Cultural Sensitivity Can Improve Health Care, Experts Say

University of Arizona Health Sciences
6 Jun 201407:14

Summary

TLDRRoberto Dani, a martial artist and clinical psychologist with a diverse cultural background, is dedicated to integrating cultural diversity into healing and teaching practices. His work is in high demand as the healthcare industry shifts towards culturally appropriate care, which aims to respect and incorporate different cultural beliefs, languages, and practices. Experts like Susan Shaw and medical anthropologists help bridge the gap between cultures in healthcare settings, leading to improved patient care and outcomes. Dani believes that culturally competent care not only benefits patients but also has the potential to heal the healers themselves.

Takeaways

  • 🌐 Roberto Dani brings a unique blend of cultures and identities into his work as a martial artist and clinical psychologist, merging Irish American, Mexican Mayan, and Totech influences.
  • 🌟 Dani is often called upon to speak at various colleges and communities globally, focusing on incorporating cultural diversity into healing and teaching practices.
  • πŸ’‘ The demand for culturally competent care is growing, especially in healthcare settings, as it is seen as a way to improve patient care and outcomes.
  • 🌱 Sally Reel emphasizes the importance of cultural sensitivity and respect for diverse cultural beliefs, languages, and practices in healthcare to reduce health inequity.
  • πŸ“š Culturally appropriate care aims to address the disparities in healthcare by acknowledging and understanding the cultural backgrounds of patients.
  • πŸ” Susan Shaw's research at a community health center in Massachusetts highlights the challenges and importance of culturally competent care in diverse patient populations.
  • πŸ“ Establishing policies for access to interpreters is an example of an easier aspect of cultural competency to implement compared to understanding and incorporating specific cultural traditions or beliefs.
  • 🀝 Medical anthropologists like Shaw help bridge the gap between cultural understanding and medical practice by translating complex findings into practical advice for physicians.
  • 🌑 The Western medical view of diseases like diabetes may conflict with patients' cultural beliefs, as seen in the Vietnamese belief about the disease being akin to catching a cold.
  • 🌟 Taking the time to understand a patient's cultural values and beliefs can lead to better health outcomes and a more positive patient-physician relationship.
  • 🌈 Dani believes that culturally competent care not only benefits the patient but also has the potential to heal the healer by acknowledging and embracing diversity.

Q & A

  • What is the cultural background of Roberto Dani?

    -Roberto Dani has an Irish American father and a Mexican Indian mother, which gives him a unique blend of cultural identities.

  • What challenges does Roberto Dani face with his name at the airport?

    -At the airport, Roberto's name on his ticket is Roberto, but his ID says Robert, which sometimes leads to confusion and questions from others about his name.

  • What professions has Roberto Dani pursued?

    -Roberto Dani has been a martial artist and a clinical psychologist, and he has found his calling in helping others bring their diverse cultural worlds together.

  • Why is Roberto Dani often invited to speak at different colleges and communities?

    -He is invited to speak because he teaches people how to incorporate cultural diversity and wisdom into their healing and teaching modalities, which is increasingly in demand in various settings around the world.

  • What is the growing demand for Roberto Dani's services attributed to?

    -The growing demand for his services is due to an industrywide shift toward culturally appropriate care, especially among healthcare providers.

  • What does culturally appropriate care aim to achieve?

    -Culturally appropriate care aims to bring sensitivity and respect for different cultural beliefs, languages, and practices into the relationship between healthcare providers and their patients.

  • According to Sally Reel, why is the movement toward culturally competent care important for improving patient care?

    -Sally Reel states that being able to change the way people communicate and interact with each other is important for improving patient care and the quality of that care.

  • What is the impact of not understanding cultural differences in healthcare according to the script?

    -Not understanding cultural differences can lead to greater health inequity, increasing disparity because there is a lack of cultural sensitivity and wisdom needed to manage diverse populations in any healthcare system.

  • What role do medical anthropologists like Susan Shaw play in healthcare?

    -Medical anthropologists like Susan Shaw help bridge the gap between cultural understanding and medical practice by translating complex qualitative findings into terms that can be useful to physicians.

  • How does Susan Shaw's research contribute to the understanding of culturally competent care?

    -Susan Shaw's research, based at a community health center serving a diverse patient population, helps to identify how culturally competent care works and the challenges in addressing cultural elements in a medical setting.

  • What is an example of a cultural gap that healthcare providers had to address in the script?

    -An example given in the script is reconciling the Western medical view of diabetes with a Vietnamese patient's beliefs about the disease, which they perceive as similar to catching a cold.

  • What benefits does Roberto Dani suggest can come from culturally competent care for both the patient and the healer?

    -Roberto Dani suggests that culturally competent care can lead to better health outcomes for patients and can also heal the healer by acknowledging proper ways of building diverse communities.

