Cultural Sensitivity Training Research Articles

Unraveling Challenges: Factors Influencing English Translation Competence in Higher Education ESL Students

This study investigates the intricate challenges faced by undergraduate students in English translation through the analysis of text samples from a cohort of 40 participants. By identifying and elaborating on key themes such as linguistic complexity, grammatical inconsistencies, cultural nuances, lexical choices, syntax issues, and terminology discrepancies, the research provides a comprehensive exploration of the difficulties encountered in the translation process. Drawing on specific examples, the study not only corroborates existing research findings but also contributes new insights into the nuanced nature of these challenges. The implications for educators and institutions are discussed, emphasizing the pressing need for targeted interventions. These interventions encompass language development programs, cultural sensitivity training, and the integration of technology to enhance students' translation competence. The study extends beyond mere identification of challenges by offering practical recommendations to improve the quality of English translation education at the undergraduate level. The findings serve as a valuable resource for educators, curriculum designers, and policymakers seeking to refine pedagogical approaches and provide more effective support structures for students navigating the complexities of English translation.

Speaking Proficiency of Bachelor Level First Year EFL Students

This study investigated the speaking proficiency of bachelor level first year students who studied English Education at four affiliated campuses under the Facultuy of education (FoE), Tribhuvan University (TU). The data was collected from 40 students who were sampled using simple random sampling. The data was collected using oral test which examined eight aspects of speaking proficiency: accuracy, fluency, pronunciation, vocabulary, appropriateness, comprehension, confidence and body language. Oral test was also complemented by observation. The students’ speaking performance was scored and the scores were analyzed and interpreted using statistical and descriptive methods. The findings indicated that the students scored an average of 15.85% in speaking, with 55% below the average and 45% above. The study recommended various interventions, such as interventions like communication workshops, peerassisted learning, cultural sensitivity training, and interactive language exposure, to address the specific challenges and improve the overall speaking proficiency of the students. Furthermore, Multimodal instruction is proposed to boost pronunciation, vocabulary, appropriateness, and body language to improve speaking skill.

Disparities in Breast Cancer Diagnostics: How Radiologists Can Level the Inequalities.

Access to medical imaging is pivotal in healthcare, playing a crucial role in the prevention, diagnosis, and management of diseases. However, disparities persist in this scenario, disproportionately affecting marginalized communities, racial and ethnic minorities, and individuals facing linguistic or cultural barriers. This paper critically assesses methods to mitigate these disparities, with a focus on breast cancer screening. We underscore scientific mobility as a vital tool for radiologists to advocate for healthcare policy changes: it not only enhances diversity and cultural competence within the radiology community but also fosters international cooperation and knowledge exchange among healthcare institutions. Efforts to ensure cultural competency among radiologists are discussed, including ongoing cultural education, sensitivity training, and workforce diversification. These initiatives are key to improving patient communication and reducing healthcare disparities. This paper also highlights the crucial role of policy changes and legislation in promoting equal access to essential screening services like mammography. We explore the challenges and potential of teleradiology in improving access to medical imaging in remote and underserved areas. In the era of artificial intelligence, this paper emphasizes the necessity of validating its models across a spectrum of populations to prevent bias and achieve equitable healthcare outcomes. Finally, the importance of international collaboration is illustrated, showcasing its role in sharing insights and strategies to overcome global access barriers in medical imaging. Overall, this paper offers a comprehensive overview of the challenges related to disparities in medical imaging access and proposes actionable strategies to address these challenges, aiming for equitable healthcare delivery.

The Impact of Globalization on Samoa’s Education System: Cultural Integration and Educational Transformation in Navigating Globalization’s Impact on Samoa’s Education System

