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作者 Dreachslin, Janice L
書名 Diversity and Cultural Competence in Health Care : A Systems Approach
出版項 Somerset : John Wiley & Sons, Incorporated, 2012
©2013
國際標準書號 9781118284285 (electronic bk.)
9781118065600
book jacket
版本 1st ed
說明 1 online resource (482 pages)
text txt rdacontent
computer c rdamedia
online resource cr rdacarrier
附註 Intro -- Diversity and Cultural Competence in Health Care: A Systems Approach -- Copyright -- Contents -- Figures and Tables -- List of Figures -- List of Tables -- Preface -- Who Should Read this Book? -- How this Book is Organized -- Challenges to the Students -- Acknowledgments -- The Authors -- Part One: The Diversity Imperative -- Chapter 1: Systems Approach to Cultural Competence -- Dimensions of Diversity -- Ethnicity and Race -- Gender -- Sexual Orientation -- Age and Generation -- Socioeconomic Status -- Language -- Religion -- Health Care Diversity Challenges -- Health Care Disparities in the United States -- Changing the US Health Care System -- Systems Approach in the Health Care Delivery Organization -- The Importance of Leadership -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 2: Systematic Attention to Health Care Disparities -- What Are Health Care Disparities? -- Race and Ethnic Disparities in Health Status -- Socioeconomic Sources of Racial and Ethnic Differences in Health Status -- Genetic Differences as a Source of Racial and Ethnic Variation in Disease Risk -- Racial and Ethnic Disparities in Health Status as the Focus of National Attention -- Disparities Across Other Diversity Dimensions: Gender, Sexual Orientation, the Elderly -- Health Care Disparities Associated with Gender -- Health Disparities Among Lesbian, Gay, Bisexual, and Transgender (LGBT) People -- Health Issues Unique to the Aging Population -- Stakeholder Attention to Health Care Disparities -- Systematic Strategies for Reducing Health Care Disparities -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 3: Workforce Demographics -- Trends in the US Labor Force -- Diversity and the Health Professions -- Drivers of Disparities in the Health Professions
Checklist of Recommended Organizational-Level Actions -- Workforce Diversity Challenges -- Summary -- Key Terms -- Review Questions and Activities -- References -- Part Two: The Development of Cultural Competence -- Chapter 4: Foundations for Cultural Competence in Health Care -- What Is Cultural Competence in Health Care? -- The Meaning of Culture in Cultural Competence -- Culture and Concepts of Health and Illness -- Culture, Categories, Complexity, and Confusion -- Subcultures: An Important Part of Most Cultures -- Acculturation as an Aspect of Cultures in Contact -- Cultural Competence and Immigrant Populations -- Culture Is Best Discovered in Local Populations -- Long Journey Toward Cultural Competence -- Cultural Competence and Disparities Reduction -- Cultural Competence and Changing Delivery Models -- National Institutional Support for Cultural Competence -- Cultural Competence and the Health Care Provider Organization -- Cultural Competence and the Multicultural Health Care Workforce -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 5: Hallmarks of Cultural Competence in Health Care Professionals -- Personal Journey of Cultural Competence -- A Dilemma for the Health Care Professional -- Readiness for Self-Development -- The Challenge of Implicit Bias -- Professional Values as a Foundation for Cultural Competence -- Psychology of the Health Care Professional -- Human Fear of Difference and the Culture of Exclusion -- Framework for Role Development -- Person -- Context -- System -- Role -- Journey of Self-Discovery -- Person: Who Am I? -- Context: What Influences Me? -- System: What Structure Do I Operate In? -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 6: Training for Knowledge and Skills in Culturally Competent Care for Diverse Populations
Eight Principles for Knowledge and Skills Training -- Cultural Competence Knowledge and Skills for Administrators and Directors -- Cultural Competence Training for Health Care Professionals in Direct Patient Care -- Support from the Clinical Professions -- Cultural Competence Training in Clinical Education -- Strategies for Training Health Care Professionals in Culturally Competent Care: A Knowledge Base and Skills Development -- Considering the Universal Aspects of Culture That Affect Health Care -- Some Tools Useful in Teaching Cultural Competence to Health Care Professionals -- Obstacles to Cultural Competence Training for Health Care Professionals -- Cultural Competence Training for Support Staff -- The Role of Assessment in Cultural Competence Training -- Summary -- Key Terms -- Review Questions and Activities -- References -- Part Three: Cultural Competence and Health Care Delivery -- Chapter 7: Cultural Competence in Health Care Encounters -- Models from Transcultural Nursing -- Leininger's Sunrise Model -- Purnell Model for Cultural Competence -- Campinha-Bacote's Process of Cultural Competence in the Delivery of Health Care Services -- Jeffreys' Cultural Competence and Confidence (CCC) Model -- Andrews and Boyle's Transcultural Concepts in Nursing Practice -- Giger-Davidhizar Transcultural Assessment Model (GDTAM) -- Communication -- Space -- Social Organization -- Time -- Environmental Control -- Biological Variations -- Being Culturally Responsive -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 8: Language Access Services and Crosscultural Communication -- Language Use in the United States -- Language Differences in Health Care Encounters -- Attitudes Toward Limited-English Speakers -- Changing Responses to Language Barriers in Health Care -- Major Resources for Providing LAS
