Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-09T07:56:45.909Z Has data issue: false hasContentIssue false

Developing Cultural Awareness Curricular Competencies for Humanitarian Non-Governmental Organization Staff

Published online by Cambridge University Press:  01 October 2021

Alexander Hart*
Affiliation:
Director of Research – BIDMC Disaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center; Instructor, Harvard Medical School, Boston, MassachusettsUSA
Mariana Toma
Affiliation:
Clinical Supervisor, New England ABA, Wakefield, MassachusettsUSA
Fadi Issa
Affiliation:
Associate Director of Education – BIDMC Disaster Medicine Fellowship, Beth Israel Deaconess Medical Center, Boston, MassachusettsUSA
Noelle Neault
Affiliation:
Associate Professor of Practice, Department of Behavioral Analysis, Simmons University, Boston, MassachusettsUSA
*
Correspondence: Alexander Hart, MD Director of Research – BIDMC Disaster Medicine Fellowship Department of Emergency Medicine Beth Israel Deaconess Medical Center Instructor, Harvard Medical School 330 Brookline Ave, Boston, Massachusetts02215USA E-mail: [email protected]

Abstract

Background:

Cultural awareness is an important part of organizational success when interacting with multiple cultures. Research has shown a dearth of standardized cultural awareness training programs for non-governmental humanitarian organization staff.

Purpose:

This study aims to develop an expert-consensus set of cultural awareness competencies as the basis for development of humanitarian staff cultural awareness trainings.

Methods:

A modified Delphi process was selected. The first round of surveys collected a list of cultural awareness competencies from experts in the fields of non-governmental organization (NGO) operations and cultural awareness education and research. This collated list of competencies was then used as the basis of a survey obtaining ratings by the group on a five-point Likert scale. Competencies which achieved an average rating of 4.0 or higher were considered to be “important” for inclusion in future training programs.

Results:

A total of 67.9% of contacted experts agreed to participate, with 84.2% of those completing all rounds of the survey. This group developed a list of ten competencies, including: Cultural Awareness/Sensitivity and Intercultural Communication; Cultural Intelligence; Unconscious Bias/Diversity Awareness; a Universal Declaration of Ethical Principles; Gender and Lesbian, Gay, Bisexual, Transgender, Queer, and Other Sexual Identities (LGBTQ+) Issues and Safety; Analytical and Critical Thinking Skills; Negotiation; Program Mission; Power Dynamics; and Empathy.

Conclusions:

This study defined a set of ten expert-consensus cultural awareness competencies which can be a basis for future NGO staff training. Future work can both use these competencies to create educational programs and further define and expand the set of competencies based on analyses of their implementation.

