Cultural Competency: 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. Competence implies the capacity 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.Cultural Diversity: Coexistence of numerous distinct ethnic, racial, religious, or cultural groups within one social unit, organization, or population. (From American Heritage Dictionary, 2d college ed., 1982, p955)Competency-Based Education: Educational programs designed to ensure that students attain prespecified levels of competence in a given field or training activity. Emphasis is on achievement or specified objectives.Curriculum: A course of study offered by an educational institution.Professional Competence: The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.Education, Pharmacy: Formal instruction, learning, or training in the preparation, dispensing, and proper utilization of drugs in the field of medicine.Students, Pharmacy: Individuals enrolled in a school of pharmacy or a formal educational program leading to a degree in pharmacy.Education, Medical: Use for general articles concerning medical education.Sensitivity Training Groups: A group of people who meet in an unstructured setting to learn about themselves, interpersonal relationships, and group processes and about larger social systems.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.NebraskaEducational Measurement: The assessing of academic or educational achievement. It includes all aspects of testing and test construction.Dentist-Patient Relations: The psychological relations between the dentist and patient.Tape Recording: Recording of information on magnetic or punched paper tape.Education, Dental: Use for articles concerning dental education in general.Minority Groups: A subgroup having special characteristics within a larger group, often bound together by special ties which distinguish it from the larger group.Students, Medical: Individuals enrolled in a school of medicine or a formal educational program in medicine.Culture: A collective expression for all behavior patterns acquired and socially transmitted through symbols. Culture includes customs, traditions, and language.Teaching: The educational process of instructing.Healthcare Disparities: Differences in access to or availability of medical facilities and services.Hawaii: A group of islands in Polynesia, in the north central Pacific Ocean, comprising eight major and 114 minor islands, largely volcanic and coral. Its capital is Honolulu. It was first reached by Polynesians about 500 A.D. It was discovered and named the Sandwich Islands in 1778 by Captain Cook. The islands were united under the rule of King Kamehameha 1795-1819 and requested annexation to the United States in 1893 when a provisional government was set up. Hawaii was established as a territory in 1900 and admitted as a state in 1959. The name is from the Polynesian Owhyhii, place of the gods, with reference to the two volcanoes Mauna Kea and Mauna Loa, regarded as the abode of the gods. (From Webster's New Geographical Dictionary, 1988, p493 & Room, Brewer's Dictionary of Names, 1992, p2330)Schools, Medical: Educational institutions for individuals specializing in the field of medicine.Problem-Based Learning: Instructional use of examples or cases to teach using problem-solving skills and critical thinking.Students, Dental: Individuals enrolled a school of dentistry or a formal educational program in leading to a degree in dentistry.Teaching Materials: Instructional materials used in teaching.Patient Care: The services rendered by members of the health profession and non-professionals under their supervision.Schools, Dental: Educational institutions for individuals specializing in the field of dentistry.Prejudice: A preconceived judgment made without factual basis.Cultural Characteristics: Those aspects or characteristics which identify a culture.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Education, Medical, Undergraduate: The period of medical education in a medical school. In the United States it follows the baccalaureate degree and precedes the granting of the M.D.Attitude: An enduring, learned predisposition to behave in a consistent way toward a given class of objects, or a persistent mental and/or neural state of readiness to react to a certain class of objects, not as they are but as they are conceived to be.Oceanic Ancestry Group: Individuals whose ancestral origins are in the islands of the central and South Pacific, including Micronesia, Melanesia, Polynesia, and traditionally Australasia.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Ethnic Groups: A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.United StatesFocus Groups: A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.CaliforniaEducation, Medical, Graduate: Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Models, Educational: Theoretical models which propose methods of learning or teaching as a basis or adjunct to changes in attitude or behavior. These educational interventions are usually applied in the fields of health and patient education but are not restricted to patient care.Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Mental Competency: The ability to understand the nature and effect of the act in which the individual is engaged. (From Black's Law Dictionary, 6th ed).Accreditation: Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.Education, Public Health Professional: Education and training in PUBLIC HEALTH for the practice of the profession.Education, Nursing: Use for general articles concerning nursing education.Schools, Public Health: Educational institutions for individuals specializing in the field of public health.Societies: Organizations composed of members with common interests and whose professions may be similar.Leadership: The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers.Delphi Technique: An iterative questionnaire designed to measure consensus among individual responses. In the classic Delphi approach, there is no interaction between responder and interviewer.Credentialing: The recognition of professional or technical competence through registration, certification, licensure, admission to association membership, the award of a diploma or degree, etc.Epidemiology: Field of medicine concerned with the determination of causes, incidence, and characteristic behavior of disease outbreaks affecting human populations. It includes the interrelationships of host, agent, and environment as related to the distribution and control of disease.Education, Graduate: Studies beyond the bachelor's degree at an institution having graduate programs for the purpose of preparing for entrance into a specific field, and obtaining a higher degree.Consensus: General agreement or collective opinion; the judgment arrived at by most of those concerned.Education, Nursing, Graduate: Those educational activities engaged in by holders of a bachelor's degree in nursing, which are primarily designed to prepare them for entrance into a specific field of nursing, and may lead to board certification or a more advanced degree.Health Educators: Professionals who plan, organize and direct health education programs for the individual, groups and the community.Professional Role: The expected function of a member of a particular profession.Specialty Boards: Organizations which certify physicians and dentists as specialists in various fields of medical and dental practice.Self-Assessment: Appraisal of one's own personal qualities or traits.Education, Continuing: Educational programs designed to inform individuals of recent advances in their particular field of interest. They do not lead to any formal advanced standing.Nurse Administrators: Nurses professionally qualified in administration.Faculty, Medical: The teaching staff and members of the administrative staff having academic rank in a medical school.Staff Development: The process by which the employer promotes staff performance and efficiency consistent with management goals and objectives.

