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Culture in Clinical Care by Bette Bonder,Laura Martin (PhD.),Andrew W. Miracle Pdf
Defines and describes culture and its interaction with individual experience and personality in the development of beliefs, values, and actions. Information about cultural beliefs related to health and wellness are explored as they affect intervention strategies. Based on ethnographic methods, mechanisms for culturally sensitive assessment and intervention are considered. The text goes beyond traditional fact-centered approaches, taking the perspective that culture is emergent in individuals as they interact with the physical and social environment. The book fills a niche in the health professions programs because of its theoretical approach, its emphasis on strategies and methods for clinical interventions, and its importance of strategies for practice and self-assessment.
DIVERSITY IS PART OF THE FABRIC of American life. This clinical guide highlights cultural practices related to daily life, transitions, and health/illness care for 32 cultures. All chapters were written by clinicians who are very familiar with the particular cultural group either by group membership or extensive study. We hope that the information contained here will assist with your clinical encounter by bringing awareness, sensitivity, and knowledge of your patient's heritage.
Patients and Healers in the Context of Culture by Arthur Kleinman Pdf
From the Preface, by Arthur Kleinman:Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research.
Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care
Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care Publisher : National Academies Press Page : 781 pages File Size : 48,8 Mb Release : 2009-02-06 Category : Medical ISBN : 9780309082655
Unequal Treatment by Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care Pdf
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Shattering Culture by Mary-Jo DelVecchio Good,Sarah S. Willen,Seth Donal Hannah,Ken Vickery,Lawrence Taeseng Park Pdf
"Culture counts" has long been a rallying cry among health advocates and policymakers concerned with racial disparities in health care. A generation ago, the women's health movement led to a host of changes that also benefited racial minorities, including more culturally aware medical staff, enhanced health education, and the mandated inclusion of women and minorities in federally funded research. Many health professionals would now agree that cultural competence is important in clinical settings, but in what ways? Shattering Culture provides an insightful view of medicine and psychiatry as they are practiced in today's culturally diverse clinical settings. The book offers a compelling account of the many ways culture shapes how doctors conduct their practices and how patients feel about the care they receive. Based on interviews with clinicians, health care staff, and patients, Shattering Culture shows the human face of health care in America. Building on over a decade of research led by Mary-Jo Good, the book delves into the cultural backgrounds of patients and their health care providers, as well as the institutional cultures of clinical settings, to illuminate how these many cultures interact and shape the quality of patient care. Sarah Willen explores the controversial practice of matching doctors and patients based on a shared race, ethnicity, or language and finds a spectrum of arguments challenging its usefulness, including patients who may fear being judged negatively by providers from the same culture. Seth Hannah introduces the concept of cultural environments of hyperdiversity describing complex cultural identities. Antonio Bullon and Mary-Jo Good demonstrate how regulations meant to standardize the caregiving process—such as the use of templates and check boxes instead of narrative notes—have steadily limited clinician flexibility, autonomy, and the time they can dedicate to caring for patients. Elizabeth Carpenter-Song looks at positive doctor-patient relationships in mental health care settings and finds that the most successful of these are based on mutual "recognition"—patients who can express their concerns and clinicians who validate them. In the book's final essay, Hannah, Good, and Park show how navigating the maze of insurance regulations, financial arrangements, and paperwork compromises the effectiveness of mental health professionals seeking to provide quality care to minority and poor patients. Rapidly increasing diversity on one hand and bureaucratic regulations on the other are two realities that have made providing culturally sensitive care even more challenging for doctors. Few opportunities exist to go inside the world of medical and mental health clinics and see how these realities are influencing patient care. Shattering Culture provides a rare look at the day-to-day experiences of psychiatrists and other clinicians and offers multiple perspectives on what culture means to doctors, staff, and patients and how it shapes the practice of medicine and psychiatry.
Culture in Clinical Care by Bette Bonder,Laura Martin Pdf
Culture in Clinical Care: Strategies for Competence explores theory and practice to define and describe the multidimensional nature of culture and its interaction with an individual’s experience in the development of beliefs, values, and behavior. The newly updated Second Edition examines cultural beliefs related to health and wellness and how these beliefs and their associated actions affect intervention strategies. Based on ethnographic methods, strategies for culturally sensitive assessment and intervention are defined and illustrated, with ample opportunities for reflection and practice. Going beyond traditional fact-centered and attitude-centered approaches, Culture in Clinical Care, Second Edition describes the ways in which culture emerges as individuals interact with each other in physical and social environments. This one-of-a-kind text by Dr. Bette Bonder and Dr. Laura Martin provides health care practitioners and students with chapter objectives, critical thinking questions, interdisciplinary case studies and examples, numerous activities to build observation and interaction skills, comprehensive references and online resources, and images. The book’s organization emphasizes practice and reflection by interweaving theory, examples, and continuous hands-on application of concepts. Readers have the opportunity to practice what they are learning and evaluate their own effectiveness while being constantly reminded that all individuals in any interaction embody numerous cultural influences. Benefits of the updated Second Edition:• Training and practice in ethnographic methods that build awareness and skill • Numerous examples, exercises, and activities for reflection and observation • Interdisciplinary approach suitable for cross-disciplinary teaching contexts • Definition of health care professions themselves as cultures • Web and bibliographic resources • Case studies involving a wide range of practitioner disciplines and cultural groups Culture in Clinical Care: Strategies for Competence, Second Edition fills a niche in health professions programs because of its combined emphasis on a theoretical foundation that highlights the individual as a cultural actor and on practical strategies and methods for clinical interventions. Instructors in educational settings can visit www.efacultylounge.com for additional material to be used in the classroom, including a sample syllabus. Occupational therapists, physicians, physician assistants, mental health professionals, and a variety of related health professionals will benefit from this interactive, interdisciplinary text.
Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by OECD,World Health Organization Pdf
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Cultural Consultation by Laurence J. Kirmayer,Jaswant Guzder,Cécile Rousseau Pdf
Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.
Cultural Competence in Health Care by Wen-Shing Tseng,Jon Streltzer Pdf
Cultural competence in Health Care provides a balance between a theoretical foundation and clinical application. Because of the focus on basic principles, this book will be useful not only in the United States, but throughout the world as Cultural Competence is intending to fill the cultural competence gap for students and practitioners of medicine and related health sciences, by providing knowledge and describing the skills needed for culturally relevant medical care of patients of diverse ethnic and cultural backgrounds.
Clinical Guidelines in Cross-Cultural Mental Health by Lillian Comas-Diaz,Dr. Ezra E. H. Griffith Pdf
Presents insightful, practical guidelines to the mental health practitioner who provides mental health care for clients of differing ethnocultural backgrounds. Focuses on the clinical implications of assessment, evaluation for treatment, and mental health care for culturally different populations. Emphasizes care of the patient in the framework of that person's culture rather than the framework of the therapist, indicating specific clinical approaches most appropriate to clients from these minority groups. Examines ethnosociocultural factors such as ethnicity, family values, language, religion, race, political ideology, cultural expectations, etc., which are relevant to cross-cultural mental health. Discusses treatment approaches for six major groups of minorities in the U.S., offering especially thorough consideration of Black American and Caribbean cultural issues.
The cultural groups discussed in this guide include African American, Anglo-American, Asian, Hispanic/Latino, Jewish, Middle Eastern, Native American, Russian, South Asian, and Southeast Asian. The book also discusses cultural patterns, including values, worldview and communication, time orientation, pain, family/gender issues, pregnancy and birth, children, end of life, and health beliefs and practices. The sections on health beliefs and practices are especially informative. This is a very handy pocket resource that broadly describes selected cultural groups. It includes a mnemonic (the 4 C's of Culture) to help healthcare professionals remember the questions to ask each patient: CALL (what do you call the problem?), CAUSE (what do you think caused the problem?), COPE (how do you cope with the problem?), and CONCERNS (what are your concerns?). This book should be required for all health professionals and students.
Caring for Patients from Different Cultures by Geri-Ann Galanti Pdf
Geri-Ann Galanti argues that if the goal of the American medical system is to provide optimal care for all patients, health-care providers must understand cultural differences that create conflicts and misunderstandings and that can result in inferior medical care. This new edition includes five new chapters and 172 case studies of actual conflicts that occurred in American hospitals.
Cultural Awareness in Nursing and Health Care, Second Edition by Christine Hogg,Karen Holland Pdf
The second edition of this popular introductory text explores the many sensitive issues of culture, race and ethnicity as they affect patient care, including: -health and illness beliefs, and their relationship to religious beliefs -mental health and culture -women's health in a multicultural society -caring for older people death and bereavement All chapters have been updated to present the latest theory and practice and new chapters on men's health and cultural care, and migration and asylum seekers have been added, along with updated case studies and reflective exercises to help the reader link theory to practice. This book is essential reading for all nursing students, as well as midwifery, allied health and health and social care students. It is also a useful reference for qualified nurses, midwives, health care assistants, assistant healthcare practitioners and allied health professionals.
The Oxford Handbook of Organizational Climate and Culture by Karen M. Barbera Pdf
The Oxford Handbook of Organizational Climate and Culture presents the breadth of topics from Industrial and Organizational Psychology and Organizational Behavior through the lenses of organizational climate and culture. The Handbook reveals in great detail how in both research and practice climate and culture reciprocally influence each other. The details reveal the many practices that organizations use to acquire, develop, manage, motivate, lead, and treat employees both at home and in the multinational settings that characterize contemporary organizations. Chapter authors are both expert in their fields of research and also represent current climate and culture practice in five national and international companies (3M, McDonald's, the Mayo Clinic, PepsiCo and Tata). In addition, new approaches to the collection and analysis of climate and culture data are presented as well as new thinking about organizational change from an integrated climate and culture paradigm. No other compendium integrates climate and culture thinking like this Handbook does and no other compendium presents both an up-to-date review of the theory and research on the many facets of climate and culture as well as contemporary practice. The Handbook takes a climate and culture vantage point on micro approaches to human issues at work (recruitment and hiring, training and performance management, motivation and fairness) as well as organizational processes (teams, leadership, careers, communication), and it also explicates the fact that these are lodged within firms that function in larger national and international contexts.
