New 5th Edition

The Process of Cultural Competence in the Delivery of Healthcare Services

 The Journey Continues. . .

 

 

"When he took the time to

 help the man up the mountain,

lo, he scaled it himself."

Tibetan Proverb

 

 

The above Tibetan proverb serves as a metaphor for understanding how we are to scale the mountain of cultural competence.  It is when we take the time to help others that we in turn tread the personal path towards cultural competence.  As healthcare professionals, we are unequivocally considered the ones responsible for helping others.  However, as noted in this above quote, it is our patients and others who truly help us.  We cannot afford to view our patients as difficult, non-compliant, or the less value-laden term of non-adherent.  Instead they are to be viewed as helpers and cultural informants. 

 

The new fifth edition of The Process of Cultural Competence in the Delivery of Healthcare Services continues the journey towards cultural competence in healthcare delivery and becoming a culturally competent healthcare professional by introducing the reader to new content in transcultural health care including culturally sensitive medication assessment tools; a student version of the IAPCC-R© (IAPCC-SV©); tips for conducting a melanocentric physical assessment; exploring Chapman’s (2005) concepts of  “Sacred Encounter,” “Servant’s Heart” and “Radical Loving Care” as they apply to becoming culturally competent; effectively managing cross-cultural conflicts with compassion; and incorporating the concepts of sacrifice, social justice, lethal “isms,” linguistic competence, health literacy, and non face-to-face cross-cultural encounters into the model's constructs of cultural awareness, cultural desire, cultural skill, cultural encounters and cultural knowledge.

 

The table of contents is presented below to give you an idea of the text's content:

 

TABLE OF CONTENTS

 

PREFACE: Scaling the Mountain

 

INTRODUCTION: Cultural Competence: Making a Difference

        Defining Culture

        Building the Case for Cultural Competence

        Summary

 

CHAPTER 1:The Process of Cultural Competence in the Delivery of Healthcare Services 

        Development of the Model

        Knowledge Antecedents

        Assumptions of the Model

        Summary

 

CHAPTER 2: Cultural Desire

        Caring and Love

        Sacrifice

        Social Justice

        Humility

        Summary

 

CHAPTER 3: Cultural Awareness  

        Cultural Consciousness Continuum

        Interacting Styles

        Lethal “Isms” 

        Summary

 

CHAPTER 4: Cultural Knowledge

        Health-Related Beliefs

        Disease Incidence and Prevalence

        Treatment Efficacy 

        Diagnostic Clarity

        Interacting Styles Within Groups

        Summary

 

CHAPTER 5: Cultural Skill

        Cultural Assessment Tools

        Mnemonic Cultural Assessment Tools 

        Culturally-Based Physical Assessments

        Skill Acquisition                                

        Summary  

 

CHAPTER 6: Cultural Encounters

        Linguistic Competence

        Health Literacy

        Mnemonic Models for Cultural Encounters

        Cultural Conflict and Compassion

       "Sacred Encounters”

        Non Face-To-Face Encounters

        Summary

            

CONCLUSION: Cultural Competency in Healthcare Delivery: Have I "ASKED” the Right Questions?”

        Summary

 

BIBLIOGRAPHY

 

FIGURES

    Figure 1: Culturally Competent Model of Care (1991)

    Figure 2: The Process of Cultural Competence in the Delivery of Healthcare Services (1998)

    Figure 3: The Process of Cultural Competence in the Delivery of Healthcare Services (2003)

 

APPENDICES

    Appendix A: Culturally and Linguistically Appropriate Services (CLAS) in Health Care

    Appendix B: Resources in Transcultural Healthcare and Cultural Competence   

    Appendix C: IAPCC-R

    Appendix D: IAPCC-SV

 

ABOUT THE AUTHOR

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  Last Updated: May, 2008