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Dissertations / Theses on the topic 'Culturally competent care'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2025

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1

Byrd, Rebekah J. "Culturally competent medical care of LGBTQ patients." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/911.

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2

Oya, Kumi. "A Narrative Inquiry on Culturally Competent Dementia Care." Thesis, California Institute of Integral Studies, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10814538.

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<p> This narrative research offers an inquiry that intends to inspire thinking about a culturally competent dementia care framework in the United States. The main research question is: How does a culture hold dementia care? A subquestion is: What can we in the United States learn from other cultures about dementia care to enhance this care for all? The inquiry was designed to conduct narrative research focusing on Japanese culture in the context of caregiving to people with dementia; 4 professional and 4 family caregivers from this culture, who have cared or have been caring for persons with d

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3

Joshua, Solomon, and Solomon Joshua. "Enhancing Culturally Competent Care for Obesity Among African Immigrants." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626636.

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Purpose: This DNP project examines the effectiveness of a brief educational presentation to improve cultural competency care for obesity among African Immigrants. This project focused on providers at southwestern urban primary care clinic to become culturally competent in caring for African immigrants with obesity. The findings and recommendations of this project also serve as resource for other providers locally and nation-wide who provide care for African immigrant population. Method: Utilizing a purposeful sampling method, quantitative pre-test and post-test questionnaires were used

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4

Henriksson, Malin. "Cultural competence in Swedish primary care : Are some providers more prone to be culturally competent than others?" Thesis, Växjö University, School of Social Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-864.

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<p>Cultural competence has become an important topic since the society has evolved to be more multicultural, these societies have a big problem with their healthcare systems and it is said that primary care in Sweden must become better adjusted to the needs of minorities. The objective of this study was to investigate the degree of cultural competence in primary care in Sweden and to examine if the degree of cultural competence had a relation to the providers personality, gender, age ethnicity and educational level. Three different county councils were asked to participate but only one agreed.

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Haghshenas, Abbas Public Health &amp Community Medicine Faculty of Medicine UNSW. "Negotiating norms, navigating care: the practice of culturally competent care in cardiac rehabilitation." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/32280.

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BACKGROUND Increasingly, it is recognised that the unique needs of people from culturally and linguistically diverse backgrounds (CaLDB) should be addressed within a framework of cultural competence. To date, there are limited data on the issues facing CaLDB patients in the Cardiac Rehabilitation (CR) setting. Appreciation of an individual???s values, attitudes and beliefs underpins negotiation of behaviour change in the CR setting. Therefore an understanding of patient and professional interactions is of key importance. OBJECTIVES The focus of this study has been to undertake an exploration o

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6

Pollock-Robinson, M. Catherine. "Family-centered care, patient-centered care, and culturally competent care common themes and background meanings /." Pullman, Wash. : Washington State University, 2009. http://www.dissertations.wsu.edu/Thesis/Spring2009/m_pollockrobinson_042409.pdf.

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7

Ellis, Theresa Anne. "Caught in the middle| Nurses responding to a hospital's strategy of culturally competent care." Thesis, Fielding Graduate University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3627604.

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<p> Leaders of organizations continually experience challenges when attempting to implement new strategies by aligning staff at various organizational levels to the new strategies. The effectiveness of alignment to strategy is demonstrated especially in how strategy manifests on the front line as staff respond to the mandate of the strategic changes. Organizational dynamics analyzed through a psychodynamic "lens" further explain the challenges of alignment to strategy. The health care industry experiences pressure to adjust their strategies to ensure quality patient care, especially because ho

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8

Edwards, Ann Marie Elizabeth. "Implementation of a Transcultural Nursing Education Program to Improve Nurses' Cultural Competence." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6996.

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The exponential growth of culturally diverse populations in the United States has led to a multicultural patient population while the nursing workforce remains predominantly White. At the project site, managers identified that staff nurses struggled to deliver culturally competent care. The purpose of this project was to improve the cultural competence of registered nurses (RNs) through a transcultural nursing education program. Leininger's transcultural nursing theory guided the project. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, cr

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9

Nguyen, Vi H. "Will culturally competent Vietnamese-speaking healthcare providers reduce hemoglobin A1C-readings for Vietnamese diabetic patients?" Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1524147.

