As you examine each area, think of some examples of how you, or a volunteer in your program, or a volunteer management practice that youve seen, falls along the continuum. Cultural competency continuum what is the continuum. The complexity of achieving cultural competence does not allow for such an easy solution. Progress along the cultural competency continuum requires a continual assessment of an organizations ones ability to address diversity, celebrating successes, learning from mistakes, and identifying opportunities for rediscovery. Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enable.
Our cultural lenses shift as we engage in new experiences and interactions. He defined the cultural competence continuum as a long term process of personal development as we learn more about others and our responses to them beginning with cultural destructiveness and moving toward cultural proficiency. Factors influencing the development of cultural competence. Bennett 1986, 1993, 2004, 20 stage of cultural competence description of knowledge, behaviors, and values examples of statements a person in this stage might make. Cultural incapacity unable to be useful or helpful to other cultures. In order to increase the cultural competence of the health care delivery system, health professionals must be taught how to provide services in a culturally competent manner. If identity and integrity are more fundamental to good teaching than techniqueand if we want to grow as teacherswe must do something alien to academic culture.
Using the attached handout cultural competence continuum, have the audience. Both agencies and individuals are at various levels of awareness, knowledge and skill acquisition along the cultural competence continuum. Cultural competence replaces the earlier ideas of cultural sensitivity and awareness that were often embraced with no corresponding change in behavior. For cultural competency to have the strongest impact on student performance, it. Understanding the cultural competence continuum nccc. Describe the role of culture in a persons health status and during interactions with health care providers. Nigel nathaniel, the honorable karen howze, and richard prince. Find resources developed by the nccc by title or by type. Cultural competence guide alberta human rights commission. Strategies for building cultural competency email syndication. Read each of the points on the continuum, presented in italics, and the indicators that follow.
Cultural competence continuum there are six areas of cross cultural competence. Cultural destructiveness i make a conscious effort use my power to destroy cultures that are different from my own or from what i think will work best for others. Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enable that system, agency, or. The cultural competence continuum after completing this lesson you will be able to.
Cultural competence is reflected in the way an organization treats its employees, its clients, and its community. Document resume ed 330 171 ec 300 143 author cross, terry l and others title towards a culturally competent system of care. Cultural competence is the ability to successfully teach students who come from cultures other than our own. The cultural and linguistic competence health practitioner assessment clchpa is a validated measure of cultural and linguistic competence for health care practitioners. Exhibits emerging visual representation of all ethnicities, genders, etc, as active and valued community members. Remember that cultural competence is a process, and that learning occurs on a continuum and over a life time. You will not be asked to show anyone your answers unless you choose to do so. This selfassessment tool is designed to explore individual cultural competence. The primary purpose of the ceac is to work collaboratively to support, coordinate and ensure the accountability and communication of cultural and linguistic competence within mental health plan operated services and. The study purposes were to assess the cultural competence level and to identify factors that influence the development of cultural competence in. Cultural competence represents the policies and practices of an organization, or the values and behaviors of an individual, which enable that agency or person to interact effectively in a culturally diverse environment. A framework for first nations, inuit and metis nursing. Successfully engaging all components of this modelopens the door to the development of cultural competence, and respectfully meeting the needs of patients of all backgrounds. That checklist was created with funding from the government of canada and the province of british columbia.
Other contributors to health disparities not included. Cultural destructiveness represented by attitudes, policies, and practices that are destructive to cultures and the individuals within the culture actively promotes cultural genocide adapted from the cultural competence continuum, aaop journal, summer 1990. The continuum cultural destructiveness cultural incapacity cultural blindness cultural precompetence cultural competence cultural proficiency seeking to eliminate the cultures of others in all aspects of the school and in relationship to the community served trivializing and stereotyping other cultures. Monograph on effective services for minority children. While you complete this assessment, stay in touch with your emotions and remind yourself that learning is.
Cdc health disparities and inequalities reportunited states, 2011. Stages and levels of cultural competency development stages of cultural competency cultural knowledge cultural awareness cultural sensitivity cultural competency cultural competency evolves over time through the process of attaining cultural knowledge, becoming aware of when cultural mores, values, beliefs and practices are being. Cultural competence is the capacity of a health system to improve health and wellbeing by. Cultural proficiency is an insideout approach that influences how people relate to their colleagues, clients and community. A model and instrument for addressing cultural competence in health care, journal of nursing education 1999. Knowing that cultural differences as well as similarities exist, without assigning values, i. The cultural proficiency continuum there are six points along the cultural proficiency continuum that indicate how people see and respond to difference.
Because the united states is a nation of diverse citizenry. The four tools of cultural proficiency are the elements, the continuum, the barriers and the principles. The outcome of cultural destruction is the demise of the clients access to cultural folklore or folkways as an integral part of the treatment or education process. Monograph on effective services for minority children who are severely emotionally disturbed. Negating, disparaging, or purging cultures that are different from your own. Selfassessment may reveal where a clinician is along the continuum of cultural competence. Describe the importance of being able to assess levels of cultural competence.
