Cultural Brokerage in Healthcare Questions

Cultural Brokerage in Healthcare Questions

Cultural Brokerage in Healthcare Questions

  • Review information provided for cultural brokerage.
  • What is the meaning of cultural brokerage?
  • What is the benefit of cultural brokerage in healthcare?
  • List 3 ways nurses can fulfill their role of cultural broker in healthcare.

NUR 3045 Ana Rosa Espinosa, DNP,MBA, RN, OCN Cultural Brokering Cultural Brokering • This term has multiple definitions. Cultural brokering is defined as the act of bridging, linking, or mediating between groups or persons of differing cultural backgrounds for the purpose of reducing conflict or producing change (Jezewski, 1990). • A cultural broker acts as a go-between, one who advocates on behalf of another individual or group (Jezewski & Sotnik, 2001). • A health care intervention through which the professional increasingly uses cultural and health science knowledge and skills to negotiate with the client and the health care system for an effective, beneficial health care plan (Wenger, 1995). • The characteristics, roles, and skills of cultural brokers are highly variable. Currently, the term cultural broker is used to denote a range of individuals from immigrant children who negotiate two or more cultures daily (Phillips & Crowell, 1994) to leaders in organizations who serve as catalysts for change (Heifetz & Laurie, 1997). Who is the Cultural Broker • The range and complexity of roles are equally varied. Cultural brokers may serve as intermediaries at the most basic level bridging the cultural gap by communicating differences and similarities between cultures. • Cultural Brokerage in Healthcare Questions

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They may also serve in more sophisticated roles mediating and negotiating complex processes within organizations, government, communities, and between interest groups or countries. • One cultural broker may have extensive training and experience; another may have just been appointed to this role for example, a parent in the community, or a support person in the organization and wish to learn what is involved. • In a broader sense, many staff working in health care settings or health education programs span the boundaries of the culture of health care and the cultures of the people they serve. Who can fulfill the role of cultural brokers in health care settings? • Almost anyone can fulfill the role of a cultural broker. Most cultural brokers assume multiple roles within health care and other settings and their respective communities. Although cultural brokers serve the same function, they come with different expectations and have divergent experiences, yet aim to create a cultural connection. The goal of the Cultural Broker Project is in keeping with the NCCC’s overall mission Increase the capacity of health care and mental health programs to design, implement and evaluate culturally and linguistically competent service delivery systems.” Cultural and linguistic competence have emerged as fundamental approaches to the goal of eliminating racial and ethnic disparities in health. • A major principle of cultural competence involves working in conjunction with natural, informal supports and helping networks within diverse communities (Cross et al., 1989). • The concept of cultural brokering exemplifies this principle and can bridge the gap between health care providers and the communities they serve. • One aspect of the project is to develop a guide to implement cultural broker programs in health care settings, particularly those that employ or serve as placement sites for NHSC scholars and clinicians in service. • This guide is designed to assist health care organizations in planning, implementing, and sustaining cultural broker programs in ways including the following: • Introduce the legitimacy of cultural brokering in health care delivery to underserved populations. • Promote cultural brokering as an essential approach to increase access to care and eliminate racial and ethnic disparities in health. • Cultural Brokerage in Healthcare Questions

Define the values, characteristics, areas of awareness, knowledge, and skills required of a cultural broker. Provide guidance on establishing and sustaining a cultural broker program for health care settings that is tailored to the needs and preferences of the communities served. Rationales for Cultural Brokering in Health Care • The concept of cultural brokering has evolved and permeated many aspects of the U.S. society, including health care. • A review of literature reveals that during the 1960s, researchers began to use the concept of cultural brokers within the context of health care delivery to diverse communities. • Wenger (1995) defined cultural brokering as “a health care intervention through which the professional increasingly uses cultural and health science knowledge and skills to negotiate with the client and the health care system for an effective, beneficial health care plan.” • Numerous rationales exist for the use of cultural brokers in the delivery of health care. They include, but are not limited to: • emergent and projected demographic trends documented in the 2000 Census in which the diversity in the United States is more complex than ever measured; • diverse belief systems related to health, healing, and wellness; • cultural variations in the perception of illness and disease and their causes; • cultural influences on help-seeking behaviors and attitudes toward health care providers; and • the use of indigenous and traditional health practices among many cultural groups Cultural Brokerage in Healthcare Questions


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