does the guiding principle of access/equity entail in physical therapy?
What does the guiding principle of access/equity entail in physical therapy?
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Which statement accurately reflects the relationship between cultural competence and the APTA vision statement?
Which statement accurately reflects the relationship between cultural competence and the APTA vision statement?
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What is necessary for best practices in providing physical therapy services?
What is necessary for best practices in providing physical therapy services?
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Cultural humility acknowledges which of the following?
Cultural humility acknowledges which of the following?
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Which principle is crucial in patient interaction considering cultural differences?
Which principle is crucial in patient interaction considering cultural differences?
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What is a major risk of relying solely on cultural assumptions?
What is a major risk of relying solely on cultural assumptions?
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Which of the following practices is encouraged under the principle of advocacy?
Which of the following practices is encouraged under the principle of advocacy?
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Which of the following best describes intersectionality in the context of culture?
Which of the following best describes intersectionality in the context of culture?
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What is the primary goal of asking the three questions when working with clients?
What is the primary goal of asking the three questions when working with clients?
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What is a characteristic of microaggressions?
What is a characteristic of microaggressions?
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Which of the following lists actions described in the Mayo Clinic SAFER Model?
Which of the following lists actions described in the Mayo Clinic SAFER Model?
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How should health care professionals respond to bias demonstrated by a patient?
How should health care professionals respond to bias demonstrated by a patient?
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What is one of the key functions of micro-affirmations?
What is one of the key functions of micro-affirmations?
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What aspect of patient interactions is emphasized in positive patient care?
What aspect of patient interactions is emphasized in positive patient care?
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Which question focuses on the uniqueness of the client?
Which question focuses on the uniqueness of the client?
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What is the intended effect of microaggressions?
What is the intended effect of microaggressions?
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Study Notes
Cultural Competence in Physical Therapy
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Cultural competence is a set of congruent behaviors, attitudes, and policies that come together to effectively work in cross-cultural situations.
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Culture is a combination of factors, including language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups.
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Competence in cultural work implies the ability to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities.
Session Objectives
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Define cultural competence and cultural humility, understanding their differences and similarities.
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Describe the connection between cultural competence and the APTA vision statement and guiding principles.
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Distinguish between beliefs, attitudes, and behavior.
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Understand the impact of culture on therapeutic effectiveness.
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Discuss the role of bias and its impact on patient care.
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Identify principles of thoughtful and intentional patient interaction regarding cultural differences.
Initial Thoughts
- The presentation invites reflection on the meaning of "cultural competence" in healthcare contexts.
What is Culture?
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Culture encompasses the "way we do things around here."
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Culture is significantly more complex than just race or ethnicity.
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Examples of influences include: gender identity, sexual orientation, socio-economic status, geographic location, disability status, native language, and intersections of these factors.
What is Cultural Competence?
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It's a developmental process evolving over time.
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Individuals and organizations are at different levels of awareness, knowledge, and skills within the cultural competence continuum.
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Cultural competence involves integrating and transforming knowledge about individuals' and groups' cultural backgrounds into practices, policies, attitudes, and standards to enhance the quality of service and promote better outcomes in diverse settings.
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Cultural competence requires ongoing learning and an understanding of social justice in healthcare.
Principles of Cultural Competence
- Define culture broadly.
- Value clients' cultural beliefs.
- Recognize the complexities of language interpretation.
- Facilitate learning between providers and communities..
- Involve the community in defining and addressing service needs.
- Collaborate with other agencies.
- Professionalize staff hiring and training.
- Institutionalize cultural competence.
Cultural Competence, Awareness, and Sensitivity
- Cultural competence emphasizes effective operation within varying cultural contexts while adjusting practices. This differs from cultural awareness, sensitivity, or knowledge, which do not include modifications aimed at structural change in the operation of the relevant culture.
Cultural Humility
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Cultural humility is a continual process of self-reflection and self-critique.
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It involves learning about a client’s culture, but first, includes learning about one's own cultural identities, beliefs, and assumptions.
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It is not a one-time event or class; rather it’s viewed as an ongoing dynamic process.
