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Promoting Cultural Competence
    Practices in Healthcare:
       A Promising Framework
The Cultural Moments Framework
          Invited presentation
       SIETAR USA Conference
         Spokane, Washington
             April 15, 2010

              Presenter:
          Nancy Jambor, MA
          nanjam1@msn.com
This work was supported in part by

  Nurturing Cultural Competence in Nursing
           a program of the national initiative
Partners Investing in Nursing’s
           Future
      funded by the Robert Wood Johnson Foundation
  in collaboration with the Northwest Health Foundation
             www.partnersinnursing.org


                    Portland, Oregon
Viewpoints
Habits of Mind
❖   “A habit of mind becomes
    expressed as a point of
    view.”

❖   Our values and sense of
    self are anchored in our
    frames of reference.”

    Learning as Transformation
    Mezirow & Associates,
    2000
Session Outline
Session Outline

❖ Health   disparities: A “wicked” problem
Session Outline

❖ Health   disparities: A “wicked” problem
❖ Cultural
         Moments Framework: A
 promising practices intervention
Session Outline

❖ Health   disparities: A “wicked” problem
❖ Cultural
         Moments Framework: A
 promising practices intervention
❖ Exploration of the Framework: A health
 care case study
“Health disparities persist”
“Health disparities persist”




 A “wicked” problem
"Care that is important is often not delivered.

Care that is delivered is often not important."




                          Institute of Medicine, 2008
Cultural Competence in Health Care:
         An Emerging Field
Cultural Competence in Health Care:
              An Emerging Field

 The “best approach”:
 Focus on
 cross-cultural knowledge
 AND
 the process of
 communication

            Betancourt, et al (2003)
The need for
     cultural competence
“Clinical barriers ... occur when sociocultural
differences between patient and provider are not fully
      accepted
      appreciated
      explored or

      understood”               Betancourt, et al (2003)
Ways to nurture
cultural competence
Ways to nurture
  cultural competence

Promote transformational learning processes
Connect Instrumental & Communication
learning
Facilitate “learning how to learn”
Focus on “diversity literacy”
Cultural
Moments
Framework
Cultural
Moments
Framework

A promising practice
to nurture
cultural competence
What are
cultural moments?
Have you encountered a
  cultural moment?



    Tell me about it!
contact information:

  Nancy Jambor, MA
  nanjam1@msn.com
     503.740.9033
Resources


Handout
includes training
resources &
selected references
Cultural Moments Framework

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Cultural Moments Framework

Notes de l'éditeur

  1. photo credit: American Medical Student Assn. University of Michigan www.umich.edu/~amsa/ corevalue_disparities.htm
  2. Elimination of health disparities was one of the national goals (public health agenda) for HEALTHY PEOPLE 2010. Using 2002 data, Satcher and colleagues calculated excess deaths of 83,570 people annually for African Americans alone. Center for Disease Control (CDC): Public Health Research, Practice, and Policy www.cdc.gov/pcd/issues
  3. Elimination of health disparities was one of the national goals (public health agenda) for HEALTHY PEOPLE 2010. Using 2002 data, Satcher and colleagues calculated excess deaths of 83,570 people annually for African Americans alone. Center for Disease Control (CDC): Public Health Research, Practice, and Policy www.cdc.gov/pcd/issues
  4. photo credit: blackchristiannews.com/ news/2009/10/
  5. Betancourt, Green, Carrillo, and Ananeh-Frempong II, 2003
  6. Mezirow, J. (2000), Taylor, E.W. (2000), and Paige, R.M. (1993).
  7. Mezirow, J. (2000), Taylor, E.W. (2000), and Paige, R.M. (1993).
  8. Mezirow, J. (2000), Taylor, E.W. (2000), and Paige, R.M. (1993).
  9. Mezirow, J. (2000), Taylor, E.W. (2000), and Paige, R.M. (1993).
  10. Mezirow, J. (2000), Taylor, E.W. (2000), and Paige, R.M. (1993).
  11. Mezirow, J. (2000), Taylor, E.W. (2000), and Paige, R.M. (1993).
  12. Mezirow, J. (2000), Taylor, E.W. (2000), and Paige, R.M. (1993).
  13. photo credit: Linda J. Robinson (2009)