Type
Original Research
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Wong, D, Jacobs, CG, Kenyon, J, Gashel, A. Cultural Competency Curriculum for Disaster Preparedness and Crisis Response. US Department of Health and Human Services - Office of Minority Health. https://cccdpcr.thinkculturalhealth.hhs.gov/GUIs/GUI_CEU_info.asp. Published 2020. Accessed January 30, 2021.Google Scholar
Hart, A, Toma, M, Issa, F, Ciottone, GR. Absence of cultural awareness training in international non-governmental organizations. Prehosp Disaster Med. 2019;34(5).CrossRefGoogle Scholar
Guide to Providing Effective Communication and Language Assistance Services. US Department of Health & Human Services - Office of Minority Health. https://hclsig.thinkculturalhealth.hhs.gov/default.asp?ErrorMessage=Your+session+has+been+timed+out.+Please+log+in+to+access+the+site.&fromURL=%2FProviderContent%2FSection3%2FPart1%2FSection3-1-1.asp%3F. Published 2020. Accessed January 30, 2021.Google Scholar
Lu, C, Wan, C. Cultural self-awareness as awareness of culture’s influence on the self: implications for cultural identification and well-being. Personal Soc Psychol Bull. 2018;44(6):823837.CrossRefGoogle ScholarPubMed
Mackenzie, L, Miller, JW. “Intercultural Training in the United States Military.” In: Kim YY, McKay-Semmler KL, (eds). The International Encyclopedia of Intercultural Communication. Hoboken, New Jersey USA: John Wiley & Sons, Inc.; 2017.CrossRefGoogle Scholar
Cross-Cultural Competence in the Department of Defense: An Annotated Bibliography Special Report 71. http://www.cultureready.org/sites/default/files/publications/ADA599260.pdf. Accessed December 26, 2018.Google Scholar
So You’re an American? US Department of State. https://www.state.gov/m/fsi/tc/answeringdifficultquestions/html/app.htm?p=module2_p3.htm. Accessed December 26, 2018.Google Scholar
Johnson, JP, Lenartowicz, T, Apud, S, Graduate, C. Cross-cultural competence in international business: toward a definition and a model. J Int Bus Stud. 2006;37:525543.CrossRefGoogle Scholar
Kealey, DJ, Protheroe, DR. The effectiveness of cross-cultural training for expatriates: an assessment of the literature on the issue. International Journal of Intercultural Relations. 1996;20(2):141165.CrossRefGoogle Scholar
McPhatter, AR, Ganaway, TL. Beyond the rhetoric: strategies for implementing culturally effective practice with children, families, and communities. Child Welfare. 2003;82(2):103124.Google ScholarPubMed
Hsu, T, Kessler, ER, Parker, IR, et al. Identifying geriatric oncology competencies for medical oncology trainees: a modified Delphi consensus study. Oncologist. 2020;25(7):591597.CrossRefGoogle ScholarPubMed
Al Mulhim, MA, Darling, RG, Sarin, R, et al. A dignitary medicine curriculum developed using a modified Delphi methodology. Int J Emerg Med. 2020;13(1):11.CrossRefGoogle ScholarPubMed
Manguvo, A, Mafuvadze, B. The impact of traditional and religious practices on the spread of Ebola in West Africa: time for a strategic shift. Pan Afr Med J. 2015;22(Supp 1).CrossRefGoogle Scholar
Shah, J, Karimzadeh, S, Al-Ahdal, T, Mousavi, S, Zahid, S, Huy, N. COVID-19: the current situation in Afghanistan. Lancet Glob Heal. 2020;8(6):e771e772.CrossRefGoogle ScholarPubMed
Benuto, L, Singer, J, Newlands, R, Casas, J. Training culturally competent psychologists: where are we and where do we need to go? Train Educ Prof Psychol. 2019;13(1):5663.Google Scholar
Padela, A, Punekar, I. Emergency medical practice: advancing cultural competence and reducing health care disparities. Acad Emerg Med. 2009;16(1):6975.CrossRefGoogle ScholarPubMed
Ezenkwele, U, Roodsari, G. Cultural competencies in emergency medicine: caring for Muslim-American patients from the Middle East. J Emerg Med. 2013;45(2):168174.CrossRefGoogle Scholar
McMinn, M, Bufford, R, Vogel, M, et al. Religious and spiritual diversity training in professional psychology: a case study. Train Educ Prof Psychol. 2014;8(1):5157.Google Scholar
FitzGerald, C, Hurst, S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19.CrossRefGoogle ScholarPubMed
De Houwer, J. Implicit bias is behavior: a functional-cognitive perspective on implicit bias. Perspect Psychol Sci. 2019;14(5):835840.CrossRefGoogle ScholarPubMed
Teal, C, Gil, A, Green, A, Crandall, S. Helping medical learners recognize and manage unconscious bias toward certain patient groups. Med Educ. 2012;46(1):8088.CrossRefGoogle Scholar
Irvine, R, McPhee, J, Kerridge, I. The challenge of cultural and ethical pluralism to medical practice. Med J Aust. 2002;176(4):175.CrossRefGoogle ScholarPubMed
Corredor, E. Unpacking “gender ideology” and the global right’s anti-gender countermovement. Signs J Women Cult Soc. 2019;44(3):613638.CrossRefGoogle Scholar
Namer, Y, Razum, O. Access to primary care and preventive health services of LGBTQ+ migrants, refugees, and asylum seekers. Springer Briefs Public Heal. 2018:43–55.CrossRefGoogle Scholar
Alessi, E, Martin, J, Gyamerah, A, Meyer, I. Prejudice events and traumatic stress among heterosexuals and lesbians, gay men and bisexuals. J Aggress Maltreat Trauma. 2013;22(5):510526.CrossRefGoogle ScholarPubMed
Papp, K, Huang, G, Lauzon, CL. Milestones of critical thinking. Acad Med. 2014;89(5):715720.CrossRefGoogle ScholarPubMed
Levy, D. Tools of Critical Thinking: Metathoughts for Psychology. 2nd ed. Long Grove, Illinois USA: Waveland Press; 2009.Google Scholar
Brett, J, Gunia, B, Teucher, B. Culture and negotiation strategy: a framework for future research. Acad Manag Perspect. 2017;31(4):288308.CrossRefGoogle Scholar
Sommers-Flanagan, R. Ethical considerations in crisis and humanitarian interventions. Ethics Behav. 2007;17(2):187202.CrossRefGoogle Scholar
Nelson, J, Dunn, K, Paradies, Y. Bystander anti-racism: a review of the literature. Anal Soc Issues Public Policy. 2011;11(1):263284.CrossRefGoogle Scholar
Wilson, J, Meyer, K, McNeal, L. Mission and diversity statements: what they do and do not say. Innov High Educ. 2011;37(2):125139.CrossRefGoogle Scholar
Meacham, J, Barrett, C. Commitment to diversity in institutional mission statements. Divers Dig Institutional Leadersh Commit. 2003;7(1&2).Google Scholar
Wosinska, W, Cialdini, R, Barrett, D, Reykowski, J. The Practice of Social Influence in Multiple Cultures. 1st ed. United Kingdom: Psychology Press; 2000.CrossRefGoogle Scholar
Siawsh, N, Peszynski, K, Young, L, Vo-Tran, H. Exploring the role of power on procurement and supply chain management systems in a humanitarian organization: a socio-technical systems view. Int J Prod Res. 2019:1–26.CrossRefGoogle Scholar
Sulzer, S, Feinstein, N, Wendland, C. Assessing empathy development in medical education: a systematic review. Med Educ. 2016;50(3):300310.CrossRefGoogle ScholarPubMed