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Competence, Cultural Competence and Ethnicity in Scottish Health and Social Care<br />

Russell, L.<br />

(Glasgow Caledonian University)<br />

Thursday 16 April 2015 13:30 - 15:00<br />

PAPER SESSION 5<br />

This paper seeks to explore how discourses of safety, competence and in particular 'cultural competence' might be<br />

associated with ethnic boundary making in a Scottish health and social care context. Ensuring safety and avoiding<br />

medical accidents and mistakes is an increasing preoccupation within health and social care, associated with efforts to<br />

enhance interprofessionality in the context of pressure to cut costs. Greater attention to staff mistakes and poor<br />

teamwork accompanies a well-established focus on codifying competencies for the purposes of training and an<br />

evidence-based approach to improvement. In a racialised health and social care workforce, with BME staff overrepresented<br />

in particular occupational groupings, it seems plausible that BME staff may be disproportionately amongst<br />

those subject to this growing 'safety surveillance'. Yet the idea of competence as social capital that can be defined,<br />

measured and delivered is also manifest in diversity management approaches to racial equality which attempt to instil<br />

'cultural competence' as a means of ensuring equal treatment and challenging institutional racism. Like 'merit',<br />

competence is not a universal but racially inscripted. 'Cultural competence' seems to be promoting a different kind of<br />

playing field but has been criticised for being essentialising. This paper seeks to identify how the concept of 'cultural<br />

competence' has been discussed and operationalised in Scottish health and social care and attempts to relate<br />

competence discourses to whiteness and the culturalisation of politics.<br />

Older African Caribbean Seniors’ Views and Understandings of Cultural Sensitivity and Cultural Competence<br />

in Health Care Practice<br />

Watson, N.<br />

(Open University)<br />

It is now acknowledged that large numbers of senior older people from the Black African Caribbean Community are<br />

approaching retirement, following years of service to the NHS and other British Public sector Services. They are now<br />

becoming increasingly dependent on access to the NHS for health care in their later years. There is evidence in the<br />

literature that the needs of people from BME communities are not being appropriately met by health service<br />

providers. However, there are gaps in the research evidence base from Black African Caribbean perspectives, and<br />

their voices have not always been clearly heard in relation to their own culture specific needs and understanding of<br />

culturally sensitive and competent care.<br />

This paper will review understandings and relevance of cultural competence and sensitivity of health care practice for<br />

Black African Caribbean seniors through a systematic literature review. It aims to identify the present state knowledge<br />

in order to locate their own voices in the research base. There are implications for nursing and health care practice in<br />

a diverse UK setting, where policy emphasises the need for health services to be responsive to the needs of service<br />

users. The emphasis is considered within the context of the post Windrush contribution of Black African Caribbean<br />

people, specifically women, to the NHS in particular. Their dependence on the NHS as senior retired citizens, for<br />

health care highlights issues relating to whether their culture specific care needs are understood, and the extent to<br />

which these are being met from their own perspectives.<br />

Rights, Violence and Crime<br />

W119, HAMISH WOOD BUILDING<br />

Saving the Gezi Park: 2014 June Resistance in Turkey<br />

Korkmaz, E.E.<br />

(Istanbul Kemerburgaz University)<br />

The Gezi Park Resistance was an unexpected explosion of the already accumulated reaction and anger of millions of<br />

Turkish citizens that opened a new chapter in Turkish political history by actualizing the most massive, determinant<br />

and militant mobilization against the oppressive measures of the government.<br />

The aim of AKP Government, which is becoming increasingly authoritarian, to change the basics of the system and<br />

the weakness of the formal opposition create suitable conditions for the uprising. This was a resistance against the<br />

Power, but not aiming to overthrow it. The Gezi Park Resistance still affects the social and political situation in Turkey<br />

yet and should be analysed well by social scientists aiming to read the future of the Turkish politics.<br />

In this presentation, I will discuss the main reasons of the Resistance that mobilized millions of people for almost all<br />

June that has become the biggest challenge to the Islamist government.<br />

185 BSA Annual Conference 2015<br />

Glasgow Caledonian University

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