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<p> This retrospective study was conducted to evaluate whether culturally competent resources, such as Vietnamese-speaking healthcare providers, one-on-one public health nurse (PHN) education session(s), and free healthcare services would affect the results of the following questions: (a) Will the 114 study subjects achieve HbAIC reduction at 6-month and 12-month periods? (b) Is there a correlation between HbA1C reduction and the number of the provider visits? and (c) Is there a significant HbA1C reduction for the one-on-one PHN education participants compared to the non-participants? The resu

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10

Shiu-Thornton, Sharyne. "Culturally competent perinatal health care for Chinese and Mien refugees : ethnographic narratives from Seattle's International District Health Clinic /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/6468.

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11

O'Brien, Emily. "Caring Across Cultures: An Exploration of Culturally Competent Health Care for Latino Families in a Pediatric In-Patient Unit." Thesis, Boston College, 2012. http://hdl.handle.net/2345/2614.

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Thesis advisor: Eva Garroutte<br>Thesis advisor: David Karp<br>In an age in which diversity and healthcare inequalities are prominent issues, culturally competent care has emerged as a popular response. However, there seems to be a gap between this academic interest and the attempts to implement cultural competency in the American healthcare system. The aim of this qualitative research was to explore the link between culture and health and to uncover what cultural competency might mean on a practical level through a case study of the pediatric in-patient units of an urban hospital in Boston, M

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12

Yates, Vivian Marie. "Cultural Competence Levels of Ohio Associate Degree Nurse Educators." University of Akron / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=akron1225115383.

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13

Quickfall, Julia. "Cross-cultural promotion of health : a partnership process? : principles and factors involved in the culturally competent community based nursing care of asylum applicants in Scotland." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/4466.

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The aim of this study was to investigate the principles and factors underlying the culturally competent nursing care of asylum applicants. Asylum applicants are a highly vulnerable group, whose health is often severely compromised prior to arrival in the UK due to exposure to torture, violence and rape. Although they are entitled to primary health care services whilst their asylum claim is under consideration, their level of welfare support has been significantly eroded over the last decade. An analysis of the nursing literature revealed mainly US notions of cultural competence, which were bas

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14

Blom, Louise, and Olivia Ienea. "Bemötande i den mångkulturella vården ur ett patientperspektiv : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-339182.

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Background: Healthcare professionals meet patients with different cultural backgrounds. The patient’s culture can influence his view on health and disease, which indicates that cultural competence is an important feature of healthcare professionals in order to provide care with respect for the cultural differences that exist. Previous research shows that lack of knowledge for different cultures can lead to arising of poor attitudes at the healthcare professionals, which in turn can lead to discrimination. Healthcare professionals feel that there may be difficulties in caring for patients with

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15

Resetar, Ann M. "Culture and Infant Feeding Choice Among Orthodox Christian Middle Eastern Mothers in Northeastern Ohio." Walsh University Honors Theses / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=walshhonors1555340941807808.

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Renault, Wendy Janet. "Cultural Competence Education for Care Coordinators." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/553.

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Aboriginal people bear a burden of health disparities when compared to non-Aboriginal people in Canada. To date, traditional health-related programs to address these disparities have not been effective. Compounding this problem, the Aboriginal people have also reported dissatisfaction with the healthcare system and the relationships they experience with healthcare providers. However, the literature supports that when providers employ cultural competence in their practice, there is a possibility for improved relationships with patients. Using critical social theory as a framework, the purpose o

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Gemarino, Junelle F. "Cultural Competence Among Oncology Health Care Providers." CSUSB ScholarWorks, 2014. https://scholarworks.lib.csusb.edu/etd/76.

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The purpose of the study was to examine cultural competence among oncology health care providers. Specifically, the study assessed how career type, presence of previous diversity training, and education affected overall cultural competence of oncology health care providers. The study used a quantitative survey design with self-administered questionnaires. A total of 36 voluntary oncology health care providers completed the cultural competence assessment survey. Participants were asked of their cultural awareness/sensitivity, cultural behaviors, previous experiences of diversity trainings, and

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Ferreyra, Galliani Mariella. "Cultural Competency in the Primary Health Care Relationship." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23467.

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Cultural competency is theorized as the sensitivity of practitioners from the dominant culture towards the diverse cultural backgrounds of their patients. Less attention is placed on how communication between providers and patients can enable patients to share their health care beliefs. An evidence review of the literature around the conceptualization of cultural competency in health care was performed, and interviews were conducted aiming to understand what immigrant patients perceive as culturally competent care and its effect on the relationship between them and their providers. Definit

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19

Kawashima, Asako. "Study on cultural competency of Japanese nurses." Fairfax, VA : George Mason University, 2008. http://hdl.handle.net/1920/3072.

