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| Tables and Figures | |
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| Preface | |
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| Acknowledgments | |
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| The Authors | |
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| The Diversity Imperative | |
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| Systems Approach to Cultural Competence | |
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| Introduction | |
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| Dimensions of Diversity | |
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| Health Care Diversity Challenges | |
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| Health Care Disparities in the United States | |
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| Changing the US Health Care System | |
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| Systems Approach in the Health Care Delivery Organization | |
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| The Importance of Leadership | |
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| Summary | |
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| Review Questions and Activities | |
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| Systematic Attention to Health Care Disparities | |
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| Introduction | |
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| What Are Health Care Disparities? | |
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| Race and Ethnic Disparities in Health Status | |
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| Disparities Across Other Diversity Dimensions: Gender, Sexual Orientation, the Elderly | |
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| Stakeholder Attention to Health Care Disparities | |
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| Systematic Strategies for Reducing Health Care Disparities | |
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| Summary | |
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| Review Questions and Activities | |
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| Workforce Demographics | |
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| Introduction | |
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| Trends in the US Labor Force | |
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| Diversity and the Health Professions | |
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| Drivers of Disparities in the Health Professions | |
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| Checklist of Recommended Organizational-Level Actions | |
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| Workforce Diversity Challenges | |
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| Summary | |
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| Review Questions and Activities | |
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| The Development of Cultural Competence | |
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| Foundations for Cultural Competence in Health Care | |
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| Introduction | |
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| What Is Cultural Competence in Health Care? | |
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| Long Journey Toward Cultural Competence | |
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| Cultural Competence and the Health Care Provider Organization | |
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| Cultural Competence and the Multicultural Health Care Workforce | |
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| Summary | |
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| Review Questions and Activities | |
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| Hallmarks of Cultural Competence in Health Care Professionals | |
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| Introduction | |
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| Personal Journey of Cultural Competence | |
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| Framework for Role Development | |
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| Journey of Self-Discovery | |
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| Summary | |
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| Review Questions and Activities | |
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| Training for Knowledge and Skills in Culturally Competent Care for Diverse Populations | |
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| Introduction | |
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| Eight Principles for Knowledge and Skills Training | |
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| Cultural Competence Knowledge and Skills for Administrators and Directors | |
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| Cultural Competence Training for Health Care Professionals in Direct Patient Care | |
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| Cultural Competence Training for Support Staff | |
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| The Role of Assessment in Cultural Competence Training | |
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| Summary | |
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| Review Questions and Activities | |
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| Cultural Competence and Health Care Delivery | |
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| Cultural Competence in Health Care Encounters | |
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| Introduction | |
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| Models from Transcultural Nursing | |
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| Giger-Davidhizar Transcultural Assessment Model (GDTAM) | |
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| Being Culturally Responsive | |
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| Summary | |
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| Review Questions and Activities | |
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| Language Access Services and Crosscultural Communication | |
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| Introduction | |
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| Language Use in the United States | |
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| Language Differences in Health Care Encounters | |
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| Attitudes Toward Limited-English Speakers | |
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| Changing Responses to Language Barriers in Health Care | |
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| An Expanding Profession: The Health Care Interpreter | |
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| Translation in Written Health Care Communication | |
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| Communication is More Than Words | |
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| Summary | |
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| Review Questions and Activities | |
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| Group Identity Development and Health Care Delivery | |
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| Introduction | |
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| Research Highlights | |
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| Minority Status Group Identity Development | |
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| Majority Status Group Identity Development | |
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| Using the Models | |
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| Summary | |
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| Review Questions and Activities | |
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| Cultural Competence and the Health Care Organization | |
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| The Centrality of Organizational Behavior | |
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| Introduction | |
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| The Science of Organizational Behavior | |
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| Organizations as Contexts for Behavior | |
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| OB Research Highlights | |
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| Can Culturally Competent Health Care Professionals "'Go It Alone"? | |
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| Summary | |
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| Review Questions and Activities | |
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| The Business Case and Best Demonstrated Practices | |
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| Introduction | |
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| Evolution of the Business Case | |
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| The Business Case for Cultural Competence in Health Care | |
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| Workforce, HRM, and the Business Case | |
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| Best Demonstrated Practices | |
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| Assessment and the Systems Approach | |
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| Benchmarking | |
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| Role of Metrics in the Systems Approach | |
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| Summary | |
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| Review Questions and Activities | |
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| The Future of Diversity and Cultural Competence in Health Care | |
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| Introduction | |
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| Trends That Support Widespread Adoption of the Systems Approach | |
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| The Sustainability Movement and the Systems Approach | |
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| Change Management and Force Field Analysis: Tools to Envision and Shape the Future | |
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| Summary | |
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| Review Questions and Activities | |
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| Glossary | |
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| Index | |