Place examples of organizational practices, media, service practices, or social norms on the cultural continuum. Document resume ed 330 171 ec 300 143 author cross, terry l. Rather, they allow systems and organizations to broadly gauge where they are, and to plan for positive movement and growth to achieve cultural competence and proficiency. This is intended to be a dynamic tool, since there is always room for growth and development in individuals, organizations, and institutionalized policies and practices. Because cultures are constantly evolving, no health care practitioner can hope to be completely familiar with health beliefs of all of his or her immigrant patients. March 2019 adapted from a developmental model of intercultural sensitivity by milton j. Cultural competence selfassessment checklist adapted from the greater vancouver island multicultural society cultural competence selfassessment checklist.
Describe the six points on the cultural competence continuum. Of the eight concepts developed, six are presented as core competencies and two serve as foundational structures or processes supportive of aboriginal nursing education. Cultural proficiency continuum five diversity essentials. The cultural proficiency continuum the cultural proficiency continuum below adapted from cultural proficiency, a manual for school leaders, 2nd ed. Cultural competence and cultural safety in nursing. The continuum language for describing both healthy and unproductive policies. There is an intention to ignore issues affecting minorities and promote policies and standards that have an adverse impact on them. Developing cultural competence in a multicultural world. Make conscious efforts to destroy cultures that are different from the them because of values. He defined the cultural competence continuum as a long term process of personal development as we learn more about others and our responses to. Cultural competence is one of six points on a continuum that ranges from cultural destructiveness to cultural proficiency.
In this stage, clinicians champion cultural competence in practice by training others in cultural competence, recruiting personnel from diverse cultures, and conducting research that adds to the knowledge base. Make conscious efforts to destroy cultures that are different from the them because of values, beliefs, ethnocentricity, traditions, etc. The continuum cultural destructiveness cultural incapacity cultural blindness cultural pre competence cultural competence cultural proficiency seeking to eliminate the cultures of others in all aspects of the school and in relationship to the community served trivializing and stereotyping other cultures. The characteristics of each stage on the continuum are listed below. Cultural competence continuum the characteristics delineated in this continuum are not meant to define a system or organization. Cultural competence a guide to organizational change hieu van ngo prepared for citizenship and immigration canada. Attitudes, policies, and practices that are destructive to a particular culture eg, english only policies. The cultural proficiency continuum selfassessment presbyterian. The national technical assistance and evaluation center wishes to thank the following individuals for their contributions to this resource. Elevating the superiority of your own cultural values and beliefs and suppressing.
The cultural competence continuum substantial portions of this chapter have been reprinted from focal point, vol. Cultural destructiveness i make a conscious effort use my power to destroy cultures that are different from my own or from what i. On your intake forms, include questions about race, ethnicity, languages, religion, and age, or ask the patient to discuss his or her cultural background during the initial interview. Lindsey, robins, and terrell, 2003 can be used to assess where individual members and the board as a whole are on the continuum of cultural awareness and competence.
Cultural competence continuum model cross, 1989 240. The most negative end of the continuum is represented by attitudes, policies, and practices that are destructive to cultures and consequently to the individuals within. This publication was produced by the cdm group, inc. James mason 1993 has devoted years to represent cultural competence as a continuum for. Cultural competence is an ongoing learning process. Six steps toward cultural competence our meetings over the past year reaffirmed the obvious. There are six points along the cultural proficiency continuum that indicate how people see and respond to difference. Cultural destructiveness attitudes, policies and practices that are destructive to cultures and individuals within cultures cultural incapacity the systems or agencies that do not seek to be culturally destructive, but rather lack the capacity to help discriminatory hiring, lower. Cultural competence and cultural safety in nursing education. Cultural competence is a set of congruent behaviours, attitudes and policies that come together in a system, agency or among professionals. The cultural competence continuum includes five progressive steps. Provides services in languages that meet the needs of populations.
Cultural competency refers to a set of congruent behaviors, attitudes and practices that come together in a system, agency or professional that enables that unit to work effectively in interactions with populations whose cultures or language is different. The cultural competency continuum represents a spectrum into which we can place behaviors, attitudes, policies, and practices. Learn vocabulary, terms, and more with flashcards, games, and other study tools. It entails developing certain personal and interpersonal awareness and sensitivities, developing certain bodies of cultural knowledge, and mastering a set of skills that, taken together, underlie effective cross cultural teaching.
Improving the health of the citizens of the united states is important for the individual, the community, and the society at large. Cultural awareness must be supplemented with cultural knowledge adams, 1995. Document resume ed 330 171 ec 300 143 author cross. Stages and levels of cultural competency development. Cultural proficiency is a lens for examining ones work and ones relationships. The cultural proficiency continuum below adapted from cultural proficiency, a manual for school leaders. Promoting educators cultural competence to better serve. Cultural competence continuum characteristics adapted from terry l. Table 21, cultural competence models improving cultural. The cultural competence continuum cultural destructiveness the dehumanization of specific cultures or individuals signifying an underlying bias toward the superiority of the dominant or majority group.
514 428 834 252 1557 1221 1149 1234 545 916 595 1321 226 1225 1506 231 975 988 201 255 1296 503 694 692 179 1121 1490 220 1497 110 654 529 213 6