This research delves into the intricate interplay between globalization and Samoa’s education system, guided by renowned theoretical frameworks and enriched by the voices of 40 diverse participants. These responses from the participants were then analyzed using thematic approach, generating themes that were elaborated in the findings. The impact of globalization is multifaceted, transcending cultural integration, technological advancements, curriculum adaptation, pedagogical shifts, and stakeholder perceptions. Drawing on Appadurai’s (1996), theory of disjuncture and difference, the study examines how Samoa balances the infusion of global cultures with the preservation of its indigenous values. It underscores the need for cultural sensitivity training for educators and digital inclusivity initiatives to ensure equitable access to educational resources. The integration of global technology and curriculum adjustments in Samoa echoes global trends while demanding periodic reviews rooted in local contexts. Pedagogical shifts towards collaborative learning and critical thinking align with UNESCO’s (2017), global guidelines but must be tailored to honor the Pacific’s socio-cultural fabric. Varied stakeholder perceptions reveal the complexity of globalization’s impact, emphasizing the importance of ongoing dialogue and collaboration to create an education system that is both globally accustomed and locally relevant. In essence, Samoa’s educational journey in the age of globalization is a testament to its adaptability and resilience, offering a blueprint for navigating the complex forces of global change while preserving its rich cultural heritage.

Smoking Quit Attempts and Associated Factors Among Rural Adults Who Smoke Daily in the United States.

Rural American communities are heavily affected by tobacco-related health disparities. This study aims to evaluate the prevalence of quit attempts (QAs) and factors that promote or impede QA among rural adults who smoke daily. Data from Wave 5 of the Population Assessment of Tobacco and Health study were analyzed. Multivariable logistic regression was used to identify factors associated with QA. Backward selection was used to identify variables included in the final model with statistical significance set at p < .05. Among 1610 rural adults who smoked daily, the prevalence of a QA in the past 12 months was 25.6% (95% confidence interval [CI]: 23.2, 28.2). Factors associated with greater QA odds: having greater education (adjusted odds ratio [aOR] = 1.35, 95% CI: 1.03, 1.77), e-cigarette use (aOR = 1.35 95% CI: 1.03, 1.80), disapproval of smoking from friends/family (aOR = 1.46, 95% CI: 1.09-1.94), greater frequency of thinking about the harm of tobacco (aOR = 1.48, 95% CI: 1.28, 1.71), fair/poor physical health (aOR = 1.31, 95% CI: 1.00, 1.70), and being advised to quit by a doctor (aOR = 1.63, 95% CI:1.25, 2.13). Smokeless tobacco use (aOR = 0.67, 95% CI: 0.47, 0.96) and greater cigarettes per day (aOR = 0.67, 95% CI: 0.47, 0.96) were associated with QA lower odds. Only one in four rural adults who smoke made a past-year QA. Interventions that promote provider advice to quit smoking, tobacco health harms, and normative beliefs may increase QAs in rural communities. Along with higher smoking rates and lower QAs, rural communities face limited access to programs, medication, and health care professionals as tools to help them quit smoking. Public Health initiatives should focus on developing cultural sensitivity training targeting health care professionals to advise patients to quit smoking and the role of multiple tobacco product use. Furthermore, given the low rates of smoking QAs, future mixed-methods research is needed to inform policies and interventions targeted at eliminating tobacco-related health disparities.

Exploring Adolescent Pregnancy Expectations in Continuity of Midwifery Care: A Qualitative Study in Indonesia

Introduction: Adolescent pregnancy presents a significant challenge to global reproductive health, including in Indonesia. The unique obstacles that young pregnant women encounter when seeking appropriate and supportive healthcare services call for a deeper understanding to improve maternal care. Purpose: This study aims to explore the expectations of young pregnant women regarding continuous midwifery care in Indonesia. Method: This research employed an exploratory qualitative approach, conducting 13 face-to-face interviews between January and June 2022. Participants included midwives, young mothers, a coordinating midwife, and Mother and Child Health (MCH) program holders. Interviews, lasting 1-1.5 hours, were conducted, and the interview data were rigorously analyzed thematically by the research team, strengthening data reliability through triangulation. Results: Continuity management emphasizes friendly service, privacy, clear communication, and comprehensive health assessments. Informational continuity involves comprehensive information, direct communication, attractive aids, and health education evaluation. Relational continuity highlights comprehensive maternal care, family tradition approval, reminders, and efficient care. The study underscores the importance of tailored, holistic, and culturally sensitive midwifery care for young pregnant women's overall well-being. Conclusion: This study highlights adolescent pregnant women's unique needs, focusing on continuity management, informational continuity, and relational continuity. Proposed strategies include tailored health services, comprehensive maternal education, cultural sensitivity training for healthcare providers, policy integration, and diverse research. Successfully implementing these measures can significantly enhance maternal care outcomes for Indonesian adolescents.

