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Cultural Humility: An Important Dimension of the Holistic Health Approach

Year 2024, Volume: 1 Issue: 1, 37 - 44, 27.07.2024

Mine Bekar

Abstract

The concept of cultural humility includes awareness of diversity and how an individual's culture can influence health behaviors. Healthcare professionals can use this awareness to develop sensitive, individual-specific and person-centered approaches to individual/patient care, ultimately contributing to a positive healthcare experience. Diversity is a concept increasingly emphasized in the healthcare field. Cultural humility is used in a variety of contexts, from individuals with cultural differences to gender differences, social status, interprofessional roles, health professional/individual/patient/family relationships. Cultural humility qualities are openness, self-awareness, self-reflection, self-evaluation, self-criticism, non-egocentrism, supportive interactions, and evaluation of biases. The premises of the term cultural humility are diversity and power imbalance. The results of cultural humility are mutual empowerment, partnerships, respect, optimal care and lifelong learning. Cultural humility is a lifelong process. In the multicultural world where there is power diversity, separation and power imbalances, the concept of cultural humility is the concept of openness, openness, self-awareness, non-egocentrism in interaction with individuals, openness and self-awareness, which includes self-reflection and self-criticism after communicating with individuals from different cultures. It is a lifelong process that enables healthcare professionals to become knowledgeable about different cultures and to be sensitive to cultural diversity. Due to the increasing diversity of the world's interaction with different cultures, the importance of competence, competence and cultural humility in the cultural approach in the professional world has become more evident. This article aims to discuss the concept of cultural humility in the holistic health approach.

