Cultural Humility for Transformative Change Michele J. Upvall,, PhD, RN, CRNP Professor of Nursing
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Cultural Humility for
Transformative Change
Michele J. Upvall,, PhD, RN, CRNP
Professor of Nursing
+Outcomes
Articulate the evolving role of cultural concepts within nursing practice
Analyze the conceptual basis of cultural humility
Integrate the conceptual definition of cultural humility into practice for
transformative change
+
+
Cultural Humility Defined
Incorporates a lifelong commitment to self-evaluation
and self-critique, addressing power imbalances in the
provider-client relationship and to the development of
mutually beneficial and dynamic partnerships.
Tervalon & Murray-Garcia, 1998
+
Cultural Competence
Cultural Humility
+Cultural Competence
A complex know-act grounded in critical reflection and action, which the
health care professional draws upon to provide culturally safe, congruent,
and effective care in partnership with individuals, families, and
communities living health experiences and which takes into account the
social and political dimensions of care.
Garneau & Pepin, 2015, p. 12
+Conceptual Basis of Cultural Humility
What does it mean to be “humble”?
Where is humility in the literature?
Qualities of humility as a virtue
Self-knowing
Mode for genuine gratitude to others
+Transformative Change
How do we integrate
cultural humility for
change?
Self in relation to the
community
Working in
collaboration with the
community
Nursing practice in a
globalized world
+Goals of Partnerships
Transformation of guest and host partners
Transformation of organizations
Improved outcomes for individuals and/ or
populations
+Nurse as Guest
The guest should be invited and not force a way into the community
No demand should be made to the community to adhere to predefined
biomedical standards
Self-serving attitudes should be replaced with an attitude of other-serving
when participating in projects
Co-participation is required of all
+References
Campinha-Bacote, J. (2003). The process of cultural competence in the delivery of
healthcare services. Transcultural C.A.R.E. Associates: Author.
Crigger, N. & Godfrey, N. (2010). The importance of being humble. Advances in Nursing
Science, 33(4), 310-319.
Garneua, A.B. & Pepin, J. (2015). Cultural competence: A constructivist definition. Journal of
Transcultural Nursing, 26(1), 9-15.
Grootjans, J. & Newman, S. (2012). The relevance of globalization to nursing: A concept
analysis. International Nursing Review, 60, 78-85.
+References
Leininger, M. (1991). Cultural care and universality: A theory of
nursing. New York: National League for Nursing Press.
Milton, C. (2012). Teaching-learning in community: The metaphor of
nurse as guest. Nursing Science Quarterly, 25(2), 137-139.
Purnell, L. (2013). Transcultural health care: A culturally competent
approach (4th ed.). Philadelphia, PA: F.A. Davis.
Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus
cultural competence: A critical distinction in defining
physician training outcomes in multicultural education.
Journal of Health Care for the Poor and Underserved , 117- 125.
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