one word to describe cultural humility for me is is Love Actually if I had to encapsulate cultural familiar the whole concepts of cultural humility it doesn't do it justice but the word that I think of it is essence escucha being you opening ricci compassion love the principles of cultural humility offer one more framework to contribute to what has got to be our ultimate goal yes our ultimate goal is that there will be a sense of equity a sense of equality and a kind of and a kind of respect that we are driving forward cultural humility that is a multi-dimensional concept and certainly Melanie tovahleh and I conceptualized three dimensions the first is life long learning and critical self-reflection and in the critical self-reflection it is the understanding of how each of us every single one of us is a complicated multi-dimensional human being each of us comes with our own histories and stories our heritage our point of view you're looking at me now I am very fair-skinned when I was a little girl my hair was blond my eyes are blue people often tried to call me anything but african-american I have a history my identity is rooted in that history my parents gave me the knowledge of my own social identity and my own experience and life is created that I get to say Who I am the second tenet after a self-reflection and ongoing lifelong learning and development is is this notion that we must mitigate the power imbalances to recognize and mitigate the power imbalances that are inherent often in our clinician patient or clinician client or service provider community dynamics and then finally the the piece that I would offer the Jan and I feel people often either don't read or don't like which is and the institution has to model these principles as well an african-american nurse is caring for a middle-aged Latino woman several hours after the patient had undergone surgery a Latino physician on a consult service approached the bedside and noting the Moni patient commented to the nurse that the patient appeared to be in a great deal of post-operative pain the nurse and merrily dismissed his perception informing him that she took a course in nursing school in cross-cultural medicine and knew that Hispanic patients over expressed the pain that they're feeling the Latino physician had a difficult time influencing the perspective of this nurse who focused on her self-proclaimed cultural expertise it was curious to this latino physician who first of all was Latino not like all in his case not like all mexican-americans know everything there is to know about mexican-american patients that wasn't it but he might have been a resource for that african-american nurse in that moment that she didn't feel like she needed again because she had bought into this notion of competence of cultural competence the distinction between cultural humility and cultural competence was that we were in a process in a relationship that had many other layers to it and that we were less comfortable with this I would even the term of competence in a way that I think people understand well and that it implies especially for people who are providers and are trained in academia that you are then all-knowing and all-powerful and we felt like that was not what was happening for us as we were learning from community and understanding and in a very practical way how families were coming to the hospital and feeling as if they really were not being heard from their own heritage in history and how that impacted what they came to the hospital with that we could didn't know anything about hadn't even a clue about for us this is part of the humility piece of it getting to understand not trying to humiliate you not trying to make you feel bad trying to help us all understand that there but life is like this and in a certain sense be really happy about not knowing in April of 1992 in the wake of the Los Angeles Riots following the initial not guilty verdict of the police officers accused of beating mr. Kings the Children's Hospital Oakland community was compelled to meet in a series of highly charged sessions to expose and critique our own patterns of institutional racism injustice and inequity my name is dr. Melanie tourbillon and I am director of multicultural affairs here at Children's Hospital Oakland I want to thank everybody for coming to what is a celebration for me of this year Jen and I had the good fortune really to be together in the same place when this work was evolving Jana and I while we were several years difference in age are both african-american women and both raised by women who were teachers and we come out of that and and fathers who were working men who come out of that Southern tradition and who participated fully in the civil rights movement in the way that meant that they made sacrifices and their children made sacrifices and they taught us about those sacrifices and raised us each in ways to understand that we were here to serve

Author Since: Mar 11, 2019

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