Medicine and Health Sciences Commons^™

Cultural Competence With Humility: A Pre-Post Cohort Study Of Student Self-Assessments, Michele L. Tilstra, Cara A. Berg-Carramusa, Karen M. Keptner, Tiffany J. Peets

Internet Journal of Allied Health Sciences and Practice

Purpose: The intent of this study is to examine how Master of Occupational Therapy (MOT) and Counseling and Human Development (CHD) graduate students who experienced Counselors and Occupational Therapists Professionally Engaged (COPE) in the Community program perceived their self-evaluation of cultural competence with humility (CCH) constructs (cultural awareness, skills, knowledge, and desire) from pre- to post-experience. Methods: Using a pre-/post-test cohort design, researchers used the Modified Cultural Competency Self-Assessment (M-CCSA) to determine if there were changes in ratings after students completed a novel training program. Results: Twenty-five students completed the pre-/post- survey. Overall, the mean M-CCSA total and …

Promoting Cultural Humility As A Core Value Into Healthcare Professional Practice: Focusing On The Journey And Not The Destination, Archana Vatwani

Internet Journal of Allied Health Sciences and Practice

There is an increase in diversity in our nation, and as such, health care professionals need to have the tools to maximize patient outcomes, considering the breadth of these needs. It is important to improve effectiveness, as health care providers, by increasing cultural awareness and knowledge of cultural humility. The three factors that guide cultural humility include lifelong commitment to self-evaluation, fixing power imbalances, and developing partnerships with people and groups who advocate for others. These aspects may enhance future health care providers’ ability to minimize health care disparities and optimize health care for all patients. In addition, discussions related …

The Effect Of An Intersectionality Elective On The Perceived Self-Efficacy Of Medical Students In Addressing Health Inequity, Patrick Rollo, Noel Higgason, Kaitlyn Stark, Amina Aslam, Mason Motakef, Olivia Kerr, Asia Mccleary-Gaddy

Teaching in Clinics

Background: Intersectionality is a theoretical framework that contextualizes an individual’s experience as more than the sum of their cultural identifiers.

Aims: The current study investigates the effect of a 10-week intersectionality curriculum supplemented with student-led discussions on medical students’ self-efficacy in addressing bias and health inequity.

Methods: First- and second-year medical students volunteered to participate in a ten-week pilot elective entitled “Intersectionality in Medicine.” Participants enrolled in the course were required to complete a ten-minute online pre-elective and post-elective survey.

Results: Results showed that after completing the elective, medical students were significantly more confident in identifying their personal biases, assessing …

Cultural Humility And Cultural Brokering In Professional Training: Insights From People Of Color (Poc) And Persons With Disabilities (Pwd), Victoria Filingeri, Heather M. Mendez, Alisa Ssu Yu Lin, Gyasi Burks-Abbott, Amy Szarkowski, Jason Fogler

Developmental Disabilities Network Journal

This conceptual paper reflects the collaborative work of LEND trainees and faculty exploring the need to shift from “cultural competencies” to “cultural humility” in training programs. The authors draw on their lived experiences as members of racially/ethnically marginalized groups, members of the disability community, and advocates for equity in accessibility. Collectively, the authors highlight some of the challenges and opportunities in supporting diverse trainees in professional- and discipline-specific training programs. and in the provision of services the trainees provide to care-recipients across a variety of fields. This paper includes a series of case vignettes in order to: examine individual authors’ …

Diversity, Equity, Justice, And Inclusion In Occupational Therapy Education, Dana M. Howell, Renee Causey-Upton, Cindy Hayden

Journal of Occupational Therapy Education

No abstract provided.

Cultural Competence With Humility Using Interprofessional Multicultural Learning Activities: Student Perceptions, Michele L. Tilstra, Cara A. Berg-Carramusa, Tiffany J. Peets, Karen M. Keptner

Journal of Occupational Therapy Education

This study examined students’ perceptions of interprofessional multicultural learning activities used to develop cultural competence with humility (CCH). Limited research exists on student perceptions of learning activities for CCH in entry-level occupational therapy educational programs. This exploratory, mixed methods study used an anonymous online survey, the Learning Activities Survey (LAS), to collect student quantitative ratings and qualitative feedback about CCH learning activities and their experience within the Counselors and Occupational Therapists Professionally Engaged in the Community (COPE) program. A deductive thematic approach was used by two investigators for qualitative analyses of COPE learning activities by alignment …

