Question

First, explain your understanding of cultural proficiency and cultural humility. Highlight the stages of cultural competency with an example of each. Explain five to seven strategies you feel are most important to build competency. Then explain whether you support Kleinman's diagnostic questions as a cultural, competent practitioner. Support your claims with references from a minimum of three articles, videos, or modular lessons.

Answer 1

Culture is defined as the system of shared beliefs, values, and artifacts that the members of society use to cope with their world and with one another, and that are transmitted from generation to generation.

*The culture helps us to function and help to cope with the world around us.

*The effort that takes to look beyond our own and understand the culture of others, which is called cultural proficiency.

*Cultural humility is process oriented rather than information oriented.

It is the way of being instead of doing, the attitude of openness. It is a lifelong commitment to self-evaluation and self-critique.

*Cultural competence is the understanding and attending to individual needs. It is a lifelong journey. To become cultural competent first we have to "know yourself first"

*Stages of cultural competence :

# Cultural Destructiveness: Attitudes.policies and practices destructive to other cultures or the purposeful destruction or the dehumanization of other cultures or the exploitation by dominant groups.

eg: The Tuskegee experiment from 1932 to 1972, the federal government sponsored an experiment in which doctors studied the impact of syphilis on African-American men who were told their syphilis was merely "bad blood".

#Cultural Incapacity: Unintentional cultural destructiveness, with a paternal attitude toward other groups or ignorance, fear of other groups and cultures or discriminatory practices/lowering expectations and devaluing of groups.

eg: One program serving chronically mentally ill adults, who happened to be African Americans, would have the patients to wait in the waiting room until their day program began. An administrator became worried that the program's paying. Causacian patients would be uncomfortable with the mentally ill adults and go elsewhere for service. To avoid this, the program began delivering the mentally ill adults back of the building. A Causacian nurse took offense and contacted the NAACP. The practice stopped. Here the decision had not been intentionally racist, but the outcome was certainly not in the patient's best interest.

#Cultural blindness: It is the philosophy of making unbiased where the belief that the culture, color makes no difference; and that traditionally used approaches are universally applicable.

eg: Treating all clients in the same way, regardless of their cultural background.

# Cultural Pre-Competence: The realization of weakness in working with other cultures. Here the agencies and individuals move toward the positive end of the continuum by recognizing cultural differences and making efforts to improve.

eg: Making the waiting room more welcoming with pictures, magazines, and music that reflect the culture of the community served.

#Cultural Competence: Acceptance and respect for differences; continual assessment of sensitivity to other cultures; expansion of knowledge and hiring a diverse and unbiased staff.

eg: Involving the community in the development of service and in planning and decision-making activities.

#Cultural Proficiency: Cultures are held in high esteem; constant development of new approaches; advocates for cultural competency with all system and organizations.

eg: Understand and give respect and values to others culture and beliefs

*Strategies to build cultural competency:

#Conduct self-assessments

#Learn others culture

#Build a cultural competence required reflection, thought, decision and change creates a culture of intentionally for it

#Embodies the principles of multiculturalism both personally and professionally

#Foster respect to others culture

#Involving families and communities

*As a culturally competent practitioner, I support with the Kleinman's diagnostic questions, why because:

# It can help us to relate the patient cultural or educational level by conducting a patient-centered interview.

#They demonstrate provider interest in caring for the whole patient.

#They allow for collaborative negotiation of treatment.