Keywords

Health approach holistic health approach culture cultural humility

References

  • Allwright, K., Goldie, C., Almost, J., & Wilson, R. (2019). Fostering positive spaces in public health using a cultural humility approach. Public Health Nursing, 36(4), 551-556.
  • Bayık Temel, A. (2008). Kültürlerarası (Çok Kültürlü) Hemşirelik Eğitimi, Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 11(2), 92-101.
  • Bekar, M. (2019). Sağlık ve Kültür. Editör: Daşlı Y, Bulut E. Sağlık Soyolojisi.1. Baskı, Anı Yayıncılık. 47,78.
  • Bekar, M. (2018). Ebelikte Kültürlerarası Yaklaşım. Editör: Coşar F, Yeşilçiçek Çalık K. Ebeler ve Ebelik Öğrencileri İçin Doğum Öncesi Dönem I. 2. Baskı İstanbul:İstanbul Tıp Kitabevleri, İstanbul Medikal Sağlık ve Yayıncılık Hiz. Tic. Ltd. Şti. 229,244.
  • Bekar, M.(2001). Kültürlerarası(Transkültürel) Hemşirelik. Toplum ve Hekim, 16 (2),136-141.
  • Bekar, M.(2010). Kadının Sosyalizasyonu. Sosyoloji Araştırmaları Dergisi, 13 (2), 97-117.
  • Bekar, M.(2019). Kültürel Tevazu (Cultural Humility) 6. Uluslararası 10. Ulusal Ebelik Öğrencileri Kongresi, 19-21 Nisan, Sivas Cumhuriyet Üniversitesi – 4 Eylül Kültür Merkezi, Sivas.
  • Campinha Bacote, J.(2019). Cultural Competemility: A Paradigm Shift in the Cultural Competence versus Cultural Humility Debate – Part I" OJIN: The Online Journal of Issues in Nursing, 24(1).
  • Chang, E., Simon, M., Dong,, X. (2012). Integrating cultural humility into health care professional education and training . Adv in Health Sci Educ.Theory Pract. 17(2), 269-278.
  • DeBlaere, C., Zelaya, D. G., Dean, J.-A. B., Chadwick, C. N., Davis, D. E., Hook, J. N., & Owen, J. (2023). Multiple microaggressions and therapy outcomes: The indirect effects of cultural humility and working alliance with Black, Indigenous, women of color clients. Professional Psychology: Research and Practice, 54(2), 115–124. https://doi.org/10.1037/pro0000497
  • Fahlberg, B., Forondo, C., Baptiste, D. (2016). Cultural humility: The key to patient/family partnerships for making difficult decisions. Nursing, 46 (9), 14-16.
  • Fisher Borne, M., Cain, J M., Martin, S L.(2015). From mastery to accountability: Cultural humility as an alternative to cultural competence. Social Work Education, 34(2): 165-181.
  • Foronda, C., Baptiste, D .L, Reinholdt, M M., Ousman, K. (2015). Cultural Humility: A Concept Analysis. Journal of Transcultural Nursing. 27(3): 210-217.
  • Foster, J. (2009). Cultural humility and the importance of long‐term relationships in international partnerships. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38(1),100-107.
  • Giger, J N. (2017). Transcultural Nursing Assessment and Intervention. Seventh Edition. Elsevier. St. Louis. Hook, J N., Davis, D E., Owen, J., Worthington Jr E L., Utsey ,S O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60(3), 353-366.
  • Hook, J N., Watkins, C E., Davis, D E., Owen, J., Van Tongeren, D R., Marciana, J R. (2016). Cultural humility in psychotherapy supervision. American Journal of Psychotherapy, 70(2), 149-166.
  • Hook, J N., Watkins, C E.(2015). Cultural humility: The cornerstone of positive contact with culturally different individuals and groups? American Psychologist, 70(7), 661-662.
  • Hook, J.(2014). Engaging Clients with Cultural Humility. Journal of Psychology and Christianity, 33(3), 277-280.
  • Hughes, V., Delva, S., Nkimbeng, M., Spaulding, E., Turkson-Ocran, R. A., Cudjoe, J., ... & Han, H. R. (2020). Not missing the opportunity: Strategies to promote cultural humility among future nursing faculty. Journal of Professional Nursing, 36(1), 28-33.
  • Isaacson, M.(2014). Clarifying Concepts: Cultural Humility or Competency. Journal of Professional Nursing, 30(3), 251–258.
  • Juarez, J. A., Marvel, K., Brezinski, K. L., Glazner, C., Towbin, M. M., & Lawton, S. (2006). Bridging the Gap: A Curriculum to Teach Residents Cultural Humility. Family Medicine, 38(2), 97-102.
  • Lips, H M., Lawson, K M. (2019). Women Across Cultures. Cross-Cultural Psychology, 401–426.
  • Lor, M., Crooks, N., & Tluczek, A. (2016). A proposed model of person-, family-, and culture-centered nursing care. Nursing Outlook, 64(4), 352-366.
  • Kelsall-Knight, L. (2022). Practising cultural humility to promote person and family-centred care. Nurs Stand, 37(2). doi: 10.7748/ns.2022.e11880
  • Kibakaya E C, Oyeku S O.(2022). Cultural Humility: A Critical Step in Achieving Health Equity. Pediatrics (in press).2022; 149(2): e2021052883. doi: 10.1542/peds.2021-052883.
  • Matthew, S., Hockett, E., Samek, L.(2018). Learning Cultural Humility Through Stories and Global Service-Learning. Journal of Christian Nursing, 35(1), 33-37.
  • Miller, S.(2009). Cultural Humility is the First Step to Becoming Global Care Providers. JOGNN. 38 (1), 92-93.
  • Parente, V. M., Nagy, G., & Pollak, K. I. (2023). Patient-and Family-Centered Hospital Care—The Need for Structural Humility. JAMA Pediatr. 177(6), 553-554. doi:10.1001/jamapediatrics.2023.0269
  • Ray, M A. (2016). Transcultural caring dynamics in nursing and health care. 2nd Edition. F.A. Davis Company. Philadelphia.
  • Rullo, M., Visintin, E. P., Milani, S., Romano, A., & Fabbri, L. (2022). Stay humble and enjoy diversity: The interplay between intergroup contact and cultural humility on prejudice. International Journal of Intercultural Relations, 87, 169-182.
  • Schuessler, J B., Wilder, B., Byrd, L W. (2012). Reflective journaling and development of cultural humility in students. Nursing Education Perspectives, 33(2), 96-99.
  • Soulé, I., Littzen-Brown, C., Vermeesch, A. L., & Garrigues, L. (2022). Expanding the Mind–Body–Environment Connection to Enhance the Development of Cultural Humility. International Journal of Environmental Research and Public Health, 19(20), 13641.
  • Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. Focus, 18(1), 49-51.
  • Tervalon, M., Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Undeserved, 9, 117-125.
  • Tomey, A M, Alligood, MR. (2010).Nursing Theorists and Their Work, Seventh Edition. The CV Mosby Company, St. Louis, 458,469.
  • Yeager, K A., Bauer-Wu, S.(2013). Cultural humility: Essential foundation for clinical researchers. Appl Nurs Res. 26(4), 251-256.