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Thesis (Ph.D.)--George Mason University, 2008.<br>Vita: p. 231. Thesis director: Chen-Yun Wu. Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Nursing. Title from PDF t.p. (viewed June 30, 2008). Includes bibliographical references (p. 217-230). Also issued in print.

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Phillips, Karon L. "Cultural Competence in Health Care: A Client-Based Perspective." Scholar Commons, 2009. http://scholarcommons.usf.edu/etd/3681.

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In response to the presence of health disparities among a diverse population of older adults, creating culturally competent health care services has emerged as a possible method to help reduce and eventually eliminate inequalities in health care. However, little information exists concerning the effectiveness of cultural competence, and even less is known about how culturally competent clients perceive their providers to be. This dissertation examined a number of indicators related to cultural competence, including the predictors of client-provider racial/ethnic concordance, client perceptions

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Nayfeh, Ayah. "Advance Care Planning for Mechanical Ventilation: Health Care Providers' Perspectives on Cross-Cultural Care." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31837.

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Background: Advance care planning (ACP) is a method used for patients to express in advance their preferences, beliefs and values for life-sustaining treatments at the end-of-life. With growing ethnocultural diversity in Canada, health care providers are managing an increasing number of diverse beliefs/values that are commonly associated with preferences for mechanical ventilation (MV) at the end-of-life. The aim of this project is to explore methods used by health care providers to set care plans for MV with ethnocultural populations. Methods: Qualitative analysis of semi-structured interview

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22

Ahmed, Rukhsana. "Assessing the role of cultural differences on health care receivers' perceptions of health care providers' cultural competence in health care interactions." Ohio : Ohio University, 2007. http://www.ohiolink.edu/etd/view.cgi?ohiou1178244318.

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23

Ihsan, Shehla. "Cultural competency in pharmaceutical care delivery for minority ethnic communities." Thesis, University of Derby, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.732602.

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24

Whitman, Marilyn V. Permaloff Anne. "An examination of cultural and linguistic competence in health care." Auburn, Ala., 2006. http://repo.lib.auburn.edu/2006%20Fall/Dissertations/WHITMAN_MARILYN_10.pdf.

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25

Louw, Brenda. "Cultural Competence and Ethical Decision Making for Health Care Professionals." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1984.

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Cultural competence and ethical decision making are two separate, yet intrinsically related concepts which are central to services rendered by all health care professionals. Cultural competence is based on ethical principles and informs ethical decision making. In spite of this important connection, the interrelationship of these two concepts does not receive the attention it deserves in the literature. This issue is addressed by appraising the training and assessment of cultural competence and ethical decision making in the health care professions. The integrated relationship of these two con

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26

Abbe, Marisa Kristine. "An Analysis of Cultural Competence, Cultural Difference, and Communication Strategies in Medical Care." Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1283441352.

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27

Bradley, Erin Nicole. "Cultural Competence: An Issue For Education." Kent State University Honors College / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1303749360.

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28

OTUATA, Althea Michelle. "Cultural Competence of Public Health Nurses Who Care for Diverse Populations." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6800.

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Despite advances in health, science, and technology, U.S. healthcare lags in providing access to care and quality care to racial and ethnic minorities. Cultural competence has been noted as a strategy to improve access and quality. The purpose of this project was to assess public health nurses' cultural competence before and after participating in cultural competence informational modules. Two conceptual models were used in this project for theoretical guidance: Leininger's cultural care diversity and universality theory and Campinha-Bacote's process of cultural competence. To assess the nurse

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Green, Sashai A. "Cultural competence in long term care : a qualitative phenomenological study of nursing home administrators' knowledge and perception of cultural competence." Honors in the Major Thesis, University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1265.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.<br>Bachelors<br>Health and Public Affairs<br>Health Services Administration

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Yeritsyan, Sargis. "Just Culture Consulting, LLC| Cultural Competency Services for Healthcare Providers." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10839096.

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<p> The U.S. healthcare industry seeks to improve patient satisfaction as the national trend of increasing diversity and ethnic representation continues. The provision of culturally sensitive health care will not only increase patient satisfaction and outcome metrics but also allow healthcare organizations to thrive financially by meeting patient needs and payer requirements. Just Culture Consulting, LLC. is a start-up, for-profit healthcare consulting firm that will provide cultural competency and language training services for healthcare professionals. Just Culture Consulting, LLC. aims to b

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Kimbrel, Richard. "Igniting Change| Education Impact on ED Nurse Biases and Cultural Competence." Thesis, Grand Canyon University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10826453.

