Development of Intercultural Competence from undergraduate training in higher medical education
Keywords:
Students Health Occupations, Education Higher, intercultural competence, Educational Measurement, curriculum.Abstract
The need to develop intercultural competences is not only an ethical imperative, in terms of respect and understanding of those different cultures, but also a technical requirement. A professional who can successfully connect with people from diverse cultures will probably achieve effective interaction with users and communities, a higher level of trust, which will translate into greater satisfaction with care and better therapeutic adherence. This article analyzes from a theoretical point of view the incorporation of intercultural competence in the curricula of health careers. A bibliographic review of articles and documents related to intercultural competence in higher education was carried out in Pubmed and Scielo databases, and in web pages of organizations linked to the subject of teaching and learning in higher education, culture and diversity.Downloads
References
1. Veliz-Rojas L, Bianchetti-Saavedra A. Situación del desarrollo de competencias interculturales en estudiantes de la Facultad de Medicina de la Universidad Católica del Norte, Chile. Calidad en la educación [Internet]. 2021 [citado 06/10/2022]; (54): 303-338. Disponible en: https://dx.doi.org/10.31619/caledu.n54.955
2. Deardorff D. Manual para el desarrollo de competencias interculturales. círculos de narraciones. Bogotá, Colombia: UNESCO [Internet]. 2020 [citado 20/08/2022]. Disponible en: https://unesdoc.unesco.org/ark:/48223/pf0000373828
3. Mews C, Schuster S, Vadja C, Rudolph L, Schmidt L, Bôsner S, et, al. Cultural Competence and Global Health: Perspectives for Medical Education – Position paper of the GMA Committee on Cultural Competence and Global Health. GMC J Med Educ. [Internet]. 2018 [citado 20/08/2022]; 35(3). Disponible en: https://www.egms.de/static/en/journals/zma/2018-35/zma001174.shtml
4. Sin D, Chew T, Chia T, Se R, Sayampanathan A, Koh G. Evaluation of Constructing Care Collaboration - nurturing empathy and peer-to-peer learning in medical students who participate in voluntary structured service learning programmes for migrant workers. BMC Med Educ [Internet]. 2019 [citado 20/08/2022]; 19(304). Disponible en: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-019-1740-6
5. Sorensen J, Norredam M, Suurmond J, García-Ramirez M, Krasnik A. Need for ensuring cultural competence in medical programmes of European universities. BMC Med Educ [Internet]. 2019 [citado 20/08/2022];19(21). Disponible en: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-018-1449-y
6. Veliz-Rojas L, Zuleta L, Bianchetti-Saavedra A. Simulación como estrategia de desarrollo de competencias culturales en estudiantes del área de la salud. Ed Med Super [Internet]. 2021 [citado 20/08/2022]; 35(4). Disponible en: http://ems.sld.cu/index.php/ems/article/view/2428
7. Ambrose M, Murray L, Handoyo N, Tunggal D, Cooling N. Learning global health: a pilot study of an online collaborative intercultural peer group activity involving medical students in Australia and Indonesia. BMC Med Educ. [Internet]. 2017 [citado 20/08/2022]; 17(10). Disponible en: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-016-0851-6
8. Oikarainen A, Mikkonen K, Kenny A, Tomietto M, Tuomikoski AM, Meriläinen M, et al. Educational interventions designed to develop nurses' cultural competence: A systematic review. Int J Nurs Stud. [Internet]. 2019 [citado 20/08/2022]; 98:75-86. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0020748919301567?via%3Dihub
9. Sanhueza S, Paukner F, San Martín V, Friz M. Dimensiones de la competencia comunicativa intercultural y sus implicaciones para la práctica educativa. Folios [Internet]. 2012 [citado 20/08/2022]; (36): 131-151. Disponible en: https://doi.org/10.17227/01234870.36folios131.151
10. Sharifi N, Adib-Hajbaghery M, Najafi M. Cultural competence in nursing: A concept analysis. Int J Nurs Stud [Internet]. 2019 [citado 18/06/2022]; 99:103386. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0020748919301853?via%3Dihub
11. Gueijman PL. Hacia una ontología del escuchar. Fundamento del diálogo intercultural. Cult.-hombre-soc. [Internet]. 2018 [citado 20/08/2022]; 28(1): 207-233. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0719-27892018000100207
12. Forsyth C, Irving M, Tennant M. Short SD, Gilroy JA. Teaching Cultural Competence in Dental Education: A Systematic Review and Exploration of Implications for Indigenous Populations in Australia. J Dent Educ [Internet]. 2017 [citado 20/08/2022]; 81(8):956-968. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.21815/JDE.017.049?sid=nlm%3Apubmed
13. Krishnan A, Rabinowitz M, Ziminsky A, Scott S, Chretien K. Addressing Race, Culture, and Structural Inequality in Medical Education: A Guide for Revising Teaching Cases. Acad Med [Internet]. 2019 [citado 20/08/2022];94(4):550-555. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30640269/
