Efnisyfirlit

• Diversity and Cultural Competence in Health Care: A Systems Approach
• Copyright
• Contents
• Figures and Tables
  • List of Figures
  • List of Tables
• Preface
  • Who Should Read this Book?
  • How this Book is Organized
  • Challenges to the Students
• Acknowledgments
• The Authors
• Part One: The Diversity Imperative
  • Chapter 1: Systems Approach to Cultural Competence
    • Dimensions of Diversity
      • Ethnicity and Race
      • Gender
      • Sexual Orientation
      • Age and Generation
      • Socioeconomic Status
      • Language
      • Religion
    • Health Care Diversity Challenges
    • Health Care Disparities in the United States
    • Changing the US Health Care System
    • Systems Approach in the Health Care Delivery Organization
    • The Importance of Leadership
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
  • Chapter 2: Systematic Attention to Health Care Disparities
    • What Are Health Care Disparities?
    • Race and Ethnic Disparities in Health Status
      • Socioeconomic Sources of Racial and Ethnic Differences in Health Status
      • Genetic Differences as a Source of Racial and Ethnic Variation in Disease Risk
      • Racial and Ethnic Disparities in Health Status as the Focus of National Attention
    • Disparities Across Other Diversity Dimensions: Gender, Sexual Orientation, the Elderly
      • Health Care Disparities Associated with Gender
      • Health Disparities Among Lesbian, Gay, Bisexual, and Transgender (LGBT) People
      • Health Issues Unique to the Aging Population
    • Stakeholder Attention to Health Care Disparities
    • Systematic Strategies for Reducing Health Care Disparities
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
  • Chapter 3: Workforce Demographics
    • Trends in the US Labor Force
    • Diversity and the Health Professions
    • Drivers of Disparities in the Health Professions
    • Checklist of Recommended Organizational-Level Actions
    • Workforce Diversity Challenges
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
• Part Two: The Development of Cultural Competence
  • Chapter 4: Foundations for Cultural Competence in Health Care
    • What Is Cultural Competence in Health Care?
      • The Meaning of Culture in Cultural Competence
      • Culture and Concepts of Health and Illness
      • Culture, Categories, Complexity, and Confusion
      • Subcultures: An Important Part of Most Cultures
      • Acculturation as an Aspect of Cultures in Contact
      • Cultural Competence and Immigrant Populations
      • Culture Is Best Discovered in Local Populations
    • Long Journey Toward Cultural Competence
      • Cultural Competence and Disparities Reduction
      • Cultural Competence and Changing Delivery Models
      • National Institutional Support for Cultural Competence
    • Cultural Competence and the Health Care Provider Organization
    • Cultural Competence and the Multicultural Health Care Workforce
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
  • Chapter 5: Hallmarks of Cultural Competence in Health Care Professionals
    • Personal Journey of Cultural Competence
      • A Dilemma for the Health Care Professional
      • Readiness for Self-Development
      • The Challenge of Implicit Bias
      • Professional Values as a Foundation for Cultural Competence
      • Psychology of the Health Care Professional
      • Human Fear of Difference and the Culture of Exclusion
    • Framework for Role Development
      • Person
      • Context
      • System
      • Role
    • Journey of Self-Discovery
      • Person: Who Am I?
      • Context: What Influences Me?
      • System: What Structure Do I Operate In?