Kültürel Alçak Gönüllülük: Bütünsel Sağlık Yaklaşımının Önemli Bir Boyutu

Year 2024, Volume: 1 Issue: 1, 37 - 44, 27.07.2024

Mine Bekar

Abstract

Kültürel alçak gönüllülük kavramı, çeşitlilik ve bireyin kültürünün sağlık davranışlarını nasıl etkileyebileceğine dair farkındalığı içerir. Sağlık profesyonelleri bu farkındalığı birey/hasta bakımına yönelik hassas, bireye özel ve birey merkezli yaklaşımlar geliştirmek için kullanabilir ve sonuçta olumlu bir sağlık hizmeti deneyimine katkıda bulunabilir. Çeşitlilik, sağlık alanında giderek daha fazla vurgulanan bir kavramdır. Kültürel alçak gönüllülük, kültürel farklılıklara sahip bireylerden cinsiyet farklılıklarına, sosyal statüye, meslekler arası rollere, sağlık profesyoneli/birey/ hasta/ aile ilişkilerine kadar çeşitli bağlamlarda kullanılmaktadır. Kültürel alçak gönüllülük nitelikleri açıklık, öz farkındalık, öz yansıtma, öz değerlendirme, öz eleştiri, benmerkezci olmama, destekleyici etkileşimler, ön yargılarını değerlendirmedir. Kültürel alçak gönüllülük teriminin öncülleri çeşitlilik ve güç dengesizliğidir. Kültürel alçak gönüllülüğün sonuçları ise karşılıklı yetkilendirme, ortaklıklar, saygı, optimal bakım ve yaşam boyu öğrenmedir. Kültürel alçak gönüllülük yaşam boyu devam eden bir süreçtir. Güç çeşitliliğinin, ayrılıklarının ve güç dengesizliklerinin olduğu çok kültürlü dünyada kültürel alçak gönüllülük kavramı, bireylerle etkileşimde açıklık, açık olma, öz farkındalık, benmerkezci olmama, farklı kültürden bireylerle iletişim sonrasında öz yansıtma ve öz eleştiriyi kapsayan açık olma, öz farkındalık kavramıdır. Sağlık profesyonellerinin farklı kültürler konusunda bilgi sahibi olmalarını ve kültür çeşitliliğine duyarlı olmalarını sağlayan yaşam boyunca devam eden bir süreçtir. Dünyanın farklı kültürlerin birbiri ile etkileşiminin artan çeşitliliği nedeni ile profesyonel dünyadaki kültürel yaklaşımda yetkinlik, yeterlilik, kültürel alçak gönüllülüğün önemi daha da belirginleşmiştir. Bu makalede, bütünsel sağlık yaklaşımında kültürel alçak gönüllülük kavramını tartışmak amaçlanmıştır.