Unveiling the impact and efficacy of cross-cultural divorce counselling procedures

Cross-cultural divorce counselling is a type of therapeutic approach that aims to help people and families cope with the complexities of divorce in different cultural contexts. This includes a variety of culturally adaptive and context-specific solutions that target not only the legal and emotional issues of divorce, but also the cultural complexities that can influence the experience and resolution of divorce. This includes access to qualified interpreters, cultural sensitivity training, and customized legal support. This study essentially states that to effectively deal with the complexity created by the diversity of legal systems around the world, a harmonized strategy (as illustrated in the suggested solution) is needed. This reinforces the view that it is clear that this interface requires a multifaceted and adaptable approach to legal methodology. Establishing an effective legal approach in cross-cultural divorce counselling requires more than simply addressing legal complexities. It is about creating an environment where people from different cultural backgrounds have access to justice, understanding and solutions that are tailored to their specific cultural background. This paper outlines the need for cross-disciplinary collaboration and pre-emptive measures to improve cross-border divorce counselling, leading to optimal results for all parties involved.

Exploring cultural sensitivity during distance simulations in pediatric emergency medicine.

Cultural sensitivity (CS) training is vital to pediatric emergency medicine (PEM) curricula. This study aimed to explore CS in Yale PEM fellows and emergency medicine (EM) residents at Indus Hospital and Health Network (IHHN) in Pakistan through distance simulation activities. This mixed-methods analysis of an educational intervention was conducted at Yale University in collaboration with IHHN. We approached seven U.S. PEM fellows and 22 Pakistani EM residents. We performed a baseline CS assessment using the Clinical Cultural Competency Questionnaire (CCCQ). Afterward, the U.S. PEM fellows facilitated the Pakistani EM residents through six distance simulation sessions. Qualitative data were collected through online focus groups. The CCCQ was analyzed using descriptive statistics, and content analysis was used to analyze the data from the focus groups. Seven U.S. PEM fellows and 18 of 22 Pakistani EM residents responded to the CCCQ at the beginning of the module. The mean (±SD) CCCQ domain scores for the U.S. PEM fellows versus the Pakistani EM residents were 2.56 (±0.37) versus 2.87 (±0.72) for knowledge, 3.02 (±0.41) versus 3.33 (±0.71) for skill, 2.86 (±0.32) versus 3.17 (±0.73) for encounter/situation, and 3.80 (±0.30) versus 3.47 (±0.47) for attitude (each out of 5 points). Our qualitative data analysis showed that intercultural interactions were valuable. There is a common language of medicine among the U.S. PEM fellows and Pakistani EM residents. The data also highlighted a power distance between the facilitators and learners, as the United States was seen as the standard of "how to practice PEM." The challenges identified were time differences, cultural practices such as prayer times, the internet, and technology. The use of local language during debriefing was perceived to enhance engagement. The distance simulation involving U.S. PEM fellows and Pakistani EM residents was an effective approach in assessing various aspects of intercultural education, such as language barriers, technical challenges, and religious considerations.

