Bibliografias temáticas / Culturally competent care

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Literatura científica selecionada sobre o tema "Culturally competent care"

Autor: Grafiati

Publicado: 4 de junho de 2021

Última modificação: 30 de julho de 2024

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Artigos de revistas sobre o assunto "Culturally competent care"

Chin, J. L. "Cultural competence. Viewpoint. Culturally competent health care". Public Health Reports 115, n.º 1 (1 de janeiro de 2000): 25–34. http://dx.doi.org/10.1093/phr/115.1.25.

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Beard, Kenya V., Eunice Gwanmesia e Gina Miranda-Diaz. "Culturally Competent Care". AJN, American Journal of Nursing 115, n.º 6 (junho de 2015): 58–62. http://dx.doi.org/10.1097/01.naj.0000466326.99804.c4.

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Keehan, Carol. "Culturally Competent Care". Journal of Healthcare Management 58, n.º 4 (julho de 2013): 250–52. http://dx.doi.org/10.1097/00115514-201307000-00003.

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Meleis, Afaf I. "Culturally Competent Care". Journal of Transcultural Nursing 10, n.º 1 (janeiro de 1999): 12. http://dx.doi.org/10.1177/104365969901000108.

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Kersey-Matusiak, Gloria. "Culturally competent care". Nursing Management (Springhouse) 43, n.º 4 (abril de 2012): 34–39. http://dx.doi.org/10.1097/01.numa.0000413093.39091.c6.

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Cohen, Marlene Zichi, e Guadalupe Palos. "Culturally competent care". Seminars in Oncology Nursing 17, n.º 3 (agosto de 2001): 153–58. http://dx.doi.org/10.1053/sonu.2001.25944.

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&NA;. "Culturally Competent Care". Journal of Neuroscience Nursing 38, n.º 4 (agosto de 2006): 205, 211. http://dx.doi.org/10.1097/01376517-200608000-00001.

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Kersey-Matusiak, Gloria. "Culturally competent care". Nursing 42, n.º 2 (fevereiro de 2012): 49–52. http://dx.doi.org/10.1097/01.nurse.0000410308.49036.73.

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Boyle, Deborah A. "Culturally Competent Care". Oncology Nursing Forum 30, n.º 1 (1 de janeiro de 2003): 23–24. http://dx.doi.org/10.1188/03.onf.23-24.

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French, Brian M. "Culturally Competent Care". Journal of Infusion Nursing 26, n.º 4 (julho de 2003): 252–55. http://dx.doi.org/10.1097/00129804-200307000-00011.

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Teses / dissertações sobre o assunto "Culturally competent care"

Byrd, Rebekah J. "Culturally competent medical care of LGBTQ patients". Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/911.

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Oya, Kumi. "A Narrative Inquiry on Culturally Competent Dementia Care". Thesis, California Institute of Integral Studies, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10814538.

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This narrative research offers an inquiry that intends to inspire thinking about a culturally competent dementia care framework in the United States. The main research question is: How does a culture hold dementia care? A subquestion is: What can we in the United States learn from other cultures about dementia care to enhance this care for all? The inquiry was designed to conduct narrative research focusing on Japanese culture in the context of caregiving to people with dementia; 4 professional and 4 family caregivers from this culture, who have cared or have been caring for persons with dementia, were interviewed. The narratives reflected the caregivers' lived experiences and how they were culturally compelled to give and sustain care.

This inquiry assumes that a person-centered dementia care model is challenging for the U.S. healthcare system, despite attempts to do so, due to the prevailing values and beliefs in the United States that center around a cure model as opposed to a care model. It also assumes that ideal person-centered dementia care in the United States needs to pay close attention to the cultural competence of caregivers and healthcare professionals, as their clients identify as persons through their cultural ways of being. These assumptions are grounded in the literature review.

As a result of narrative data analysis, 5 themes emerged from the data among family caregivers, and 2 themes among professional caregivers as the commonality. In addition, 4 themes emerged not as common themes but as unique themes. This dissertation examined Japanese interdependent construal of the self and demonstrated that these themes could be explained through understanding Japanese sense of self.

It is evident that interdependence between the self and others is deeply embedded in Japanese culture. Without a doubt, interdependence uniquely manifests in the caregivers’ attitudes, values and worldviews of caregiving in Japanese culture. Although the limited number of participants should be considered, these findings/caregivers’ insights generated from this study aim to promote and encourage dialogues regarding what culturally competent dementia care looks like among caregivers and beyond in the United States when taking care of people from different cultures.

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Joshua, Solomon, e Solomon Joshua. "Enhancing Culturally Competent Care for Obesity Among African Immigrants". Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626636.

