How Australian and New Zealand schools of optometry prepare students for culturally competent practice

Background: This study is an investigation of how Australian and New Zealand schools of optometry prepare students for culturally competent practice. The aims are: (1) to review how optometric courses and educators teach and prepare their students to work with culturally diverse patients; and (2) to determine the demographic characteristics of current optometric students and obtain their views on cultural diversity. Methods: All Australian and New Zealand schools of optometry were invited to participate in the study. Data were collected with two surveys: a curriculum survey about the content of the optometric courses in relation to cultural competency issues and a survey for second year optometry students containing questions in relation to cultural awareness, cultural sensitivity and attitudes to cultural diversity. Results: Four schools of optometry participated in the curriculum survey (Deakin University, Flinders University, University of Melbourne and University of New South Wales). Sixty-three students (22.3 per cent) from these four schools as well as the University of Auckland participated in the student survey. Cultural competency training was reported to be included in the curriculum of some schools, to varying degrees in terms of structure, content, teaching method and hours of teaching. Among second year optometry students across Australia and New Zealand, training in cultural diversity issues was the strongest predictor of cultural awareness and sensitivity after adjusting for school, age, gender, country of birth and language other than English. Conclusion: This study provides some evidence that previous cultural competency-related training is associated with better cultural awareness and sensitivity among optometric students. The variable approaches to cultural competency training reported by the schools of optometry participating in the study suggest that there may be opportunity for further development in all schools to consider best practice training in cultural competency. © 2014 Optometrists Association Australia.

Exploring child dental service use among migrant families in metropolitan Melbourne, Australia

Abstract Background This study describes and explores factors related to dental service use among migrant children. Methods A cross-sectional analysis of baseline data from Teeth Tales, an exploratory trial implementing a community based child oral health promotion intervention. The sample size and target population was 600 families with 1-4 year old children from Iraqi, Lebanese and Pakistani backgrounds residing in metropolitan Melbourne. Participants were recruited into the study using purposive and snowball sampling techniques. Results Most (88%; 550/625) children had never visited the dentist (mean (SD) age 3.06 years (1.11)). In the fully adjusted model the variable most significantly associated with child dental visiting was parent reported 'no reason for child to visit the dentist' (OR = 0.07, p < 0.001). Of those children whose parents reported their child had no reason to visit the dentist, 22% (37/165) experienced dental caries with 8% (13/165) at the level of cavitation. Conclusions Dental service use by migrant preschool children was very low. The relationship between perceived dental need and dental service use is currently not aligned. One in 10 children of select migrant background had visited a dentist, which is in the context of 1 in 3 with dental caries. To improve utilization, health services should consider organizational cultural competence, outreach and increased engagement with the migrant community.

Cultura, linguagem e ensino da língua estrangeira: um estudo acerca desta inter-relação

Pós-graduação em Estudos Linguísticos - IBILCE

Competência em informação: perspectivas em torno da cultura escolar

Displays the Information Literacy as a method of training for access, evaluation and use of information, which has become, increasingly, the raw material indispensable for intellectual autonomy. Presents the articulation possible - and necessary - between Information and Cultural Competence in School, with emphasis on their relationship. Search is on School Culture, contexts for insertion of procedures developed by the Information Literacy, considering the dimensions of the organization, interpretation and knowledge production. It points out the advantages to realize the Culture School, through practical philosophical context, to support action planning, establishing, in the educational environment, actions related to the development of Competency Information. We used participation research action in the context of a public school in Campo Grande-MS, the research subjects were students of the 6º and 7º grades and their teachers. Data collection took place through observation and interviews relating the development of competencein Information and teaching practices It is noteworthy that this kind of responsibility if developed without an understanding of school culture, becomes a rambling and disjointed practice whose outcomes are at risk of not being achieved.

