Diversity education Flashcards
(20 cards)
What does diversity education aim to achieve?
Reduction in health inequalities
Enhances all patient - doctor encounters
Improves patient safety
Develops professionalism
What is the cultural expertise model?
Training focuses on providing information about different groups based on one characteristic
What does the Cultural expertise model assume?
Assumes that people who belong to a particular group will behave in a common way
How does the cultural expertise model understand the minority perspective?
By first starting with the needs of the dominant majority
What does being ‘culturally competent’ mean?
That providers are able to acknowledge that health inequalities exist for minority populations.
What are the pros of cultural knowledge from cultural expertise model?
May give information that will help in clinical practice
What may be the cons of cultural knowledge from cultural expertise model?
Inter vs Intra group heterogeneity Static Doesn't allow for acculturation Risks over simplification and stereotyping Too many categories to learn
What is the first goal in cross-cultural education?
Understand how culture influences our thoughts, perceptions, biases and values
What is the second goal of cross-cultural education?
Need to understand the nature of individual cultural identity as a multidimensional and dynamic construct
What is ‘culture’?
a socially transmitted pattern of shared meanings by which people communicate, perpetuate and develop their knowledge and attitudes about life
What is ethnocentrism?
The tendency to evaluate other groups according to the values and standards of one’s own cultural groups, especially with the conviction that one’s own cultural group is superior to the other groups. e.g. Nazi Germany
What is medical Ethnocentrism?
The belief that healthcare providers, educated and socialised within a bio-medical context, have a superior value system and correct, accurate approach to healthcare.
What can medical ethnocentrism lead to?
- negative consequences in patient care - especially with regards to communication
- patient refusal to communicate their beliefs for fear of negative reaction
- significant information for patient care may not be obtained
- healthcare provide may use their own beliefs only and be totally incorrect
Individual culture is a dynamic entity - what is this based on?
heritage, individual circumstances, personal choice
What is meant by stereotype?
Involve generalisations about ‘typical’ characteristics of members of a group
What is meant by prejudice?
Attitude towards another person based solely on their membership of a group
What is meant by discrimination?
Actual positive or negative actions towards the objects of prejudice.
What is the cultural sensibility model?
We are a combination of different characteristics and that there is a complex interplay between internal and external factors to produce beings with their own sense of self and having a very personal culture
What are challenges faced when working across cultural distance?
Effortful Assumptions more likely to be wrong Humour/Rapport Language Different expectations for the roles of DRs and patients Different explanatory model
The greater the cultural distance the more likely that any assumptions that may be made will be wrong therefore more questions need to be asked of the patient and yourself
What are generic capabilities in order to be understanding of an individuals culture?
flexibility Inquisitiveness Intellectual integrity Open mindedness Reflective