Transcript Chapter 3

Cultural Guidelines
Essentials of Cultural Competence in Pharmacy
Practice: Chapter 3 Notes
Chapter Author: Dr. Duane A. Halbur
Learning Objectives
1. Understand various definitions of culture related to health
care.
2. Define stereotyping as unique from making generalizations.
3. Articulate how within-group differences impact the work of
a pharmacist.
Do you see what I see?
How many legs does the elephant
have?
Group Differences
 Ample research indicates that within-group differences are
more significant than between-group differences.
 Thus, the information contained in upcoming chapters
should be viewed as generalizations while keeping the
individual patient at the forefront.
Within-Group Differences
 It is important to look at how individuals differ within a
cultural group even though they may share some common
traditions and characteristics.
 This is especially true when providing pharmaceutical care
where meeting the needs of individual patients is a major
goal.
Cultural Competence
 One component of cultural competence is being “able to
recognize differences, identify similar patterns of responses,
avoid stereotyping by acknowledging variations, and balance
his or her own caring actions by recognizing differences and
avoiding stereotyping.”
Stereotypes
 Unfortunately, it is easy to stereotype people on the basis of
their race, ethnicity, or culture.
 Many stereotypes are prejudices.
 Stereotyping ultimately involves understanding or defining a
group of people in such a way that the observer does not go
beyond a narrow description that has been indiscriminately
applied to all people in a given group.
Generalizations
 Generalizations can help one to understand a cultural group.
They are a way to temporarily categorize information for
pragmatic purposes.
 Generalizations are useful starting points for data gathering
and assessment.
 To stereotype is to place all people who have certain
characteristics in a category without further consideration.
 Generalization, on the other hand, is a necessary starting
point for classifying information about people.
Key Domains of Culture
 Culture, as defined by Purnell & Paulanka, is “…the totality
of socially transmitted behavioral patterns, arts, beliefs,
values, customs, life-ways, and all other products of human
work and thought characteristics of a population of people
that guide their worldview and decision making.”
Components of Cultural Primers
 Each of the cultural primer chapters contain 8 areas:
 Overview
 Communication styles
 Family roles
 Workforce issues
 Biocultural ecology and relevant diseases
 High-risk behaviors
 Nutrition
 Child-rearing practices
Reflection Questions
1. What cultures are you most interested to learn about?
2. What cultures do you believe you have the least
understanding about?
3. How would you define culture?
4. How important do you think cultural factors are in
pharmacy practice?