As a sub group, consisting …show more content…
There are clear links between cultural competence, improved quality of patient care and eliminating radical and ethnic disparities in healthcare (Walker and Barnett, 2007). The cultural competence development model (Papadopoulos et al, 2006), aims to provide a detailed framework for the development of culturally competent nursing, by combining the four stages of cultural awareness, cultural knowledge, cultural sensitivity and cultural competence. The first stage, cultural awareness, highlights our own self-awareness and cultural identity in order to identify the subtle differences between cultures that define our uniqueness and individuality (Papadopoulos et al, 2006). Cultural awareness is more concerned with the appreciation of the external signs of diversity such as physical characteristics (Purnell and Paulanka, 2008). In this case healthcare professionals need to be aware that English may not be Suzie 's first language and adjust accordingly by slowing down speech and ensuring she understands what is being said. However it is also vitally important not to stereotype and make assumptions based on appearance. Suzie may be of an ethnic minority, but this does not allow the healthcare professional to make judgement based on assumption. If the healthcare professional were to raise their voice, speak in simpler terms and slow down speech, when in fact the patient could speak and understand perfect English, this would show a lack of cultural sensitivity. Cultural sensitivity is concerned with personal attitudes, but also not saying things that could be offensive to an individual from ethnic or cultural background different from the healthcare provider (Purnell and Paulanka, 2008). One study assessed the level of cultural competence of community nurses, using the cultural competence