Cultural Competency Resources

CHAMPS has developed this compilation of online resources to support Region VIII CHCs in providing quality health care that addresses the needs of culturally and linguistically diverse patients and communities.

Please click or scroll down for:
Definitions of Cultural Competency
Why Focusing on Cultural Competency is Important
What it means to be Culturally Competent in a Healthcare Setting
Linguistic Services Resources
CHAMPS Population-Specific Resources

DEFINITIONS OF CULTURAL COMPETENCY

There are many definitions of cultural competency. Those below are intended to provide a basic introduction to the key concepts covered on this page.

Cultural competency is a set of congruent behaviors, knowledge, attitudes, and policies that enable work in cross cultural situations.

Another way to think about cultural competency is as the ability of healthcare organizations and practitioners to recognize the cultural beliefs, values, attitudes, traditions, language preferences, and health practices of diverse patients, and then to apply that knowledge to produce positive health outcomes.

Culture refers to integrated patterns of human behavior that include language, thoughts, actions, customs, beliefs, values, and traditions of racial, ethnic, religious, or social groups.

Simply stated, culture shapes the way people view and interact with the world. A culture includes particular sets of beliefs, norms, and values concerning relationships, the way people live their lives, and the way people organize their environments. Everyone belongs to multiple cultural groups because there are so many interconnected factors that define who we are, such as our nationality, race, religion, language, socioeconomic status, profession, and so on.

Competence is the capacity of an individual or an organization to provide effective services that are responsive to the cultural beliefs, behaviors, and needs of diverse patients and communities.

Cultural competency is an engaging, life-long journey of expanding our knowledge, skills, and self-awareness. Cultural competence requires healthcare professionals to continuously work to improve their understanding of both their own beliefs and those of the patients they serve. It also requires us to continuously assess and improve healthcare systems to ensure that they meet the cultural and linguistic needs of our served communities. For this reason, some people prefer to use the term cultural humility, which encapsulates the idea that being aware of and attentive to diverse needs and experiences is a continuous process, not a one-time goal.

WHY FOCUSING ON CULTURAL COMPETENCY IS IMPORTANT

In healthcare, cultural competency:

  • Increases quality of healthcare services
  • Improves patient outcomes
  • Improves patient safety
  • Improves patient satisfaction
  • Builds trust with patients and communities
  • Reduces health disparities and promotes health equity

WHAT IT MEANS TO BE CULTURALLY COMPETENT IN A HEALTH CARE SETTING

Please refer to the following resource to review case studies of clinicians addressing cultural competency, suggested activities for increasing cultural competency in medicine, an assessment to uncover patients’ cultural beliefs and/or barriers, and tips for improving the caregiver/patient relationship across cultures:

American Medical Student Association
Global Health Equity

Please refer to the following resource to review standards for providing cultural and language-appropriate healthcare services released by the Department of Health and Human Services in April 2013:

Department of Health and Human Services (HHS)
National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care

CULTURAL COMPETENCY RESOURCES FOR HEALTH CARE PROFESSIONALS

Association of Clinicians for the Underserved
Cultural Competency Series: Framework for Cross-Cultural Health Care

Health Resources and Services Administration (HRSA)
The U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) provides extensive resources for healthcare professionals on cultural competency, health literacy, and limited English proficiency. Following are two links for a free online training and a library of cultural competency resources.

The Center for Health Design
Designing Safety-Net Clinics for Cultural Sensitivity

CHAMPS
Health Equity Resources
Social Determinants of Health Resources

The Cross Cultural Health Care Program
Cultural Competency Training of Trainers Institute

The Fenway Institute
National Lesbian, Gay, Bisexual & Transgender (LGBT) Health Education Center

The Henry J. Kaiser Family Foundation
Compendium of Cultural Competence Initiatives in Health Care

HHS, The Office of Minority Health
Cultural Competency Guides and Resources

Management Sciences for Health
The Provider’s Guide to Quality and Culture

National Institutes of Health
Clear Communication: A NIH Health Literacy Initative