*  Cultural Competency

... e0822173 (IWI) Institute for Workforce Innovation, Reach Foundation Funding to conduct a feasibility study ... to determine whether there is a viable market to sustain a cultural competency training program in the Kansas City area. $9,885 ...

*  Irma Matos: A 66-Year-Old Ecuadorian Woman with Type 2 Diabetes and Hypertension - Achieving Cultural Competency: A Case-Based...

Cultural Competency and Spirituality, University of Pennsylvania School of Medicine, Philadelphia, PA, USA ... in Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals (eds L. Hark and H. DeLisser), Wiley- ...

*  Sharing best practices for cultural competency: Call for Participation | ALA Connect

We'll then review materials and discuss what ALA can do to foster best practices for cultural competency at our Annual ... and articles touching on institutional best practices around developing cultural competency in the next few months. ...

*  Food, Cuisine, and Cultural Competency for Culinary, Hospitality, and ... - Sari Edelstein - Google Books

The text explores the critical importance of cultural sensitivity and competency in today's work setting, addresses health ... This book is consistent with The American Dietetic Association's Cultural Competence Strategic Plan. ... and Cultural Competency for Culinary, Hospitality, and Nutrition Professionals comprehensively covers unique food traditions as ... Cultural_Competency_for.html?id=lj0CeaIIETkC&utm_source=gb-gplus-shareFood, Cuisine, and Cultural Competency for Culinary, ...

*  Cultural Competency

... Cultural Competence Plan - Family Justice Center of Ouachita Parish. Created by the Family Justice Center ... the Cultural Competency Plan provides a cultural profile of the population of Ouachita Parish, explains the Center's outreach ...

*  Assess Your Cultural Competency Online | TARGET Center

... worked with a local team to develop an online cultural competency assessment tool to evaluate the level of cultural competency ... Cultural and Linguistic Competence Policy Assessment (methodology for measuring cultural competencies of Part A programs) ... The tool was modified from an instrument developed by the National Cultural Competency Center, called the Cultural and ... See the slides from Creating A Culture Of Competency: Challenges And Application Of Cultural Competency Standards (A25), ...

*  PPT - CULTURAL COMPETENCY & MENTAL HEALTH PowerPoint Presentation - ID:254295

CULTURAL COMPETENCY & MENTAL HEALTH. Joan (Nyala) Cooper, Ph.D. Charles R. Drew University of Medicine & Science Adjunct ... Cultural Competency -Learning objectives. what culture and cultural competency is.evaluating ourselves.why it is important to ... STAGES OF CULTURAL COMPETENCY. 1. Cultural sensitivity or awareness (being conscious of the nuances of other cultures and one's ... Cultural Linguistic Competency in the Workforce: Developing Cross Cultural Communication Skills -2. question of the day. why is ...

*  Born on the Edge of Race and Gender: A Voice for Cultural Competency by Wilkinson, Willy: Unknown 9780997012309 Paperback -...