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Purpose: This DNP project examines the effectiveness of a brief educational presentation to improve cultural competency care for obesity among African Immigrants. This project focused on providers at southwestern urban primary care clinic to become culturally competent in caring for African immigrants with obesity. The findings and recommendations of this project also serve as resource for other providers locally and nation-wide who provide care for African immigrant population. Method: Utilizing a purposeful sampling method, quantitative pre-test and post-test questionnaires were used to evaluate cultural knowledge and intended clinical practices of participants (N =5), feasibility and satisfaction of the educational activity. Aggregate data collected from the pre-and post-test questionnaires were analyzed and discussed through thematic and descriptive analysis. Results: All participants demonstrated significant enhancement in cultural competency in knowledge in regard to nutrition, physical activity and linguistics/communication, body image perception and obesity management in African cultural context. Also, one hundred percent (n=5) of the participants recorded very high level of satisfaction of the intervention content and delivery. Conclusion: The education intervention was successful in enhancing providers’ cultural knowledge and competence in caring for African immigrants with obesity. It also serves as valuable initiative to further develop culturally competent care based on evidence-based practice to enhance the quality of care delivery for African immigrants as well as other vulnerable minority populations. For the over two million African Immigrants in the United States, obesity and its related complications is a constant struggle for this minority population. Health disparities exist for all minority groups suffering from poverty in the US, and the immigrant population is at a higher risk for these disparities due to the slower rate of acculturation. The effort to address obesity among immigrants especially those of African descent is significantly influenced by providers’ cultural knowledge, sensitivity and competency in healthcare delivery. This project outlines the development, implementation and evaluation of a brief PowerPoint presentation aiming to educate healthcare providers on cultural competency and appropriateness in caring for African Immigrants with obesity.

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Henriksson, Malin. "Cultural competence in Swedish primary care : Are some providers more prone to be culturally competent than others?" Thesis, Växjö University, School of Social Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-864.

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Cultural competence has become an important topic since the society has evolved to be more multicultural, these societies have a big problem with their healthcare systems and it is said that primary care in Sweden must become better adjusted to the needs of minorities. The objective of this study was to investigate the degree of cultural competence in primary care in Sweden and to examine if the degree of cultural competence had a relation to the providers personality, gender, age ethnicity and educational level. Three different county councils were asked to participate but only one agreed. From 13 different primary care wards, 111 participants filled in three different instruments measuring personality, cultural competence and social desirability. The result of Pearson correlations, partial correlations, two-tailed independent t-tests and a χ²- test show that the degree of cultural competence is relatively low. Also, persons who are more conscientious and open, less neurotic, and educated at a university are more prone to be culturally competent. This investigation shows that there is a need to make individuals who work in primary care more aware of these issues. The focus should not lie on personnel level alone, but on organizational level as well.

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Haghshenas, Abbas Public Health &amp Community Medicine Faculty of Medicine UNSW. "Negotiating norms, navigating care: the practice of culturally competent care in cardiac rehabilitation". Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/32280.

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BACKGROUND Increasingly, it is recognised that the unique needs of people from culturally and linguistically diverse backgrounds (CaLDB) should be addressed within a framework of cultural competence. To date, there are limited data on the issues facing CaLDB patients in the Cardiac Rehabilitation (CR) setting. Appreciation of an individual???s values, attitudes and beliefs underpins negotiation of behaviour change in the CR setting. Therefore an understanding of patient and professional interactions is of key importance. OBJECTIVES The focus of this study has been to undertake an exploration of CR service delivery to people from culturally and linguistically diverse backgrounds, using Arabic speaking people as an exemplar of a CaLDB group. More broadly, this research project has sought to identify factors, which influence the practice of health professionals towards CaLDB patients, and to develop a model for evaluation of culturally competent health care in the CR setting. The study sought to achieve these aims by addressing the following research questions: 1. In what way do health practitioners in CR adjust their treatment and support to accommodate the perceived needs of CaLDB communities? 2. In what way do factors (such as individual and organisation perspectives) influence the adjustment of clinical practice and service delivery of CR practitioners; and what are practitioners??? and patients??? perception of barriers and facilitators to service delivery? 3. To what level are CaLDB patients satisfied with CR services? This study design is comprised of the following elements: (1) interviews with health practitioners and Arabic speaking background patients as an exemplar of CaLDB patients; (2) review of policy and procedure documents and medical records; and (3) field observation. METHOD This thesis embraces a qualitative approach as the primary method of investigation to align with the exploratory and descriptive nature of the study. The main methods used in the study were: in depth interviews with health professionals and patients; field observations; appraisal of relevant documents and consultation with expert panels. Study samples were selected through a purposive sampling strategy.Data were analysed using the method of content analysis, guided by the research questions. FINDINGS In total, 25 health professionals (20 female and 5 male) and 32 patients (21 male and 11 female) were interviewed. The method of qualitative content analysis was used for data analysis. Data analysis revealed four major themes: 1) The challenging context; 2) Tuning practices; 3) Influencing factors; and 4) Goodness of fit. The study demonstrated a challenging context for CR delivery, both from the perspective of patients and health professionals. Data reveal a process of reflection, negotiation, and navigation of care by CR health professionals in an effort to understand and meet the diverse needs of CALDB patients. CONCLUSION On the basis of the study findings, a process-oriented model of tuning practice to achieve cultural competence in CR delivery is proposed to inform policy, research and clinical practice.

