Evolution of A Practitioner's Cultural Competence and Cultural Humility With Three Culturally and Linguistically Diverse Families: A Case Study.

Purpose: The objective of this case study was to document a practitioner's evolution in cultural competence and cultural humility when delivering aural rehabilitation via telepractice to three families. Method: The participants in this study included the practitioner and three mothers residing in di...

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Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 8; no. 6; pp. 1485 - 1500
Autores principales: Bharadwaj, Sneha V., Daniel, Linda L.
Formato: case study research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
      vid: 8
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        174109536
        174109536
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        10.1044/2023_PERSP-22-00260
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        atl: Evolution of A Practitioner's Cultural Competence and Cultural Humility With Three Culturally and Linguistically Diverse Families: A Case Study.
      aug:
        au:
          Bharadwaj, Sneha V.
          Daniel, Linda L.
        affil: Department of Communication Sciences and Oral Health, Texas Woman's University, Denton
      sug:
        subj:
          Rehabilitation of Persons with Hearing Loss
          Health Personnel Psychosocial Factors
          Telemedicine Methods
          Cultural Competence Evaluation
          Cultural Sensitivity
          Linguistics
          Family Health
          Human
          United States
          Ethnographic Research
          Case Studies
          Interviews
          Descriptive Statistics
          Pretest-Posttest Design
          Self Assessment
          Patient Satisfaction
          Feedback
          Collaboration
          Cultural Diversity
      ab: Purpose: The objective of this case study was to document a practitioner's evolution in cultural competence and cultural humility when delivering aural rehabilitation via telepractice to three families. Method: The participants in this study included the practitioner and three mothers residing in different countries, all receiving aural rehabilitation coaching with their children via telepractice. The practitioner implemented an eightstep process to advance her cultural competence and cultural humility. She used the Ucare self-assessment tool pre- and postintervention to assess her cultural competence. Ethnographic interviews were conducted by the first author with the mothers to ascertain their cultural perspectives. Information from these interviews led to a 3-month phase of culturally modified intervention. A second interview was conducted with the mothers to evaluate their satisfaction with the modified intervention. The practitioner repeated the self-assessment after the modified intervention phase and documented her reflections and self-critique. Results: The pre-intervention cultural competence scores revealed that the practitioner had minimal awareness of the three cultures. Post intervention scores showed some improvement in cultural competence, though they remained in the minimal awareness category. Interview data revealed that the mothers approved of the modified intervention. The practitioner's selfassessment and self-reflection and the interviews with the mothers led to an action plan to further the practitioner's cultural competence. Conclusions: The eight-step process implemented by the practitioner led to increased cultural competence scores and the mothers' satisfaction after 3 months of culturally adapted intervention. The practitioner's perception and mothers' feedback suggested that more culturally congruent care was provided. Ongoing practitioner--mother collaboration was agreed upon to facilitate the practitioner's continued advancement in cultural competence.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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