14. Wesp L, Scheer V, Ruiz A, Walker K, Shawn L, Weitzel J, et al. An Emancipatory Approach to Cultural Competency The Application of Critical Race, Postcolonial, and Intersectionality Theories. Adv. Nurs Sci. [Internet]. 2018 [citado 20/08/2022]; 41(4): 316-326. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30285982/
15. Dao D, Goss A, Hoekzema A, Kelly L, Logan A, Mehta S, et al. Integrating Theory, Content, and Method to Foster Critical Consciousness in Medical Students: A Comprehensive Model for Cultural Competence Training. Acad Med. [Internet]. 2017 [citado 20/08/2022]; 92(3):335-344. Disponible en: https://journals.lww.com/academicmedicine/Fulltext/2017/03000/Integrating_Theory,_Content,_and_Method_to_Foster.25.aspx
16. Hemberg J. Caring ethics as the foundation for cultural competence: views of health professionals working in student healthcare context. Scand J Caring Sci. [Internet]. 2020[citado 20/08/2022]; 34(4):989-1000. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/scs.12807
17. González E, González A, Hidalgo A, Robaina J, Hernández F, Hernández D. APUNTUSOFT: herramienta para el aprendizaje de la medicina tradicional integrada a la morfología. Edumecentro [Internet]. 2017 [citado 05/06/2023]; 9 (3). Disponible en: https://revedumecentro.sld.cu/index.php/edumc/article/view/860/html_254
18. Sairanen R, Richardson E, Kelly H, Bergknut E, Koskinen L, Lundberg P, et al. Putting culture in the curriculum: a European project. Nurse Educ Pract [Internet]. 2013 [citado 20/08/2022]; 13(2):118-24. Disponible en: https://www.sciencedirect.com/science/article/pii/S1471595312001473?via%3Dihub
19. Ward A, Mandrusiak A, Levett-Jones T. Cultural empathy in physiotherapy students: a pre-test post-test study utilising virtual simulation. Physiotherapy [Internet]. 2018 [citado 20/08/2022]; 104(4):453-461. Disponible en: https://www.sciencedirect.com/science/article/pii/S0031940618301706?via%3Dihub
20. Echeverri M, Unni E, Harpe S, Kavookjian J, Alkhateeb F, Ekong G, et al. A Multi-School Validation of a Revised Scale for Assessing Cultural Competence in Pharmacy Students. Am J Pharm Educ [Internet]. 2019 [citado 20/08/2022]; 83(3):6602. Disponible en: https://www.ajpe.org/content/83/3/6602
21. Dang Y, Truong H, Wade L. Assessment of First-Year Student Pharmacists' Intercultural Competency Skills Using a Validated Scale and International Scenarios. L.Am J Pharm Educ [Internet]. 2019 [citado 20/08/2022]; 83(5):6970. Disponible: https://www.ajpe.org/content/83/5/6970
22.Majda A, Zalewska-Puchała J, Bodys-Cupak I, Kurowska A, Barzykowski K. Evaluating the Effectiveness of Cultural Education Training: Cultural Competence and Cultural Intelligence Development among Nursing Students. Int J Environ Res Public Health [Internet]. 2021 [citado 20/08/2022]; 18(8):4002. Disponible en: https://www.mdpi.com/1660-4601/18/8/4002
23. Sattler V, Burduli E, Smart D, Barbosa-Leiker C. Exploratory Factor Analysis of the Caffrey Cultural Competency in Health Care Scale. J Nurs Meas [Internet]. 2018 [citado 20/08/2022]; 26(1):186-200. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29724288/
24. Courtney-Pratt H, Levett –Jones T, Lapkin S, Pitt V, Gilligan C, Van Der Riet P, et al. Development and psychometric testing of the satisfaction with cultural simulation experience scale. Nurse Educ Pract [Internet]. 2015 [citado 20/08/2022]; 15(6): 530-6. Disponible en: https://www.sciencedirect.com/science/article/pii/S1471595315001237?via%3Dihub
25. Jeffreys M, Dogan E. Evaluating cultural competence in the clinical practicum. Nurs Educ Perspect [Internet]. 2013 [citado 20/08/2022]; 34(2):88-94. Disponible en: https://journals.lww.com/neponline/pages/default.aspx
26. Cruz J, Machuca F, Ortiz J, Zapata C, Vitorino L. Psychometric assessment of the cultural capacity scale Spanish version in Chilean nursing students. Int Nurs Rev [Internet]. 2018 [citado 15/10/2022]; 65(2):262-269. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/inr.12388
27. Sanhueza S, Patrick P, Hsu C, Domínguez J, Friz M, Quintriqueo S. Competencias Comunicativas Interculturales en la formación inicial docente: El caso de tres universidades regionales de Chile. Estud pedagóg [Internet]. 2016 [citado 15/10/2022]; 42(4): 183-200. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-07052016000500011
28. Aneas A. Formación intercultural en las organizaciones. Bases para diseños formativos orientados al tratamiento de la interculturalidad en organizaciones. Universidad de Barcelona. [Internet]. 2010 [citado 15/10/2022]. Disponible en: https://diposit.ub.edu/dspace/bitstream/2445/13842/1/Formaci%C3%B3n%20intercultural%20en%20las%20organizaciones.pdf
29. Lee Y, Lin S, Wang P, Lin M. Objective structural clinical examination for evaluating learning efficacy of Cultural Competence Cultivation Programme for nurses. BMC Nurs [Internet]. 2020 [citado 15/10/2022]; 19:114. Disponible en: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-00500-3#citeas
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Lizet Veliz Rojas, Andres Bianchetti

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
La revista se encuentra bajo la Licencia Creative Commons (CC) 4.0. (CC BY-NC-SA 4.0) Atribución-No Comercial-Compartir Igual 4.0 Internacional.

