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Revisiting cultural competence.

Jia Liu1,2, Elaine Gill1, Shuangyu Li1

  • 1Centre for Education, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.

The Clinical Teacher
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Summary
This summary is machine-generated.

Developing cultural competence in healthcare requires a multi-level ecological approach. This framework guides faculty development (FD) for educators and trainees in diverse cultural contexts.

Keywords:
clinical educationcritical interpretive synthesiscultural competencefaculty developmenttheoretical frameworks

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Area of Science:

  • Healthcare Education
  • Cultural Competence
  • Faculty Development

Background:

  • Acknowledged importance of cultural competence in healthcare training.
  • Lack of clarity on essential cultural competence attributes hinders faculty development.
  • Inconsistent global cultural education in health schools.

Purpose of the Study:

  • Propose a new framework for clinical cultural education.
  • Inform faculty development in cultural competence.
  • Provide theoretical clarity and pedagogical guidance.

Main Methods:

  • Critical interpretive synthesis of 69 articles from Medline, CINAHL, and Web of Science.
  • Reconceptualization of cultural competence.
  • Analysis focused on theoretical clarity and pedagogical guidance for faculty development.

Main Results:

  • An ecological system is necessary for comprehensive cultural competence development.
  • A multi-level framework (individual, team, organizational, systemic) is proposed.
  • Individual level requires affective, cognitive, and behavioral domains; leadership skills are key.

Conclusions:

  • A multi-level approach enhances cultural competence development for clinical educators.
  • The framework can improve clinical practice and education in diverse cultural settings.
  • Further research is needed to evaluate the framework's effectiveness.