Outlines

00:00

🌏 Embracing Cultural Diversity in Healing Modalities

Roberto Dani, a martial artist and clinical psychologist with a diverse cultural background, has found his calling in helping others integrate different cultural perspectives into their healing and teaching practices. His unique blend of Irish American, Mexican Mayan, and Totech identities has led him to be sought after by various colleges and communities worldwide. The healthcare industry is shifting towards culturally appropriate care, as emphasized by Sally Reel from the Arizona Health Sciences Center. This approach aims to improve patient care by incorporating cultural sensitivity and respect for diverse beliefs, languages, and practices. The movement is rapidly gaining traction, especially in diverse regions like the Southwest, where understanding and accommodating cultural differences is crucial for reducing health disparities and improving overall healthcare quality.

05:01

πŸ“š Cultural Competence in Healthcare: Bridging Gaps

The script delves into the intricacies of culturally competent care, highlighting the work of medical anthropologists like Susan Shaw. Shaw's research at a diverse community health center in Western Massachusetts underscores the importance of understanding and addressing cultural nuances in healthcare. While some cultural elements like language access are easier to manage, others such as traditions and beliefs require more in-depth knowledge. The challenge for healthcare providers is to integrate this understanding into their practice, which can be time-consuming and complex. However, the benefits are significant, as seen in the improved patient-provider relationships and health outcomes. Shaw's work exemplifies the effort to translate complex cultural findings into practical advice for physicians. The narrative also touches on the healing effect of culturally competent care on the healers themselves, suggesting that embracing diversity can be therapeutic for both patients and healthcare providers.

Mindmap

Keywords

πŸ’‘Cultural Diversity

Cultural diversity refers to the variety of cultural backgrounds, beliefs, and practices within a group or society. In the video's context, it is the foundation for Roberto Dani's identity and work, as he merges his Irish American, Mexican Mayan, and Totech heritages. The theme of cultural diversity is central to the video, emphasizing its importance in improving patient care by incorporating cultural sensitivity and respect into healthcare practices.

πŸ’‘Cultural Competence

Cultural competence in healthcare is the ability of professionals to provide care that is sensitive to the cultural beliefs, languages, and practices of diverse patients. The video discusses the growing demand for cultural competence in healthcare, as it is seen as a key factor in improving patient care and reducing health disparities, as highlighted by Sally Reel from the Arizona Health Sciences Center.

πŸ’‘Healing Modalities

Healing modalities refer to the various methods or approaches used to promote healing, which can include both conventional medical treatments and alternative or complementary therapies. Roberto Dani is called upon to help integrate cultural diversity into these modalities, showing the video's focus on the holistic approach to healing that considers the cultural context of patients.

πŸ’‘Healthcare Providers

Healthcare providers are professionals who deliver medical care to patients, such as doctors, nurses, and therapists. The video emphasizes the importance of healthcare providers being culturally competent to better serve their diverse patient populations and to improve the overall quality of care.

πŸ’‘Cultural Appropriate Care

Culturally appropriate care is a term used to describe healthcare services that are sensitive to and respectful of the cultural beliefs, practices, and needs of the patients receiving care. The video discusses an industrywide shift toward this type of care, indicating a recognition of the importance of cultural sensitivity in healthcare.

πŸ’‘Health Disparities

Health disparities refer to differences in the incidence, prevalence, mortality, and burden of disease that affect specific population groups. In the video, it is mentioned that a lack of cultural understanding can lead to greater health inequity, emphasizing the need for culturally competent care to address these disparities.

πŸ’‘Medical Anthropologists

Medical anthropologists are scholars who study the intersection of culture, health, and illness. Susan Shaw, a medical anthropologist featured in the video, helps bridge the gap between cultural understanding and medical practice by translating complex cultural findings into terms useful for healthcare providers.

πŸ’‘Cultural Beliefs

Cultural beliefs are the values, attitudes, and practices that are shared by members of a cultural group. The video provides an example of reconciling the Western medical view of diabetes with a Vietnamese patient's beliefs, illustrating how understanding these beliefs can lead to more effective patient care.

πŸ’‘Patient Care

Patient care refers to the treatment and support provided to patients by healthcare professionals. The video's theme revolves around the importance of culturally competent patient care, which aims to improve health outcomes by acknowledging and respecting the cultural backgrounds of patients.

πŸ’‘Interprofessional Education

Interprofessional education is a teaching approach that prepares students from different professions to work collaboratively in providing patient-centered care. Sally Reel's role in developing and implementing such programs at the Arizona Health Sciences Center is highlighted in the video, showing the importance of preparing healthcare students to work in diverse settings.

