{"id":2323,"date":"2010-09-01T03:25:30","date_gmt":"2010-09-01T03:25:30","guid":{"rendered":"https:\/\/inmedblogs.us\/nicholascomninellis\/?p=2323"},"modified":"2016-01-03T03:31:02","modified_gmt":"2016-01-03T03:31:02","slug":"is-kate-culturally-competent","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/nicholascomninellis\/2010\/09\/01\/is-kate-culturally-competent\/","title":{"rendered":"Is Kate Culturally Competent?"},"content":{"rendered":"<p><a href=\"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-content\/uploads\/sites\/2\/2010\/09\/is-kate-culturally-competent-banner-e1451791839532.jpg\" rel=\"attachment wp-att-2326\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignleft size-full wp-image-2326\" src=\"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-content\/uploads\/sites\/2\/2010\/09\/is-kate-culturally-competent-banner-e1451791839532.jpg\" alt=\"is-kate-culturally-competent-banner\" width=\"530\" height=\"159\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Cultural competence is our ability to cooperate effectively with people of different cultures. This is especially important in the increasingly complex cultural milieu of healthcare, whether set in Kansas City or Sri Lanka.\u00a0Consider the case of Kate, a nurse practitioner at an urban safety net clinic in North America. Kate is interviewing a distinctly dressed, non-English speaking woman named Huang Ying. As you read excerpts of their conversation through a translator note the quality of Kate\u2019s cross-cultural skills.<\/p>\n<p>&nbsp;<\/p>\n<p>Huang: \u201cI feel very tired since coming to America.\u201d<br \/>\nKate: \u201cWhy do you think you are feeling so tired?\u201d<br \/>\nHuang: \u201cI am missing my regular Qigong.\u201d<br \/>\nKate: \u201cWell, your tests show that your are suffering from hypothyroidism. I will prescribe a thyroid supplement.\u201d<br \/>\nHuang: \u201cWill this medication restore by body\u2019s balance of yin and yang?\u201d<br \/>\nKate: \u201cOh yin and yang. That\u2019s nice. This thyroid supplement is modern medicine.\u201d<br \/>\nHuang: \u201cI personally think I should take shiitake instead.\u201d<br \/>\nKate: \u201cWhat is shiitake?\u201d<br \/>\nHuang: \u201cYou\u2019re a doctor and you don\u2019t know this? Shiitake is a medicinal mushroom. It restores the body\u2019s balance of yin and yang.\u201d<br \/>\nKate: \u201cMy medical training tells me that you have a thyroid deficiency. Please trust me.\u201d<br \/>\nHuang: \u201cCan I please see a Chinese traditional medicine practitioner?\u201d<br \/>\nKate: \u201cThis is America. We don\u2019t recognize such professions.\u201d<\/p>\n<p>&nbsp;<\/p>\n<p>How would you rate Kate\u2019s cross-cultural competency? Let\u2019s do so by considering one by one the four components of cross-cultural competency:\u00a0(1) Awareness of one\u2019s own cultural worldview, (2) Attitude towards cultural differences, (3) Knowledge of different cultural practices and worldviews, and (4) ability to cooperate across cultural divides. Observe Kate\u2019s interaction with regards to each of these competencies:<\/p>\n<p>&nbsp;<\/p>\n<p><em>(1) Kate\u2019s statement that \u201cMy medical training tells me\u2026\u201d implies that she is not aware that \u2018medical training\u2019 in other cultures may not necessarily be an authoritative credential.\u00a0<\/em><\/p>\n<p><em>(2) Referring to yin and yang Kate says, \u201cThat\u2019s nice. This thyroid supplement is modern medicine,\u201d displaying an attitude of superiority over a concept that continues to heavily influence Asian thought.\u00a0<\/em><\/p>\n<p><em>(3) When Huang asked to see Chinese traditional medicine practitioner, Kate replied incorrectly. Most of the United States have avenues to license various Chinese traditional medicine practitioners.\u00a0<\/em><\/p>\n<p><em>(4) On a positive note, Kate asked \u201cwhy\u201d questions following Huang\u2019s statements about fatigue and about taking shiitake. However, Kate failed to inquire about Qigong, which is a traditional form of exercise. Respectfully asking for more information is one of the most essential cross-cultural skills.\u00a0<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>How would you rate your own cross-cultural skills? Most of us need to improve in this arena to make our healthcare profession skills truly relevant to people who are quite different from ourselves.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Cultural competence is our ability to cooperate effectively with people of different cultures. This is especially important in the increasingly complex cultural milieu of healthcare, whether set in Kansas City or Sri Lanka.\u00a0Consider the case of Kate, a nurse practitioner at an urban safety net clinic in North America. Kate is interviewing a distinctly [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[38],"tags":[],"class_list":["post-2323","post","type-post","status-publish","format-standard","hentry","category-cross-cultural-healthcare-pearls"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts\/2323","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/comments?post=2323"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts\/2323\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/media?parent=2323"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/categories?post=2323"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/tags?post=2323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}