Saint Louis University, Tegeler Hall, 3550 Lindell Boulevard, Saint Louis, MO, 63103 USA.
Wayne State University, 5447 Woodward Avenue, Detroit, MI, 48202, USA.
Eval Program Plann. 2020 Aug;81:101819. doi: 10.1016/j.evalprogplan.2020.101819. Epub 2020 May 27.
Cultural competence has long been valued in home visitation, with a special focus on adapting home visiting programs to maximize their effects on specific cultures and populations. Critics advocate that traditional cultural competence training focusing on individual, professional skills-building should be replaced by cultural humility approaches that focus on humble engagement of participants. Little is known about how home visiting programs serving broadly diverse populations experience cultural competence and/or cultural humility efforts and initiatives on the ground. Interviews approximately 90-120 min in length were conducted with 34 home visiting program administrators in a large Midwestern state. Interviews were audio-recorded, transcribed, coded thematically, and subjected to content analysis. Two themes were identified from interviews. Respondents emphasized that: 1) cultural competency training was required by home visiting program models, so cultural competency questions were always addressed in home visitation, especially in training for new home visitors; and 2) cultural competence also included many aspects of cultural humility, commitment to continuous self-evaluation and self-reflection on cultural encounters that identified cultural knowledge gaps and sought more information. Respondents did not see cultural competency and cultural humility as oppositional and saw both concepts as important for engaging participants in home visitation.
文化能力在家庭探访中一直受到重视，特别关注的是调整家庭探访计划，使其最大限度地对特定文化和人群产生影响。批评者主张，应该用注重参与者谦逊参与的文化谦逊方法取代传统的注重个人、专业技能培养的文化能力培训。对于服务于广泛多样化人群的家庭探访计划在实地的文化能力和/或文化谦逊努力和举措，人们知之甚少。在一个中西部大州，对 34 名家庭探访项目管理人员进行了大约 90-120 分钟的访谈。访谈进行了录音、转录、主题编码，并进行了内容分析。从访谈中确定了两个主题。受访者强调：1）家庭探访项目模式要求进行文化能力培训，因此家庭探访中总是会涉及文化能力问题，特别是在对新家庭探访员的培训中；2）文化能力还包括文化谦逊的许多方面，承诺对文化接触进行持续的自我评估和反思，以确定文化知识差距，并寻求更多信息。受访者不认为文化能力和文化谦逊是对立的，他们认为这两个概念对家庭探访中的参与者参与都很重要。