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
  • Chapter 6: Training for Knowledge and Skills in Culturally Competent Care for Diverse Populations
    • Eight Principles for Knowledge and Skills Training
    • Cultural Competence Knowledge and Skills for Administrators and Directors
    • Cultural Competence Training for Health Care Professionals in Direct Patient Care
      • Support from the Clinical Professions
      • Cultural Competence Training in Clinical Education
      • Strategies for Training Health Care Professionals in Culturally Competent Care: A Knowledge Base and
      • Considering the Universal Aspects of Culture That Affect Health Care
      • Some Tools Useful in Teaching Cultural Competence to Health Care Professionals
      • Obstacles to Cultural Competence Training for Health Care Professionals
    • Cultural Competence Training for Support Staff
    • The Role of Assessment in Cultural Competence Training
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
• Part Three: Cultural Competence and Health Care Delivery
  • Chapter 7: Cultural Competence in Health Care Encounters
    • Models from Transcultural Nursing
      • Leininger's Sunrise Model
      • Purnell Model for Cultural Competence
      • Campinha-Bacote's Process of Cultural Competence in the Delivery of Health Care Services
      • Jeffreys' Cultural Competence and Confidence (CCC) Model
      • Andrews and Boyle's Transcultural Concepts in Nursing Practice
    • Giger-Davidhizar Transcultural Assessment Model (GDTAM)
      • Communication
      • Space
      • Social Organization
      • Time
      • Environmental Control
      • Biological Variations
    • Being Culturally Responsive
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
  • Chapter 8: Language Access Services and Crosscultural Communication
    • Language Use in the United States
    • Language Differences in Health Care Encounters
    • Attitudes Toward Limited-English Speakers
    • Changing Responses to Language Barriers in Health Care
      • Major Resources for Providing LAS
      • Model Systemic Approaches to LAS
    • An Expanding Profession: The Health Care Interpreter
    • Translation in Written Health Care Communication
    • Communication Is More Than Words
      • Communication of Culture and Meaning
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
  • Chapter 9: Group Identity Development and Health Care Delivery
    • Research Highlights
    • Minority Status Group Identity Development
      • Conformity
      • Dissonance
      • Resistance and Immersion
      • Introspection
      • Synergy
    • Majority Status Group Identity Development
      • The Acknowledgement of Privilege
      • Establishment of a Positive Majority Group Identity
    • Using the Models
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
• Part Four: Cultural Competence and the Health Care Organization
  • Chapter 10: The Centrality of Organizational Behavior
    • The Science of Organizational Behavior
    • Organizations as Contexts for Behavior
    • OB Research Highlights
      • Leadership and Diversity Management Strategies
      • Teams and the Performance of Groups
      • Need for Additional Research
    • Can Culturally Competent Health Care Professionals "Go It Alone"?
      • Enable
      • Cultivate
      • Reinforce
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
  • Chapter 11: The Business Case and Best Demonstrated Practices
    • Evolution of the Business Case
    • The Business Case for Cultural Competence in Health Care
      • Cultural Competence and Expanded Health Plan Market Share
      • Reductions in the Cost of Health Services and Increases in the Efficiency of Service Delivery
      • Reduction of Health Care Disparities and Improved Health Outcome for Minority Populations
      • How Different Is the Health Care Business Case?
    • Workforce, HRM, and the Business Case
      • Landmark Publications
      • Early Pioneers
    • Best Demonstrated Practices
      • DiversityInc Selection Criteria
      • Top Three on the 2012 DiversityInc Top Fifty Companies for Diversity List
      • Top Five Health Systems List
    • Assessment and the Systems Approach
    • Benchmarking
    • Role of Metrics in the Systems Approach
      • Application of Six Sigma and DMAIC
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
  • Chapter 12: The Future of Diversity and Cultural Competence in Health Care
    • Trends That Support Widespread Adoption of the Systems Approach
      • Trend One: The Demographic Imperative Is Well Established
      • Trend Two: Diversity Is Increasingly Nuanced, Complex, and Multifaceted
      • Trend Three: Support for Inclusion Is Broad Based and Growing, Especially Among the Young
      • Trend Four: Mandates Continue to Grow in Breadth and Depth
      • Trend Five: The Business Case for Diversity Continues to Build
      • Trend Six: Global Interest in Diversity and Cultural Competence in Health Care Is Growing
    • The Sustainability Movement and the Systems Approach
    • Change Management and Force Field Analysis: Tools to Envision and Shape the Future
    • Summary
    • Key Terms
    • Review Questions and Activities
    • References
• Glossary
• Index

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