Table of Contents

INTRODUCTION                                                                                        

Closing the Gap    

The Cornerstone Revisited   

A Paradigm Shift 

EVOLUTION OF THE PROCESS OF CULTURAL COMPETEMILITY IN THE DELIVERY OF HEALTHCARE SERVICES                                                

1969 – Being Cape Verdean    

1982 – Reflecting on Culture    

1991 – Putting the Pieces Together               

1998 – Redefining a Process   

 2002 – Impact of IAPCC-R    

2010 – Encounters to the Nth Degree    

2018 – The Great Debate 

THE PROCESS OF CULTURAL COMPETEMILITY IN THE DELIVERY OF HEALTHCARE SERVICES                       

Cultural Competemility    

Let the Journey Begin 

CULTURAL HUMILITY                                                                                            

The Paradox Solved    

Intellectual Humility    

Permeation of Cultural Humility 

CULTURAL ENCOUNTERS                                                               

Unremitting Interactions    

Presence    

Compassion     

Sacred Encounters    

Interacting Styles Within Cultural Groups    

Linguistic Competence    

Health Literacy    

Non-Face-to-Face Encounters

CULTURAL DESIRE                                     

The “Want To”     

Anguish in Action    

Social Justice    

Caring and Love     

The Six A’s Checklist of Culturally Responsive Services    

Research: Whose Evidence is it? 

CULTURAL AWARENESS

Knowing Self     

Lethal “Ism’s”    

Microaggressions    

Interpersonal Styles of Interactions    

Continuums

CULTURAL SKILL                                                                                                 

Preventing Misdiagnosis and Inappropriate Treatment    

Culturally Specific History Assessments    

Culturally Specific Physical Assessments    

Culturally Specific Mental Health Assessments    

Culturally Specific Medication Assessments     

Culturally Specific Spiritual Assessments    

Skill Acquisition 

Cultural Care Negotiation

CULTURAL KNOWLEDGE                                                                                       

Intra-Cultural Variation     

Worldviews of Health and Illness    

Biocultural Ecology    

Social Determinants of Health

AN INTERSECTIONALITY APPROACH TO CULTURAL COMPETEMILITY           

Organizational Cultural Competence    

Silo Thinking   

Moving Forward Together

CONCLUSION                                                                                                            

The Journey     

Asking the Right Questions

REFERENCES

FIGURES

Figure 1: A Culturally Competent Model of Care (1991)   

Figure 2: The Process of Cultural Competence in the Delivery of Healthcare Services (1998)    

Figure 3: The Process of Cultural Competence in the Delivery of Healthcare Services (2003)       

Figure 4: The Process of Cultural Competence in the Delivery of Healthcare Services (2010)    

Figure 5: The Process of Cultural Competemility in the Delivery of Healthcare Services (2018)    

Figure 6: Competence/Humility Ambigram (2018)

Figure 7: An Intersectionality Approach to the Process of Cultural Competemility (2019)

TABLES

Table1:  Assumptions of The Process of Cultural Competemility in the Delivery of Healthcare Services Model   

Table 2: Definitions of Constructs