A Nurse's Journey With Cultural Humility: Acknowledging Personal And Professional Unintentional Indigenous-Specific Racism, Deanne Schmalz, Holly Graham, Arlene Kent-Wilkinson

Quality Advancement in Nursing Education - Avancées en formation infirmière

This is a first-person reflection of my journey through cultural humility to identify a connection between my inherent beliefs about Indigenous Peoples and Indigenous-specific systemic racism. The co-authors of this paper provided guidance, mentorship, and support in organizing the framework due to the challenging and sensitive nature of the content. As part of my relational practice, I worked with a Cree scholar to write this paper. As a descendant of white European colonial settlers, I grew up in a small community in western Canada populated by people of similar backgrounds. My exposure to Indigenous Peoples and culture was very minimal; …

Cultivating Cultural Humility In Occupational Therapy Through Experiential Strategies And Modeling, Sylvia H. Anderson

The Open Journal of Occupational Therapy

Cultural competence and cultural humility have been topics in conversations for many years in multiple industries. Indeed, attempts have been made and continue to be made to address cultural ineptness and unawareness. Of particular concern are the attitudes and behaviors exhibited by health care practitioners. More specifically, the author will discuss the importance of cultivating cultural humility among occupational therapy educators, students, and practitioners through modeling and experiential learning strategies. This article is designed to help occupational therapy educators, professionals, and students to increase their awareness about the need for and benefit of cultural humility in education and practice. The …

Unearthing Historical Trauma To Advance Health Equity For Survivors Of Human Trafficking, Sandy Woo-Cater

HCA Healthcare Journal of Medicine

In the last decade, the public health field has grown a strong interest in responding to issues related to human trafficking. This specific concentration in healthcare has made efforts to ensure this work includes culturally appropriate tools to serve patients. While curricula to guide health professionals in areas such as cultural competency, cultural responsiveness, or cultural humility exist, historical trauma is not often integrated in the understanding of health outcomes for patients experiencing human trafficking. This paper asserts that advancing health equity for these patients necessitates a deeper historical perspective.

Anti-Racism And Occupational Therapy Education: Beyond Diversity And Inclusion, Julia Sterman, Janet Njelesani, Shanteria Carr

Journal of Occupational Therapy Education

There is a pressing need to address racism within healthcare education; however, occupational therapy educators lack a compilation of discipline-specific knowledge of anti-racist actions. The objective of this study was to examine anti-racist instructional practices for educators to employ in occupational therapy education. We conducted a scoping review and systematically searched six electronic databases to identify and synthesize anti-racist educational practices within the occupational therapy literature. The 20 included articles identified that educators should: use collaborative, anti-racist teaching strategies throughout the curriculum; engage in reflexivity including how intersecting identities impact occupational engagement; decolonize curricula through including Indigenous content and non-Western …

The Role Of Occupational Therapy In Supporting The Needs Of Older Adults Who Identify As Lesbian, Gay, Bisexual, And/Or Transgender (Lgbt), Phyllis Simon, Lenin Grajo, Diane Powers Dirette

The Open Journal of Occupational Therapy

There are growing numbers of older individuals who identify as lesbian, gay, bisexual, and transgender (LGBT) who are in need of health care services provided by culturally and clinically competent providers, including occupational therapists. The LGBT community presents with unique needs and circumstances that impact occupational therapy (OT) practice. This Opinions in the Profession article presents an overview of the unique narratives of and special considerations for LGBT older adults that the OT profession needs to address to meet the needs of this population and improve our service delivery. We assert essential implications for OT practice and education to better …

Strategies To Implement Multicultural Education In Communication Sciences And Disorders, Janet L. Bradshaw, Crystal C. Randolph

Teaching and Learning in Communication Sciences & Disorders

Multicultural education is a foundational imperative for the field of communication sciences and disorders (CSD). The increasing cultural diversity of the United States’ population, which includes cultural groups based on race, religion, gender, sexual orientation, and socioeconomic class, implores effective implementation of multicultural education in CSD. Multicultural education can be defined as a dynamic, multifaceted process that seeks to increase cross-cultural understanding in culturally and linguistically diverse (CLD) groups (See Sleeter, 1996; Ozturgut, 2011). Minimal training in multiculturalism paired with a limited awareness for cultural humility compounds the ability of educators and students to implement effective teaching, learning, and clinical …

Nurse Educator's Role In Equipping Students With Culturally Competent Skills, Olukemi Kuku

Journal of Interprofessional Practice and Collaboration

Abstract

Nurse educators are responsible for preparing nursing students for safe and effective practice. Culturally competent care ensures patient safety and promotes positive patient outcomes. Twenty-first century society has bowed to globalization, immigration, emerging cultures, and subcultures. This phenomenon necessitates a broadening of the nurse educator’s perception of culture and strategies to facilitate student learning and preparation for effective practice. This article will examine the existing definition of culture and subcultures and discuss some strategies that nurse educators can use to facilitate student learning.

