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Cultural humility

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https://www.readbyqxmd.com/read/29629811/transgender-patients-what-radiologists-need-to-know
#1
John S Sowinski, Richard B Gunderman
OBJECTIVE: The purposes of this article are to examine a few of the barriers the transgender population faces in achieving equitable health care, to suggest ways radiologists and radiology staff can help to address these obstacles and provide high-quality care to transgender patients, and to discuss a number of evidence-based guidelines regarding appropriate imaging and screening tests for the transgender population. CONCLUSION: Lesbian, gay, bisexual, and transgender individuals face numerous health care disparities, including stigmatization and discrimination in health care environments...
April 9, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29570923/cultural-factors-influencing-japanese-nurses-assertive-communication-part-2-hierarchy-and-power
#2
Mieko Omura, Teresa E Stone, Tracy Levett-Jones
Hierarchy and power characterize health-care relationships around the world, constituting a barrier to assertive communication and a risk to patient safety. This issue is more problematic and complex in countries such as Japan, where deep-seated cultural values related to hierarchy and power persist. The current paper is the second of two that present the findings from a study exploring Japanese nurses' views and experiences of how cultural values impact assertive communication for health-care professionals...
March 23, 2018: Nursing & Health Sciences
https://www.readbyqxmd.com/read/29565626/the-multicultural-orientation-framework-a-narrative-review
#3
Don E Davis, Cirleen DeBlaere, Jesse Owen, Joshua N Hook, David P Rivera, Elise Choe, D R Van Tongeren, Everett L Worthington, Vanessa Placeres
After several decades of slow progress, researchers are beginning to make advances in linking constructs based on the multicultural competencies tradition-especially those focused on qualities of the therapist-to therapy outcomes. The multicultural orientation framework was developed in response to several trends within the multicultural competencies tradition, with a particular emphasis on integrating the multicultural competencies tradition into research on psychotherapy process. We provide a narrative review of studies that include one of the three constructs (i...
March 2018: Psychotherapy
https://www.readbyqxmd.com/read/29565620/extending-the-multicultural-orientation-mco-framework-to-group-psychotherapy-a-clinical-illustration
#4
D Martin Kivlighan, Norah A Chapman
Multicultural group work has received growing attention over the past two decades; however, there is a lack of conceptual frameworks to guide therapists' cultural processes within group therapy at present. As such, we extend the multicultural orientation (MCO) to group therapy in an effort to provide a conceptual framework for group therapists to effectively engage multicultural group work. The MCO framework was developed in an effort to operationalize therapists' cultural processes of cultural humility, cultural comfort, and cultural opportunity...
March 2018: Psychotherapy
https://www.readbyqxmd.com/read/29543495/towards-providing-culturally-aware-nutritional-care-for-transgender-people-key-issues-and-considerations
#5
Pamela Fergusson, Nicole Greenspan, Lukas Maitland, Rémy Huberdeau
Transgender people are an important group for whom access to healthcare is often problematic. Dietitians need to be aware of key issues in transgender health to provide culturally competent clinical nutritional care. This article serves as a primer, clarifying key terms and concepts, exploring the impact of stigma and discrimination on health and nutrition for people from transgender communities, and offering practical advice for nutritional and other related issues. Education for dietitians both pre- and postqualification is an important part of improving care and building skills and awareness of cultural humility...
March 15, 2018: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/29461381/cultural-humility-an-active-concept-to-drive-correctional-nursing-practice
#6
Lorraine Steefel
Correctional nursing practice is focused on a unique patient population: inmates who present with their own ethnicities and have an imposed culture from the prison structure. As such, culture must be considered to provide holistic care. Madeleine Leininger's Theory of Culture Care Diversity and Universality, which maintains that care is the essence of nursing (without inclusion of culture, there is no care), suggests three nursing actions: to maintain the patient's culture, make accommodations for it, and/or repattern cultural ways that may be unhealthful...
January 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29329403/host-tree-selection-by-the-invasive-argentine-ant-hymenoptera-formicidae-in-relation-to-honeydew-producing-insects
#7
Yugo Seko, Daisuke Hayasaka, Atsushi Nishino, Taizo Uchida, Francisco Sánchez-Bayo, Takuo Sawahata
The Argentine ant, Linepithema humile (Mayr; Hymenoptera: Formicidae), is one of the world's most hazardous invasive species, and thus its eradication from Japan is important. Physical and chemical controls can be expensive and cause strong adverse effects on local terrestrial ecosystems regardless of their high efficacy. Here, presence/absence of host-tree selection by Argentine ants was investigated to understand the ant-honeydew-producing insects interactions in order to develop new cultural controls compatible with biodiversity conservation...