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Pollock-Robinson, M. Catherine. "Family-centered care, patient-centered care, and culturally competent care common themes and background meanings /". Pullman, Wash. : Washington State University, 2009. http://www.dissertations.wsu.edu/Thesis/Spring2009/m_pollockrobinson_042409.pdf.

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Ellis, Theresa Anne. "Caught in the middle| Nurses responding to a hospital's strategy of culturally competent care". Thesis, Fielding Graduate University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3627604.

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Leaders of organizations continually experience challenges when attempting to implement new strategies by aligning staff at various organizational levels to the new strategies. The effectiveness of alignment to strategy is demonstrated especially in how strategy manifests on the front line as staff respond to the mandate of the strategic changes. Organizational dynamics analyzed through a psychodynamic "lens" further explain the challenges of alignment to strategy. The health care industry experiences pressure to adjust their strategies to ensure quality patient care, especially because hospitals are under scrutiny to reduce hospital readmissions and address health disparities for disadvantaged groups of patients in surrounding communities. One strategy adjustment that hospitals are implementing is improving culturally competent care, which requires transformational changes in practice, especially at the front line: nurses. This qualitative, single-case study at a hospital in the eastern United States focuses on exploring nurses' experiences as they respond to a hospital's mandate of changes related to providing culturally competent care. Data were collected through 25 semistructured interviews, two focus groups, and historical and archival data. The findings from this study support literature on the challenges and tensions related to this transformative change in how care is delivered. The findings also reveal the anxiety that these challenges and tensions trigger at the institutional and individual levels and the resulting behaviors, interpreted by psychodynamic theory of basic assumption, where nurses fluctuated between approach and avoidance of the work.

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Edwards, Ann Marie Elizabeth. "Implementation of a Transcultural Nursing Education Program to Improve Nurses' Cultural Competence". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6996.

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The exponential growth of culturally diverse populations in the United States has led to a multicultural patient population while the nursing workforce remains predominantly White. At the project site, managers identified that staff nurses struggled to deliver culturally competent care. The purpose of this project was to improve the cultural competence of registered nurses (RNs) through a transcultural nursing education program. Leininger's transcultural nursing theory guided the project. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-R tool. Aggregate pretest and posttest scores were used to determine RNs' competency levels. The Statistical Package for the Social Sciences software was used for data analysis, and a paired t test was used to determine the impact of the program. Of the 22 participants, 4 (18%) scored within the culturally competent range on the pretest, compared to 17 (77%) on the posttest. These findings were statistically significant (p < 0.000) and demonstrated a positive outcome from the educational project. Key recommendations are to continue this education for other RNs in the facility and at other facilities in the network. The implications of this project for positive social change include raising the cultural competency of nurses, which has the potential to improve patient outcomes.

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Nguyen, Vi H. "Will culturally competent Vietnamese-speaking healthcare providers reduce hemoglobin A1C-readings for Vietnamese diabetic patients?" Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1524147.

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This retrospective study was conducted to evaluate whether culturally competent resources, such as Vietnamese-speaking healthcare providers, one-on-one public health nurse (PHN) education session(s), and free healthcare services would affect the results of the following questions: (a) Will the 114 study subjects achieve HbAIC reduction at 6-month and 12-month periods? (b) Is there a correlation between HbA1C reduction and the number of the provider visits? and (c) Is there a significant HbA1C reduction for the one-on-one PHN education participants compared to the non-participants? The result findings were analyzed using the Chi-Square tests and the two-sample t-tests. On average, the 114 subjects achieved HbA1C reductions of0.57% and 0.63% at 6-month and 12-month periods, respectively. However, there was no direct correlation between the HbA1C reductions and the frequency of provider visits. Furthermore, the PHN education session(s) did not significantly affect the rate of HbA1C reduction for the attendees. In conclusion, future studies on culturally competent interventions should be studied in the Vietnamese patients diagnosed with diabetes mellitus.

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Shiu-Thornton, Sharyne. "Culturally competent perinatal health care for Chinese and Mien refugees : ethnographic narratives from Seattle's International District Health Clinic /". Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/6468.

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Livros sobre o assunto "Culturally competent care"

Purnell, Larry D., e Eric A. Fenkl. Handbook for Culturally Competent Care. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8.

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Campinha-Bacote, Josepha. The process of cultural competence: A culturally competent model of care. Wyoming, Ohio: Transcultural C.A.R.E. Associates, 1991.

