Cultural Humility in Health Promotion Practice
Victoria Baker, PhD, CPH, CNM
Associate Professor of Midwifery & Women's Health, Frontier Nursing University
AAFP 1.0 | ACSM 1.0 | CDR 1.0 | NCHEC 1.0
Cultural competence in clinical care, more recently conceived of as cultural humility, has assumed a justifiably important role in clinical health practice. It leads to improved health outcomes for individuals, the law requires it, and it reduces health disparities in populations. In health promotion we have longer term relationships, use a collegial approach between clinician and client, and must integrate cultural context into lifestyle changes. This makes cultural humility even more important to the health promotion clinician.
But, even clinicians convinced of its importance often find it difficult to see how to improve their practice with clients from a diversity of cultures. Many workshops for improving clinical skill in this area take an anthropological approach, focusing on the meaning of culture, leaving the clinician without a clear path for improving their practice. Others focus on memorizing cultural characteristics of different groups, both encouraging stereotyping and overwhelming clinicians with the impossibility of remembering them all. Both of these approaches have value, but stop short of giving clinicians a roadmap for improving practice over time. In this workshop participants will use the Campinha-Bacote model to identify specific approaches to improving clinical practice, leading to more productive cultural encounters. And, every clinical encounter constitutes a cultural encounter.
An academic clinician, Victoria (Tori) Baker has consulted in teaching health equity, served on academic committees to increase diversity, and presented on incorporating cultural humility into teaching and practice. Since 1988, she has taught public health, obstetrics, cultural competence, and social justice, in English and in Spanish. Currently she teaches online for the Frontier Nursing University. She has consulted in public health, directed the University Hospital Nurse-Midwives, and represented a non- governmental organization in Nicaragua. She has studied services research, nurse- midwifery and public health.