February 9, 2018: Journal of Economic Entomology
https://www.readbyqxmd.com/read/29325815/intersectionality-and-the-lgbt-cancer-patient
#8
REVIEW
Penny Damaskos, Beau Amaya, RuthAnn Gordon, Chasity Burrows Walters
OBJECTIVES: To present the ways in which race, ethnicity, class, gender, and sexual orientation interact in the context of cancer risk, access to care, and treatment by health care providers. Cancer risk factors, access to care, and treatment for lesbian, gay, bisexual, and transgender (LGBT) patients are discussed within the context of intersectionality and cultural humility. DATA SOURCES: Peer reviewed articles, cancer organizations, and clinical practice. CONCLUSION: LGBT patients have multiple identities that intersect to create unique experiences...
February 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29288878/distributive-justice-an-ethical-priority-in-global-palliative-care
#9
Rachel A Hadler, William E Rosa
Providing care to cancer patients in resource-poor settings often demands complex trade-offs regarding resource allocation. It is estimated that over 60% of all cancer deaths worldwide occur in low- and middle-income countries, where channels to care and appropriate symptom management interventions are overstressed or obsolete. Concepts of distributive justice underlie much of global health policy. As appetites for expanding global palliative care services increase, so do questions of fair and culturally appropriate distribution...
April 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29279222/aggression-prevention-and-reduction-in-diverse-cultures-and-contexts
#10
REVIEW
Farida Anwar, Douglas P Fry, Ingrida Grigaitytė
It is not as difficult to prevent and reduce violence as commonly assumed. The examination of peaceful societies and nonviolent social movements provides insight on how core values and norms like humility, respect for others, love and caring, forgiveness, and patience are fundamental in promoting peace. Additionally, nonviolent attitudes actualized through nonviolent models and non-punitive childrearing practices can help socialize children to become nonviolent adults. At the group level, the commitment to nonviolence by individuals using methods of sit-ins, boycotts, strikes, work slow-downs, civil disobedience, marches, and demonstrations in struggles against violence and oppression can bring about positive social change...
February 2018: Current Opinion in Psychology
https://www.readbyqxmd.com/read/29229692/residency-training-the-need-for-an-integrated-diversity-curriculum-for-neurology-residency
#11
Nicole Rosendale, S Andrew Josephson
BACKGROUND: Providing culturally responsive care to an increasingly multicultural population is essential and requires formal cultural humility training for residents. We sought to understand the current prevalence and need for this type of training within neurology programs and to pilot an integrated curriculum locally. NEEDS ASSESSMENT: We surveyed via email all program directors of academic neurology programs nationally regarding the prevalence of and need for formal cultural responsiveness training...
December 12, 2017: Neurology
https://www.readbyqxmd.com/read/29227389/learning-cultural-humility-through-stories-and-global-service-learning
#12
Stephanie Matthew, Eloise Hockett, Linda Samek
Service-learning experiences are utilized by nursing programs to increase cultural learning for students. Through storytelling, the concept of cultural humility can be explained to students preparing for upcoming intercultural experiences. This case study describes the experience of nursing students and educators on their first service-learning trip to Kenya, and how intercultural issues were navigated as students developed cultural humility. The story now is shared in preparation for subsequent international student nursing trips...
January 2018: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/29198766/the-adolescent-champion-model-primary-care-becomes-adolescent-centered-via-targeted-quality-improvement
#13
Margaret Riley, Vani Patterson, Jennifer C Lane, Katharine McDonald Won, Lauren Ranalli
OBJECTIVE: To evaluate the effects of implementing the Adolescent Champion model, a novel quality improvement program targeted at helping primary care sites become more adolescent-centered. STUDY DESIGN: Nine primary care sites from pediatrics, family medicine, and medicine-pediatrics implemented the Adolescent Champion model. Each site identified a multidisciplinary champion team to undergo training on adolescent-centered care, deliver prepackaged trainings to other staff and providers, make youth-friendly site changes, implement a standardized flow to confidentially screen for risky behaviors, and complete a quality improvement project regarding confidentiality practices...