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D, Purnell Larry, e Paulanka Betty J, eds. Transcultural health care: A culturally competent approach. 2^a ed. Philadelphia, PA: F.A. Davis, 2003.

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L, Cross Terry, Benjamin Marva P e CASSP Technical Assistance Center, eds. Towards a culturally competent system of care. Washington, D.C: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1989.

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Permanente, Kaiser, ed. A provider's handbook on culturally competent care. [Oakland, CA ]: National Diversity Dept., Kaiser Permanente, 2000.

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D, Purnell Larry, e Paulanka Betty J, eds. Transcultural health care: A culturally competent approach. Philadelphia: F.A. Davis, 1998.

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Kaiser Permanente. National Diversity Council. e Kaiser Permanente. National Diversity Dept., eds. A provider's handbook on culturally competent care: Latino population. 2^a ed. [Oakland, CA]: National Diversity Dept., Kaiser Permanente, 2001.

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Campinha-Bacote, Josepha. The process of cultural competence in the delivery of healthcare services: A culturally competent model of care. [Cincinnati, Ohio?]: Transcultural C.A.R.E. Associates, 2003.

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H, Voegtle Katherine, ed. Culturally competent health care for adolescents: A guide for primary care providers. Chicago, IL: Dept. of Adolescent Health, American Medical Association, 1994.

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Douglas, Marilyn "Marty", Dula Pacquiao e Larry Purnell, eds. Global Applications of Culturally Competent Health Care: Guidelines for Practice. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-69332-3.

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Capítulos de livros sobre o assunto "Culturally competent care"

Thompson, Catherine Rush. "Culturally Competent Pediatric Care". In Pediatric Therapy, 29–42. New York: Routledge, 2024. http://dx.doi.org/10.4324/9781003525585-3.

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Ramalanjaona, Georges, e Marcus L. Martin. "Culturally Competent Faculty". In Diversity and Inclusion in Quality Patient Care, 31–38. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-22840-2_4.

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Purnell, Larry D., e Eric A. Fenkl. "Transcultural Diversity and Health Care". In Handbook for Culturally Competent Care, 1–6. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_1.

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Pacquiao, Dula. "Culturally Competent Multicultural Workforce". In Global Applications of Culturally Competent Health Care: Guidelines for Practice, 275–86. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-69332-3_31.

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Purnell, Larry D., e Eric A. Fenkl. "Barriers to Culturally Competent Health Care". In Handbook for Culturally Competent Care, 19–26. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_3.

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Purnell, Larry D., e Eric A. Fenkl. "People of Chinese Heritage". In Handbook for Culturally Competent Care, 109–19. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_10.

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Purnell, Larry D., e Eric A. Fenkl. "People of Cuban Heritage". In Handbook for Culturally Competent Care, 121–31. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_11.

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Purnell, Larry D., e Eric A. Fenkl. "People of European American Heritage". In Handbook for Culturally Competent Care, 133–41. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_12.

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Purnell, Larry D., e Eric A. Fenkl. "People of Filipino Heritage". In Handbook for Culturally Competent Care, 143–54. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_13.

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Purnell, Larry D., e Eric A. Fenkl. "People of German Heritage". In Handbook for Culturally Competent Care, 155–62. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21946-8_14.

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Trabalhos de conferências sobre o assunto "Culturally competent care"

Sgorbissa, Antonio, Irena Papadopoulos, Barbara Bruno, Christina Koulouglioti e Carmine Recchiuto. "Encoding Guidelines for a Culturally Competent Robot for Elderly Care". In 2018 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS). IEEE, 2018. http://dx.doi.org/10.1109/iros.2018.8594089.

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Maung Maung, Kyi Phyu, e Amoneeta Beckstein. "The Need for Ethical and Multiculturally Competent Practice of Psychology in Myanmar". In 7th International Conference on Spirituality and Psychology. Tomorrow People Organization, 2022. http://dx.doi.org/10.52987/icsp.2022.011.

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ABSTRACT Myanmar’s mental health system is in dire need of improvement. The importance of mental health care has generally been overlooked and undervalued in the country. The negligence seems to stem from a lack of policies, training, infrastructure, funding, stigmatization, and a suitable ethical code of conduct. Due to six decades of international isolation, the small discipline of psychology, which already faced social disdain due to stigmatization, was further degraded as an academic discipline. Coupled with the recent ongoing violence that likely contributed to trauma amongst some of the population, this highlights the importance of well-established multiculturally competent ethical guidelines for psychology to gain a respectable reputation as a viable mental health treatment and as a scientific study of human behavior. This paper is an autoethnography exploring Myanmar’s barriers to effective mental health care while emphasizing establishing an empirically backed culturally competent ethical code of conduct for Myanmar’s field of psychology. As an individual born and raised in Myanmar, the first author hopes to shed some light on the mental health crisis in Myanmar by sharing her personal experiences. The authors also reviewed and analyzed the American Psychological Association’s (APA) Ethical Principles of Psychologists and Code of Conduct and explored the multiculturally competent adaptability and applicability of the APA Ethical Code of Conduct to Myanmar culture. Recommendations and implications for practitioners and future research were offered. KEYWORDS: Ethical Code of Conduct, mental health care, multicultural competence, Myanmar, psychology

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Leonard, David, e Véronique Griffith. "P102 What are the barriers and facilitators needed to deliver culturally competent care in patients living with inflammatory bowel disease?" In BSG LIVE’23, 19–22 June, ACC Liverpool. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2023. http://dx.doi.org/10.1136/gutjnl-2023-bsg.174.