πŸ’‘Cultural Wisdom

Cultural wisdom refers to the knowledge and understanding of cultural practices, beliefs, and values that can inform and enhance healthcare practices. The video discusses the concept of cultural wisdom as a critical component in providing culturally appropriate care and improving patient outcomes.

Highlights

Roberto Dani brings a unique blend of cultural identities into every room he enters, being of Irish American and Mexican Indian descent.

Dani has merged his identities to become a martial artist, clinical psychologist, and a healer integrating different cultures.

He is often called upon to speak at colleges and communities worldwide on incorporating cultural diversity into healing and teaching practices.

There is a growing demand for culturally appropriate care in the healthcare industry, as emphasized by Sally Reel from the Arizona Health Sciences Center.

Culturally appropriate care aims to integrate sensitivity and respect for diverse cultural beliefs, languages, and practices in healthcare.

Susan Shaw's research at a community health center in Massachusetts explores how culturally competent care functions in a diverse patient setting.

Shaw's work indicates that some cultural elements are easier to address in healthcare settings than others, such as providing interpreter services.

Medical anthropologists like Shaw help bridge the gap between cultural understanding and medical practice by translating complex findings into actionable insights for physicians.

Cultural competence in healthcare can improve patient outcomes by addressing patients' pre-existing concerns and values.

An example of cultural misunderstanding in healthcare is the reconciliation between Western medical views and Vietnamese patients' beliefs about diabetes.

Understanding and respecting patients' cultural beliefs can lead to better health outcomes and patient satisfaction.

Dani believes that culturally competent care not only benefits the patient but also has the potential to heal the healer.

Cultural diversity is seen as an enriching factor for the human spirit and a great asset to humanity.

Healthcare providers are encouraged to acknowledge and interact with cultural differences appropriately to improve patient care.

Students in healthcare are expected to learn how to interact with cultural diversity to manage diverse populations effectively.

The Southwest, particularly Arizona, is highlighted as an area with a high level of cultural diversity, emphasizing the importance of cultural wisdom in healthcare.

Cultural competence in healthcare is part of a larger movement towards improving patient care and reducing health disparities.

