The National Center for Cultural Competence developed a validated assessment tool “at the request of the Bureau of Primary Health Care (BPHC), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Service (DHHS)” (National Center for Cultural Competence (NCCC), 2004). The intent of the assessment tool is to “to enhance the delivery of high quality services to culturally and linguistically diverse individuals and underserved communities” (NCCC, para. 1, 2004).
The tool is intended to take 20 minutes to complete, is confidential and is available only online. Upon completion of the survey a profile of the practitioner’s “Values & Belief Systems Subscale in six areas: Values and Belief Systems, Cultural Aspects of Epidemiology, Clinical Decision-Making, Life Cycle Events, Cross-Cultural Communication, Empowerment/Health Management” (NCCC, para. 5, 2004) is provided. Each section provides an assessment of the areas where the practitioner may benefit from additional education and expanded sensitivity. Resources are provided to facilitate this.
The assessment takes much longer than 20 minutes. While the tool indicates that there are no right or wrong answers, as other assessment tools have that I have used in the past, the results of this assessment were not revealing or helpful. The results indicated that I had no knowledge of the content area. The tool assumes because the responder does not use or do a specific practice that there is a knowledge deficit. This is not necessarily the case.
The county where I live ranks 62 out of 67 (County Health Rankings, 2010). The closer the rank order numbers to one the healthier the population. That takes into consideration access to health care, income, education, unemployment, infant mortality, etc. This county is right next to the county ranking eighth in the state. I live in the county 62 and work in county eight. By virtue of living the culture and the classes I take, it seems there is a disparity. Leaving me feel there is something askew. It is not in keeping with the results of other tools that I have completed.
The positive side of having such a dismal result to the cultural assessment is a rich bibliography of resources divided into categories. Some articles are familiar and some are new.
The spiritual and ethical areas suggested for expanding my knowledge include:
• Identifying and engaging key cultural informants within diverse communities
• Querying key cultural informants regarding values, beliefs, and practices of community members as they relate to religiosity and spirituality, practitioner credibility, health, health care, illness and well being
These are the key points taken from that review. My plan to address these is to utilize the videos listed in the bibliography first. I will include one video a month beginning March 25, 2010. As I review research protocols developed by professors at the local universities which focus on minority or...