Cultural Competency

Question 1

Culture

Answer 1

set of learned and shared beliefs and values applied to social interactions and the interpretation of those experiences

Question 2

Cultural Competence

Answer 2

knowledge, skills, and attitudes that enhance self-awareness and abilities to provide empathetic and culturally sensitive care
***really sort of means you’ve received all the training you can possibly get

Question 3

Cultural Humility

Answer 3

life long process of self assessment and commitment to patient-centered care

Question 4

Cultural Humility in Healthcare

Answer 4

attitude and interest in patient’s culture
lifelong process rather than acquiring a skill
all care is local, all care is relationship based, all care centers on the patient

Question 5

Developing Intercultural Sensitivity Trend (Insensitive to Sensitivity)

Answer 5

denial 
defense 
minimization 
acceptance 
adaptation 
integration

Question 6

Cross Cultural Adaptability Index

Answer 6

flexibility/openness
perceptual acuity
emotional resilience
personal autonomy

Question 7

Flexibility/Openness

Answer 7

how open are you to:

 - interacting with people different from you 
 - experiencing the unfamiliar 
 - listening and tolerating differences 
 - flexing your preferred styles

Question 8

Perceptual Acuity

Answer 8

how well can you pick up these differences by:

 - listening to both words and emotions? 
    - patients have different words for different things
    - explain things in a way patient understands 
 - reading body language?
 - understanding generalizations about specific cultures?

Question 9

Personal Autonomy

Answer 9

how secure are you in:

 - clarifying and supporting your own values
 - accepting differences as neutral rather than negative stereotypes

Question 10

Emotional Resilience

Answer 10

how well do you cope by:

 - using humor to defuse and understand differences 
    - careful with humor (don't make fun); humor of inclusivity 
 - remembering past strengths to deal with current challenges 
    - "if I got through... then I can get through this"
 - accepting imperfections to understand continuum of cross cultural learning

Question 11

Darby’s Cultural Assessment Guide

Answer 11

behaviors, artifacts, customs, values
communication patterns
     -verbal and nonverbal 
health beliefs and practices 
nutritional factors 
religious, sociologic, and psychologic factors

Question 12

Five Basic Relationship Skills

Answer 12

listen to patients words and emotions 
learn to read non-verbal displays 
develop empathic skills through reflection and legitimation 
provide personal support 
focus on forming partnership

Question 13

Verbal and Non-Verbal Communication in Dentistry

Answer 13

professional language 
word choice 
health literacy 
formal/informal tone 
     -always start with formal 
     -be careful about gender identity (SOGI questions)
physical position in dental chair 
     -don't talk to patients while they're lying down 
        -creates power differential
zones of communication 
clinician's mask and use of gestures 
touch as perceived by patient 
     -ex) not everyone wants to shake hands

Question 14

Culture and Health Care

Answer 14

understand complementary and alternative therapies and healing practices
-many patients use alternative therapy

Question 15

Reality of Health Inequality

Answer 15

periodontitis: 47.2% of all adults and 70.1% of those age 65+
oral cancer: 5 year survival rate for black men is 36% and for white men is 61%
dental decay: adult with less than high school education have 3x dental decay as those with some college education
dental decay: Mexican America and Black children have more dental decay than their White or Hispanic peers

Question 16

Cultural Competence Loop

Answer 16

acquiring knowledge -> gaining experience -> reflecting on learning and changing behavior —-> back to acquiring knowledge