A Voice for Cultural Competency, which transforms the memoir genre into a cultural competency tool. He has written for numerous ... Born on the Edge of Race and Gender: A Voice for Cultural Competency. Wilkinson, Willy. Published by Unknown, 2015 ... 1. Born on the Edge of Race and Gender: A Voice for Cultural Competency (Paperback or Softback) Wilkinson, Willy ... 6. Born on the Edge of Race and Gender: A Voice for Cultural Competency (Paperback) Willy Wilkinson ...

*  Build Teachers' Cultural Competency Through Bias-Busting Home Visits - Education Week

Building cultural competency and connection is a vital part of this process. ... Published in Print: October 7, 2015, as Build Teachers' Cultural Competency Through Bias-Busting Home Visits ...

*  Doctors & Cultural Competency | WAMC

She tells Capital District Bureau Chief Dave Lucas that AAOS has devised a test: a "Cultural Competency Challenge" you can take ... "cultural competency" with an initiative toward educating doctors about diversity, enabling them to better communicate with ... Albany, NY - Cultural competence is a term coined to describe the ability of people of one culture to understand, communicate, ...

*  Industry leaders share wisdom on cultural competency

"Cultural competency is not achieved at the end of a course," she said. "It is a lifelong journey of cultural humility, cultural ... "When we talk about cultural competencies, we talk about things near and dear to us. We talk about beliefs. We talk about value ... More than anything, they said, understand the value of cultural competency.. "We have plants everywhere in the world. You have ... Industry leaders share wisdom on cultural competency. Students in an Elon Core Curriculum capstone course focused on social ...

*  Cultural Competency Lecture Archive | Center for Diversity & Inclusion | OHSU

Cultural Competency Lecture Archive. Previous Lectures. November 10, 2011. Native American Heritage Celebration and Lecture ...

*  LGBTQ Cultural Competency - Healthcare by Steven Jagord on Prezi

LGBTQ Cultural Competency. About Us. Pride Center of WNY, Inc.. Established in 2001. 501(c)(3) nonprofit Part of Evergreen ... Transcript of LGBTQ Cultural Competency - Healthcare. 62. ECG. bpm. Steve Jagord. (716)852-7743 ... LGBTQ Cultural Competency Trainings. Out for Business. Support. Coming Out Support. Trans Art Therapy. TransGeneration. ...

*  Kickstart your cultural competency program -

... having a cultural competency program in place can put you ahead of the game and lead to positive outcomes throughout your ... Kickstart your cultural competency program. Nurse Leader Insider, March 19, 2007. Want to receive articles like this one in ... To take a free assessment quiz on the cultural competency needs of your organization, visit ... With the diversity of your patient and staff population increasing, having a cultural competency program in place can put you ...

*  The New York Times | College | Oregon Cultural Competency: We Need to Know Our History

OREGON CULTURAL COMPETENCY We Need to Know Our History By AVEL GORDLY. Create/Edit E-mail Alerts. ... The institutional and social lethargy that has blocked progress in cultural competency is still with us today. ... That cultural competence has risen to the level that it has in 2004 is not because the focus on it is new. Many people have ... Multicultural curricula and competency were clearly on the back burner at the state level; but at the local and community level ...

*  Asian Task Force Against Domestic Violence - Domestic Violence and Cultural Competency 'Toolbox'

Domestic Violence and Cultural Competency 'Toolbox'. Geared toward adults and professionals, our Toolbox curriculum offers best ... Our Toolbox trainings include Domestic Violence 101, Domestic Violence in Asian Communities, and Cultural Competency. ...

*  Cultural Competency in Medicine | Fung | UBC Medical Journal

Cultural Competency in Medicine

*  Calumet District Cultural Competency CEU Event (Homewood) |

NASW Illinois • 404 S. Wells St. • 4th Floor • Chicago, IL 60607 • Phone: 312-435-2100 • Fax: 312-489-2367 ...

*  TransOhio Cultural Competency Training | TransOhio

TransOhio Cultural Competency Training. TransOhio provides cultural competency training to businesses, organizations, ... TransOhio Cultural Competency Training. *About TransOhio *Board of Directors *TransOhio Board of Directors Application & ...

*  Launch of New Cultural Competency Program for Oral Health Professionals - News -

Launch of New Cultural Competency Program for Oral Health Professionals. Posted on April 11, 2014. ... What: Stakeholder call announcing new Cultural Competency Program for Oral Health Professionals ... invites you to attend a stakeholder call announcing the launch of a new Cultural Competency Program for Oral Health ... This oral health e-learning program is the first Think Cultural Health e-learning program based on the enhanced National ...