Using Embedded Encounters To Promote Cultural Humility In Occupational Therapy And Physical Therapy Education, Allison Naber, Amanda Adamson, Patti Berg-Poppe, Moses Ikiugu, Hanz Tao, Kory Zimney

Journal of Occupational Therapy Education

In the socio-cultural theoretical perspectives, learning is approached as a constructed outcome of interpersonal and intercontextual exchanges. Learners both influence and are influenced by the social and cultural milieu within which they are situated. Embedded learning draws from this perspective to prompt learning through lived experiences. Fostering cultural humility and an appreciation for cultural congruence is an important goal in occupational and physical therapy education. Embedded experiences provide rich opportunities for students to reflect on their own experiences and the experiences of others in order to understand and value differences. In this article, we report the findings of curricular shifts …

Where’S Social Work? A Critical Analysis Of Gender Invisibility, Ethical Conflict, And Advocacy In Medical Teams, Roxanna Duntley-Matos, Robert M. Ortega, Maria M. Matos

Internet Journal of Allied Health Sciences and Practice

The traditional biomedical and person-in-environment (PIE) perspectives are often found in conflict when framed within broader gender discrimination and consumerist health care practices. Our critical feminist analysis addresses the case of Katie, a vulnerable health care recipient, whose intersecting identities fall outside of the “margins of acceptability.” Communication deficits among team members and a lack of clear care protocols become evident. Insurance demands to justify coverage undermine the processes of beneficence and the ethic of care required for emancipatory advocacy. We present the tripartite paradigm of transformative complicity, cultural humility, and systems-based empowerment to address the complex ethical dilemmas that …

Challenging The Status Quo: Infusing Non-Western Ideas Into Occupational Therapy Education And Practice, Wanda J. Mahoney, Anne F. Kiraly-Alvarez

The Open Journal of Occupational Therapy

The authors of this Topics in Education article, who are both occupational therapy educators, reflect on challenging concepts related to decolonizing occupational therapy education, an idea they first encountered at the 2018 World Federation of Occupational Therapists Congress. They acknowledge that Western views heavily influence the occupational therapy concepts they teach to their students. The downside of approaching occupational therapy education and practice primarily from a Western worldview is that occupational therapy students and practitioners may perpetuate societal inequities through their practices and are not well-prepared to address the occupational needs of individuals and communities around the world. This article …

Enhancing Professionalism Among Ot Students: The Culture Of Professionalism, Kate Reiter, Loriann Helgeson, Supawadee C. Lee

Journal of Occupational Therapy Education

Occupational therapy (OT) students are likely to experience generational differences when interacting with faculty and clients. Each generational group has a shared culture and unique set of experiences that influence their behavior, expectations, and perceptions surrounding professionalism. When teaching professionalism to OT students, the cultural underpinnings and influences related to generational groups and their differences become important considerations. This manuscript explores the relationship between culture and professionalism and describes how generational culture influences professional behaviors. It presents a reflective process and guide developed by the authors to enhance professionalism and cultural effectiveness among OT students and guide them in meeting …

An Examination Of Cultural Competence Training In Us Medical Education Guided By The Tool For Assessing Cultural Competence Training, Valarie Blue Bird Jernigan

Journal of Health Disparities Research and Practice

In the United States, medical students must demonstrate a standard level of “cultural competence,” upon graduation. Cultural competence is most often defined as a set of congruent behaviors, attitudes, and policies that come together in systems, organizations, and among professionals to enable effective work in cross-cultural situations. The Association of American Medical Colleges developed the Tool for Assessing Cultural Competence Training (TACCT) to assist schools in developing and evaluating cultural competence curricula to meet these requirements. This review uses the TACCT as a guideline to describe and assess pedagogical approaches to cultural competence training in US medical education and identify …