FEATURES OF STRATEGY FORMATION OF UKRAINIAN COMPANIES ON INTERNATIONAL MARKETS

FEATURES OF STRATEGY FORMATION OF UKRAINIAN COMPANIES ON INTERNATIONAL MARKETS

Analysis of Cross-Cultural Communication Using the DEMATEL Method

Cross-Cultural Communication encompasses a diverse range of interactions within cultural contexts, involving the exchange of ideas and emotions. This exchange can occur through both verbal and non-verbal means, encompassing various cultural norms, values, and customs. Effective communication is integral in numerous contexts such as business, education, healthcare, and social organizations, and is particularly crucial in our interconnected world, where individuals with diverse backgrounds frequently engage. In this globalized landscape, cross-cultural communication stands as an indispensable tool for successful interaction and mutual understanding. Awareness of Cultural Differences: Understanding that different cultures have distinct communication styles, norms, and etiquette is fundamental. This awareness helps in avoiding misunderstandings and misinterpretations. Language Proficiency: Language is a primary tool of communication. While English is often used as a global lingua franca, it's important to recognize that not everyone may be equally proficient. Accommodating different levels of language proficiency is crucial. Motions, posture, reactions to situations, even eye contact are all examples of communication that is not verbal. convey a significant portion of a message. These can vary widely across cultures and can sometimes lead to misinterpretations. Listening Skills: Actively listening and paying attention to verbal cues, tone, and non-verbal cues is crucial. It helps in understanding not only the words being spoken but also the underlying feelings and intentions. Respect and Open-Mindedness: Respecting and valuing different cultural perspectives is key to successful cross-cultural communication. Being open-minded and curious about other cultures fosters positive interactions. Avoiding Stereotypes and Assumptions: Making assumptions based on stereotypes can lead to misunderstandings. It's important to approach each individual as just that—an individual with unique experiences and perspectives. Cross-cultural communication research holds a profound significance in our increasingly interconnected world. It serves as a crucial foundation for fostering understanding, tolerance, and cooperation between people from diverse cultural backgrounds. In a globalized society where individuals and groups regularly interact, the research equips us with essential insights into the nuances of communication across cultures, helping to mitigate misunderstandings and conflicts. Beyond interpersonal interactions, it plays a pivotal role in promoting successful international business relationships, enhancing diplomatic ties, and ensuring the efficacy of educational exchange programs. Moreover, it contributes to the creation of inclusive environments, where diversity is celebrated, and individuals from various backgrounds can thrive. In healthcare, cross-cultural communication research is vital for delivering equitable and effective services, and it also aids in the resolution of conflicts by considering cultural perspectives. This research, spanning multiple academic disciplines, has far-reaching implications for enhancing the quality of our personal, professional, and societal interactions. Cultural Sensitivity Training, Awareness of Cultural Differences, Language Proficiency, Non-Verbal Communication and Listening Skills. the Rank using the DEMATEL for Cross-Cultural Communication. Cultural Sensitivity Training is got the first rank whereas is the Awareness of Cultural Differences is having the Lowest rank.

Project Respect: experiences of seriously ill LGBTQ+ patients and partners with their health care providers.

Discrimination against lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons in health care creates barriers to serious illness care, including patients avoiding or delaying necessary care, providers disrespecting wishes of surrogates, and adverse outcomes for patients and families. A cross-sectional mixed-methods study using an online survey was used to determine the extent to which LGBTQ+ patients and spouses, partners, and widows experienced disrespectful or inadequate care due to sexual orientation or gender identity. A total of 290 LGBTQ+ patients and partners reported high levels of disrespectful and inadequate care, including 35.2% stating their provider was insensitive to them because of their identity; 30% reporting their provider was unaware of LGBTQ+ health needs; 23.1% feeling judged; 20.7% experiencing rudeness; 20.3% stating providers did not use their correct pronouns; and 19.7% reporting their treatment decisions were disregarded. Black and Hispanic patients were 2-4 times more likely than non-Hispanic White patients to report discrimination. This study demonstrated high levels of disrespectful and inadequate care towards patients and partners due to being LGBTQ+, which was especially problematic for Black and Hispanic patients and those living in politically conservative regions. Recommendations include federal and state civil rights laws to prohibit LGBTQ+ discrimination and institutional practices to address discrimination, including cultural sensitivity training for staff.

Sociodemographic Variables in Canadian Organ Donation Organizations: A Health Information Survey.

We conducted an electronic, self-administered cross-sectional survey of all ODOs in Canada from November 2021 to January 2022. We targeted key knowledge holders familiar with the data collection processes within each Canadian ODO known to Canadian Blood Services. Categorical item responses are presented as numbers and proportions. We achieved a 100% response rate from 10 Canadian ODOs. Most data were collected by organ donation coordinators. Only 2 of 10 ODOs reported using scripts explaining why sociodemographic data are being collected or incorporated training in cultural sensitivity for any given variable. A lack of cultural sensitivity training was endorsed by 50% of respondents as a barrier to the collection of sociodemographic variables by ODOs, whereas 40% of respondents identified a lack of training in sociodemographic variable collection as a significant barrier. Few programs routinely collect sufficient data to examine health inequities with an intersectional lens. Most data collection occurs midway through the ODO interaction, creating a missed opportunity to better understand differences in social identities of patients who register their intention to donate in advance or who decline the donation. National standardization of equity-relevant data collection definitions and processes of the collection is needed.

