Learning Objectives Define cultural competence Apply principles of cultural competence in outreach programs Examine ways to learn about local communities Learn about strategic collaboration Outline the steps in developing an outreach plan
Lets get started with Cultural Competency What is cultural competency and why is it important? Are there legal and health care guidelines? How do I find community demographics? Where are you in your cultural competency?
Importance of Cultural Competency What is culture? One definition: Characteristic features, beliefs, social norms, and way of life shared by a racial, religious, or social group, or by people in a specific place or time Its not just about the words!
Cultural Competence A set of behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professionals to work effectively in cross-cultural situations From: Cross T, Bazron B, Dennis K, and Isaacs M (1989). Towards a Culturally Competent System of Care Volume I. See the Purnell Model for Cultural Competence: http://tcn.sagepub.com/cgi/content/abstract/13/3/193 http://tcn.sagepub.com/cgi/content/abstract/13/3/193
Culture and Patient Health Beliefs about objects, symbols, food, the body, blood, non-traditional medicine, etc. Communication styles and norms Role of relationships Ways of learning new information Role of translators and interpreters Perception of authority figures
Rationale for Cultural Competency Perception of illness and disease varies by culture Diverse belief systems exist related to health, mental health, healing, wellness Individual preferences affect approaches to health care Individuals must overcome personal experiences of bias
Linguistic Competence The capacity of an organization and its personnel to communicate effectively, and convey information in a manner that is easily understood by diverse audiences including persons of limited English proficiency, those who have low literacy skills or are not literate, and individuals with disabilities. From: The National Center for Cultural Competence, Georgetown University Center for Child and Human Development
Legal Guidelines Title VI of the Civil Rights Act – 1964 No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance. http://www.usdoj.gov/crt/coord/titlevistat.htm
Legal Guidelines (continued) The Joint Commission Advancing Effective Communication, Cultural Competence, and Patient-and Family-Centered Care http://www.jointcommission.org/Advancing_Effective_Communication/ …more than a patients rights issue…critical to safety and quality of care.* Chapter 9, Domain 6 Outreach activities that may increase diverse populations use of hospital services through education and tailoring of services to meet specific population needs is another important element.
Finding Demographic Information Activity: Who Are the People in Your Neighborhood?
What is Outreach? In community-based health information outreach, organizations work together to improve peoples abilities to find and use health information. Source: Getting Started With Community-Based Outreach http://nnlm.gov/evaluation/guides.html#A2 http://nnlm.gov/evaluation/guides.html#A2
Resources Getting Started with Community-Based Outreach Planning Outcomes- Based Outreach Projects Collecting and Analyzing Evaluation Data
The Four Rs: All You Really Need to Know Relationships Respect Relevance Repetition
Finding Partners Within the Community Network Be consistent Demonstrate your commitment Work with or join, already existing organizations Attend health fairs, conferences and other events in your community Dont forget your public library!
Selecting Partners Seek intermediaries Community leaders Early adopters Trusted community members Work with people of like passion
Collaboration Defined Collaboration = A Developmental Continuum of Change Strategies Collaboration Cooperating Coordinating Networking
Methods for Strategic Collaboration Café to Go (World Café) http://www.theworldcafe.com Appreciative Inquiry Open Space Technology (the Unconference)
Identifying Health Information Needs With your partners: Listen Abandon preconceived ideas – think outside the box Think about language, ethnicities, country of origin Consider other needs – transportation, childcare, medical care Identify potential barriers Café to Go!
Café Etiquette Focus on what matters Contribute your thinking Speak your mind and your heart Listen to understand Link and connect ideas Listen together for insights and deeper questions Play, Doodle, Draw!
Appreciative Inquiry An approach to change that focuses on finding the positive elements in people and places and using those aspects of an organization as a foundation for change. http://www.nickheap.co.uk/articles.asp?ART_ID=211 Appreciations Exercise: http://www.nickheap.co.uk/articles.asp?ART_ID=206 http://www.nickheap.co.uk/articles.asp?ART_ID=206 AI is intentional inquiry and directed conversation and story- telling that leads to a place of possibility. (Steinbach, John. Contribution to the AI Listserve, July 2005) http://appreciativeinquiry.case.edu/
4-D Cycle The 4 Steps Discovery – The Best of What Is Dream – Envisioning What Might Be Design – Dialoguing What Should Be Destiny – Innovating What Will Be Possible Applications Mission Statement/Vision Building Strategic Planning Learning Strengths in Partners Civic/Community Development
Open Space Technology Facilitated (at some level) Participant-driven Common theme Other names: Library Camp The Unconference
Principles and Laws Whoever comes is the right people. Whenever it starts is the right time. Whatever happens is the only thing that could have happened. When its over, its over. The Law of Two Feet
Examples Texas Library Association, April 2011: Information Literacy from Birth to Earth http://2011tlaunconference.wiki.zoho.com/HomePage.html Science, Technology and Engineering Library Leaders in Action! http://denver-stella.pbworks.com/ Health Camp NYC: Using Collective Knowledge to Improve health Literacy and Community Health http://healthcampnyc.wetpaint.com/
Activity Instructions 1. Get together in small groups and select a scenario from the handout. 2. Select a method to use to set up a meeting to respond to the scenario. 3. Report highlights to the larger group.