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<p> Ethical ED nurse leadership is faced with persisting challenges to delivering culturally competent care, which is crucial in reducing widespread racial healthcare disparities. Implicit biases are continually cited as key sources driving these inequities. However, research is lacking as how to effectively reduce implicit biases and increase health provider cultural competence. This quantitative, pretest-posttest project evaluated the efficacy of a cultural competency education by investigating if and to what extent the intervention decreased implicit biases and increased perceived cultural

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Dement, Betty Antoinette. "Empowering Cultural Competency in Healthcare Providers." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10822211.

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<p> Racial and ethnic health disparities are highest in communities of color; providing culturally competent care could address these disparities. Culturally competent communication between the healthcare provider and the patient is an essential behavior that may improve health in racially and ethnically diverse women. A quality improvement project was completed with guidance from the 5 constructs of the Campinha-Bacote model as the conceptual framework, and the method used was the Consumer Assessment of Healthcare Providers and Systems survey. The perspective of 20 Mexican American and 20 Afr

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33

Kasey, Jennifer Channel. "Building cultural competence in health care professionals : an instrumental case study of nursing students /." Full-text of dissertation on the Internet (673.46 KB), 2010. http://www.lib.jmu.edu/general/etd/2010/doctorate/kaseyjc/kaseyjc_doctorate_04-16-2010-03.pdf.

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34

Daugherty-Wood, Heather Nichole. "Measuring the Impact of Cultural Competence Training for Dental Hygiene Students." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429889900.

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35

Lilja, Fanny, and Madelene Tornerhjelm. "Cultural Competence in Care of Patients from Diverse Cultural Backgrounds : Experiences of Nursing Students in Gauteng Province, South Africa." Thesis, Blekinge Tekniska Högskola, Institutionen för hälsa, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-16308.

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Background: The society is rapidly changing in a demographic matter. As a result of this nurses are required to be equipped with the right skills and knowledge to approach a more diverse patient group. Hence, the health care is dependent on cultural competent nurses, without them the health care is vulnerable. Previous studies show that nurses are faced with great challenges when it comes to encounters with patients from different cultural backgrounds and that they lack the essential cultural knowledge which effects the quality and standard of care. This means high demands on the nursing curri

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36

Moreland, Janice M. "THE EFFECTS OF SERVICE-LEARNING ON CULTURAL SENSITIVITY, CULTURAL AWARENESS, AND CULTURAL COMPETENCE BEHAVIOR OF NURSING STUDENTS." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1437582500.

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37

Ponder, Linda Milam. "Improving access to care by determining key elements of culturally and linguistically appropriate healthcare interventions for Hispanic populations in Texas using a Delphi technique." Texas A&M University, 2005. http://hdl.handle.net/1969.1/4908.

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Cultural competence, mandated by Federal law since 1964, has not been appropriately addressed due to its lack of specifics and the lack of specifics within subsequent mandates. This study was designed to determine specific key elements of cultural and linguistic appropriateness which would "operationalize" cultural competence in the provision of healthcare services. Knowing the elements of cultural and linguistic appropriateness will assist non-Hispanic healthcare providers to remove personal barriers of cultural and linguistic differences for Texas' Hispanic population. The problem of cultura

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38

Zheng, Yan. "Strategies for Cross-Cultural Physician-Patient Communication: A Case of International Patients in a Cultural Competency Laboratory." Ohio University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1373634504.

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Gilliam, Krystal. "A model cultural competency handbook for health care professionals : creating an ideal handbook to reduce disparities /." View online version, 2010. http://ecommons.txstate.edu/arp/323/.

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40

Larson, Cynthia J. "The Relationship of Provider Cultural Competence and Utilization of Prenatal Care in the Hmong of Minnesota." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/979.

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Experts suggest that the cultural competence of healthcare providers is a critical factor impacting healthcare services to the ethnically diverse patient populations in the U.S. and that it may play a role in improving outcomes and reducing health disparities; however, the association between cultural competence and health outcomes remains unclear. This study used a cross-sectional quantitative design grounded by cultural competency constructs and the ethnic origins theory to explore the relationships between provider cultural competence, adequacy of prenatal care, and neonatal health outcomes

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Dindal, Derek, and Sabrina Sykes. "Identification and evaluation of courses within pharmacy school curricula focusing on health care disparities." The University of Arizona, 2012. http://hdl.handle.net/10150/623600.

