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Redefining Cultural Competency: Practicing Cultural Humility.

Bernie White¹, Mariela Gallo², Alexsandra Morales³

¹Adult Medical Oncology, Division of Clinical Social Work, Department of Supportive Care Medicine, City of Hope National Medical Center, Duarte, USA. bewhite@coh.org.

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Summary

Cultural competency in healthcare has limitations. Cultural humility, focusing on self-awareness and understanding biases, is crucial for effective, patient-centered care delivery.

Keywords:

Cultural competency Cultural humility End of life communication Health care delivery Patient and family centric care

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Area of Science:

Healthcare delivery
Medical education
Patient-centered care

Background:

Healthcare delivery requires continuous improvement with evolving treatments.
Cultural competency is central to enhancing healthcare.
Existing cultural competency models have limitations in addressing self-awareness and biases.

Purpose of the Study:

To explore the limitations of cultural competency in healthcare.
To highlight the importance of self-awareness, biases, and cultural values in patient care.
To introduce cultural humility as a framework for improved healthcare interactions.

Main Methods:

Literature review on cultural competency and healthcare delivery.
Analysis of the definition and application of cultural competency.
Conceptual exploration of cultural humility.

Main Results:

Cultural competency's definition is often limited, impacting communication guidelines.
Lack of focus on self-awareness and personal biases hinders culturally sensitive care.
Cultural humility offers a path toward greater self-awareness and confidence.

Conclusions:

Cultural humility is essential for healthcare professionals to overcome the limitations of cultural competency.
Adopting cultural humility fosters resilience and curiosity in providing patient and family-centered care.
A deeper understanding of cultural humility can improve communication and care throughout a patient's journey.