Queen's University, Kingston, Ontario, Canada.
Public Health Nurs. 2019 Jul;36(4):551-556. doi: 10.1111/phn.12613. Epub 2019 Apr 14.
Culturally competent frameworks used within health care systems are contributing to the discrimination and marginalization of sexually and/or gender diverse persons. In this discursive paper, we argue that cultural humility ought to be implemented as the best practice approach for fostering sexually and gender diverse positive spaces in public health settings. A paradigm shift away from cultural competence frameworks toward cultural humility is necessary. This shift can be achieved by enhancing educational opportunities for public health nursing students and professionals and by recruiting organizational leaders to be champions for systemic change. In order to achieve this, we must establish effective educational programs that espouse cultural humility practices and develop valid measurement tools for assessing the provision of culturally humble care. This would equip educators, students, practitioners, and organizational leaders with the necessary tools to guide and assess their performance. Integrating a culturally humble approach will ultimately enhance self-reported cultural safety in public health spaces and reduce health inequities experienced by sexually and/or gender diverse clients and staff members.
在医疗保健系统中使用具有文化能力的框架正在导致对性和/或性别多样化人群的歧视和边缘化。在这篇论述性论文中，我们认为，文化谦逊应该作为培养公共卫生环境中对性和性别多样化的积极空间的最佳实践方法。需要从文化能力框架向文化谦逊转变。这一转变可以通过增加公共卫生护理学生和专业人员的教育机会以及招募组织领导人成为系统变革的拥护者来实现。为了实现这一目标，我们必须建立有效的教育计划，倡导文化谦逊的实践，并开发有效的衡量工具来评估提供文化谦逊的护理。这将为教育者、学生、从业者和组织领导人提供必要的工具，以指导和评估他们的表现。整合一种谦逊的文化方法最终将提高公共卫生空间中自我报告的文化安全性，并减少性和/或性别多样化的客户和工作人员所经历的健康不平等。
