Cultural Competency

Question 1

Define race

Answer 1

The biologic/genetic characteristics that we tend to see with a a particular group
(but there are subsets within this group).

Question 2

Define ethnicity and how it differs from race

Answer 2

Ethnicity is more flexible – not just racial heritage – but also cultural heritage – including religious and linguistics backgrounds.

Question 3

Define culture and how it differs from ethnicity

Answer 3

The collection of beliefs, customs, traditions, arts, social hierarchies, societal norms, experience, values, attitudes, and material traits of a particular racial, religious, or societal group

Biggest difference between ethnicity and culture is that ethnicity considers race a little more (it is the middle ground).

Question 4

Through the lens of ethnicity, how has the US population been evolving? Where ethnicity it expected to double by 2050?

Answer 4

Increase in non-white racial/ethnic groups.

Hispanic population is going to double by 2050.

Question 5

What race/ethnicity is MC for cystic fibrosis? Beta thalassemia? Sickle cell?

Answer 5

CF = European
Beta thal: Mediterranean
Sickle: African American

not exclusive to these groups though

Question 6

Are Hispanic patients skeptical about receiving medicine from someone of a different ethnic background?

Answer 6

No. 75-80% of Hispanics say it would not make a difference

Question 7

What race of patients are more likely to have employer/private insurance?

Answer 7

White patients

Question 8

For women 15-44, what 2 ethnicities/races have the lowest healthcare coverage?

Answer 8

Hispanic and black

Question 9

What race has the highest distrust in public institutions? Which don’t?

Answer 9

Blacks have highest distrust

Whites and Hispanics have the lowest

Question 10

Define cultural competency

Answer 10

Behaviors, attitudes, and values that recognize there are differences in cultural backgrounds and plan care accordingly.

Question 11

List some examples of differences in cultural communication styles

Answer 11

Pitch
Attitudes towards conflict resolution
Decision making
Task completion
Disclosure of information
Value of data vs personal experience

Question 12

What are the four basic steps to approach someone with a different social or cultural background?

Answer 12

1. Identify the core cross-cultural
   issues
2. Explore the meaning of the illness
3. Determine the social context
4. Negotiate