*  See more

National and cultural affairs. Learn more about the Xerox Foundation.. See more detailed information on Xerox Foundation giving ...

*  Quality Indicators for Professional Service Programs in Audiology and Speech-Language Pathology

How are the skills and competencies needed by clinical staff maintained? Maintenance of skills and competencies can be ... It is defined by taking into account the characteristics (e.g., age, impairment, activity limitation, cultural and linguistic ... It is important that programs provide ways for staff to maintain skills and competencies as well as to develop new ones when ... How are the skills and competencies needed by clinical staff established? Programs have processes for determining the skills ...

*  Presidential Scholarship - Arkansas Tech University Scholarships

AREA, ETHNIC, CULTURAL, GENDER, AND GROUP STUDIES. Associate. Bachelor. Master. Regional Studies (U.S., Canadian, Foreign). 0. ... Formal demonstration of competencies. Neither required nor recommended Arkansas Tech University Admission statistics. Students ...

*  John Leonard Young, MD, MTh, CSC: Philosopher, Priest, and Forensic Psychiatrist | Journal of the American Academy of...

When we had sat down to discuss competency to marry, I realized how profoundly ignorant I was about what marriage meant in the ... I believe it was first a common interest in cultural psychiatry that drew us together, although it was more precisely an ... He was assured that the order would help him construct what cultural geographers these days call a therapeutic space. The order ... We were there to talk about matters that occupied Catholic annulment courts, particularly this notion of competency to marry. ...

*  J M Leathem

mental competency*brain injuries*time perception*thalamus*mood disorders*intelligence*cross cultural comparison*new zealand* ... Self- and informant-ratings on the patient competency rating scale in patients with traumatic brain injury. J M Leathem. School ... Self- and informant-ratings on the patient competency rating scale in patients with traumatic brain injury. J M Leathem. School ...

Business Model of Intercultural Analysis: The Business Model of Intercultural Analysis (BMIA) is a tool developed to address cross-cultural problems. The BMIA framework uses six comprehension lenses to analyze cross-cultural interaction in the business environment.Syllabus: A syllabus (pl. syllabi) is an outline and summary of topics to be covered in an education or training course.Upsilon Phi Delta: Upsilon Phi Delta (ΥΦΔ) is the national academic honor society for students in healthcare administration in the United States. The organization was formed in 1965 to further the profession of health administration and the professional competence and dedication of its members.University of Nebraska Medical Center College of Dentistry: The University of Nebraska Medical Center College of Dentistry is located on the East Campus of the University of Nebraska at Lincoln. The College offers degrees in Doctor of Dental Surgery (DDS) and Registered Dental Hygienist (RDH).Preservation of magnetic audiotape: Preservation of magnetic audiotape involves techniques for handling, cleaning and storage of magnetic audiotapes in an archival repository. Multiple types of magnetic media exist but are mainly in the form of open reels or enclosed cassettes.DJ College of Dental Sciences and Research: Divya Jyoti (DJ) College of Dental Sciences and Research is a dental college located in Modinagar in the nagar panchayat of Niwari in Ghaziabad district in the Indian state of Uttar Pradesh. The founder and chairman is Ajit Singh Jassar.Ethnic groups in the United Kingdom: People from various ethnic groups reside in the United Kingdom. Migration from Northern Europe has been happening for millennia, with other groups such as British Jews also well established.Leiden International Medical Student ConferenceList of law enforcement agencies in Hawaii: This is a list of law enforcement agencies in Hawaii.List of medical schools in the United KingdomGraphic facilitation: Graphic Facilitation is the use of large scale imagery to lead groups and individuals towards a goal. The method is used in various processes such as meetings, seminars, workshops and conferences.Dental Schools Council: The Dental Schools Council represents the interests of UK dental schools as it relates to national health, wealth, knowledge acquisition through teaching, research, and the profession of dentistry.Universities UK http://www.Pride and Prejudice and Zombies: Dawn of the Dreadfuls: Pride and Prejudice and Zombies: Dawn of the Dreadfuls (2010) is a parody novel by Steve Hockensmith. It is a prequel to Seth Grahame-Smith's 2009 novel Pride and Prejudice and Zombies, focusing on "the early life and training of Elizabeth Bennet, heroine of the earlier Pride and Prejudice and Zombies as she strove to become a gifted zombie hunter, with some mishaps in her early romantic encounters also included.Hofstede's cultural dimensions theory: Hofstede's cultural dimensions theory is a framework for cross-cultural communication, developed by Geert Hofstede. It describes the effects of a society's culture on the values of its members, and how these values relate to behavior, using a structure derived from factor analysis.Standard evaluation frameworkVibe Australia: Vibe Australia Pty Ltd (Vibe) is an Aboriginal media, communications and events management agency. Located in Darlinghurst, Sydney, New South Wales, they work with Aboriginal and Torres Strait Islander people throughout Australia.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,San Diego County, California Probation: The San Diego County Probation Department is the body in San Diego County, California responsible for supervising convicted offenders in the community, either who are on probation, such as at the conclusion of their sentences, or while on community supervision orders.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Behavior change (public health): Behavior change is a central objective in public health interventions,WHO 2002: World Health Report 2002 - Reducing Risks, Promoting Healthy Life Accessed Feb 2015 http://www.who.National Accreditation Board for Testing and Calibration Laboratories: National Accreditation Board for Testing and Calibration Laboratories (NABL).Jiann-Ping Hsu College of Public Health: The Jiann-Ping Hsu College of Public Health is one of the eight colleges of Georgia Southern University, located in Statesboro, Georgia, in the United States.Manganin: Manganin is a trademarked name for an alloy of typically 86% copper, 12% manganese, and 2% nickel. It was first developed by Edward Weston in 1892, improving upon his Constantan (1887).Cross-cultural leadership: Cross-cultural psychology attempts to understand how individuals of different cultures interact with each other (Abbe et al., 2007).Delphi Greenlaw: Delphine "Delphi" Greenlaw is a fictional character on the New Zealand soap opera Shortland Street, who was portrayed by Anna Hutchison between 2002 and 2004.Yisrael Mordecai Safeek: (BS) (MD)ESCAIDENihon UniversityAmerican Board of Anesthesiology: The American Board of Anesthesiology sets standards and exams for the accreditation of Board certified anesthesiologists coming to the end of their residency. It is one of the 24 medical specialty boards that constitutes the American Board of Medical Specialties.Nurse-managed health center: A nurse-managed health center provides health care services in medically underserved rural and urban areas in the United States where there is limited access to health care.S.General Medicine Faculty of RostGMU (Rostov State Medical University): Rostov State Medical University, Faculty of General Medicine - Located in Rostov city center with 20 departments, each departments has its own clinics with numbers of beds.