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Class of 2012 Abstract<br>Specific Aims: To identify and assess cultural competency courses for healthcare professionals that are available to pharmacy students. Methods: A literature review was performed to identify research articles discussing pharmacy courses in health care disparities. Additionally, a systematic review of all curricula for ACPE accredited schools of pharmacy was conducted and these syllabi were subsequently evaluated. Main Results: The search identified XXX articles focusing on specific health disparities curricula in schools of pharmacy and XXX syllabi about specific cour

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Shergill, Amritpal Singh. "An evaluation of the Social Cultural Competency for Success training program for the acquisition of intercultural interpersonal competency skills among health care trainees." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq25158.pdf.

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Henry, Richard S. "“Even Five Years Ago this Would Have Been Impossible:” Health Care Providers’ Perspectives on Trans* Health Care." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6094.

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Trans* studies and issues have recently increased in coverage by the media and popular press. With recent changes in the DSM-5 (APA, 2000; APA 2013) and insurance law (HHS, 2014), trans* healthcare has been under increasing scrutiny. While a small number of studies (Bradford, Reisener, Honnold, & Xavier, 2013; Grant et al., 2011; Rounds, McGrath, & Walsh, 2013; Tanner et al., 2014) have documented discrimination and lack of cultural competencies from the perspective of trans* patients, little research exists that examines the training, support, and decision-making processes of medical professi

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McKenzie-Sherrod, Marsha. "Structured self-reflection in cultural competency programming for pre-health care professionals| An evaluation of curriculum effectiveness." Thesis, Union Institute and University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10294528.

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<p> In the United States, the patient population has substantially grown more ethnically diverse. Many of these patients present with ailments, such as heart disease, diabetes, and stroke, at a higher rate than their Anglo-European counterparts. Subsequent research has established a link between the health disparities of ethnically diverse communities and the lack of culturally competent physicians. Further investigation reveals cultural competency curriculum that omits the course element of self-reflection was less effective in achieving program objectives than those that provide an opportuni

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Chisolm, Deena Brown. "The Role of Perceived Discrimination and Perceived Cultural Competence in Predicting Use of Preventive Health Care Services." The Ohio State University, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=osu1052409673.

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Odigwe, Alicia. "Perceived Cultural Competence, Mental Health Distress and Health Care Access Factors among Post-Secondary Foreign-born Students." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1543580489988287.

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Gandy, Megan E. "Assessing LGBTQ youth cultural competency in direct-care behavioral health workers: Development and validation of a measure." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3741.

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Direct-care workers can provide an array of service types to children, adolescents, and their families in behavioral health treatment. They may also work in a variety of settings (e.g., group homes, inpatient units/hospitals, residential treatment, treatment foster care, day treatment, in-home treatment, etc.). Direct-care workers typically are involved in the supervision of youth and in the implementation of a treatment plan developed by the youth’s treatment team. For youth who are lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) and are receiving behavioral health servi

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48

Aguilar, Myriam Renee, and Amanda Nicole Robles. "Cultural competence needs of non-Latino foster parents: A study of transcultural foster care with Latino children." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2728.

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49

Ngum, Awasom fru. "Cultural Barriers in Healthcare Delivery from the Perspective of Patients." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-442091.

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Background Many patients especially from minority backgrounds are typically faced with cultural barriers during health care encounters and this hinders the delivery of culturally competent healthcare. This study seeks to understand how cultural barriers faced by patients are crucial in attaining the delivery of culturally competent healthcare. Aims The aim of this study is to examine cultural barriers in the delivery of healthcare services from the patient’s perspective. Method The method is a literature review based on qualitative primary research. Ten articles were selected from the CINAH

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Agosto, David. "Improving Lesbian, Gay, Bisexual, and Transgender Health Care Outcomes." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6158.

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Many lesbian, gay, bisexual, and transgender (LGBT) individuals report experiencing discrimination in their health care that leads to avoidance of regular appointments with providers. Lack of regular primary care can delay diagnoses of preventable conditions and increase patient risks for chronic disease complications. A systematic review of the literature was conducted to understand LGBT cultural competencies for nursing and other health care providers. The Cochrane Handbook for Systematic Reviews and Melnyk's levels of evidence framed this systematic literature review. Articles for inclusion

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