"We really are seeing racism in the hospitals": Racial identity, racism, and doula care for diverse populations in Georgia.

Poor birth outcomes are more prevalent for Black communities, but strong evidence shows that doula care can improve those outcomes. More evidence is needed to understand racial differences, discrimination, and equity in doula care. The current study's objective was to describe the experiences of Black doulas as well as the challenges and facilitators of providing doula care to communities of color in Georgia. From Fall 2020-Fall 2021, 20 surveys and in-depth interviews were conducted with doulas as part of a community-based participatory study co-led by Healthy Mothers, Healthy Babies Coalition of Georgia and academic researchers. Doula participants were diverse in age (5% under 25, 40% 25-35, 35% 36-45, and 20% 46+) and race/ethnicity (45% white, 50% Black, 5% Latinx). Most (70%) Black doulas reported that more than 75% of their clientele is Black, while most (78%) white doulas reported that less than 25% of their clientele is Black. Doulas noted the alarming Black maternal mortality rate and how mistreatment causes Black clients to lose trust in medical staff, leaving them in need of advocates. Black doulas were passionate about serving and advocating with Black clients. Participants also described how language and cultural barriers, particularly for Asian and Latinx people, reduce clients' ability to self-advocate, increasing the need for doulas. Doulas also discussed the ways that race influences their connections with clients and their dissatisfaction with the lack of cultural humility or sensitivity training in standard doula training. Our findings indicate that Black doulas provide essential and supportive services to Black birthing people, and those services are more urgently needed than ever following the overturn of Roe v. Wade. Doula training must be improved to address the cultural needs of diverse clients. Increasing access to doula care for Asian and Latinx communities could also address language and cultural barriers that can negatively impact their maternal and child health outcomes.

The Consultant Psychiatrist and the Transgender Patient

The Consultant Psychiatrist and the Transgender Patient

Effectiveness of Cultural Sensitivity Training on Undergraduate Students' Knowledge, Self-Efficacy, and Ethnocultural Empathy.

Institutional racism and systemic bias must be addressed in health care education with embedded cultural sensitivity training. We report the results of remote training on culturally sensitive care to increase knowledge, self-efficacy, and empathy in undergraduate nursing students ( n = 16). The training included four weekly remote sessions (~90 minutes). A pre-post survey indicated knowledge and self-efficacy increased ( p < .01); empathy increased but not significantly, likely because of ceiling effects ( p > .11). Compliance (94%) and satisfaction were excellent. This pilot study demonstrates a flexible, effective training model for nurse educators to implement within or alongside undergraduate nursing curricula.

Culturally Responsive Cognitive Behavioral Therapy for Ethnically Diverse Populations.

Cognitive behavioral therapy (CBT) is often referred to as the "gold standard" treatment for mental health problems, given the large body of evidence supporting its efficacy. However, there are persistent questions about the generalizability of CBTs to culturally diverse populations and whether culturally sensitive approaches are warranted. In this review, we synthesize the literature on CBT for ethnic minorities, with an emphasis on randomized trials that address cultural sensitivity within the context of CBT. In general, we find that CBT is effective for ethnic minorities with diverse mental health problems, although nonsignificant trends suggest that CBT effects may be somewhat weaker for ethnic minorities compared to Whites. We find mixed support for the cultural adaptation of CBTs, but evidence for cultural sensitivity training of CBT clinicians is lacking, given a dearth of relevant trials. Based on the limited evidence thus far, we summarize three broad models for addressing cultural issues when providing CBT to diverse populations. Expected final online publication date for the Annual Review of Clinical Psychology, Volume 19 is May 2023. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Student Veterinarian Perceptions of Community-Based Primary Care Veterinary Clinics in Indigenous Communities in Southern Ontario, Canada.

