Welcome to Cross Cultural Helath Care - Case Studies. This interactive,
engaging learning module includes core concepts of, and four cross
cultural health care case studies, each accompanied by a lecture and
learning activities. The purpose of these case studies is to familiarize
the learner with the many issues that may arise while working in a
pediatric setting with people from different cultures. The first lesson
provides core concepts of cultural competence including health beliefs,
social factors and self-awareness of the health care provider that
are central to providing culturally competent care. Each case study
involves a family from a different culture and focuses on more specific
issues of working with culturally diverse families.
Our main focus, however, is not on teaching about specific cultures.
Rather, we hope to convey to the learner the types of beliefs or practices
that can differ from culture to culture. General background information
on most cultures is available on the Internet, but this information
does not tell the provider what an individual family believes, given
its degree of acculturation and its interpretation or acceptance of
cultural norms. Ultimately, the healthcare provider must learn from
an individual patient or family about the beliefs they hold and how
these impact the provision of healthcare.
Our goal is to expose the learner to the potential differences
between cultures, so that when a provider enters an encounter with
a patient and family he or she is sensitive to differences that may
exist, has the skills to explore these with the patient in order to
learn more about the patients’ beliefs and customs, and is able
to join with the patient to find a mutually acceptable, and beneficial
While most of these cases involve work with individual
patients/families, it is essential to understand that “cultural
competence” does not simply involve an individual health care
provider’s skill in working with patients from other cultures.
Cultural competence also includes the ability of programs and organizations
to meet the needs of culturally diverse patients. This often requires
fundamental changes in the way that an organization or program delivers
This learning module is centered on case stories that illustrate
and provide an opportunity to apply the concepts presented in each
lesson. You can navigate between the components of the lesson by clicking
the links in the bar on the left of the lesson pages. The components
are listed in the preferred order of use, but you will be able to go
into the components in any order and go into and out of the various
components, as you desire. The case story is an introduction to the
content presented in the lesson. As you work through the lesson think
about how it applies to your own work situation. The information in
the About This Topic section gives you an overview of the lesson. Concepts
that are underlined are further explained if you need this information.
We suggest that you listen to and watch the lecture before you proceed
to the learning activities where you will have the opportunity to apply
the information. You can take the quiz after you have completed the
rest of the components.
We have included links to the key written resources used for this lesson
and links to some websites that we have found to be useful that you
may use if you would like additional information on this topic.
Successful completion of the first lesson, Core Concepts in
Cultural Competence is a prerequisite for accessing the following case
stories. You can then complete one or all of the case stories.