Cultural Competence in Health Care

ANNE RUNDLE, R.N., has served as manager of specialty programs at South End Community Health Center in Boston, Massachusetts and Coordinator of the Center for Families at Children's Hospital in Boston. She has founded a consulting firm that specializes in improving hospitals' skills at patient communica-tions, called Health Care Competence (healthcarecompetence.com). She also is an instructor in the graduate school for health studies at Simmons College in Boston. MARIA CARVALHO, LICSW, is a clinical social worker and head of the Spanish Service Team at Children's Hospital.MARY ROBINSON, M. Div., is a board-certified chaplain and Director of Pastoral Care at Children's Hospital.

• Preface xiAbout the Editors xiiiEditors and Consultants xvIntroduction xxiCulture of the Health Care Provider xxiiPurpose of the Book xxiiiStrategies for Providers xxivPart 1 Cultural Traditions 11. Africa 3Cape Verde 3Eritrea 7Ethiopia 11Nigeria 15Somalia 182. Asia 23Cambodia 23China 27India 31Japan 35Vietnam 393. Central America and the Caribbean 43Central America and Mexico 43Dominican Republic 47Haiti 504. Europe 53Greece 53Gypsies (Roma) 56Portugal 61Russia 645. The Middle East 67Saudi Arabia 676. South America 71Brazil 717. North America 75African American 75Native American (North American Indian) 79Puerto Rico 838. Nationality-Independent Cultural Groups 87Deaf or Hard-of-Hearing 87Families with Gay or Lesbian Parents 91Case Study: Caribbean Culture 95Part 2. Religious Traditions 999. Religion and Spirituality 101Special Issues for Providers 101Facilitating Discussion About Spiritual Matters 10310. Religions 107Buddhism 107Church of Jesus Christ of Latter-Day Saints (Mormon) 111First Church of Christ, Scientist (Christian Science) 116Hinduism 122Islam (the Faith of Muslims) 126Jehovah's Witness 131Judaism 135Eastern Orthodox 140Protestantism (Christian) 144Roman Catholicism 148Santeria 153Case Study: Rabbi Shapiro 157Part 3. Tools 16111. Utilizing Resources to Better Serve Multicultural Patients 163Consultation on Cultural or Religious Issues 163Interpreter Services 164Pastoral Care 169Other Members of the Health Care Team 169External Consultants 169Template for Collecting Cultural Information 170Template for Collecting Information About Religious Traditions 17212. Meeting Joint Commission Standards Related to Culture and Religion 175Assessment of Patients 177Patient and Family Education 179Care of Patients 186Patient Rights 190Standards Update, 2001 196Ongoing Challenges 199Appendix 203Standard for Nursing Practice: Culture and Care 203Emergency Baptism Procedures 205Ethics Committee Consultation 207Ethics of Redirecting Goals of Care 209Religious Objections to Blood Transfusions 214Organ and Tissue Donation 216Patient and Family Education 219References and Other Resources 223Index 229