Provider Perceptions of the Organization's Cultural Competence Climate and Their Skills and Behaviors Targeting Patient-Centered Care for Socially At-Risk Populations

2018 ◽  
Vol 29 (1) ◽  
pp. 481-496 ◽  
Author(s):  
Tanjala S. Purnell ◽  
Jessie Kimbrough Marshall ◽  
Israel Olorundare ◽  
Rosalyn W. Stewart ◽  
Stephen Sisson ◽  
...  
2014 ◽  
Vol 32 (4) ◽  
pp. 372-379 ◽  
Author(s):  
Lisa Seto Nielsen ◽  
Jan E. Angus ◽  
Doris Howell ◽  
Amna Husain ◽  
Denise Gastaldo

Author(s):  
Josepha Campinha-Bacote

At the core of both patient centeredness and cultural competence is the importance of seeing the patient as a unique person. For the purpose of this article, cultural competence is viewed as an expansion of patient-centered care. More specifically, cultural competence can be seen as a necessary set of skills for nurses to attain in order to render effective patient-centered care. However, a vexing question remains, “How does the nurse deliver patient-centered care when the patient’s health beliefs, practices, and values are in direct conflict with medical and nursing guidelines?” The purpose of this article is to provide nurses with a set of culturally competent skills that will enhance the delivery of patient-centered care in the midst of a cultural conflict. I will begin by offering a conceptual framework for cultural competence and a description of the cultural skill needed to formulate a mutually acceptable and culturally relevant treatment plan for each patient. Next I will describe effective approaches for cultural encounters. Finally I will present a vignette that illustrates how the nurse can deliver patient-centered care when the patient’s health beliefs, practices, and values are in direct conflict with medical and nursing guidelines


2012 ◽  
Vol 23 ◽  
pp. iii33-iii42 ◽  
Author(s):  
D.E. Epner ◽  
W.F. Baile

Author(s):  
Anastasius Moumtzoglou

Individualizing care must take into account the diversity of patient values and perspectives while attending to the specific needs of people must take into account the multifaceted nature of culture. Digital medicine enables digital proximity and self-care, challenges the traditional paternal model of medicine, reshapes the nature and expectations of health care delivery, emphasizes the active involvement of patients and has an enormous potential to empower patients. Moreover, the concepts of bio-objects, cultural competence, and patient-centered care could be apparently thought on a continuum with one pole representing the bio-objects and the other representing one of the health care quality dimensions, patient-centered care. All-embracing, digital medicine affects the core values of cultural competence, which are shared by patient-centered care, one of the health care quality dimensions.


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