(1/417) Asthma patient education opportunities in predominantly minority urban communities.

Disenfranchised ethnic minority communities in the urban United States experience a high burden of asthma. Conventional office-based patient education often is insufficient to promote proper asthma management and coping practices responsive to minority patients' environments. This paper explores existing and alternative asthma information and education sources in three urban minority communities in western New York State to help design other practical educational interventions. Four focus groups (n = 59) and four town hall meetings (n = 109) were conducted in one Hispanic and two black communities. Focus groups included adult asthmatics or caretakers of asthmatics, and town meetings were open to all residents. A critical theory perspective informed the study. Asthma information and education sources, perceptions of asthma and ways of coping were elicited through semi-structured interviews. Data analysis followed a theory-driven immersion-crystallization approach. Several asthma education and information resources from the health care system, media, public institutions and communities were identified. Intervention recommendations highlighted asthma workshops that recognize participants as teachers and learners, offer social support, promote advocacy, are culturally appropriate and community-based and include health care professionals. Community-based, group health education couched on people's experiences and societal conditions offers unique opportunities for patient asthma care empowerment in minority urban communities.  (+info)

(2/417) Social construction and cultural meanings of STI/HIV-related terminology among Nguni-speaking inmates and warders in four South African correctional facilities.

Cultural sensitivity is increasingly recognized as a means to enhance the effectiveness of health promotion programmes all over the world. Sociocultural meanings and terminology of diseases are important in understanding how different groups perceive and interpret illness. This study was conducted as part of the process of developing and adapting a sexually transmitted infection (STI)/HIV peer led health education intervention for soon-to-be-released inmates who were predominantly Nguni speakers in South Africa. Two focus group discussions (FGDs) were conducted with prison inmates in each of four facilities. Additionally, one FGD was conducted in each prison with non-health trained (custodial) personnel who were Nguni speakers from the same community (n = 27). The data revealed unique terminology and meanings attached to several biomedically defined STIs. These sociocultural constructions were not limited to inmates as findings from warders' discussions showed a similar pattern. Moreover, we found the existence of a number of traditional 'folk' STIs and culture-specific prevention methods. These conceptualizations influence reported health-care-seeking behaviour, where dual consultation of traditional healers and biomedical remedies is widely practiced. The research has biopsychological as well as cultural implications for the development and adaptation of contextually relevant health promotion interventions.  (+info)

(3/417) Understanding physical activity participation in members of an African American church: a qualitative study.

