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Cultural humility

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https://www.readbyqxmd.com/read/29885714/cultural-humility-in-the-care-of-individuals-who-are-lesbian-gay-bisexual-transgender-or-queer
#1
Maria Ruud
Health care providers' knowledge about the health issues of individuals who are lesbian, gay, bisexual, transgender, or queer (LGBTQ) has increased in the past few years, but significant gaps still exist. Nurses and other clinicians may be unfamiliar with current concepts of sexual orientation and gender identity, as well as with current language and terminology. Health care settings that lack informed staff or have environments that are not inclusive can influence the quality of care delivered or whether care is pursued at all...
June 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29877159/using-cbpr-to-address-health-disparities-with-the-marshallese-community-in-arkansas
#2
Pearl A McElfish, Ramey Moore, Melisa Laelan, Britni L Ayers
CONTEXT: Arkansas currently has the largest Marshallese community in the continental US. The limited research available demonstrates that Marshallese have significant health disparities, with higher rates of obesity, diabetes, cardiovascular disease and infectious diseases than the US population. OBJECTIVES: The purpose of this paper is 2-fold: (1) to describe the formation and capacity building efforts of a community-based participatory research partnership with the Marshallese community in Arkansas and (2) to describe key findings and lessons learned from 5 years of collaborative research...
May 2018: Annals of Human Biology
https://www.readbyqxmd.com/read/29805124/a-community-health-worker-led-rotation-to-train-medical-students-in-the-social-determinants-of-health
#3
Shreya Kangovi, Tamala Carter, Robyn A Smith, Horace M DeLisser
Medical students often lack training in understanding and addressing the social determinants that shape the health of high-risk populations. We describe a novel clinical elective rotation in which fourth-year medical students served as apprentices to community health workers in order to develop community engagement skills and cultural humility.
2018: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/29787508/impact-of-a-required-service-learning-curriculum-on-preclinical-students
#4
Christopher P Forest, Désirée A Lie
PURPOSE: The impact of brief service-learning curricula on physician assistant (PA) students is not well reported. This study explores student learning immediately and then one to 2 years after a preclinical service-learning experience through written reflections and a survey. METHODS: The 16-hour curriculum within a behavioral science course involved community immersion and engagement with underserved clients. Reflections written by students from 3 consecutive classes were coded for major themes, and theme frequency was assessed...
June 2018: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29743230/proactive-strategies-to-address-health-equity-and-disparities-recommendations-from-a-bi-national-symposium
#5
Jeannie Haggerty, Marshall H Chin, Alan Katz, Kue Young, Jonathan Foley, Antoine Groulx, Eliseo J Pérez-Stable, Jeff Turnbull, Jennifer E DeVoe, Uche Uchendo
INTRODUCTION: Health inequities persist in Canada and the United States. Both countries show differential health status and health care quality by social characteristics, making zip or postal code a greater predictor of health than genetics. Many social determinants of health overlap in the same individuals or communities, exacerbating their vulnerability. Many of the contributing factors and problems are structural and evade simple solutions. METHODS: In March 2017 a binational Canada-US symposium was held in Washington DC involving 150 primary care thought leaders, including clinicians, researchers, patients, and policy makers to address transformation in integrated primary care...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29741210/language-barriers-and-epistemic-injustice-in-healthcare-settings
#6
Yael Peled
Contemporary realities of global population movement increasingly bring to the fore the challenge of quality and equitable health provision across language barriers. While this linguistic challenge is not unique to immigration contexts and is likewise shared by health systems responding to the needs of aboriginal peoples and other historical linguistic minorities, the expanding multilingual landscape of receiving societies renders this challenge even more critical, owing to limited or even non-existing familiarity of modern and often monolingual health systems with the particular needs of new linguistic minorities...
May 9, 2018: Bioethics
https://www.readbyqxmd.com/read/29699463/humility-a-concept-in-cultural-sensitivity
#7
Norma G Cuellar
No abstract text is available yet for this article.
July 2018: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
https://www.readbyqxmd.com/read/29629811/transgender-patients-what-radiologists-need-to-know
#8
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...
May 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29570923/cultural-factors-influencing-japanese-nurses-assertive-communication-part-2-hierarchy-and-power
#9
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
#10
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
#11
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
#12
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...
June 1, 2018: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/29461381/cultural-humility-an-active-concept-to-drive-correctional-nursing-practice
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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