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Cultural humility

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https://www.readbyqxmd.com/read/28187021/on-the-road-to-professionalism
#1
David H Chestnut
Many observers have concluded that we have a crisis of professionalism in the practice of medicine. In this essay, the author identifies and discusses personal attributes and commitments important in the development and maintenance of physician professionalism: humility, servant leadership, self-awareness, kindness, altruism, attention to personal well-being, responsibility and concern for patient safety, lifelong learning, self-regulation, and honesty and integrity. Professionalism requires character, but character alone is not enough...
February 10, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28143568/factors-predicting-training-transfer-in-health-professionals-participating-in-quality-improvement-educational-interventions
#2
Ahmed Eid, Doris Quinn
BACKGROUND: Predictors of quality improvement (QI) training transfer are needed. This study aimed to identify these predictors among health professionals who participated in a QI training program held at a large hospital in the United States between 2005 and 2014. It also aimed to determine how these predictive factors facilitated or impeded QI training transfer. METHODS: Following the Success Case Method, we used a screening survey to identify trainees with high and low levels of training transfer...
January 31, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28062825/global-family-medicine-a-universal-mnemonic
#3
William B Ventres
In this essay, I borrow the idea of universal precautions from infection control and suggest that family physicians use a set of considerations, based on the mnemonic UNIVERSAL, to nurture cultural humility, enter a metaphoric "space-in-between" in cross-cultural encounters, and foster global fluency. These UNIVERSAL considerations I base on my experiences in global family medicine, attending to economically poor and socially marginalized patients in both international and domestic settings. They are informed by readings in transcultural psychiatry, medical anthropology, development studies, and primary care...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28027035/justice-and-u-s-occupational-therapy-practice-a-relationship-100-years-in-the-making
#4
Rebecca M Aldrich, Tessa L Boston, Claire E Daaleman
At 99 years old, occupational therapy is a global health care profession with a growing orientation toward justice. Because much of the occupational justice discourse has developed outside the United States, parallels between the profession's ethos and its current focus on justice must be examined more closely in this country. Although occupational therapy practitioners in the United States are better equipped than their predecessors with language and theories that explicitly emphasize justice, the potential for bringing that focus to bear depends on practitioners' willingness to think differently about their practices...
January 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/27876106/hubris-and-humility-effect-and-the-domain-masculine-intelligence-type-in-two-countries-colombia-and-the-uk
#5
Josephine Storek, Adrian Furnham
Spanish-speaking Colombian (n = 50) and English-speaking British (N = 52) adults completed a self-assessed intelligence measure that yielded a score on domain-masculine intelligence (DMIQ), a composite of mathematical/logical and spatial intelligences. They also completed a Sex Role inventory in order to establish their masculinity and femininity. Males in both countries gave significantly higher self-estimates (Colombia: Males 110.36, Females 100.75, d = .94; England: Males 114.37, Females 105.75, d = .86; both p < ...
November 23, 2016: Spanish Journal of Psychology
https://www.readbyqxmd.com/read/27818848/an-examination-of-cultural-competence-training-in-us-medical-education-guided-by-the-tool-for-assessing-cultural-competence-training
#6
Valarie Blue Bird Jernigan, Jordan B Hearod, Kim Tran, Keith C Norris, Dedra Buchwald
In the United States, medical students must demonstrate a standard level of "cultural competence," upon graduation. Cultural competence is most often defined as a set of congruent behaviors, attitudes, and policies that come together in a system, organization, or among professionals that enables effective work in cross-cultural situations. The Association of American Medical Colleges developed the Tool for Assessing Cultural Competence Training (TACCT) to assist schools in developing and evaluating cultural competence curricula to meet these requirements...
2016: Journal of Health Disparities Research and Practice
https://www.readbyqxmd.com/read/27812847/needs-priorities-and-recommendations-for-engaging-underrepresented-populations-in-clinical-research-a-community-perspective
#7
Jennifer Cunningham Erves, Tilicia L Mayo-Gamble, Alecia Malin-Fair, Alaina Boyer, Yvonne Joosten, Yolanda C Vaughn, Lisa Sherden, Patrick Luther, Stephania Miller, Consuelo H Wilkins
Engaging underrepresented groups in outcomes research is a public health priority for reducing health and health care disparities; yet, engaging these groups is challenging. Failure to involve these underrepresented populations in research further exacerbates these disparities. This article presents the health and research priorities of diverse groups of underrepresented populations in biomedical research, their concerns for participating in research, and strategies to engage them in their healthcare and research studies...
