| Peer-Reviewed

Cultural Competence and Ethical Decision Making for Health Care Professionals

Received: 30 November 2015    Accepted: 15 January 2016    Published: 13 May 2016
Views:       Downloads:
Abstract

Cultural competence and ethical decision making are two separate, yet intrinsically related concepts which are central to services rendered by all health care professionals. Cultural competence is based on ethical principles and informs ethical decision making. In spite of this important connection, the interrelationship of these two concepts does not receive the attention it deserves in the literature. This issue is addressed by appraising the training and assessment of cultural competence and ethical decision making in the health care professions. The integrated relationship of these two concepts is illustrated within the broader contexts of higher education, research and clinical practice. Health care professionals who incorporate cultural competence and ethical decision making will be empowered to provide the best services to their clients/ patients in multicultural contexts to ensure optimum outcomes.

Published in Humanities and Social Sciences (Volume 4, Issue 2-1)

This article belongs to the Special Issue Ethical Sensitivity: A Multidisciplinary Approach

DOI 10.11648/j.hss.s.2016040201.17
Page(s) 41-52
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cultural Competence, Ethical Decision Making, Health Care Professionals, Higher Education, Research, Clinical Practice

References
[1] American Speech-Language-Hearing Association, Scope of practice in speech-language pathology [Scope of practice]. www.asha.org/policy (2007).
[2] P. R. Rose, “Cultural Competency for the Health Professional”. Jones & Bartlett Publishers (2013).
[3] H. Minkoff, “Teaching Ethics: When Respect for Autonomy and Cultural Sensitivity Collide”. American Journal of Obstetrics and Gynecology, 210, vol. 4, 298-301 (2014).
[4] D. E. Battle, “Communication Disorders in Multicultural and International Populations”. 4th ed. Elsevier: St. Louis, Missouri, USA (2012).
[5] E. W. Lynch, and M. J. Hanson, “Developing Cross-Cultural Competence a Guide for Working with Children and Their Families”. 4th ed., Paul H. Brookes Pub, Baltimore, USA (2011).
[6] E. Donate-Bartfield, and L. Lausten, “Why Practice Culturally Sensitive Care? Integrating Ethics and Behavioral Science”. Journal of Dental Education, 66, 1006-1011 (2002).
[7] M. Paasche-Orlow, “The Ethics of Cultural Competence.” http://gateway.tx.ovid.com/sp-3.17.0a/ovidweb.cgi Academic Medicine, 79, vol. 4, 347-350 (2004).
[8] A. M, Naudé, and J. Bornman, “A Systematic Review of Ethics Knowledge in Audiology”.” American Journal of Audiology, 23, vol. 2, 151-157 (2014).
[9] A. M, Naudé, “Exploring ethical sensitivity in the SA context: developing and implementing a measure in the therapeutic sciences”. Unpublished doctoral thesis, University of Pretoria, South Africa (2015).
[10] D. Irwin, M. Panbacker, T. W. Powell and G. T. Vekovius, “Ethics for Speech-Language Pathologists and Audiologists. An Illustrated Casebook”. Thomson Dellmar learning: Clifton Park, NY, USA (2007).
[11] H. W. Langdon, T. I. Saenz, “Working with interpreters and translators: A guide for speech-language pathologists and audiologists”. Plural Publishing, (2015).
[12] A. L. Williams, B. Louw, N. J. Scherer, K. M. Bleile, M. Keske-Soares, and I. Trindade, “Academic and clinical preparation in speech-language pathology and audiology: A global training consortium for US-Brazil students”. Contemporary Issues in Communication Sciences and Disorders, 40, pp. 40-49 (2013).
[13] B. Leask, “Internationalizing the Curriculum”. Routledge: New York, NY, USA. (2015)
[14] J. Campinha-Bacote, “The process of cultural competence in the delivery model of healthcare services: A model of care”. Journal of Transcultural Nursing, 13, 181-184 (2002).
[15] J. Campinha-Bacote, “Coming to know cultural competence: an evolutionary process”. International Journal of Caring, 15, 3, 42-48 (2011).
[16] M. J. Bennett, “Becoming Interculturally Competent”. In J. S. Wurzel (Ed). Toward multiculturalism: A reader in multicultural education. Intercultural Resource Cooperation: Newton, MA, USA (2004).
