Nursing

Culturally appropriate Culturally appropriate—the provider applies the underlying back- ground knowledge that must be possessed to provide a patient with the best possible health/HEALTH care. Place Your Order Here!

Culturally competent —within the delivered care, the provider under- stands and attends to the total context of the patient’s situation and this is a complex combination of knowledge, attitudes, and skills. Place Your Order Here!

Building Cultural and Linguistic Competence ■ 11 ■ Cultural Competence Cultural competence implies that professional health care must be developed to be culturally sensitive, culturally appropriate, and culturally competent. Cultur- ally competent care is critical to meet the complex culture-bound health care needs of a given person, family, and community. It is the provision of

Speaking of Culturally Competent Care 4. Health care organizations must offer and provide language assistance services, including bilingual staff and interpreter services, at no cost to each patient/consumer with limited English proficiency at all points of contact, in a timely manner during all hours of operation. 5. Health care organizations must provide to patients/consumers in

Building Cultural and Linguistic Competence ■ 9 Box 1–1 Office of Minority Health’s Recommended* National Standards for Culturally and Linguistically Appropriate Services in Health Care The Fundamentals of Culturally Competent Care 1. Health care organizations should ensure that patients/consumers receive from all staff members effective, understandable, and respectful care that is provided in a manner

National Standards for Culturally and Linguistically Appropriate Services in Health Care In 1997, the Office of Minority Health undertook the development of national standards to provide a much needed alternative to the patchwork that has been undertaken in the field of cultural diversity. It developed the National Stan- dards for Culturally and Linguistically Appropriate Services

Heterosexism Hex Homeland security Homeopathic philosophy Homophobia Iatrogenic Illness ILLNESS Immigration Kosher Language Law Legal Permanent Resident (LPR) Life trajectory Limpia Linguistic competence Literacy Mal ojo Manpower Meridians Migrant labor Milagros Modern Modesty Morbidity Mortality Naturalization Office of Minority Health Orisha Osteopathy Partera Pasmo Politics Poverty Poverty guidelines Powwow Procedures Promesa Quag dab peg Racism

Building Cultural and Linguistic Competence ■ 5 In all clinical practice areas—from institutional settings, such as acute and long-term care settings, to community-based settings, such as nurse practitioners’ and doctors’ offices and clinics, schools and universities, pub- lic health, and occupational settings—one observes diversity every day. The undeniable need for culturally and linguistically competent health

Building Cultural and Linguistic Competence When there is a very dense cultural barrier, you do the best you can, and if something happens despite that, you have to be satisfied with little success instead of total successes. You have to give up total control. . . . —Anne Fadiman (2001) ■ Objectives 1. Discuss the

Do you speak a language other than English? Before you read Unit I, please answer the following questions: 1. Do you speak a language other than English? 2. What is your sociocultural heritage? 3. What major sociocultural events have occurred in your lifetime? 4. What is the demographic profile of the community you grew up