Keywords

Sağlık yaklaşımı bütünsel sağlık yaklaşımı kültür kültürel alçak gönüllülük

References

  • Allwright, K., Goldie, C., Almost, J., & Wilson, R. (2019). Fostering positive spaces in public health using a cultural humility approach. Public Health Nursing, 36(4), 551-556.
  • Bayık Temel, A. (2008). Kültürlerarası (Çok Kültürlü) Hemşirelik Eğitimi, Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 11(2), 92-101.
  • Bekar, M. (2019). Sağlık ve Kültür. Editör: Daşlı Y, Bulut E. Sağlık Soyolojisi.1. Baskı, Anı Yayıncılık. 47,78.
  • Bekar, M. (2018). Ebelikte Kültürlerarası Yaklaşım. Editör: Coşar F, Yeşilçiçek Çalık K. Ebeler ve Ebelik Öğrencileri İçin Doğum Öncesi Dönem I. 2. Baskı İstanbul:İstanbul Tıp Kitabevleri, İstanbul Medikal Sağlık ve Yayıncılık Hiz. Tic. Ltd. Şti. 229,244.
  • Bekar, M.(2001). Kültürlerarası(Transkültürel) Hemşirelik. Toplum ve Hekim, 16 (2),136-141.
  • Bekar, M.(2010). Kadının Sosyalizasyonu. Sosyoloji Araştırmaları Dergisi, 13 (2), 97-117.
  • Bekar, M.(2019). Kültürel Tevazu (Cultural Humility) 6. Uluslararası 10. Ulusal Ebelik Öğrencileri Kongresi, 19-21 Nisan, Sivas Cumhuriyet Üniversitesi – 4 Eylül Kültür Merkezi, Sivas.
  • Campinha Bacote, J.(2019). Cultural Competemility: A Paradigm Shift in the Cultural Competence versus Cultural Humility Debate – Part I" OJIN: The Online Journal of Issues in Nursing, 24(1).
  • Chang, E., Simon, M., Dong,, X. (2012). Integrating cultural humility into health care professional education and training . Adv in Health Sci Educ.Theory Pract. 17(2), 269-278.
  • DeBlaere, C., Zelaya, D. G., Dean, J.-A. B., Chadwick, C. N., Davis, D. E., Hook, J. N., & Owen, J. (2023). Multiple microaggressions and therapy outcomes: The indirect effects of cultural humility and working alliance with Black, Indigenous, women of color clients. Professional Psychology: Research and Practice, 54(2), 115–124. https://doi.org/10.1037/pro0000497
  • Fahlberg, B., Forondo, C., Baptiste, D. (2016). Cultural humility: The key to patient/family partnerships for making difficult decisions. Nursing, 46 (9), 14-16.
  • Fisher Borne, M., Cain, J M., Martin, S L.(2015). From mastery to accountability: Cultural humility as an alternative to cultural competence. Social Work Education, 34(2): 165-181.
  • Foronda, C., Baptiste, D .L, Reinholdt, M M., Ousman, K. (2015). Cultural Humility: A Concept Analysis. Journal of Transcultural Nursing. 27(3): 210-217.
  • Foster, J. (2009). Cultural humility and the importance of long‐term relationships in international partnerships. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38(1),100-107.
  • Giger, J N. (2017). Transcultural Nursing Assessment and Intervention. Seventh Edition. Elsevier. St. Louis. Hook, J N., Davis, D E., Owen, J., Worthington Jr E L., Utsey ,S O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60(3), 353-366.
  • Hook, J N., Watkins, C E., Davis, D E., Owen, J., Van Tongeren, D R., Marciana, J R. (2016). Cultural humility in psychotherapy supervision. American Journal of Psychotherapy, 70(2), 149-166.
  • Hook, J N., Watkins, C E.(2015). Cultural humility: The cornerstone of positive contact with culturally different individuals and groups? American Psychologist, 70(7), 661-662.
  • Hook, J.(2014). Engaging Clients with Cultural Humility. Journal of Psychology and Christianity, 33(3), 277-280.