[17] R. Lubinski and M. A. Matteliano, “A Guide to Cultural Competence in the Curriculum: Speech Language Pathology”. Center for International Rehabilitation Research Information and Exchange, 1-68 (2008).
[18] D. Murdoch-Eaton, A. Redmond, and N. Bax, “Training Healthcare Professionals for the Future: Internationalism and Effective Inclusion of Global Health Training”. Medical Teacher, 33, 562-569 (2011).
[19] P. S Seibert, P. Stridh-Igo and C. G. Zimmerman, “A Checklist to Facilitate Cultural Awareness and Sensitivity”. Journal of Medical Ethics, 28, 143-146 (2002).
[20] M. R. Hammer, “The Intercultural Development Inventory Manual (v. 3)”. IDI, LLC: Ocean Pines, MD, USA (2007).
[21] L. E. Rumbley, P. G. Altbach and L. Reisberg, “Internationalization within the higher education context”. in. D. K. Deardorff, H. De Wit, J. D. Heyl and T. Adams, The. SAGE Handbook of International Higher Education. SAGE: Thousand Oaks CA, USA (2012).
[22] J. Knight, “Concepts, rationales and interpretive framework in the internationalization of higher education”. in. D. K. Deardorff, H. De Wit, J. D. Heyl and T. Adams, The. SAGE Handbook of International Higher Education. SAGE: Thousand Oaks CA, USA (2012).
[23] J. K. Hudzik, “Comprehensive Internationalization”. Institutional Pathways to Success. Routledge: New York, NY, USA (2015).
[24] A. L. Williams, B. Louw, M. Keske-Soares, K. Bleile, I. Trindade, T. Kessler, L. Maximino, and A. P. Fukushiro, “Nexus of Research-Cultural Competence: A Twist on Study Abroad”. Poster presented to the American Speech-Language-Hearing Association Annual Convention, Orlando, USA, November 19-21 (2014).
[25] E. Plante, "Establishing a lab environment for the responsible conduct of research: research, participants, scenarios and challenges in identifying vulnerabilities and creating a plan to mitigate risks". CREd Library 3.1 (2014).
[26] U. Bronfenbrenner, S. J. Ceci, “Nature-nurture reconceptualized in developmental perspective: A bioecological model”. Psychological review 101, 568 (1994).
[27] World Health Organization “International Classification of Functioning, Disability and Health”. World Health organization: Geneva, (2007).
[28] J. D. Heyl and J. Tullbane, “Leadership in International Higher Education”. The SAGE Handbook of International Higher Education, 113 (2012).
[29] World Health Organization and the World Bank, “World Report on Disability”. Geneva: World Health Organization, (2011).
[30] C. E. Burnette, S. Sanders, H. K. Butcher, and J. T. Rand, “A toolkit for ethical and culturally sensitive research: An application with indigenous communities”. Ethics and Social Welfare, 8, 364-382 (2014).
[31] M. B. Huer and T. I. Saenz, “Challenges and strategies for conducting survey and focus group research with culturally diverse groups”. American Journal of Speech Language Pathology, 12, 209-220 (2003).
[32] G. M. A. Higginbottom and L. Serrant-Green, “Developing culturally sensitive skills in health and social care with a focus on conducting research with African Caribbean communities in England”. The Qualitative Report, 10, 4, 662-686 (2005).
[33] Y. Shimpuku, and K. F. Norr, “Working with Interpreters in Cross‐Cultural Qualitative Research in the Context of a Developing Country: Systematic Literature Review”. Journal of advanced nursing, 68, vol. 8, 1692-1706 (2012).
[34] J. Horner and F. D. Minifie, “Research Ethics I: responsible conduct of research (RCR)-historical and contemporary issues pertaining to human and animal experimentation”. Journal of Speech, Language and Hearing Research, 54, S303-S329 (2011).
[35] C. Qualls, “Multicultural and International Research on Communication Disorders: Past, Present, and Future”. In D. Battle, Communication Disorders in Multicultural and International Populations.” 4th ed. Elsevier, St. Louis, USA, (2012).
[36] G. Roysircar, “Evidence-Based Practice and Its Implications for Culturally Sensitive Treatment”. Journal of Multicultural Counseling and Development, 37, 66-82 (2009).
[37] Z. Weber, “Working Towards Culturally Sensitive Ethical Practice in a Multicultural Society”. The Journal of Practice Teaching and Learning, 40-54 (2003).
Cite This Article
  • APA Style