Model Systemic Approaches to LAS -- An Expanding Profession: The Health Care Interpreter -- Translation in Written Health Care Communication -- Communication Is More Than Words -- Communication of Culture and Meaning -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 9: Group Identity Development and Health Care Delivery -- Research Highlights -- Minority Status Group Identity Development -- Conformity -- Dissonance -- Resistance and Immersion -- Introspection -- Synergy -- Majority Status Group Identity Development -- The Acknowledgement of Privilege -- Establishment of a Positive Majority Group Identity -- Using the Models -- Summary -- Key Terms -- Review Questions and Activities -- References -- Part Four: Cultural Competence and the Health Care Organization -- Chapter 10: The Centrality of Organizational Behavior -- The Science of Organizational Behavior -- Organizations as Contexts for Behavior -- OB Research Highlights -- Leadership and Diversity Management Strategies -- Teams and the Performance of Groups -- Need for Additional Research -- Can Culturally Competent Health Care Professionals "Go It Alone"? -- Enable -- Cultivate -- Reinforce -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 11: The Business Case and Best Demonstrated Practices -- Evolution of the Business Case -- The Business Case for Cultural Competence in Health Care -- Cultural Competence and Expanded Health Plan Market Share -- Reductions in the Cost of Health Services and Increases in the Efficiency of Service Delivery -- Reduction of Health Care Disparities and Improved Health Outcome for Minority Populations -- How Different Is the Health Care Business Case? -- Workforce, HRM, and the Business Case -- Landmark Publications -- Early Pioneers -- Best Demonstrated Practices -- DiversityInc Selection Criteria
Top Three on the 2012 DiversityInc Top Fifty Companies for Diversity List -- Top Five Health Systems List -- Assessment and the Systems Approach -- Benchmarking -- Role of Metrics in the Systems Approach -- Application of Six Sigma and DMAIC -- Summary -- Key Terms -- Review Questions and Activities -- References -- Chapter 12: The Future of Diversity and Cultural Competence in Health Care -- Trends That Support Widespread Adoption of the Systems Approach -- Trend One: The Demographic Imperative Is Well Established -- Trend Two: Diversity Is Increasingly Nuanced, Complex, and Multifaceted -- Trend Three: Support for Inclusion Is Broad Based and Growing, Especially Among the Young -- Trend Four: Mandates Continue to Grow in Breadth and Depth -- Trend Five: The Business Case for Diversity Continues to Build -- Trend Six: Global Interest in Diversity and Cultural Competence in Health Care Is Growing -- The Sustainability Movement and the Systems Approach -- Change Management and Force Field Analysis: Tools to Envision and Shape the Future -- Summary -- Key Terms -- Review Questions and Activities -- References -- Glossary -- Index
Major changes are occurring in the United States population and the nation's health care institutions and delivery systems. Significant disparities in health status exist across population groups. But the health care enterprise, with all its integrated and disparate parts, has been slow to respond. Written by three nationally known scholars and experts, Diversity and Cultural Competence in Health Care: A Systems Approach is designed to provide health care students and professionals with a clear understanding of foundations, philosophies, and processes that strengthen diversity management, inclusion, and culturally competent care delivery. Focusing on current practice and health care policy, including the recently passed Patient Protection and Affordable Care Act of 2010 (ACA), this textbook integrates strategic diversity management, self-reflective leadership, and the personal change process with culturally and linguistically appropriate care into a cohesive systems-oriented approach for health care professionals. The essentials of cultural competence and diversity management covered in this text will be helpful to a wide variety of students because they encompass principles and practices that can be realistically incorporated into the ongoing work of any health care field or organization. Each chapter contains learning objectives, summary, key terms, and review questions and activities designed to allow students to understand and explore concepts and practices identified throughout the text
Description based on publisher supplied metadata and other sources
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2020. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
鏈接 Print version: Dreachslin, Janice L. Diversity and Cultural Competence in Health Care : A Systems Approach Somerset : John Wiley & Sons, Incorporated,c2012 9781118065600
主題 Health care rationing
Electronic books
Alt Author Gilbert, M. Jean
Malone, Beverly
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