La interculturalidad en la enseñanza del español como lengua extranjera en la pasantía de la práctica profesional

In the contemporary literature on Foreign Language Teaching (LE/L2), is evidence of a trend in education given priority from the sub-focus on socio-cultural competence (HYMES, 1972), mainly with the aim of developing the intercultural competence, that is, the power to know the differences between the culture of the new language and the language in concrete situations and to develop strategies to deal comprehensively with the customs of another culture (Rozenfeld & Vianna, 2011). This process seeks to bring people to a critical analysis of their own language and culture, the concept of otherness and the similarities and differences between nations (MOTTA ROTH, 2003). Under the didactic-pedagogical approach multiculturalism, there is the need to develop new educational proposals and to include studies and researches about this subject in the curricula of teacher education courses. Politically, the proposals of the "Parâmetros Curriculares Nacionais (PCNs)" in Brazil emphasize as targets to be established for the teaching of Spanish as a foreign language (ELE), on average, target content and teaching strategies to develop, in addition to communicative competence, competition also "inter (multi) culture" (BRASIL, 2000). Thus, this paper analyzes the reports of pre-service teachers in the course of Teaching Practice of Spanish Language, the presence of cultural and intercultural approach, verifying didactic-pedagogical treatment that is being expressed in projects and materialized in practices of ELE classroom, in the interior of São Paulo / Brazil.

La interculturalidad en la enseñanza de español como lengua extranjera en la pasantía

In the contemporary literature on Foreign Language Teaching (LE/L2), is evidence of a trend in education given priority from the sub-focus on socio-cultural competence (HYMES, 1972), mainly with the aim of developing the intercultural competence, that is, the power to know the differences between the culture of the new language and the language in concrete situations and to develop strategies to deal comprehensively with the customs of another culture (Rozenfeld & Vianna, 2011). This process seeks to bring people to a critical analysis of their own language and culture, the concept of otherness and the similarities and differences between nations (MOTTA ROTH, 2003). Under the didactic-pedagogical approach multiculturalism, there is the need to develop new educational proposals and to include studies and researches about this subject in the curricula of teacher education courses. Politically, the proposals of the "Parâmetros Curriculares Nacionais (PCNs)" in Brazil emphasize as targets to be established for the teaching of Spanish as a foreign language (ELE), on average, target content and teaching strategies to develop, in addition to communicative competence, competition also "inter (multi) culture" (BRASIL, 2000). Thus, this paper analyzes the reports of pre-service teachers in the course of Teaching Practice of Spanish Language, the presence of cultural and intercultural approach, verifying didactic-pedagogical treatment that is being expressed in projects and materialized in practices of ELE classroom, in the interior of São Paulo / Brazil.

Knowledge and use of wild edible plants in rural communities along Paraguay River, Pantanal, Brazil

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Communication Across Cultures - Use of Video to Promote Culturally Competent Patient Management

Diverse belief systems exist among dental and medical patients related to health, healing and wellness. Culturally competent health care may be defined as the ability to provide care to patients with diverse values, beliefs and behaviors, including modifying delivery of care to meet patients’ social and cultural needs. [See PDF for complete abstract]

Collaborative Conversations for Change: A SolutionFocused Approach to Family Centered Practice

The renewed interest in Family Centered Practice, prompted by the funding of Family Preservation and Support Programs, has created a need for training practitioners at a number of different levels and for a variety of roles. This paper will describe a training program for Family Centered Practice. Building on an empowerment model, the author presents an approach for working with families and children that views the tragedies of the past as resources, rather than the major cause of present problems. Collaborative Conversations for Change adapts the solution-focused therapy model to nontherapy roles that are required for a program to be family centered. Although these roles are not therapy, they are nevertheless therapeutic and reinforce clients' strengths. These collaborative conversations, however brief they may be, recognize that the client is the expert on his/her pain and struggles and the practitioner is the expert on assisting her/him plan change. Additionally, illustrations from a cross-cultural perspective demonstrate the utility of collaborative conversation in enhancing cultural competence.

Intercultural Communication Between Forensic and Clinical Psychologists

While working in clinical and forensic psychology settings, a communication difficulty between the two professions became apparent. Forensic psychologists often appeared cold and callous from the clinical psychologist’s perspective, while clinical psychologists often appeared naïve or too client centered from the forensic psychologist’s perspective. I wondered if viewing each subfield of psychology as a culture could facilitate better communication through intercultural communication. Guided by Intercultural Communication in Contexts (Martin & Nakayama, 2010) in approaching intercultural communication between the two professions, I explored factors contributing to each profession’s cultural identities. Once this was established, I attempted to explore the different ways each culture could communicate more effectively. By recognizing and utilizing the strengths from each profession and understanding the possible pitfalls of one’s own, we may become competent in intercultural communication

Translation and intercultural communication: similarities and differences

Despite increasing attention in the last decade, both Intercultural Communication Studies (ICS) and Translation Studies (TS) seem to have reached a stage where some of the key concepts and assumptions are being challenged. This paper looks at similarities and differences in the use of shared concepts, especially the concept of intercultural communicative competence. It begins with a brief sketch of the development of the discipline of Translation Studies and goes on to present some assumptions which TS shares with ICS. However, the two disciplines operate with a different concept of communication and intercultural communicative competence: ICS is researching natural communication for independent acting, whereas TS is concerned with a specific kind of professionally enabled communication. The paper then presents a definition of a translationspecific cultural competence (based on Witte 2000) and illustrates the development of translation competence in the context of translator training at universities.