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Parker, Ricardo, Patric Schiltz, Ernesta Wright, Jhenifa Parker, Denise Tolbert, Lezlee Matthews e LaQuetta Shamblee. "Abstract 4234: A culturally competent, community driven, collaborative approach to health care education conferences addressing the health disparities of African Americans". In Proceedings: AACR Annual Meeting 2017; April 1-5, 2017; Washington, DC. American Association for Cancer Research, 2017. http://dx.doi.org/10.1158/1538-7445.am2017-4234.

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NASTAS, Natalia, e Ecaterina LUNGU. "Intercultural professional competence in teaching foreign languages to students from higher education institutions". In Ştiință și educație: noi abordări și perspective. "Ion Creanga" State Pedagogical University, 2023. http://dx.doi.org/10.46727/c.v2.24-25-03-2023.p97-101.

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Comunicarea este o parte consistentă în viața noastră de zi cu zi. Termenul este foarte larg. Este folosit într-o varietate de moduri, pentru orice fel de influență exercitată de un sistem asupra altei sau a oricărui tip de acțiune care vizează exprimarea deschisă a gândurilor, sentimentelor sau schimbul de informații. Comunicarea înseamnă influențarea altor persoane prin folosirea semnelor (în sens mai larg) pentru ai face pe ei să înțeleagă mesajul. Comunicarea, astfel, în general necesită doi participanți: un expeditor, adresator, comunicator care transmite (direct sau indirect) și un destinatar, un translator care primește informațiile. Rolurile acestora participanți se alternează în timpul procesului de comunicare. Dobândirea cunoștințelor culturale comune poate fi promovată prin dezvoltarea conștientizării interculturale. Limba însăși este întotdeauna formată dintr-o cultură. A fi competent într-o limbă, presupune înțelegerea culturii care a definit-o. Învățarea unei limbi străine sugerează o conștientizare a culturii și a modului în care cultura vizează propria cultură. Profesorii care încearcă să crească gradul de conștientizare culturală studenților săi, din păcate de cele mai multe ori, trebuie să facă față problemelor cum ar fi lipsa cunoștințelor sistematice ale studenților fie a culturii lor native, fie a culturii țintă, pentru a fi în stare să interpreteze, să analizeze și să tragă concluzii din partea fenomenelor culturale prezentate lor ulterior. Un profesor poate preda până la limită, adică explică, discută și face studenții să înțeleagă diferențele. Cu toate acestea, nu putem rezolva aceste probleme.

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Kalra, Jay, Mackenzie Marchant, Zoher Rafid-Hamed e Patrick Seitzinger. "Reconceptualising Multiculturalism in an Evolving Landscape of Healthcare Delivery". In 15th International Conference on Applied Human Factors and Ergonomics (AHFE 2024). AHFE International, 2024. http://dx.doi.org/10.54941/ahfe1004852.

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Multiculturalism in medicine is a dynamic concept that requires ongoing adaptation to evolving global psychosocial, and geopolitical circumstances. Recent global events have had far reaching implications that warrant recognition as an essential component of ongoing medical education and practice. Our previous studies on global trends in healthcare delivery have identified multiculturalism as a key component of medicine that requires reconceptualising to enhance patient care in the evolving landscape of healthcare. The purpose of this paper is to adapt, reframe, and refine multiculturalism in medicine with a focus on medical practice, education, and medical ethics. Core underpinnings of medical ethics such as justice, autonomy, beneficence, and maleficence are present throughout healthcare practices around the globe. How these concepts are translated into everyday practices can vary widely between regions, institutions, and individuals. Medical ethics has traditionally been developed and interpreted through the lens of Western values. A narrowed or outdated perspective on medical ethics results in misunderstood cultural nuances, impaired communication, inequitable healthcare delivery and poor patient outcomes. Contemporary global events, including geopolitical conflicts, pandemics, and unprecedented migration patterns, have challenged existing paradigms of medical ethics and highlighted the necessity to reassess multiculturalism in practice and education. The landscape of modern medicine demands healthcare providers be competent and comfortable in addressing the unique healthcare needs of a globalized patient population. The next generation of medical providers will require the skills, experience, and insights to collaborate across cultural boundaries with comfort and competence in order to deliver sensitive and efficacious patient-centred care. Incorporation of diverse cultural lenses into medical education is necessary to ensure compassionate medical care that is attuned to the nuances and needs of an ever-increasing multicultural patient population. Cultural competence is no longer considered a skill that is acquired, but rather an ongoing process that requires continuous education and adaptation to each clinical encounter. Integrating immersive cultural experiences is an essential step in applying skills to clinical practice. Mentoring and debriefing practices allow learners to reflect on their own values and recognize implicit biases to improve multiculturalism on an ongoing basis. Reconceptualising multiculturalism in medicine is a necessary and timely response to the evolving landscape of global healthcare. By reframing multiculturalism as a fundamental pillar of medical education, new and seasoned healthcare providers will be equipped to navigate the evolving intricacies of cultural diversity. Acknowledging when current practices require revision is the first step to modernizing multicultural medical care. This work will have far-reaching implications on improving health equity, diversity, and inclusion to improve patient outcomes and satisfaction in a growingly interconnected world.