Faith-based interventions hold promise for increasing physical activity (PA) and thereby reducing health disparities. This paper examines the perceived influences on PA participation, the link between spirituality and health behaviors and the role of the church in promoting PA in African Americans. Participants (n = 44) were adult members of African American churches in South Carolina. In preparation for a faith-based intervention, eight focus groups were conducted with sedentary or underactive participants. Groups were stratified by age (<55 years versus >or=55 years), geography and gender. Four general categories were determined from the focus groups: spirituality, barriers, enablers and desired PA programs. Personal, social, community and environmental barriers and enablers were described by both men and women, with no apparent differences by age. Additionally, both men and women mentioned aerobics, walking programs, sports and classes specifically for older adults as PA programs they would like available at church. This study provides useful information for understanding the attitudes and experiences with exercise among African Americans, and provides a foundation for promoting PA through interventions with this population by incorporating spirituality, culturally specific activities and social support within the church.  (+info)

(4/417) Assessing oral literacy demand in genetic counseling dialogue: preliminary test of a conceptual framework.

Health literacy deficits affect half the American patient population and are linked to poor health, ineffective disease management and high rates of hospitalization. Restricted literacy has also been linked with less satisfying medical visits and communication difficulties, particularly in terms of the interpersonal and informational aspects of care. Despite growing attention to these issues by researchers and policy makers, few studies have attempted to conceptualize and assess those aspects of dialogue that challenge persons with low literacy skills, i.e., the oral literacy demand within medical encounters. The current study uses videotapes and transcripts of 152 prenatal and cancer pretest genetic counseling sessions recorded with simulated clients to develop a conceptual framework to explore oral literacy demand and its consequences for medical interaction and related outcomes. Ninety-six prenatal and 81 cancer genetic counselors-broadly representative of the US National Society of Genetic Counselors-participated in the study. Key elements of the conceptual framework used to define oral literacy demand include: (1) use of unfamiliar technical terms; (2) general language complexity, reflected in the application of Microsoft Word grammar summary statistics to session transcripts; and, (3) structural characteristics of dialogue, including pacing, density, and interactivity. Genetic counselor outcomes include self-ratings of session satisfaction, informativeness, and development of rapport. The simulated clients rated their satisfaction with session communication, the counselor's effective use of nonverbal skills, and the counselor's affective demeanor during the session. Sessions with greater overall technical term use were longer and used more complex language reflected in readability indices and multi-syllabic vocabulary (measures averaging p<.05). Sessions with a high proportionate use of technical terms were characterized by shorter visits, high readability demand, slow speech speed, fewer and more dense counselor speaking turns and low interactivity (p<.05). The higher the use of technical terms, and the more dense and less interactive the dialogue, the less satisfied the simulated clients were and the lower their ratings were of counselors' nonverbal effectiveness and affective demeanor (all relationships p<.05). Counselors' self-ratings of informativeness were also inversely related to use of technical terms (p<.05). Just as print material can be made more reader-friendly and effective following established guidelines, the medical dialogue may also be made more patient-centered and meaningful by having providers monitor their vocabulary and language, as well as the structural characteristics of interaction, thereby lowering the literacy demand of routine medical dialogue. These consequences are important for all patients but may be even more so for patients with restricted literacy.  (+info)

(5/417) Health education in rural settings in Ghana: a methodological approach.

Although the search for appropriate methodology in educating and training rural community populations is on going, previous efforts have yielded few results, some of which have not been successful with consequences for scarce resources. This paper, based on field reports from the Population Communication Project in Ghana, demonstrates that community learning theory can offer understanding of appropriate methodology in rural learning, education and training. The report shows steps used in educating people in Wusuta (a rural community) on health and environmental issues in the community using a mix of traditional and modern approaches. The result shows that the community internalized learning activity and were able to relate their learning experiences to existing traditional values and the need for action. The paper thus offers the method as a solution to rural population training and learning methodology.  (+info)

(6/417) Reminder cards and immunization rates among Latinos and the rural poor in Northeast Colorado.

