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10/10/2014VNA Care Network & Hospice Culturally Competent Care Communicating Across Cultural Boundaries.

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Presentation on theme: "10/10/2014VNA Care Network & Hospice Culturally Competent Care Communicating Across Cultural Boundaries."— Presentation transcript:

1 10/10/2014VNA Care Network & Hospice Culturally Competent Care Communicating Across Cultural Boundaries

2 Before we begin... Culture is deeply personal.  Respect difference.  Distinguish “generalizing” from “stereotyping.” And now... We’re pleased to meet you!

3 10/10/2014VNA Care Network & Hospice  Who we are & why we’re here Cathy Romeo Cultural Competency Program, VNA Care Network & Hospice Marilyn Gardner, RN Clinical Liaison, Care Coordination Program, MDPH Setting the Stage:

4 Evaluation Summary & Next Steps October 8, 2010 Mount Auburn Hospital Diversity Committee Review of Barriers, Tools, Resources Evaluation summary through pictures Evaluation summary through words Next steps – what may work

5 10/10/2014VNA Care Network & Hospice Barriers that impede cross-cultural interactions why isn’t this easier?  Cultural Blindness  Cultural Shock  Cultural Conflict  Cultural Imposition  Ethnocentrism  Racism & Discrimination

6 10/10/2014VNA Care Network & Hospice Breaking Down the Barriers (CLAS, US/HHS, IOM, MetroWest Foundation & Harvard School of Public Health Report, etc.)  Promote cultural self-awareness  Train providers in cultural competency  Improve cross-cultural communication  Recruit diverse staff  Identify client/community needs or gaps  Listen to voices from the community  ASK!

7 To build communication bridges, ASK! Don’t assume... “ASK!” Acknowledge what we don’t know. Seek the knowledge we need. Know the comfort of culture for everyone! (Consult resources on cross-cultural communication & interviewing techniques.)

8 10/10/2014VNA Care Network & Hospice Practical and Attainable Steps and Resources for Cultural Competency Celebrate, value and share culture. Survey staff, identify key cultural informants. Listen to ‘Community Voices’ (Diversity Council); plan WITH, not for, the community. Learn about cultural health practices. Seek to understand both the rationale and the meaning behind the practices. ASK! Don’t assume. Identify cultural needs, such as visual and translated pain scale. Cultural profiles, books and Internet sites.

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11 Possible Next Steps Beliefs & Barriers Panel (longer time needed) 3 person panel General and disease specific questions Generous time allotment for discussion Organizational & Self Assessments Conducting a Cultural Competence Self-Assessment Andrulis, Dennis et al. National Center for Cultural Competence Cultural Competence Health Practitioner Assessment https://www4.georgetown.edu/uis/keybridge/keyform/form.c fm?formID=277

12 Questions or final thoughts?

13 Other Resources Gordon & Bidar-Sielaff. “Cultural Aspects of Pain Management.” Fast Facts, July End of Life/Palliative Education Resource Center. Cultural Competence in Cancer Care: A Health Professional’s Passport. 2006: Baylor College of Medicine. Culture and Clinical Care. Winner of a Book of the Year Award from the American Journal of Nursing. PSA, Texas Association of Healthcare Interpreters and Translators. Cathy Romeo, Cultural Competency Program VNA Care Network & Hospice (888) , Ext. 4528; Marilyn Gardner, Care Coordination Program MA Department of Public Health (617) ;


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