Historically, cultural competence included providing a list of traits or characteristics germane to ethnic and racial groups. Although it is important to understand cultural groups broadly rather than merely reducing information to a cultural list, health care professionals need to know how individual patients experience their illness or injury. The purposes of this paper are to provide health care professionals an example of how to elicit cultural information from the patient’s perspective using the outline for cultural formulation and cultural formulation interview, to discuss the need to be aware of the social determinants of health in order to help patients or clients beyond cultural needs, and to suggest advocacy through a social-justice lens.
Miranda Brunett and René Revis Shingles
Clinical Scenario : The level of cultural competence of health care providers has been studied. However, limited scholarship has examined whether the cultural competence of the health care provider affects patient satisfaction. Focused Clinical Question: Does cultural competence of health care providers influence patient satisfaction with their experience with their provider? Summary of Key Findings: Having a culturally competent health care provider, or one who a patient perceives as culturally competent, does increase patient satisfaction. Clinical Bottom Line: Cultural competence in health care plays an important role in patients being satisfied with their providers, as well as patients willingly and actively participating in their treatment. Strength of Recommendation: Questions 1 to 5 and 9 of the critical appraisal skills program were answered “yes” for all studies in the critically appraised topic. Thus, the authors strongly support the findings.