Journal of cultural diversity
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To evaluate theory, concepts with that theory must be identified, analyzed and defined. The aim of this concept analysis of cultural competence is to clarify and differentiate the term as it is used in health care and nursing literature and to separate cultural competence from its measurement. Before the question of what is cultural competence can be answered, culture and competence--as separate terms--must be understood. ⋯ Additionally, terms closely related to cultural competence are described and differentiated from the cultural competence concept. To add meaning to the analysis, a cultural competence model case and contrary case are supplied along with outcome measures and empirical referents for cultural competence. Finally, a concluding definition based on extensive review of literature sources such as archeology, anthropology, history, psychology, policy, criminal justice, occupational therapy, medicine, nursing, and education is provided.
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This paper presents a discussion of workforce diversity in healthcare and its attendant requisite of cultural competency. The first section of the paper argues that self-assessments and diversity training are integral to workforce diversity management. ⋯ For this relationship to be successful, this review argues that health systems should foster providers that can also be cultural brokers. The cultural broker role is seen as core to achieving cultural competency.
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This study examined the applicability of the Orem's Theory of Self-Care with Chinese clients. The central concepts included the universal self-care behaviors (USC), health-deviation self-care behaviors (HDSC), health, and the basic conditioning factors of adults with Type II diabetes mellitus. Basic conditioning factors (BCF) were internal or external factors that affected an individual's ability to engage in self-care bahaviors (Orem, 1991). ⋯ A significant correlation was also found between the educational level and the universal self-care behaviors. There were significant correlations among the universal self-care behaviors and diabetes-related self-care; between the universal self-care behaviors and the perception of health; between the diabetes-related self-care behaviors and the perception of health. The findings implicated cross-cultural applicability of Orem's conceptual framework.
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Comparative Study
Rural Mexican-American and non-Hispanic white women: effects of abuse on self-concept.
This research arose from clinical practice in a rural Mexican-American and non-Hispanic white community in Southwest Texas. The practice focused on individual and group counseling for these women in abusive relationships. ⋯ Rural Mexican-American and non-Hispanic white women experiencing sexual abuse versus other forms of abuse were found to have significantly lower perceptions of competency on a multi-dimensional measure of self-concept. Ethnic differences in self-concept were also found between groups of abused, rural Mexican-American and non-Hispanic white women.
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This article discusses a coalition of business entities united to promote economic development. The process of forming the coalition and their success thus far are discussed.