Developing cultural competence in general practitioners: an integrative review of the literature

Cultural ability is a broad concept with contradicting views on several theoretical foundations and ways to achieve it. People are aware that cultural ability should be an integral part of general medicine, but the literature in the context of general medicine is limited.

The purpose of this paper is to provide a comprehensive summary of the current literature on the following matters: cultural competence elements that need to be developed and developed between general physicians and general registrants; currently developed What is the cultural ability of general medicine? Development of cultural ability

We conducted a comprehensive evaluation including systematic literature search and then combined the results using narrative synthesis method.

Final analysis included 50 articles. Cultural abilities are conceptualized as knowledge elements, awareness / attitudes and skills / behavior that require most articles. How ordinary medicine develops elements of cultural competence seems to be very diverse and often lacks strict evaluation, especially in improving patient outcomes. In general GP registrar wants more training, but official cultural competency training of GP seems to be underdeveloped. The development of most aspects of cultural ability depends on informal learning and participation in practice, but this requires appropriate guidance and promotion from supervisors and educators. The extent of criticism and cultural self-reflection on GP and GP registrars varies and may be underdeveloped. Most independent training seminars are led by trained medical educators, but the values ​​of cultural leaders are recognized by many research patients, educators, and GP registrars.

The development of the cultural ability of the GP registrar should pay more attention, especially in the areas of unconscious prejudice, anti-racism discrimination training and critical self-reflection. Further investigation on how to provide cultural competency training in the GP training model, including clarification of role of supervisor

This discussion provides quality and respectful care for patients of different cultures and provides information for future research and training practice to eliminate health inequities existing among cultural groups It is desirable.

The evaluation concluded that there are many articles on cultural diversity and cultural ability in the medical field. Studies have shown that it is beneficial to integrate cultural capabilities into a medical delivery system. The integration of cultural capabilities into effective outcomes of medical services can be achieved by developing and implementing a customized holistic approach and incorporating it into the organizational environment through ongoing monitoring and review system. Department of Human Services Department of Victoria University Community Race and Policy Choice to formulate and implement project plans including review of cultural and linguistic diversity (CALD) and cultural ability reporting requirements with minimum requirements I asked the Institute (ICEPA). Benchmark for standards and health services. The main objectives of the project are as follows.

Restrictions There are some restrictions on this comprehensive review. Despite a thorough review of the literature on cultural ability tools used by nursing researchers and educators, such searches may not yet determine all available cultural capacity scales and subsequent test applications I do not think so. In addition, all subsequent tests on the established size may not be included in this review. In addition, searching for cultural competency tools is limited to English studies.

There are numerous international literature relating to the importance of cultural competence and the importance of integrating medicine at all levels. In the United States, cultural abilities in health policy and practice are due to federal and state regulations that require mainly culturally competent medical services (Ministry of Minority Health, 2001). In existing reviews, concepts related to cultural ability in the medical environment such as care, mental health, health care system, etc. are being considered. Some comments focus on provider results and patient / client results, others have comments to consider specific health conditions such as diabetes.