November 3, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27752981/cultural-humility-and-hospital-safety-culture
#8
Joshua N Hook, David Boan, Don E Davis, Jamie D Aten, John M Ruiz, Thomas Maryon
Hospital safety culture is an integral part of providing high quality care for patients, as well as promoting a safe and healthy environment for healthcare workers. In this article, we explore the extent to which cultural humility, which involves openness to cultural diverse individuals and groups, is related to hospital safety culture. A sample of 2011 hospital employees from four hospitals completed measures of organizational cultural humility and hospital safety culture. Higher perceptions of organizational cultural humility were associated with higher levels of general perceptions of hospital safety, as well as more positive ratings on non-punitive response to error (i...
December 2016: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/27691784/personal-value-preferences-group-identifications-and-cultural-practices-of-palestinian-israelis-working-in-close-contact-with-jewish-israelis
#9
Eugene Tartakovsky, Ayat Abu Kheit
The present study investigates the connection between personal value preferences, group identifications, and cultural practices among Palestinian Israelis working in close contact with the Jewish population in Israel. One hundred twenty-two Palestinian Israelis participated in the study. The participants were employed in different professional positions in the Tel Aviv Metropolitan area, and were recruited to the study using the snowball technique. A stronger national identification was associated with a higher preference for the security and conformity values, and a lower preference for the humility values...
October 3, 2016: Journal of Social Psychology
https://www.readbyqxmd.com/read/27573497/aspirational-characteristics-for-effective-leadership-of-improvement-teams
#10
REVIEW
Lane F Donnelly
Working on quality improvement has become an innate part of managing a pediatric radiology service. To help radiologists effectively lead improvement teams, eight aspirational characteristics are discussed. These are: 1) Be a good listener, 2) Effectively communicate around an accountability cycle, 3) Stress simplicity: Prioritization and pace, 4) Expend energy to optimize people development, 5) Lead with optimism, 6) Create a culture of wellness and sustainability, 7) Have a progressive attitude toward failure and 8) Project humility over arrogance...
January 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/27564323/therapeutic-assessment-of-a-violent-criminal-offender-managing-the-cultural-narrative-of-evil
#11
Lionel Chudzik
Therapeutic Assessment (TA) emphasizes the importance of the clinical relationship and the core values of collaboration, respect, humility, compassion, and curiosity, which guide all aspects of the endeavor (Finn, 2007 ). Those values are not easy to apply with violent offenders. However, this article explains how TA can significantly contribute to the treatment of those clients by helping the therapist avoid common cultural narratives about evil. We see that these culturally based myths permit us to explain violent behaviors, but also prevent us from treating them because they lead us to a circular countertransference-transference process...
November 2016: Journal of Personality Assessment
https://www.readbyqxmd.com/read/27556162/cultural-humility-the-key-to-patient-family-partnerships-for-making-difficult-decisions
#12
Beth Fahlberg, Cynthia Foronda, Diana Baptiste
No abstract text is available yet for this article.
September 2016: Nursing
https://www.readbyqxmd.com/read/27507679/cultural-attunement-in-therapy-with-mexican-heritage-couples-a-grounded-theory-analysis-of-client-and-therapist-experience
#13
Marco A Elias-Juarez, Carmen Knudson-Martin
There is a need for culturally attuned approaches for couple therapy with Mexican/Mexican-Americans. This qualitative grounded theory study utilized interviews with 11 client couples of Mexican heritage and 14 marital and family therapists to shed light on how Latino and non-Latino therapists co-construct positive experiences of cultural attunement with Mexican and Mexican-American couple clients. Analysis identified a model of cultural connection through personal engagement with four interrelated phases: (a) mutual invitation, (b) shared engagement, (c) expanding personal connection, and (d) creating cultural connections...