February 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29114346/enhanced-skills-in-global-health-and-health-equity-guidelines-for-curriculum-development
#14
Russell Dawe, Andrea Pike, Monica Kidd, Praseedha Janakiram, Eileen Nicolle, Jill Allison
Introduction: Global health addresses health inequities in the care of underserved populations, both domestic and international. Given that health systems with a strong primary care foundation are the most equitable, effective and efficient, family medicine is uniquely positioned to engage in global health. However, there are no nationally recognized standards in Canada for postgraduate family medicine training in global health. Objective: To generate consensus on the essential components of a Global Health/Health Equity Enhanced Skills Program in family medicine...
April 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/29065813/enter-as-an-outsider-teaching-organizational-humility
#15
John F Clabby
The concept of cultural humility acknowledges the enormous task of becoming culturally competent by encouraging curiosity about the context within which others live. For physicians, this includes curiosity about the organizations in which they work as Outsiders in settings such as a new hospital or patients' homes. However, efforts to train healthcare professionals in cultural competence are often de-emphasized due to the pressure learners feel to acquire Medical Knowledge and clinical skills. Little time is devoted to address the significance of cultural humility for fully appreciating the experiences of others...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29064860/global-voyeurism-or-sustainable-ethical-practice
#16
Cris Finn, Mary Jo Coast
This is a conceptual article exploring global voyeurism and service, overlaying ethical considerations in service within the profession of forensic nursing. Key elements considered include examining and reflecting on personal motivations, benefits, and consequences of service when viewed through an ethical perspective. Through this article we seek to examine the relationships between poverty tourism and service, while better supporting individual forensic nurses in their quest to align their actions with the ethical and practice comportment standards within the profession of nursing service globally...
October 2017: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29056753/post-normal-institutional-identities-quality-assurance-reflexivity-and-ethos-of-care
#17
Ângela Guimarães Pereira, Andrea Saltelli
This paper suggests adopting a 'post-normal science' (PNS) style and practice in scientific advice, and motivate the urgency of this methodological stance with the increasing complexity, and polarisation affecting the use of science-based evidence for policy. We reflect on challenges and opportunities faced by a 'boundary organisation' that interfaces between science and policy, taking as example the European Commission's Directorate General Joint Research Centre, whose mission is stated as that to be the "in-house science service"...
August 2017: Futures
https://www.readbyqxmd.com/read/29051330/cross-cultural-differences-in-communication-about-a-dying-child
#18
Donald Cochran, Sarosh Saleem, Sumaira Khowaja-Punjwani, John D Lantos
There are more migrants, refugees, and immigrants adrift in the world today than at any time in the recent past. Doctors and hospitals must care for people from many different cultures, countries, and religious backgrounds. We sometimes find our own deeply held beliefs and values challenged. In this "Ethics Rounds," we present a case in which a Pakistani immigrant family faces a tragic medical situation and wants to deal with it in ways that might be normative in their own culture but are aberrant in ours...
November 2017: Pediatrics
https://www.readbyqxmd.com/read/29028465/cultivating-humility-and-diagnostic-openness-in-clinical-judgment
#19
John R Stone
In this case, a physician rejects a patient's concerns that tainted water is harming the patient and her community. Stereotypes and biases regarding socioeconomic class and race/ethnicity, constraining diagnostic frameworks, and fixed first impressions could skew the physician's judgment. This paper narratively illustrates how cultivating humility could help the physician truly hear the patient's suggestions. The discussion builds on the multifaceted concept of cultural humility as a lifelong journey that addresses not only stereotypes and biases but also power inequalities and community inequities...
October 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28876446/use-of-simulation-to-integrate-cultural-humility-into-advanced-health-assessment-for-nurse-practitioner-students
#20
Abraham N Ndiwane, Nancy C Baker, Antonia Makosky, Patricia Reidy, Anthony J Guarino
BACKGROUND: Increasing cultural humility among nursing students requires the application of knowledge and skills. The integration of an Objective Structured Clinical Examination (OSCE) offered nurse practitioner students practice in simulation. METHOD: This learning activity included pre- and postassessments of knowledge regarding cultural issues and level of student satisfaction. Course content included an exemplar video and a simulation interview with an African American standardized patient...
September 1, 2017: Journal of Nursing Education
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