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Suza, Dewi Elizadiani, Setiawan, Farida Linda Sari Siregar e Diah Arruum. "The Cultural Competency Scale for Clinical Pediatric Nurse (CCS-CPN) in Indonesia: Scale Development and Psychometric Evaluation". In The 9th International Nursing Conference: Nurses at The Forefront Transforming Care, Science and Research. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008330606640671.

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Y. Babatunde, Yusuf, Durojaiy M. Olalekan, Yussuph T. Toyyibat, Unuriode O. Austine, Akinwande J. Mayowa, Yusuf K. Tobi e Afolabi T. Osariemen. "A Comprehensive Data-Driven Analysis of Healthcare Disparities in the United States". In 13th International Conference on Artificial Intelligence, Soft Computing and Applications. Academy & Industry Research Collaboration Center, 2023. http://dx.doi.org/10.5121/csit.2023.132202.

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Health disparities encompass a range of factors, including race, ethnicity, gender, age, disability status, and socioeconomic conditions. This project highlights disparities in healthcare access, quality of care, and health outcomes, with a particular focus on racial and ethnic disparities in health insurance coverage, prenatal care, and maternal morbidity. Gender disparities are also evident. Addressing these issues requires a multifaceted approach, including addressing social determinants of health, promoting equitable healthcare policies, and fostering cultural competence. Equitable access to healthcare services, quality care, and improved data collection are essential in eliminating disparities. Initiatives to support underserved communities, improve healthcare quality, and enhance cultural competence are recommended. Research and evidence-based approaches, along with policy reforms at various levels, such as anti-discrimination laws and increased funding for public health, are crucial. Collaboration among healthcare organizations, community groups, government agencies, and advocacy organizations is essential for effective interventions

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Duveau, Camille, e Vincent Lorant. "P85 How to tackle unintentional discrimination in primary health care: general practitioners’ implicit biases and cultural competence". In Society for Social Medicine Annual Scientific Meeting Abstracts. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/jech-2021-ssmabstracts.171.

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Avsheniuk, Nataliia, Nataliya Seminikhyna e Olena Lutsenko. "English Language Curicculum for Student Teachers Training to Perform in Cultirally Diversified Settings". In ATEE 2022 Annual Conference. University of Latvia Press, 2023. http://dx.doi.org/10.22364/atee.2022.31.

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As Ukraine continues to move toward Europe and the rest of the world, it is crucial that teachers improve their English language competence. Teachers’ language proficiency corresponds with their capacity to provide effective quality education for diverse classrooms to reach global competence. Cultural diversity in the school population is becoming the norm rather than the exception in Ukraine. The recent rise in immigration is accountable for the rapid and significant demographic changes in Ukraine’s school-aged population. The study’s primary objective is to assess student teachers’ perspectives on the objective, content, teaching and learning process, and assessment and evaluation elements of the importance and sufficiency of the English proficiency curriculum implemented at Ukraine’s faculty of education to meet the needs of the culturally diverse school population. The case study design was used as one of the research methods. The study’s participants were 14 student teachers from four different faculties of education at Ukrainian universities. Participants were chosen using a criterion sampling model. The data was collected using an open-ended question form designed by the authors during the spring semester of the 2020–2021 academic year. The data collected was analysed using content analysis. The findings revealed that participants’ attitudes about the objective aspect of the student teachers’ English language curriculum were generally good. On the other side, it was determined that the curriculum was insufficiently tailored to students’ needs, interests, and degrees of English language competence. Furthermore, participants identified insufficient time for activities, a limited selection of classroom activities (case study, collaborative work, discussion), and short course hours as unfavourable features. The implications of the results might help improve the English proficiency curriculum and equip student teachers to work successfully with school children who have a diversity of language and learning difficulties.

