Of goldfish tanks and moonlight tricks: can cultural competency ameliorate health disparities?
Within nursing, cultural competency is seen as an important mechanism for reducing racial and ethnic health disparities; however, after years of attempted implementation of "cultural competence," minimal evidence exists demonstrating a relationship between culturally competent interventions and improved health outcomes or reduced disparities. We examine how cultural competency as an intervention for tackling health disparities is undertheorized and misguided, and deflects attention and efforts needed to address broader social determinants of health. We provide a historical overview of cultural competency, critiques of the concept, and recommendations for moving beyond cultural competency as a means of diminishing health disparities.
Drevdahl
Denise J
DJ
University of Washington Tacoma, Seattle, Washington 98492, USA. drevdahl@u.washington.edu
Canales
Mary K
MK
Dorcy
Kathleen Shannon
KS
D054521:Cultural Competency; D006293:Health Promotion / Q000379:methods* / Q000458:organization & administration; D054624:Health Status Disparities; D006801:Humans; D008962:Models, Theoretical; D009729:Nursing; D011787:Quality of Health Care; D014481:United States