OBJECTIVE: Immunization rates are static in the United States. Risk factors for not being up to date (UTD) include ethnicity and lower socioeconomic status. Reminder cards increase immunization rates in urban settings. Their effect in poor, Latino, and rural children is unknown. BACKGROUND: Language-appropriate reminder cards were sent to active patients not UTD listing the vaccines missing; the card served as the physician order for the vaccine. Missed opportunities were addressed through discussion with staff and posters in patient care rooms. UTD rates before and after intervention were measured. RESULTS: Dual-purpose reminder/order cards increased the rate of UTD from 61.3% to 73.4%; children living near the clinic, patients who speak only Spanish, and Latinos overall showed preferential effectiveness. Children eligible to participate in the Vaccines for Children program had similar increases in UTD rates but had lower baseline and final UTD rates than did children not eligible for the Vaccines for Children program. The rate of missed opportunities did not change. The number of children to whom reminder cards needed to be sent for them to become fully immunized is 8 (number needed to treat). CONCLUSIONS: In poor, rural, and Latino populations, language-appropriate reminder/order cards increase immunization rates.  (+info)

(7/417) Barriers beyond words: cancer, culture, and translation in a community of Russian speakers.

BACKGROUND: Language and culture relate in complex ways. Addressing this complexity in the context of language translation is a challenge when caring for patients with limited English proficiency (LEP). OBJECTIVE: To examine processes of care related to language, culture and translation in an LEP population is the objective of this study. DESIGN: We used community based participatory research to examine the experiences of Russian-speaking cancer patients in San Francisco, California. A Russian Cancer Information Taskforce (RCIT), including community-based organizations, local government, and clinics, participated in all phases of the study. PARTICIPANTS: A purposeful sample of 74 individuals were the participants of the study. APPROACH: The RCIT shaped research themes and facilitated access to participants. Methods were focus groups, individual interviews, and participant observation. RCIT reviewed data and provided guidance in interpreting results. RESULTS: Four themes emerged. (1) Local Russian-language resources were seen as inadequate and relatively unavailable compared to other non-English languages; (2) a taboo about the word "cancer" led to language "games" surrounding disclosure; (3) this taboo, and other dynamics of care, reflected expectations that Russian speakers derived from experiences in their countries of origin; (4) using interpreters as cultural brokers or establishing support groups for Russian speakers could help address barriers. CONCLUSIONS: The language barriers experienced by this LEP population reflect cultural and linguistic issues. Providers should consider partnering with trained interpreters to address the intertwining of language and culture.  (+info)

(8/417) The impact of an enhanced interpreter service intervention on hospital costs and patient satisfaction.

BACKGROUND: Many health care providers do not provide adequate language access services for their patients who are limited English-speaking because they view the costs of these services as prohibitive. However, little is known about the costs they might bear because of unaddressed language barriers or the costs of providing language access services. OBJECTIVE: To investigate how language barriers and the provision of enhanced interpreter services impact the costs of a hospital stay. DESIGN: Prospective intervention study. SETTING: Public hospital inpatient medicine service. PARTICIPANTS: Three hundred twenty-three adult inpatients: 124 Spanish-speakers whose physicians had access to the enhanced interpreter intervention, 99 Spanish-speakers whose physicians only had access to usual interpreter services, and 100 English-speakers matched to Spanish-speaking participants on age, gender, and admission firm. MEASUREMENTS: Patient satisfaction, hospital length of stay, number of inpatient consultations and radiology tests conducted in the hospital, adherence with follow-up appointments, use of emergency department (ED) services and hospitalizations in the 3 months after discharge, and the costs associated with provision of the intervention and any resulting change in health care utilization. RESULTS: The enhanced interpreter service intervention did not significantly impact any of the measured outcomes or their associated costs. The cost of the enhanced interpreter service was $234 per Spanish-speaking intervention patient and represented 1.5% of the average hospital cost. Having a Spanish-speaking attending physician significantly increased Spanish-speaking patient satisfaction with physician, overall hospital experience, and reduced ED visits, thereby reducing costs by $92 per Spanish-speaking patient over the study period. CONCLUSION: The enhanced interpreter service intervention did not significantly increase or decrease hospital costs. Physician-patient language concordance reduced return ED visit and costs. Health care providers need to examine all the cost implications of different language access services before they deem them too costly.  (+info)


