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Victoria L. Baker, PhD, CNM, MSPH C l d T hi &L i ithT h l Colorado ...

Victoria L. Baker, PhD, CNM, MSPH C l d T hi &L i ithT h l Colorado ...

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<strong>Victoria</strong> L. <strong>Baker</strong>, <strong>PhD</strong>, <strong>CNM</strong>, <strong>MSPH</strong><br />

C<strong>Colorado</strong> l d TTeac<strong>hi</strong>ng <strong>hi</strong> & LLearning i with ith TTechnology h l<br />

4 August, 2011


Learner Outcomes<br />

Apply the Process of Cultural Competence in<br />

the Delivery y of Health Care Services to<br />

teac<strong>hi</strong>ng clinical professionals cultural<br />

humility. y<br />

Apply different technologies to teac<strong>hi</strong>ng<br />

Apply different technologies to teac<strong>hi</strong>ng<br />

cultural humility on line.


So What Test<br />

Cultural Competence called for by multiple<br />

national agencies and professional associations<br />

� Diverse Population<br />

� Reduce Health Disparities<br />

� Improve Quality of Care<br />

Improve Health Outcomes


Cultural Humility?<br />

“ …not not a discrete<br />

endpoint but as a<br />

commitment and active<br />

engagement…”<br />

(Tervalon & Murray-Garcia, 1998)


Process of Cultural Competence in<br />

the Delivery of Health Care<br />

Services<br />

Skill<br />

Desire<br />

Knowledge<br />

� Encounters<br />

Awareness<br />

(Campinha-Bacote http://www.transculturalcare.net)


Teac<strong>hi</strong>ng Cultural Humility<br />

Cognitive<br />

Reflective<br />

Integrative


Teac<strong>hi</strong>ng gCultural Humility: y<br />

Cognitive Aspects<br />

�� Defining diversity<br />

� introduction page with diversity incorporated into each student’s introduction.<br />

� Discussion on definitions of diversity<br />

� Give examples (cases) and let students define diversity<br />

� RRecognizing i i organizational i i l cultures l with i h scenarios i & vocabulary b l of f a specific ifi<br />

org culture<br />

� Student to student definitions of cultures<br />

� T<strong>hi</strong>nk about similarities in discussion group<br />

� Culturally sensitive communication: quiz questions about w<strong>hi</strong>ch<br />

formulation is better.<br />

� Activities that lead them to search for information, using scenarios.<br />

Vi <strong>Victoria</strong>’s t i ’ additions dditi after ft th the session i<br />

� Online resources, e.g., game show on minority health<br />

http://familiesusa2.org/issues/minority-health/gameshow/my<br />

show/my_quiz_show.html<br />

quiz show html<br />

� Teach frameworks oF transcultural care or of culture.<br />

� Same assessment documents.


Teac<strong>hi</strong>ng gCultural Humility: y<br />

Reflective Aspects<br />

� Activities for identifying own culture and for identifying stereotyping of others<br />

�� Students interpret a story story, with enormous variation variation.<br />

� Oral, with different accents or dialects.<br />

� Written story<br />

� Photos<br />

� Present research on different treatment for different groups. (Schulman in the references.)<br />

� Student/teacher interactions as an example of cultural differences. Clarify the culture of your own<br />

class.<br />

� Written self evaluation of cultural values/beliefs. Helps clarify the role of context and beliefs.<br />

� Sharing stories of quality of care to incite cultural desire.<br />

�� From the literature<br />

� Students’personal stories.<br />

� Information literacy as an example of the importance of cultural differences.<br />

� Diversity wit<strong>hi</strong>n cultures or groups. Self reflection on your own preferences and how you feel when<br />

misidentified.<br />

� Role plays with assigned identities.<br />

� Journals. More private, allows them to express themselves in safety.<br />

� Discussion groups, important to moderate carefully.<br />

� Talk finding your voice, and the context of how it developed. Instructor must also be in the process.<br />

�� As alternative to a role play, interactive case study.<br />

<strong>Victoria</strong>’s addition after the session<br />

� YouTube video on a controversial topic, with student responses in discussion. THis one is on the use<br />

of the <strong>hi</strong>jab by some Muslim women.<br />

http://www.youtube.com/watch?v=opm1JlzDOgk&feature=related


Teac<strong>hi</strong>ng gCultural Humility: y<br />

Integrative Aspects<br />

• Discussion board on clinical rotation<br />

experiences<br />

• Videos of clinical encounters<br />

• Bl Blogging, i jjournaling li


Take Aways<br />

�� Can be done on line, with careful<br />

moderation<br />

� Practice is key. y Online to synthesize y<br />

experiences and course content.<br />

� Scenarios particular key to t<strong>hi</strong>s topic.<br />

� Instructor also in the process, reflecting.<br />

� Much more research needed<br />

� What works in practice<br />

� How to teach and assess what works.


Thanks!<br />

<strong>Victoria</strong> LL. <strong>Baker</strong> <strong>Baker</strong>, <strong>PhD</strong> <strong>PhD</strong>, <strong>CNM</strong> <strong>CNM</strong>, <strong>MSPH</strong><br />

Frontier Nursing University<br />

<strong>Baker</strong>’s <strong>Baker</strong> s Dozen Consulting<br />

malinche@wildblue.net<br />

303-704-2168

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