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Relatórios de organizações sobre o assunto "Culturally competent care"

Parsons, Helen M., Hamdi I. Abdi, Victoria A. Nelson, Amy M. Claussen, Brittin L. Wagner, Karim T. Sadak, Peter B. Scal, Timothy J. Wilt e Mary Butler. Transitions of Care From Pediatric to Adult Services for Children With Special Healthcare Needs. Agency for Healthcare Research and Quality (AHRQ), maio de 2022. http://dx.doi.org/10.23970/ahrqepccer255.

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Objective. To understand the evidence base for care interventions, implementation strategies, and between-provider communication tools among children with special healthcare needs (CSHCN) transitioning from pediatric to adult medical care services. Data sources. We searched Ovid MEDLINE, Ovid Embase, the Cochrane Central trials (CENTRAL) registry, and CINAHL to identify studies through September 10, 2021. We conducted grey literature searches to identify additional resources relevant to contextual questions. Review methods. Using a mixed-studies review approach, we searched for interventions or implementation strategies for transitioning CSHCN from pediatric to adult services. Two investigators screened abstracts and full-text articles of identified references for eligibility. Eligible studies included randomized controlled trials, quasi-experimental observational studies, and mixed-method studies of CSHCN, their families, caregivers, or healthcare providers. We extracted basic study information from all eligible studies and grouped interventions into categories based on disease conditions. We summarized basic study characteristics for included studies and outcomes for studies assessed as low to medium risk of bias using RoB-2. Results. We identified 9,549 unique references, 440 of which represented empirical research; of these, 154 (16 major disease categories) described or examined a care transition intervention with enough detail to potentially be eligible for inclusion in any of the Key Questions. Of these, 96 studies met comparator criteria to undergo risk of bias assessment; however only 9 studies were assessed as low or medium risk of bias and included in our analytic set. Low-strength evidence shows transition clinics may not improve hemoglobin A1C levels either at 12 or 24 months in youth with type 1 diabetes mellitus compared with youth who received usual care. For all other interventions and outcomes, the evidence was insufficient to draw meaningful conclusions because the uncertainty of evidence was too high. Some approaches to addressing barriers include dedicating time and resources to support transition planning, developing a workforce trained to care for the needs of this population, and creating structured processes and tools to facilitate the transition process. No globally accepted definition for effective transition of care from pediatric to adult services for CSHCN exists; definitions are often drawn from principles for transitions, encompassing a broad set of clinical aspects and other factors that influence care outcomes or promote continuity of care. There is also no single measure or set of measures consistently used to evaluate effectiveness of transitions of care. The literature identifies a limited number of available training and other implementation strategies focused on specific clinical specialties in targeted settings. No eligible studies measured the effectiveness of providing linguistically and culturally competent healthcare for CSHCN. Identified transition care training, and care interventions to

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Macinko, James. Measuring Population Experiences of Primary Care: Innovations in Primary Care Assessment in OECD and LAC countries. Inter-American Development Bank, janeiro de 2014. http://dx.doi.org/10.18235/0009152.

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This study develops a composite measure of primary care experience, using the Commonwealth Fund's 2010 International Health Policy Survey (IHP), applied on eleven high income OECD countries, and based on user self-report. The multidimensional measure is composed of answers regarding specific primary care domains, including: accessibility, continuous care, coordination of care, and provider communication and cultural competence. The overall measure of primary care experience is tested and validated, including an exploration of population characteristics (e.g. sex, age, income, migration status, insurance type) that are associated with higher or lower assessments of the receipt of primary care. It explicitly assesses the influence of demographic, socioeconomic, health need, and health system variables, and includes important interaction terms between these variables. Based on the results, the measure's potential suitability for use in Latin America and the Caribbean is assessed. This includes commentary on possibilities for comparison between LAC and the OECD countries covered by the Commonwealth. The results suggest that it is possible to develop a composite measure of user primary care experience based on survey data. In general, the primary care measure developed performed relatively well in terms of discriminating between people who have good versus poor experiences with their health system.

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Curry Josef, Jennifer, Arlene B. Galvez, Johanna Riha e Zaida Orth. What Works? Integrating gender into Government Health programmes in Africa, South Asia, and Southeast Asia. Case study summary report: Gender integration in Baguio General Hospital and Medical Center (Philippines). United Nations University - International Institute for Global Health, 2023. http://dx.doi.org/10.37941/rr/2023/6.

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This case focuses on how gender integration was embedded within the practices and administration of a tertiary hospital in the Philippines. The programme was selected as a promising practice because BGHMC stands out as an example of how to address gender inequalities and improve cultural competence. Based on in-depth analyses of interviews and published materials, it examines the contextual factors that gave rise to the institutionalisation of gender integration in BGHMC, the enabling factors and challenges encountered, outcomes achieved, and lessons learned, including those that might be transferable to other contexts.