National Optometric Association
Why Minority Eye Health Still Matters: A Call for Current and Future Eyecare Professionals to be Culturally Competent

 

Office of Minority Health
Think Cultural Health (TCH)

Patient and Family Education Services
Culture CluesTM – tip sheets for clinicians providing concepts and preferences from various diverse cultures

SAMHSA-HRSA Center for Integrated Health Solutions
Serving Veterans: A Resource Guide

LANGUISTIC SERVICES RESOURCES

The following resources address implementing language and translation services and improving patient education and communication:

Association of Clinicians for the Underserved
Language Access: Understanding the Barriers and Challenges in Primary Care Settings

CHAMPS
Quick reference pocket cards presenting medical, dental, and pharmacy terminology in English and Spanish to aid in communicating with Spanish speaking patients
Clinical Reference Pocket Cards

CHAMPS
Compilation of resources for health center staff and patients on health literacy and plain language.
Health Literacy Resources

CHAMPS
Online patient education tools addressing a variety of cultures, ethnicities, and languages
Multi-Lingual Materials

Cross Cultural Health Care Program
Cultural competency trainings, interpreter trainings, and research projects
About Cultural Competency

EthnoMed
Cultural profiles, health profiles, and patient education materials pertinent to immigrants to the U.S.
Culture Specific Pages

Healthcare Intelligence Network
This report details educational and communication strategies for leveraging cultural differences to improve the quality and accessibility of healthcare. It is available for $97.00
Cultural Competency in Healthcare: Translating Differences Into Improved Quality and Access

Healthy Roads Media
Provides patient handouts and patient education in various media formats by disease/condition in many various languages
Healthy Roads Full Media Listing by Topic, All Formats, All Languages

HHS, Office of Minority Health
A guide to help healthcare organizations implement effective language access services (LAS) to meet the needs of patients with limited English proficiency (LEP)
A Patient-Centered Guide to Implementing Language Access Services in Healthcare Organizations

HHS, Office of Minority Health
Culturally competency programs with continuing education credits and other resources for physicians, pharmacists, and nurses to better meet the cultural and linguistic needs of an increasingly diverse patient population
Think Cultural Health

International Medical Interpreters Association (IMIA)
Database includes glossaries, dictionaries, terminology databases, anatomy atlases, nomenclatures, thesauri, lexicons, vocabularies, manuals, encyclopedias and other word-based documents in the fields of medicine and healthcare in multiple languages
IMIA Terminology Resource Database

Kwikpoint®
Laminated pamphlets that allow health professionals to communicate with anyone by pointing to pictures. Available for $16.49
Medical Visual Language Translator

Limited English Proficiency, A Federal Interagency Website
Reservoir of resources for implementing Executive Order 13166, Title VI of the Civil Rights Act of 1964 and its subsequent regulations regarding language access
Limited English Proficiency

National Center for Farmworker Health, Inc.  (NCFH)
A special issue of the NCFH Quarterly Newsletter  focusing on the Culturally and Linguistically Appropriate Service (CLAS) Standards, cross-cultural communication, and overcoming barriers to cross-cultural health care
Migrant Health Newsline, Issue 1, 2012 

Refugee Health Information Network (RHIN)
Multilingual resources for providers and patients including patient education materials, emergency preparedness information, mental health resources, screening tools and more in many languages (including Amharic, Arabic, Burmese, French, Karen, Oromo, Nepali, Somali, Spanish, Swahili, Tigrinya and more)
http://rhin.org/

U.S. Department of Health and Human Services (HHS), Agency for Healthcare Research and Quality (AHRQ)
Rapid Estimate of Adult Literacy in Medicine
Health Literacy Measurement Tools

CHAMPS POPULATION-SPECIFIC RESOURCES

Homeless & Public Housing Resources

Lesbian, Gay, Bisexual, and Transgender (LGBT) Resources

Migrant and Seasonal Farmworkers and their Families (MSFW) Resources

Veterans Resources