  • Hughes, V., Delva, S., Nkimbeng, M., Spaulding, E., Turkson-Ocran, R. A., Cudjoe, J., ... & Han, H. R. (2020). Not missing the opportunity: Strategies to promote cultural humility among future nursing faculty. Journal of Professional Nursing, 36(1), 28-33.
  • Isaacson, M.(2014). Clarifying Concepts: Cultural Humility or Competency. Journal of Professional Nursing, 30(3), 251–258.
  • Juarez, J. A., Marvel, K., Brezinski, K. L., Glazner, C., Towbin, M. M., & Lawton, S. (2006). Bridging the Gap: A Curriculum to Teach Residents Cultural Humility. Family Medicine, 38(2), 97-102.
  • Lips, H M., Lawson, K M. (2019). Women Across Cultures. Cross-Cultural Psychology, 401–426.
  • Lor, M., Crooks, N., & Tluczek, A. (2016). A proposed model of person-, family-, and culture-centered nursing care. Nursing Outlook, 64(4), 352-366.
  • Kelsall-Knight, L. (2022). Practising cultural humility to promote person and family-centred care. Nurs Stand, 37(2). doi: 10.7748/ns.2022.e11880
  • Kibakaya E C, Oyeku S O.(2022). Cultural Humility: A Critical Step in Achieving Health Equity. Pediatrics (in press).2022; 149(2): e2021052883. doi: 10.1542/peds.2021-052883.
  • Matthew, S., Hockett, E., Samek, L.(2018). Learning Cultural Humility Through Stories and Global Service-Learning. Journal of Christian Nursing, 35(1), 33-37.
  • Miller, S.(2009). Cultural Humility is the First Step to Becoming Global Care Providers. JOGNN. 38 (1), 92-93.
  • Parente, V. M., Nagy, G., & Pollak, K. I. (2023). Patient-and Family-Centered Hospital Care—The Need for Structural Humility. JAMA Pediatr. 177(6), 553-554. doi:10.1001/jamapediatrics.2023.0269
  • Ray, M A. (2016). Transcultural caring dynamics in nursing and health care. 2nd Edition. F.A. Davis Company. Philadelphia.
  • Rullo, M., Visintin, E. P., Milani, S., Romano, A., & Fabbri, L. (2022). Stay humble and enjoy diversity: The interplay between intergroup contact and cultural humility on prejudice. International Journal of Intercultural Relations, 87, 169-182.
  • Schuessler, J B., Wilder, B., Byrd, L W. (2012). Reflective journaling and development of cultural humility in students. Nursing Education Perspectives, 33(2), 96-99.
  • Soulé, I., Littzen-Brown, C., Vermeesch, A. L., & Garrigues, L. (2022). Expanding the Mind–Body–Environment Connection to Enhance the Development of Cultural Humility. International Journal of Environmental Research and Public Health, 19(20), 13641.
  • Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. Focus, 18(1), 49-51.
  • Tervalon, M., Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Undeserved, 9, 117-125.
  • Tomey, A M, Alligood, MR. (2010).Nursing Theorists and Their Work, Seventh Edition. The CV Mosby Company, St. Louis, 458,469.
  • Yeager, K A., Bauer-Wu, S.(2013). Cultural humility: Essential foundation for clinical researchers. Appl Nurs Res. 26(4), 251-256.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Primary Health Care
Journal Section Reviews
Authors

Mine Bekar 0000-0002-9934-9127

Early Pub Date June 28, 2024
Publication Date July 27, 2024
Submission Date January 11, 2024
Acceptance Date March 28, 2024
Published in Issue Year 2024Volume: 1 Issue: 1

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APA Bekar, M. (2024). Kültürel Alçak Gönüllülük: Bütünsel Sağlık Yaklaşımının Önemli Bir Boyutu. Sağlık Hizmetleri Araştırma Dergisi, 1(1), 37-44.
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