August 10, 2016: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/27504041/cultural-humility-a-way-of-thinking-to-inform-practice-globally
#14
Shaun R Cleaver, Jennifer K Carvajal, Phillip S Sheppard
No abstract text is available yet for this article.
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27491195/wicked-problem-solvers
#15
Amy C Edmondson
Companies today increasingly rely on teams that span many industries for radical innovation, especially to solve "wicked problems." So leaders have to understand how to promote collaboration when roles are uncertain, goals are shifting, expertise and organizational cultures are varied, and participants have clashing or even antagonistic perspectives. HBS professor Amy Edmondson has studied more than a dozen cross-industry innovation projects, among them the creation of a new city, a mango supply-chain transformation, and the design and construction of leading-edge buildings...
June 2016: Harvard Business Review
https://www.readbyqxmd.com/read/27484060/mentoring-the-mentors-of-underrepresented-racial-ethnic-minorities-who-are-conducting-hiv-research-beyond-cultural-competency
#16
Karina L Walters, Jane M Simoni, Teresa Tessa Evans-Campbell, Wadiya Udell, Michelle Johnson-Jennings, Cynthia R Pearson, Meg M MacDonald, Bonnie Duran
The majority of literature on mentoring focuses on mentee training needs, with significantly less guidance for the mentors. Moreover, many mentoring the mentor models assume generic (i.e. White) mentees with little attention to the concerns of underrepresented racial/ethnic minorities (UREM). This has led to calls for increased attention to diversity in research training programs, especially in the field of HIV where racial/ethnic disparities are striking. Diversity training tends to address the mentees' cultural competency in conducting research with diverse populations, and often neglects the training needs of mentors in working with diverse mentees...
September 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27434718/new-views-on-global-child-health-global-solutions-for-care-of-vulnerable-children-in-the-united-states
#17
Omolara T Uwemedimo, Gitanjli Arora, Christiana M Russ
PURPOSE OF REVIEW: This paper provides a brief overview of the current landscape of global child health and the impact of social determinants on the world's children. In the United States (US), global child health (GCH) has increasingly been highlighted as a priority area by national organizations, such as the National Academy of Medicine and American Academy of Pediatrics, as well as individual pediatricians committed to ensuring the health of all children regardless of geographic location...
October 2016: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/27428690/interprofessional-communication-in-healthcare-an-integrative-review
#18
REVIEW
Cynthia Foronda, Brent MacWilliams, Erin McArthur
The link between miscommunication and poor patient outcomes has been well documented. To understand the current state of knowledge regarding interprofessional communication, an integrative review was performed. The review suggested that nurses and physicians are trained differently and they exhibit differences in communication styles. The distinct frustrations that nurses and physicians expressed with each other were discussed. Egos, lack of confidence, lack of organization and structural hierarchies hindered relationships and communications...
July 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/27417631/what-are-the-ethical-issues-facing-global-health-trainees-working-overseas-a-multi-professional-qualitative-study
#19
James D Harrison, Tea Logar, Phuoc Le, Marcia Glass
The aim of this study was to identify global health ethical issues that health professional trainees may encounter during electives or placements in resource-limited countries. We conducted a qualitative study involving focus groups and an interview at the University of California San Francisco. Participants were multi-professional from the Schools of Medicine, Nursing and Pharmacy and had experience working, or teaching, as providers in resource-limited countries. Eighteen participants provided examples of ethical dilemmas associated with global-health outreach work...
July 13, 2016: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/27355785/recognizing-privilege-and-bias-an-interactive-exercise-to-expand-health-care-providers-personal-awareness
#20
Amanda L Holm, Marla Rowe Gorosh, Megan Brady, Denise White-Perkins
PROBLEM: Despite increasing awareness of the social determinants of health, health care disparities among sociocultural groups persist. Health care providers' unconscious bias resulting from unrecognized social privilege is one contributor to these disparities. APPROACH: In 2009, Henry Ford Health System initiated the Healthcare Equity Campaign both to raise employees' awareness of inequalities related to the social determinants of health and to increase their motivation to reduce them...
June 28, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
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