Culture And Clinical Care Pdf

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ABSTRACT Patient and family engaged care PFEC is care planned, delivered, managed, and continuously improved in active partnership with patients and their families or care partners as defined by the patient to ensure integration of their health and health care goals, preferences, and values. It includes explicit and partnered determination of goals and care options, and it requires ongoing assessment of the care match with patient goals. This vision represents a shift in the traditional role patients and families have historically played in their own health care teams, as well as in ongoing quality improvement and care delivery efforts. PFEC also represents an important shift from focusing solely on care processes to aligning those processes to best address the health outcomes that matter to patients.

Culture and Ethnicity in Clinical Care

Culturally based presuppositions of biomedical practice and its ethics, long neglected, are now under serious scholarly examination. For example, the primacy of individual patient autonomy is generally accepted as an enlightened perspective, particularly in the wake of earlier paternalism. However, this philosophy is not accepted by many ethnic groups in the United States and elsewhere who hold interpersonal and social responsibility in relatively higher regard. Examples include general acceptance of euthanasia in the Netherlands, common use of fetal sonography for sex selection in India, African practices of female circumcision, and nondisclosure of cancer diagnoses in Italy and Japan. Berger JT. Culture and Ethnicity in Clinical Care.

Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. Bonder and L. Bonder , L. Miracle Published Medicine. Care in Multicultural Settings: A Guide for Therapists defines and des cribes culture and its interaction with individual experience and pers onality in the development of beliefs, values, and actions.

The ABC (and DE) of cultural competence in clinical care

Although the need for cultural competence in clinical care has been well articulated for over four decades, the goal of integrating and addressing cultural issues in care remains elusive. The challenges can be attributed to a lack of clarity on definitions and a lack of understanding of what constitutes cultural competence. What to know and what to do are questions that are frequently raised in discussions of cultural competence. Previous literature has described cultural competence in terms of affective, behavioural, and cognitive domains. The purpose of this paper is to build on this discourse by discussing key attributes within each domain and extending the framework to highlight the dynamics of difference, clarify the goal of equity, and recognise the importance of practice environments in the development of cultural competence in clinical care. Srivastava, R.

Join NursingCenter to get uninterrupted access to this Article. Lipson and Suzanne L. This book is based on the premise that healthcare providers who are culturally aware, sensitive to others' needs, and knowledgeable in appropriate cross-cultural healthcare are likely to have successful outcomes when they care for culturally diverse clients. The book is written for healthcare providers to identify cultural issues that may affect healthcare. The introduction lays the foundation for further discussion among clinicians in respect to the importance of culture and its relationship to delivering appropriate cross-cultural healthcare. Sources of diversity, such as immigrant status, race or ethnicity, socioeconomic class, sexual orientation, disability, and communication patterns, are described. Examples that demonstrate how these sources apply to specific cultural groups are provided.


Care in Multicultural Settings: A Guide for Therapists defines and des cribes culture and its interaction with individual experience and pers onality in the.


Culture and Ethnicity in Clinical Care

Cultural competence and patient centeredness are approaches to improving healthcare quality that have been promoted extensively in recent years. In this paper, we explore the historical evolution of both cultural competence and patient centeredness. In doing so, we demonstrate that early conceptual models of cultural competence and patient centeredness focused on how healthcare providers and patients might interact at the interpersonal level and that later conceptual models were expanded to consider how patients might be treated by the healthcare system as a whole. We then compare conceptual models for both cultural competence and patient centeredness at both the interpersonal and healthcare system levels to demonstrate similarities and differences.

3 Response
  1. Rodejossu

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  2. Swathmortleana

    The book Culture and Clinical Care addresses the need of individuals to have a greater understanding of how culture and diversity affect the clinical process. By.

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