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Khanna, Renu, Shreelata Rao Seshadri, V. Srinidhi, Anuradha Sreevathsa, Amruta Bavadekar, Radhika Kaulgud e Durga Vernekar. What Works? Integrating gender into Government Health programmes in Africa, South Asia, and Southeast Asia. Case Study Summary Report: Gender integration in medical education in Maharashtra and other states (India). United Nations University - International Institute for Global Health, 2023. http://dx.doi.org/10.37941/rr/2023/4.

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This case study focuses on the integration of gender issues in medical education in Maharashtra, India, and its expansion to other states. The programme was selected as a promising practice because it addresses the integration of gender perspectives into medical education, recognised as vital for enhancing the competence of medical and healthcare professionals, enabling them to provide effective, culturally sensitive healthcare that promotes gender equity in health and improves wellbeing (House et al. 2021). Based on in-depth analyses of interviews and published materials, it documents and analyses contextual factors that gave rise to the gender in medical education (GME) initiative, the enabling factors and challenges encountered, some of the outcomes achieved and lessons learned, including those that might be transferable to other contexts working on integrating GME, both within India and abroad.

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Thomashow, Linda, Leonid Chernin, Ilan Chet, David M. Weller e Dmitri Mavrodi. Genetically Engineered Microbial Agents for Biocontrol of Plant Fungal Diseases. United States Department of Agriculture, 2005. http://dx.doi.org/10.32747/2005.7696521.bard.

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The objectives of the project were: a) to construct the site-specific integrative expression cassettes carrying: (i) the chiA gene for a 58-kDa endochitinase, (ii) the pyrrolnitrin biosynthesis operon, and (iii) the acdS gene encoding ACC deaminase; b) to employ these constructs to engineer stable recombinant strains with an expanded repertoire of beneficial activities; c) to evaluate the rhizosphere competence and antifungal activity of the WT and modified strains against pathogenic fungi under laboratory and greenhouse conditions; and d) to monitor the persistence and impact of the introduced strains on culturable and nonculturable rhizosphere microbial populations in the greenhouse and the field. The research generally support our concepts that combining strategically selected genes conferring diverse modes of action against plant pathogens into one organism can improve the efficacy of biological control agents. We hypothesized that biocontrol agents (BCAs) engineered to expand their repertoire of beneficial activities will more effectively control soilborne plant pathogens. In this work, we demonstrated that biocontrol activity of Pseudomonas fluorescens Q8r1-96 and Q2-87, both producing the antibiotic 2,4-diacetylphloroglucinol (2,4-DAPG) effective against the plant pathogenic fungus Rhizoctonia solani, can be improved significantly by introducing and expressing either the 1.6-kb gene chiA, encoding the 58-kDa endochitinase ChiA from the rhizosphere strain SerratiaplymuthicaIC1270, or the 5.8-kb prnABCDoperon encoding the broad-range antibiotic pyrrolnitrin (Prn) from another rhizosphere strain, P. fluorescens Pf-5. The PₜₐcchiAandPₜₐcprnABCDcassettes were cloned into the integrative pBK-miniTn7-ΩGm plasmid, and inserted into the genomic DNA of the recipient bacteria. Recombinant derivatives of strains Q8r1-96 and Q2-87 expressing the PₜₐcchiA or PₜₐcprnABCD cassettes produced endochitinase ChiA, or Prn, respectively, in addition to 2,4-DAPG, and the recombinants gave significantly better biocontrol of R. solani on beans under greenhouse conditions. The disease reduction index increased in comparison to the parental strains Q8r1-96 and Q2-87 to 17.5 and 39.0% from 3.2 and 12.4%, respectively, in the case of derivatives carrying the PₜₐcchiAcassette and to 63.1 and 70% vs. 2.8 and 12,4%, respectively, in the case of derivatives carrying the PₜₐcprnABCDcassette. The genetically modified strains exhibited persistence and non-target effects comparable to those of the parental strains in greenhouse soil. Three integrative cassettes carrying the acdS gene encoding ACC deaminase cloned under the control of different promoters were constructed and tested for enhancement of plant growth promotion by biocontrol strains of P. fluorescens and S. plymuthica. The integrative cassettes constructed in this work are already being used as a simple and efficient tool to improve biocontrol activity of various PGPR bacteria against fungi containing chitin in the cell walls or highly sensitive to Prn. Some parts of the work (e. g., construction of integrative cassettes) was collaborative while other parts e.g., (enzyme and antibiotic activity analyses) were fully synergistic. The US partners isolated and provided to the Israeli collaborators the original biocontrol strains P. fluorescens strains Q8r1-96 and Q2-87 and their mutants deficient in 2,4-DAPG production, which were used to evaluate the relative importance of introduction of Prn, chitinase or ACC deaminase genes for improvement of the biocontrol activity of the parental strains. The recombinant strains obtained at HUJI were supplied to the US collaborators for further analysis.

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