Culture and the psychological impacts of natural disasters: Implications for disaster management and disaster mental health

In recent decades, natural disasters have caused extensive losses and damages to human psychological wellbeing, economy, and society. It has been argued that cultural factors such as social values, traditions, and attachment to a location influence communities facing and responding to natural disasters. However, the issue of culture in disaster mental health seems to have received limited attention in policy and practice. This review highlights the importance of cultural background in the assessment of vulnerability to the psychological impacts of disasters, disaster preparedness, and provision of disaster mental health services. In particular, this paper suggests the importance of cultural competence in the planning and delivery of effective disaster mental health services. In order to address the varying circumstances of people with different cultural backgrounds, disaster mental health services must be developed in a culturally sensitive manner. Development of culturally competent disaster mental health services requires significant changes in policy making, administration, and direct service provision

The role of the health care organization in supporting nurses in the delivery of culturally competent care

This study was designed to explore ways in which health care organizations (HCOs) can support nurses in their delivery of culturally competent care. While cultural competence has become a priority for the federal government as well as the major health professional organizations, its integration into care delivery has not yet been realized. Health professionals cite a lack of educational preparation, time, and organizational resources as barriers. Most experts in the field agree that the cultural and linguistic needs of ethnic minorities pose challenges that individual care providers are unable to manage without the support of the health care organizations within which they practice. While several studies have identified implications for HCOs, there is a paucity of research on their role in this aspect of care delivery. Using a qualitative design with a case study approach, data collection included face-to-face interviews with 23 registered nurses, document analysis, and reports of critical incidents. The site chosen was a large health care system in South Florida that serves a culturally diverse population. Major findings from the study included language barriers, lack of training, difficulty with cultural differences, lack of organizational support, and reliance on culturally diverse staff members. Most nurses thought the ethnic mix was adequate, but rated other supports such as language services, training, and patient education materials as inadequate. Some of the recommendations for organizational performance were to provide the expectations and support for culturally competent care. Implications and recommendations for practice include nurses using trained interpreters instead of relying on coworkers or trying to "wing it", pursuing training, and advocating for organizational supports for culturally competent care. Implications and recommendations for theory included a blended model that combines both models in the conceptual framework. Recommendations for future research were for studies on the impact of language bathers on care delivery, develop and test a quantitative instrument, and to incorporate Gilbert's model into nursing research.

Interdisciplinaridade como estratégia para um cuidado de saúde culturalmente competente em serviço de infeciologia

A interdisciplinaridade é uma estratégia para a qualidade dos cuidados de saúde. A consciência das diferenças dentro dos grupos homogêneos favorecem ações mais congruentes, como proposta de superação da dificuldade de união entre a ciência e a complexidade em saúde. Sugere um repensar sobre a fragmentação do conhecimento na saúde e uma reflexão que fortaleça as parcerias entre os múltiplos profissionais com enfoque em melhores condições de saúde e vida da população. Neste artigo, objetivou-se descrever a abordagem interdisciplinar no processo de cuidar culturalmente competente a pessoa vivendo com HIV; e compreender, na percepção do enfermeiro, a relação entre a interdisciplinaridade e o processo de cuidar culturalmente competente. O estudo foi do tipo descritivo e exploratório, realizado em serviços de infeciologia referência em Portugal. As informações foram coletadas por observações participantes do contexto social e durante as reuniões de equipa. Também foram realizadas 18 entrevistas semiestruturadas com os enfermeiros dos serviços. Todos os preceitos éticos do estudo com seres humanos foram respeitados. Os dados foram tematizados com suporte da análise de conteúdo de Bardin (2011) e apresentam-se como dois temas: Implicações práticas do trabalho interdisciplinar e Facilidades/dificuldades no cuidar interdisciplinar. Estas temáticas demonstraram a importância da atitude dialógica entre profissionais-instituição-utente, num contexto de confronto de ideias e conhecimentos essenciais para aprimorar a qualidade dos cuidados em saúde por meio da maestria cultural.