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Recognizes culture as constantly changing influences based on time and location.
Cultural Humility (cont'd)
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It addresses power imbalances between patient and provider to create space for patients to have a role in decision-making.
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It requires providers to acknowledge their own privileges and limitations of understanding.
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Empathy and focused, active listening are essential components.
APTA Vision Statement for the PT Profession
- "Transforming society by optimizing movement to improve the human experience."
APTA Guiding Principles
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Consumer-centricity: Patient/client values are central. Cultural competence is a critical skill to provide best practices, considering individual and cultural values.
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Access/equity: Recognizing health inequities and disparities. Using innovative service models, advocacy, and awareness of social determinants to improve access and equity.
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Advocacy: Advocating for patients and clients both individually and as a population. Working to promote best practice, manage change, and ensure systems are consumer-centered.
Beliefs, Attitudes, and Behaviors
- Beliefs: What people consider true.
- Attitudes: How people feel about something.
- Behaviors: What people do.
- Culture significantly impacts these aspects, requiring healthcare professionals to be sensitive to clients' beliefs, attitudes, and behaviors regarding their illness, injury, or disability for effective evidence-based practice.
Impact of Culture on Therapeutic Effectiveness
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Effective cross-cultural communication is fundamental for healthcare professionals.
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Understanding cultural contexts for complaints and distress helps in accurate clinical diagnosis.
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Recognizing cultural underpinnings of symptoms is crucial for accurate assessment and effective interventions.
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Knowledge about one's own culture and its influence on communication is also essential.
Examples/Considerations
- Eye contact, silence/small talk, expression of distress or discomfort, personal space, non-verbal communication.
Bias
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Values, beliefs, and experiences shape patient interactions by filtering information and guiding patient care choices.
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Unchallenged assumptions can create unfair realities for patients.
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Criticism and negative judgment should be consciously managed to maintain compassionate and quality care.
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Initial biases can be modified through conscious thought and experience.
Microaggressions and Micro-Affirmations
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Microaggressions are everyday actions that communicate derogatory messages about a person.
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Micro-affirmations counteract such messages with those that promote excellence and opportunity.
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Active listening and validating/affirming experiences are essential.
Avoiding Bias
- Ask the following 3 questions to avoid stereotypical thinking:
- How is this client like all human beings?
- How is this client like some human beings?
- How is this client like no other human being?
Bias Against Providers
- Providers work with diverse patients.
- Unfavorable interactions from patients are likely.
- Maintaining professional boundary is essential while setting a healthy boundary without reacting impulsively.
- Examples include Mayo Clinics’ SAFER approach.
PT Practice Settings
- Hospital-based (inpatient acute)
- Skilled Nursing Facility/Residential Facility
- Outpatient clinic
- Home Health
- School-based/ Early Intervention
- Vocational/Recreational settings
Positive Patient Interactions
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Maintain an open mind.
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Understand patient beliefs and values.
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Ask patients about their health concerns and beliefs.
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Attend training on cultural competence.
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Be self-aware.
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Seek help from cultural experts when needed.
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Understanding of one's own culture helps in understanding others'.
Qualified Medical Interpreters
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Use qualified medical interpreters for non-English speaking patients.
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Avoid using non-qualified people like family members or unqualified staff.
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Use of unqualified interpreters may lead to misunderstandings.
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A tip is to ask patients to communicate ideas in their own words (without the interpreter).
Work to Build Trust
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Be culturally respectful.
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Engage family members when appropriate for decision-making.
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Encourage questions to promote treatment success.
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Use phrases like "What questions do you have for me today?" or "Is there anything else?".
Final Thoughts
- The presentation encourages reflective thinking about the meaning of "cultural competence" in healthcare.
Resources
- This section provides links to relevant websites and resources related to cultural competency and diversity, equity and inclusion (DE&I).
References
- This section cites sources and websites used for information.
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Description
This quiz explores cultural competence and humility, highlighting their significance in physical therapy. Participants will learn about the impact of cultural beliefs and biases on therapeutic effectiveness. Additionally, it discusses the connection between cultural competence and the APTA vision statement.