  • With the number of minorities topping 100 million for the first time in 2006 - about a third of the U.S. population- modern medicine is embracing"cultural competency" with an initiative toward educating doctors about diversity, enabling them to better communicate with patients, establish trust and achieve better medical outcomes for all. (
  • Students in an Elon Core Curriculum capstone course focused on social justice and diversity heard Dec. 1 from business and nonprofit executives who offered advice for starting careers in a global economy where cultural understanding is more important than ever. (
  • Led by Assistant Professor Cherrel Miller Dyce, COR454: "Diversity and Social Justice: Building Competence" introduced students to the role diversity and cultural understanding will have throughout their careers while enhancing their "capacity to be cultural brokers. (
  • With the diversity of your patient and staff population increasing, having a cultural competency program in place can put you ahead of the game and lead to positive outcomes throughout your facility. (
  • POSTPONED-Cultural Competency, Cultural Diversity, and Issues of Privilege. (


  • apply principles of cultural competency to case studies involving HIV and mental health. (


  • Albany, NY - Cultural competence is a term coined to describe the ability of people of one culture to understand, communicate, operate, and provide effective services to people of another. (
  • In a diverse nation that makes up one of the largest markets in a global economy, panelists told students, such cultural competence is necessary for career success. (
  • Dyce said that bringing industry leaders to campus to share their views on cultural competence gives students additional perspective to what she teaches. (
  • James recently spoke during the HCPro, Inc., audioconference "Strategies to Cultivate Cultural Competence: How to Assess and Train Your Nursing Staff. (
  • will begin my answer to the question of why cultural competence has risen to the level that it has in the Oregon legislature and Department of Education with a statement that was made by a high school student at a recent community forum in Portland. (
  • This book is consistent with The American Dietetic Association's Cultural Competence Strategic Plan. (
  • The tool was modified from an instrument developed by the National Cultural Competency Center, called the Cultural and Linguistic Competence Policy Assessment . (


  • Before designing a program, you need to make an assessment of your organization and determine its cultural competency needs. (
  • James described the decisions that need to be made when designing an assessment tool to determine an organization's cultural competency needs. (
  • To take a free assessment quiz on the cultural competency needs of your organization, visit . (
  • However, a review these materials might be aided by some type of initial assessment to determine what is needed when it comes to cultural competency. (
  • The TGA, a Ryan White Part A grantee, worked with a local team to develop an online cultural competency assessment tool to evaluate the level of cultural competency of providers in its area and is using the results to improve the quality of care being delivered. (
  • Contact the Paterson TGA to learn more about its online assessment activities, including its cultural competency assessment resources. (


  • This session is intended to assist participants with cultural competency skill building in the area of HIV Mental Health. (


  • It often surprises people of means to learn how difficult it can be for others to survive given structural and cultural barriers to success, she said. (

importance of cultural

  • John Lew, executive director of human resources at Elon University, addresses a senior capstone course about the importance of cultural competency in the workforce. (
  • The text explores the critical importance of cultural sensitivity and competency in today's work setting, addresses health literacy issues. (
  • The text explores the critical importance of cultural sensitivity and competency in today's work setting, addresses health literacy issues of diverse client bases, and helps readers identify customer communication techniques that enable professionals to establish trust with clients of ethnicity not their own. (


  • Created by the Family Justice Center of Ouachita Parish, the Cultural Competency Plan provides a cultural profile of the population of Ouachita Parish, explains the Center's outreach plan, and details provided services and hiring policies and procedures. (
  • Materials developed for the Ryan White Community can be found on the TARGET Center cultural competency topic page . (


  • To increase efforts to evaluate the distribution of ethnic, racial and cultural backgrounds of Oregon s public school students and advance the use of demographic data for curricula and program planning. (


  • Cultural competency is not achieved at the end of a course," she said. (
  • For the Online Cultural Competency Course, there are no refunds for any reason. (


  • A host of resources has been developed at the Federal level to guide agencies in cultural competency. (


  • - Food, Cuisine, and Cultural Competency for Culinary, Hospitality, and Nutrition Professionals comprehensively covers unique food traditions as they apply to health. (
  • The definition of cultural competency in health care services is a complex one but, at heart, it refers to the ability to deliver care to patients in light of their background, knowledge, belief system, and language. (


  • She tells Capital District Bureau Chief Dave Lucas that AAOS has devised a test: a "Cultural Competency Challenge" you can take at home. (


  • We'll then review materials and discuss what ALA can do to foster best practices for cultural competency at our Annual Conference discussion on Sunday afternoon. (