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The U.S. Department of Health and Human Services, Office of Minority Health, defines cultural competence as a set of “congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations.” Culture may refer to a shared pattern of human behavior that includes things such as language, customs, and religious affiliation among a group of people that is passed down from one generation to the next. Competence may be conceptualized as the ability to function effectively and optimally as an individual or organization within the cultural context of the target population. Cultural competence, therefore, refers to the capacity of an individual or organization to communicate and interact effectively with people of similar and dissimilar cultures.

Cultural competence is a critical component in ensuring quality and sufficient care for people of diverse ethnic/racial backgrounds. As society becomes more diverse, contact with individuals of differing cultural backgrounds is increasingly common. Developing ways to gain cultural competence has become an important goal for a wide range of industries, including human resources, nonprofit organizations, and government agencies whose employees work with individuals from diverse cultural or ethnic backgrounds. A lack of cultural competence may result in an increase in conflict and a failure to deliver services. Although cultural competence is important across a wide variety of contexts, health care agencies, businesses, and educational institutions have been particularly interested in developing and applying the principles of cultural competence.

Culture and the Need for Cultural Competence

Cultures vary significantly from each other in terms of customs, beliefs, and lifestyles. These cultural differences affect people's expectations and behaviors when interacting with each other. For instance, perceptions of constructs such as time differ greatly between cultures. People from cultures with a sequential view of time prefer to have detailed agendas that are followed throughout the day. Being late to appointments may be considered unprofessional and disrespectful. People from cultures with a synchronic view of time tend to have a more flexible perception of time. They believe that rigid deadlines are unnecessary and that showing up after an agreed-upon time is acceptable. A culturally competent individual or organization would recognize these different orientations toward time and may institute policies and protocols that prevent conflicts from emerging. In addition, effective and culturally sensitive programs for handling conflict would be developed using cultural competence as its theoretical framework.

To systematically identify factors that differ across cultures, researcher Geert Hofstede conducted a study of over 40 countries with the assistance of the IBM company. He identified five dimensions that vary across cultures: (1) relations between people, namely whether people emphasize the group (collectivist) versus the individual (individualistic); (2) power distance, which is the extent to which people accept that power and influence is distributed equally among members of the society; (3) uncertainty avoidance, which is the extent to which people feel comfortable or uncomfortable in unstructured situations; (4) masculinity versus femininity, or the extent to which gender roles are highly distinct from each other, in that men are expected to be tough, assertive, and focused on material success, whereas women are expected to be more tender, modest, and caring about quality of life—in contrast, more egalitarian societies may have more overlap between gender roles; and (5) short-term versus long-term orientation, which refers to the extent to which people expect immediate rewards for their efforts versus accepting delayed gratification.

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