Transcripts

play00:00

every year better than last year when

play00:03

Roberto Dani walks into a room he brings

play00:06

a few different worlds with him and I

play00:09

just heard this joke about you know

play00:11

people from Argentina have some so my

play00:13

father he was Irish American and my mama

play00:18

Mexican Indian and when you get Mexican

play00:21

Irish you get this you know and uh when

play00:26

I go to the airport I just get down uh I

play00:29

go with my ticket you know and it says

play00:31

Roberto but then in my ID it says Robert

play00:34

and some people are like what is it and

play00:37

I say

play00:39

both growing up Dany managed to merge

play00:42

his identities as an Irish amican

play00:44

Mexican Mayan and totech and became

play00:47

among other things a martial artist and

play00:50

a clinical psychologist then he found

play00:52

his calling helping others bring worlds

play00:55

together just as he did I get called to

play00:58

go to different colleges and different

play01:00

communities not only here but around the

play01:03

world because they are finding ways to

play01:07

incorporate the culture of the people

play01:09

that they are serving into their healing

play01:11

modalities or teaching modalities but

play01:14

when you're a Healer you have to look at

play01:15

the body and the heart mind soul Dany

play01:18

teaches people how to bring cultural

play01:20

diversity and wisdom into their work

play01:22

there's growing demand for his Services

play01:25

especially among healthc care providers

play01:27

that's because of an industrywide shift

play01:29

toward culturally appropriate care says

play01:32

Sally reel who leads the development and

play01:34

implementation of interprofessional

play01:36

education programs for the Arizona

play01:38

Health Sciences Center there is a

play01:41

growing sense that being able to change

play01:43

the way people communicate and how they

play01:46

uh interact with each other becomes

play01:48

important for improving patient care and

play01:50

the quality of that care so it is a

play01:52

movement that we are rapidly engaging in

play01:54

at the Health Sciences Center culturally

play01:56

appropriate or culturally competent care

play01:59

aims to bring sensitivity and respect

play02:01

for different cultural beliefs languages

play02:03

and practices into the relationship

play02:06

between Healthcare Providers and their

play02:08

patients all of us come from some place

play02:11

whether it be our ethnicities our racial

play02:13

backgrounds our place U and we have

play02:17

differences and we've known that when it

play02:19

comes to these differences that not

play02:21

understanding them can actually lead to

play02:23

Greater Health inequity meaning that it

play02:25

increases disparity because we do not

play02:28

have the cultural sensitivities and

play02:31

wisdom that we need to manage the

play02:33

diverse populations that we would see in

play02:34

any healthare system so it's really

play02:36

important for the Southwest when you

play02:38

consider the sheer diversity of the

play02:40

populations that live in Arizona that

play02:43

our students be exposed to this whole

play02:45

concept of cultural wisdom we would

play02:48

expect our students to have the ability

play02:51

to acknowledge those differences but

play02:52

more importantly to learn how to

play02:54

interact with them appropriately to

play02:56

improve Healthcare sometimes students

play02:58

learn this by turning to other other

play03:00

experts experts who study what happens

play03:02

when cultures come together Susan Shaw

play03:05

is one of

play03:06

them the research that I do is based at

play03:09

a community health center in Western

play03:11

Massachusetts and this Clinic um serves

play03:14

a really diverse patient population so

play03:16

it includes African-Americans Latinos

play03:20

low-income white Americans as well as a

play03:23

diverse range of um immigrant groups

play03:26

including um Vietnamese immigrants and

play03:28

immigrants from the former Soviet Union

play03:31

I think that patients will have

play03:33

experienced sha has spent years studying

play03:35

this one particularly diverse Clinic to

play03:37

learn how culturally competent care

play03:39

Works she says some elements of culture

play03:42

are easier to address than others a

play03:44

clinic can establish policies that

play03:46

ensure patients have access to an

play03:48

interpreter if they need one for example

play03:51

but it's harder to bring knowledge about

play03:53

Traditions or beliefs into a medical

play03:55

setting okay so it's all in really white

play03:57

that makes sense it's hard to ask a

play03:59

physician who always pressed for time in

play04:01

settings like the clinic where my

play04:03

research is based you know to take the

play04:06

time to ask those detailed kinds of

play04:08

questions to say you know tell me how

play04:10

you think about your hypertension or um

play04:13

tell me about your diet and you know

play04:15

what do you normally have for breakfast

play04:16

or what do you normally have for lunch

play04:19

and then to work with that sort of

play04:21

Baseline of information to tailor the

play04:23

patients treatments medical

play04:25

anthropologists like Shaw help bridge

play04:28

the gap work work of translation for

play04:30

medical anthropologists is to take our

play04:33

detailed nuanced complex contradictory

play04:36

qualitative findings and put them in

play04:39

terms that can be useful to Physicians

play04:41

you know because a lot of Physicians

play04:43

that I speak with are very frustrated by

play04:45

the kinds of gaps in understanding that

play04:47

they encounter with their

play04:49

patients in the clinic Shaw studies

play04:51

healthc care providers run into these

play04:53

gaps again and again in one example they

play04:56

had to reconcile the Western Medical

play04:58

view of diabetes with a Vietnamese

play05:00

patients beliefs about the disease it's

play05:03

kind of akin to the experience of um

play05:07

catching a cold so for example um you

play05:10

know when I grew up I was always told

play05:11

like don't go outside without a hat on

play05:13

because you'll catch a cold by the cold

play05:15

air getting into your hair or whatever

play05:17

some of the Vietnamese participants that

play05:19

we talked to talked about their

play05:21

experience of diabetes was related to

play05:23

this wind which kind of blew away their

play05:28

sort of protective outer

play05:30

layer I guess so for a Vietnamese

play05:33

patient who's experiencing diabetes it's

play05:35

kind of all of a piece with a broader

play05:37

set of ideas about you know the

play05:39

Integrity of the human body and what can

play05:41

violate that integrity and in some cases

play05:44

a medication is seen as a similar kind

play05:46

of threat as opposed to a remedy when

play05:49

Healthcare Providers take the time to

play05:52

understand the world of values and

play05:53

beliefs their patients bring with them

play05:56

Shaw says the benefits are real even if

play05:58

they're not always is easy to measure in

play06:02

the encounters that we um heard about

play06:05

from patients the providers who the

play06:07

patients felt happiest about receiving

play06:10

um care from were those that did

play06:12

indicate that they had some

play06:14

understanding of people's sort of

play06:15

pre-existing concerns and that kind of

play06:20

positive orientation on the part of a

play06:22

patient who feels Hur and understood by

play06:24

their physician I think can only lead to

play06:27

Better Health outcomes

play06:30

Mountain for Dany the benefits of

play06:32

culturally competent care reach beyond

play06:34

the patient he says they can heal the

play06:37

Healer

play06:40

too so we have a chance to heal part of

play06:44

our trauma by re acknowledging proper

play06:47

ways of building communities with

play06:50

diversity and it's better to have this

play06:53

multiple voices a multiple ways of being

play06:57

that enrich the human spirit

play07:00

we know this and diversity has proven

play07:03

itself over and over again one of the

play07:05

greatest assets of

play07:09

[Music]

play07:13

humanity

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Related Tags
Cultural CompetenceHealthcareDiversityPatient CareCultural HealingMartial ArtsClinical PsychologyInterprofessional EducationCultural SensitivityHealth DisparitiesMedical Anthropology