Community-based primary care veterinary clinics represent an opportunity to benefit multiple populations. Student veterinarians are afforded the opportunity to build technical and non-technical professional skills, while underserved communities are provided with access to companion animal care. The Ontario Veterinary College (OVC), as with many other veterinary colleges across Canada and the United States, has hosted community-based primary care veterinary clinics, including in local Indigenous communities. As these clinics continue and grow, it is critical to evaluate their operation to ensure that they align with community goals and values, adequately support student learning, and do not perpetuate racism and implicit bias. The objective of this study was to explore the perceptions of student veterinarians who had volunteered at community-based primary care veterinary clinics in First Nations communities in southern Ontario, Canada. We used an online survey that consisted of multiple choice and short answer questions focused on motivating factors for involvement, supports available before and during the clinics, exposure to Indigenous cultures, and the challenges and rewards associated with volunteering. Forty-one student veterinarians from OVC completed the survey in January 2020. Most students were motivated to volunteer to make a positive difference in the lives of people and animals and improve their clinical skills. In general, respondents felt adequately prepared for and supported during their experiences but did recommend additional pre-departure instructions on roles and responsibilities. Participants were ambivalent as to whether they had learned about Indigenous culture, with several strongly recommending more cultural sensitivity training. Most students found their experiences rewarding because of the gratitude expressed by clients and the feeling that they had made a difference. We reflect on the potential benefits and challenges of community-based primary care veterinary clinics in light of student responses.

Outcomes of LGBTQ culturally sensitive training among civilian and military healthcare personnel.

Lesbian, gay, bisexual, transgender, or queer (LGBTQ) military servicemembers are at higher risk of developing health problems compared to heterosexual peers. To improve outcomes and address negative attitudes, previous literature has recommended education of healthcare personnel. The purpose of our study was to evaluate the knowledge and skill outcomes of an LGBTQ cultural sensitivity training program. We used a pretest/posttest design. Participants completed the Ally Identity Measure (AIM) to assess three subscales: knowledge and skills, openness and support, and oppression awareness. Participants included both military and civilian healthcare personnel from multiple disciplines. Descriptive statistics and pairwise analyses were used. A total of 101 participants answered both pretest and posttest. Across all AIM subscales, posttest scores demonstrated statistically significant (P<0.001) increases from mean pretest scores. Completion rates for the pretest and posttest were 99% and 93%, respectively. The majority of participants were female (75%) and non-Hispanic (87%), composed of Caucasians (39%) and Asians (33%). Over one-third (39%) of participants were aged 30-39. Fifty percent were active-duty military and more than half (58%) of all participants did not have prior training in LGBTQ patient care. Statistically significant differences were found between the pretest and posttest scores for the knowledge and skills subscale (M=2.64-3.70). The most significant increases were observed in Item 12 and Item 15 (M=2.72-3.70) regarding awareness of theories and skill development to provide proper support, respectively. These significant findings contribute to the currently limited research exploring LGBTQ cultural sensitivity training in both civilian and military settings. To our knowledge, this is the first time a cultural sensitivity training of this depth has been provided to active-duty servicemembers. Further research and development of similar educational programs integrating interactive participation can potentially aid in the delivery of improved care and military readiness for all servicemembers.

The Social Movement Archive

The Social Movement Archive

Cultural Sensitivity Training for Bulgarian Teachers: Results from an Observation Experiment

Abstract: The articles presents training methods and results from an observation experiment in cultural sensitivity training of 39 Bulgarian teachers from a multi-ethnic secondary school in Vetovo, Ruse region. School children belong to 5 ethnic groups: Bulgarians, Bulgarian Christian Roma, Bulgarian Muslim Roma, Bulgarian Turks and Gagauz. The teachers were trained for 3 days in developing their cultural sensitivity, digital literacy and pedagogical competence. They were trained by 4 university professors and were divided into 4 groups of 10 people each, where each group had to switch training to go through all modules. The author's module included developing cultural sensitivity among teachers of all ages. The training included 6 tasks employing the following pedagogical methods: role play, discussion, feedback and group work. The following skills were developed: team work, creative thinking, conflict reconciliation, negotiation skills, adaptability, cultural intelligence, cultural self-awareness. Teachers shared in the course briefing that they felt it was difficult to adapt and use newly developed cultural sensitivity skills in the classroom because of the bureaucratic requirements in their daily work routine. They also expressed concern about the cultural distance between them and their pupils, which could become an obstacle to applying the newly learned skills in the classroom. Key words: cultural sensitivity, multicultural education, digital literacy, pedagogical competence, cultural intelligence.