Diversity and Cultural Competence in Health Care : A Systems Approach.

Intro -- Diversity and Cultural Competence in Health Care: A Systems Approach -- Copyright -- Contents -- Figures and Tables -- List of Figures -- List of Tables -- Preface -- Who Should Read this Book? -- How this Book is Organized -- Challenges to the Students -- Acknowledgments -- The Authors -- Part One: The Diversity Imperative -- Chapter 1: Systems Approach to Cultural Competence -- Dimensions of Diversity -- Ethnicity and Race -- Gender -- Sexual Orientation -- Age and Generation -- Socioeconomic Status -- Language -- Religion -- Health Care Diversity Challenges -- Health Care Disparities in the United States -- Changing the US Health Care System -- Systems Approach in the Health Care Delivery Organization -- The Importance of Leadership -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 2: Systematic Attention to Health Care Disparities -- What Are Health Care Disparities? -- Race and Ethnic Disparities in Health Status -- Socioeconomic Sources of Racial and Ethnic Differences in Health Status -- Genetic Differences as a Source of Racial and Ethnic Variation in Disease Risk -- Racial and Ethnic Disparities in Health Status as the Focus of National Attention -- Disparities Across Other Diversity Dimensions: Gender, Sexual Orientation, the Elderly -- Health Care Disparities Associated with Gender -- Health Disparities Among Lesbian, Gay, Bisexual, and Transgender (LGBT) People -- Health Issues Unique to the Aging Population -- Stakeholder Attention to Health Care Disparities -- Systematic Strategies for Reducing Health Care Disparities -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 3: Workforce Demographics -- Trends in the US Labor Force -- Diversity and the Health Professions -- Drivers of Disparities in the Health Professions.

Checklist of Recommended Organizational-Level Actions -- Workforce Diversity Challenges -- Summary -- Key Terms -- Review Questions and Activities -- References -- Part Two: The Development of Cultural Competence -- Chapter 4: Foundations for Cultural Competence in Health Care -- What Is Cultural Competence in Health Care? -- The Meaning of Culture in Cultural Competence -- Culture and Concepts of Health and Illness -- Culture, Categories, Complexity, and Confusion -- Subcultures: An Important Part of Most Cultures -- Acculturation as an Aspect of Cultures in Contact -- Cultural Competence and Immigrant Populations -- Culture Is Best Discovered in Local Populations -- Long Journey Toward Cultural Competence -- Cultural Competence and Disparities Reduction -- Cultural Competence and Changing Delivery Models -- National Institutional Support for Cultural Competence -- Cultural Competence and the Health Care Provider Organization -- Cultural Competence and the Multicultural Health Care Workforce -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 5: Hallmarks of Cultural Competence in Health Care Professionals -- Personal Journey of Cultural Competence -- A Dilemma for the Health Care Professional -- Readiness for Self-Development -- The Challenge of Implicit Bias -- Professional Values as a Foundation for Cultural Competence -- Psychology of the Health Care Professional -- Human Fear of Difference and the Culture of Exclusion -- Framework for Role Development -- Person -- Context -- System -- Role -- Journey of Self-Discovery -- Person: Who Am I? -- Context: What Influences Me? -- System: What Structure Do I Operate In? -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 6: Training for Knowledge and Skills in Culturally Competent Care for Diverse Populations.

Eight Principles for Knowledge and Skills Training -- Cultural Competence Knowledge and Skills for Administrators and Directors -- Cultural Competence Training for Health Care Professionals in Direct Patient Care -- Support from the Clinical Professions -- Cultural Competence Training in Clinical Education -- Strategies for Training Health Care Professionals in Culturally Competent Care: A Knowledge Base and Skills Development -- Considering the Universal Aspects of Culture That Affect Health Care -- Some Tools Useful in Teaching Cultural Competence to Health Care Professionals -- Obstacles to Cultural Competence Training for Health Care Professionals -- Cultural Competence Training for Support Staff -- The Role of Assessment in Cultural Competence Training -- Summary -- Key Terms -- Review Questions and Activities -- References -- Part Three: Cultural Competence and Health Care Delivery -- Chapter 7: Cultural Competence in Health Care Encounters -- Models from Transcultural Nursing -- Leininger's Sunrise Model -- Purnell Model for Cultural Competence -- Campinha-Bacote's Process of Cultural Competence in the Delivery of Health Care Services -- Jeffreys' Cultural Competence and Confidence (CCC) Model -- Andrews and Boyle's Transcultural Concepts in Nursing Practice -- Giger-Davidhizar Transcultural Assessment Model (GDTAM) -- Communication -- Space -- Social Organization -- Time -- Environmental Control -- Biological Variations -- Being Culturally Responsive -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 8: Language Access Services and Crosscultural Communication -- Language Use in the United States -- Language Differences in Health Care Encounters -- Attitudes Toward Limited-English Speakers -- Changing Responses to Language Barriers in Health Care -- Major Resources for Providing LAS.

Model Systemic Approaches to LAS -- An Expanding Profession: The Health Care Interpreter -- Translation in Written Health Care Communication -- Communication Is More Than Words -- Communication of Culture and Meaning -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 9: Group Identity Development and Health Care Delivery -- Research Highlights -- Minority Status Group Identity Development -- Conformity -- Dissonance -- Resistance and Immersion -- Introspection -- Synergy -- Majority Status Group Identity Development -- The Acknowledgement of Privilege -- Establishment of a Positive Majority Group Identity -- Using the Models -- Summary -- Key Terms -- Review Questions and Activities -- References -- Part Four: Cultural Competence and the Health Care Organization -- Chapter 10: The Centrality of Organizational Behavior -- The Science of Organizational Behavior -- Organizations as Contexts for Behavior -- OB Research Highlights -- Leadership and Diversity Management Strategies -- Teams and the Performance of Groups -- Need for Additional Research -- Can Culturally Competent Health Care Professionals "Go It Alone"? -- Enable -- Cultivate -- Reinforce -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 11: The Business Case and Best Demonstrated Practices -- Evolution of the Business Case -- The Business Case for Cultural Competence in Health Care -- Cultural Competence and Expanded Health Plan Market Share -- Reductions in the Cost of Health Services and Increases in the Efficiency of Service Delivery -- Reduction of Health Care Disparities and Improved Health Outcome for Minority Populations -- How Different Is the Health Care Business Case? -- Workforce, HRM, and the Business Case -- Landmark Publications -- Early Pioneers -- Best Demonstrated Practices -- DiversityInc Selection Criteria.

Top Three on the 2012 DiversityInc Top Fifty Companies for Diversity List -- Top Five Health Systems List -- Assessment and the Systems Approach -- Benchmarking -- Role of Metrics in the Systems Approach -- Application of Six Sigma and DMAIC -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 12: The Future of Diversity and Cultural Competence in Health Care -- Trends That Support Widespread Adoption of the Systems Approach -- Trend One: The Demographic Imperative Is Well Established -- Trend Two: Diversity Is Increasingly Nuanced, Complex, and Multifaceted -- Trend Three: Support for Inclusion Is Broad Based and Growing, Especially Among the Young -- Trend Four: Mandates Continue to Grow in Breadth and Depth -- Trend Five: The Business Case for Diversity Continues to Build -- Trend Six: Global Interest in Diversity and Cultural Competence in Health Care Is Growing -- The Sustainability Movement and the Systems Approach -- Change Management and Force Field Analysis: Tools to Envision and Shape the Future -- Summary -- Key Terms -- Review Questions and Activities -- References -- Glossary -- Index.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.