    Brenda Louw. (2016). Cultural Competence and Ethical Decision Making for Health Care Professionals. Humanities and Social Sciences, 4(2-1), 41-52. https://doi.org/10.11648/j.hss.s.2016040201.17

    Copy | Download

    ACS Style

    Brenda Louw. Cultural Competence and Ethical Decision Making for Health Care Professionals. Humanit. Soc. Sci. 2016, 4(2-1), 41-52. doi: 10.11648/j.hss.s.2016040201.17

    Copy | Download

    AMA Style

    Brenda Louw. Cultural Competence and Ethical Decision Making for Health Care Professionals. Humanit Soc Sci. 2016;4(2-1):41-52. doi: 10.11648/j.hss.s.2016040201.17

    Copy | Download

  • @article{10.11648/j.hss.s.2016040201.17,
      author = {Brenda Louw},
      title = {Cultural Competence and Ethical Decision Making for Health Care Professionals},
      journal = {Humanities and Social Sciences},
      volume = {4},
      number = {2-1},
      pages = {41-52},
      doi = {10.11648/j.hss.s.2016040201.17},
      url = {https://doi.org/10.11648/j.hss.s.2016040201.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hss.s.2016040201.17},
      abstract = {Cultural competence and ethical decision making are two separate, yet intrinsically related concepts which are central to services rendered by all health care professionals. Cultural competence is based on ethical principles and informs ethical decision making. In spite of this important connection, the interrelationship of these two concepts does not receive the attention it deserves in the literature. This issue is addressed by appraising the training and assessment of cultural competence and ethical decision making in the health care professions. The integrated relationship of these two concepts is illustrated within the broader contexts of higher education, research and clinical practice. Health care professionals who incorporate cultural competence and ethical decision making will be empowered to provide the best services to their clients/ patients in multicultural contexts to ensure optimum outcomes.},
     year = {2016}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Cultural Competence and Ethical Decision Making for Health Care Professionals
    AU  - Brenda Louw
    Y1  - 2016/05/13
    PY  - 2016
    N1  - https://doi.org/10.11648/j.hss.s.2016040201.17
    DO  - 10.11648/j.hss.s.2016040201.17
    T2  - Humanities and Social Sciences
    JF  - Humanities and Social Sciences
    JO  - Humanities and Social Sciences
    SP  - 41
    EP  - 52
    PB  - Science Publishing Group
    SN  - 2330-8184
    UR  - https://doi.org/10.11648/j.hss.s.2016040201.17
    AB  - Cultural competence and ethical decision making are two separate, yet intrinsically related concepts which are central to services rendered by all health care professionals. Cultural competence is based on ethical principles and informs ethical decision making. In spite of this important connection, the interrelationship of these two concepts does not receive the attention it deserves in the literature. This issue is addressed by appraising the training and assessment of cultural competence and ethical decision making in the health care professions. The integrated relationship of these two concepts is illustrated within the broader contexts of higher education, research and clinical practice. Health care professionals who incorporate cultural competence and ethical decision making will be empowered to provide the best services to their clients/ patients in multicultural contexts to ensure optimum outcomes.
    VL  - 4
    IS  - 2-1
    ER  - 

    Copy | Download

Author Information
  • Department Audiology and Speech-Language Pathology, East Tennessee State University, Johnson City, USA

  • Sections