Posted: August 6th, 2022



scenarios 11 & 12

Please answer the appropriate questions for the above scenarios- no late submissions accepted.  Remember all of these scenarios have a cultural aspect to them, so you may need to research the assumption being made in the scenario about the specific culture mentioned, to assist you with your response.

11.  You are working in a healthcare facility in an area where there is a high population of individuals with Navajo heritage.  You meet a young couple who are coming to your facility because the young woman is experiencing symptoms; consistent with what you believe is her being pregnant.  You begin to ask the couple questions and notice that they take some time to answer.  You have several patients to see so you immediately jump up and start to assess vitals, while still asking questions.  You notice that they both begin to get more quiet and the young woman moves away from you slightly as you approach her in your hurried mode.  What assumptions were you making during this appointment and how might you have handled this in a more culturally competent manner?

12. It is near Christmas and a healthcare facility is decorating for the holidays.  One of the healthcare professionals says to another “I love the holidays, I can’t imagine why anyone would not want to celebrate Christmas.”  What is the assumption is the healthcare worker making and how could they better rephrase this statement?  If you were the other healthcare worker how might you address this statement?

· What assumptions have been made

· What cultural context is impacting this interaction

· How would you have handled this differently

It is important to understand these definitions and to be able to use them in your scenarios, discussions, book review and final exam. Please review the definitions and apply them as needed to the assignments.

An integrated pattern of learned beliefs and behaviors that can be shared among groups, including thoughts, styles of communicating and ways of interacting, views on roles and relationships, values, practices, and customs.

Rose (2013) stated, “Cultural competence involves ensuring that the needs of diverse patients/clients/customers are met by health service professionals based on the acquisition of specific skill sets, valuing diversity, and taking concrete steps to ensure efficacy in serving minority populations” (pg.50).

Rose, P. R. (2013). Cultural competency for the health professional. Jones & Bartlett Publishers.

Cultural Awareness –
 the ability of healthcare providers to appreciate and understand their client’s values, beliefs, lifeways, practices, and problem-solving strategies.

Cultural Blindness –
 Scenarios in which all people are viewed the same without taking into consideration that cultural differences matter.

Cultural Competence –

 cultural and linguistic competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations., Per the cultural competence continuum: involves ensuring that the needs of diverse patients/clients/customers are met by health service and public health organizations based on the acquisition of specific skill sets, valuing diversity and taking concrete steps to ensure efficacy in serving minority populations.

Cultural Desire –

 the ability of the healthcare provider/health service administrator/public health practitioner to possess a drive to achieve cultural competence.

Cultural Humility
 -ability to maintain an interpersonal stance that is other-oriented (or open to the other) in relation to aspects of cultural identity that are most important to the [person]” APA

Cultural Destructiveness – 
 characterized by attitudes, policies, structures, and practices within a system or an organization that are destructive to a cultural group.

Cultural Incapacity –
 the lack of capacity to respond effectively to culturally and linguistically diverse groups.

Cultural Knowledge –
 the ability to have insight and knowledge about physical, psychological, and biological variations among groups as well as having knowledge about various cultures to better understand their clients.

Cultural Sensitivity –
 An awareness of and respect for a patient’s cultural beliefs and values.

Cultural Pre-competence – 
When a healthcare organization is aware of its strengths and areas for growth and there is a clear commitment to human and civil rights.

Cultural Proficiency –
 Takes the process of cultural competence a step further by employing staff and consultants with cultural expertise, ensuring assessment and training efforts, and reviewing policies and procedures to ensure the inclusion of culturally competent language.

Paradigm Shift –
 A revolutionary change from one way of thinking to another, which does not just happen but is driven by agents of change.

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