Cultural Competence in Health Care A

A manual written for health care professionals who care for patients from diverse religious and cultural backgrounds. First developed by doctors and nurses at Children's Hospital in Boston, it contains detailed, practical information for working with dozens of religious and cultural groups and is designed to help providers best meet needs of their ethnically diverse patients while satisfying stringent new regulatory standards for culturally sensitive care.

ANNE RUNDLE, R.N., has served as manager of specialty programs at South End Community Health Center in Boston, Massachusetts and Coordinator of the Center for Families at Children's Hospital in Boston. She has founded a consulting firm that specializes in improving hospitals' skills at patient communica-tions, called Health Care Competence (healthcarecompetence.com). She also is an instructor in the graduate school for health studies at Simmons College in Boston.

MARIA CARVALHO, LICSW, is a clinical social worker and head of the Spanish Service Team at Children's Hospital.

MARY ROBINSON, M. Div., is a board-certified chaplain and Director of Pastoral Care at Children's Hospital.

Preface

xi

About the Editors

xiii

Editors and Consultants

xv

Introduction

xxi

Culture of the Health Care Provider

xxii

Purpose of the Book

xxiii

Strategies for Providers

xxiv

PART ONE. CULTURAL TRADITIONS

1

(98)

Africa

3

(20)

Cape Verde

3

(4)

Eritrea

7

(4)

Ethiopia

11

(4)

Nigeria

15

(3)

Somalia

18

(5)

Asia

23

(20)

Cambodia

23

(4)

China

27

(4)

India

31

(4)

Japan

35

(4)

Vietnam

39

(4)

Central America and the Caribbean

43

(10)

Central America and Mexico

43

(4)

Dominican Republic

47

(3)

Haiti

50

(3)

Europe

53

(14)

Greece

53

(3)

Gypsies (Roma)

56

(5)

Portugal

61

(3)

Russia

64

(3)

The Middle East

67

(4)

Saudi Arabia

67

(4)

South America

71

(4)

Brazil

71

(4)

North America

75

(12)

African American

75

(4)

Native American (North American Indian)

79

(4)

Puerto Rico

83

(4)

Nationality-Independent Cultural Groups

87

(12)

Deaf or Hard-of Hearing

87

(4)

Families with Gay or Lesbian Parents

91

(8)

Case Study: Caribbean Culture

95

(4)

PART TWO. RELIGIOUS TRADITIONS

99

(62)

Religion and Spirituality

101

(6)

Special Issues for Providers

101

(2)

Facilitating Discussion About Spiritual Matters

103

(4)

Religions

107

(54)

Buddhism

107

(4)

Church of Jesus Christ of Latter-Day Saints (Mormon)

111

(5)

First Church of Christ, Scientist (Christian Science)

116

(6)

Hinduism

122

(4)

Islam (the Faith of Muslims)

126

(5)

Jehovah's Witness

131

(4)

Judaism

135

(5)

Eastern Orthodox

140

(4)

Protestantism (Christian)

144

(4)

Roman Catholicism

148

(5)

Santeria

153

(8)

Case Study: Rabbi Shapiro

157

(4)

PART THREE. TOOLS

161

(42)

Utilizing Resources to Better Serve Multicultural Patients

163

(12)

Consultation on Cultural or Religious Issues

163

(1)

Interpreter Services

164

(5)

Pastoral Care

169

(1)

Other Members of the Health Care Team

169

(1)

External Consultants

169

(1)

Template for Collecting Cultural Information

170

(2)

Template for Collecting Information About Religious Traditions

172

(3)

Meeting Joint Commission Standards Related to Culture and Religion

175

(28)

Assessment of Patients

177

(2)

Patient and Family Education

179

(7)

Care of Patients

186

(4)

Patient Rights

190

(6)

Standards Update, 2001

196

(3)

Ongoing Challenges

199

(4)

APPENDIX

203

(20)

Standard for Nursing Practice: Culture and Care

203

(2)

Emergency Baptism Procedures

205

(2)

Ethics Committee Consultation

207

(2)

Ethics of Redirecting Goals of Care

209

(5)

Religious Objections to Blood Transfusions

214

(2)

Organ and Tissue Donation

216

(3)

Patient and Family Education

219

(4)

References and Other Resources

223

(6)

Index

229

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Cultural Competence in Health Care A Practical Guide

Summary

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Table of Contents

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Cultural Competence in Health Care A Practical Guide

Summary

Author Biography

Table of Contents

Supplemental Materials

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