A co-designed curriculum for cultural safety training of Colombian health professionals: sequential-consensual qualitative study

Juan Pimentel; Camila Kairuz; Lilia Suárez; Andrés Cañón; Andrés Isaza; Germán Zuluaga; Anne Cockcroft; Neil Andersson

doi:10.36834/cmej.72675

A co-designed curriculum for cultural safety training of Colombian health professionals: sequential-consensual qualitative study

Título traducido de la contribución: Un currículo codiseñado para la formación en seguridad cultural de los profesionales de la salud colombianos: estudio cualitativo secuencial-consensual

Juan Pimentel
, Camila Kairuz
, Lilia Suárez
, Andrés Cañón
, Andrés Isaza
, Germán Zuluaga
, Anne Cockcroft
, Neil Andersson

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

Resumen

Antecedentes: Aunque las prácticas de salud tradicionales y culturales son ampliamente utilizadas en Colombia, los médicos no están capacitados para abordar las tensiones interculturales que surgen en la práctica clínica. La seguridad cultural anima a los médicos a examinar cómo su propia cultura determina su práctica clínica y a respetar la cultura de sus pacientes. Requiere invitar a pacientes de culturas no dominantes a codiseñar una atención sanitaria culturalmente segura. Nosotros codiseñamos un plan de estudios para la formación en seguridad cultural de los profesionales sanitarios colombianos.

Métodos: Un estudio cualitativo secuencial-consensual definió los objetivos de aprendizaje del currículo. Mediante cuestionarios semiestructurados y grupos focales se exploraron las opiniones de usuarios de medicina tradicional, estudiantes de medicina y expertos en salud intercultural para fundamentar el contenido del currículo. El diálogo deliberativo entre los principales expertos en salud intercultural determinó el contenido académico del plan de estudios. Una estrategia de revisión por los miembros modificó y aprobó la versión final.

Resultados: Siete usuarios de medicina tradicional, seis estudiantes de medicina y cuatro expertos en salud intercultural participaron en el estudio. Los participantes definieron cinco objetivos de aprendizaje: (a) prácticas culturalmente inseguras: reconocer las tensiones interculturales y sus consecuencias; (b) conciencia cultural: examinar sus actitudes, creencias y valores, y cómo conforman su práctica profesional; (c) humildad cultural: escuchar y aprender de las prácticas tradicionales de los pacientes; (d) competencia cultural: describir los enfoques pedagógicos actuales para abordar las tensiones interculturales; y (e) seguridad cultural: discutir con los pacientes para llegar a un acuerdo sobre su tratamiento.

Conclusiones: Este estudio integró las perspectivas de diferentes partes interesadas y propuso nuevas aplicaciones de la seguridad cultural que son relevantes para otros países. Los investigadores y educadores pueden utilizar estos resultados para fundamentar futuras iniciativas de seguridad cultural.

Título traducido de la contribución	Un currículo codiseñado para la formación en seguridad cultural de los profesionales de la salud colombianos: estudio cualitativo secuencial-consensual
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	31-49
Número de páginas	19
Publicación	Canadian medical education journal
Volumen	13
N.º	2
DOI	https://doi.org/10.36834/cmej.72675
Estado	Publicada - ene. 27 2022

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

ODS 3: Salud y bienestar

Áreas temáticas de ASJC Scopus

Medicina General
Educación

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title = "A co-designed curriculum for cultural safety training of Colombian health professionals: sequential-consensual qualitative study",

abstract = "Background: Although traditional and cultural health practices are widely used in Colombia, physicians are not trained to address intercultural tensions that arise in clinical practice. Cultural safety encourages practitioners to examine how their own culture shapes their clinical practice and to respect their patients' culture. It requires inviting patients of non-dominant cultures to co-design culturally safe health care. We co-designed a curriculum for cultural safety training of Colombian health professionals.Methods: A sequential-consensual qualitative study defined the learning objectives of the curriculum. Semi-structured questionnaires and focus groups explored the opinions of traditional medicine users, medical students, and intercultural health experts to inform the content of the curriculum. Deliberative dialogue between key intercultural health experts settled the academic content of the curriculum. A member-checking strategy modified and approved the final version.Results: Seven traditional medicine users, six medical students, and four intercultural health experts participated in the study. The stakeholders defined five learning objectives: (a) culturally unsafe practices: acknowledge the intercultural tensions and its consequences; (b) cultural awareness: examine their attitudes, beliefs, and values, and how they shape their professional practice; (c) cultural humility: listen and learn from the patients' traditional practices; (d) cultural competence: describe current pedagogical approaches to address intercultural tensions; and (e) cultural safety: discuss with patients to reach an agreement on their treatment.Conclusion: This study integrated the perspectives of different stakeholders and proposed new applications of cultural safety that are relevant to other countries. Researchers and educators can use these results to inform future cultural safety initiatives.",

author = "Juan Pimentel and Camila Kairuz and Lilia Su{\'a}rez and Andr{\'e}s Ca{\~n}{\'o}n and Andr{\'e}s Isaza and Germ{\'a}n Zuluaga and Anne Cockcroft and Neil Andersson",

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year = "2022",

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T1 - A co-designed curriculum for cultural safety training of Colombian health professionals: sequential-consensual qualitative study

AU - Pimentel, Juan

AU - Kairuz, Camila

AU - Suárez, Lilia

AU - Cañón, Andrés

AU - Isaza, Andrés

AU - Zuluaga, Germán

AU - Cockcroft, Anne

AU - Andersson, Neil

PY - 2022/1/27

Y1 - 2022/1/27

N2 - Background: Although traditional and cultural health practices are widely used in Colombia, physicians are not trained to address intercultural tensions that arise in clinical practice. Cultural safety encourages practitioners to examine how their own culture shapes their clinical practice and to respect their patients' culture. It requires inviting patients of non-dominant cultures to co-design culturally safe health care. We co-designed a curriculum for cultural safety training of Colombian health professionals.Methods: A sequential-consensual qualitative study defined the learning objectives of the curriculum. Semi-structured questionnaires and focus groups explored the opinions of traditional medicine users, medical students, and intercultural health experts to inform the content of the curriculum. Deliberative dialogue between key intercultural health experts settled the academic content of the curriculum. A member-checking strategy modified and approved the final version.Results: Seven traditional medicine users, six medical students, and four intercultural health experts participated in the study. The stakeholders defined five learning objectives: (a) culturally unsafe practices: acknowledge the intercultural tensions and its consequences; (b) cultural awareness: examine their attitudes, beliefs, and values, and how they shape their professional practice; (c) cultural humility: listen and learn from the patients' traditional practices; (d) cultural competence: describe current pedagogical approaches to address intercultural tensions; and (e) cultural safety: discuss with patients to reach an agreement on their treatment.Conclusion: This study integrated the perspectives of different stakeholders and proposed new applications of cultural safety that are relevant to other countries. Researchers and educators can use these results to inform future cultural safety initiatives.

AB - Background: Although traditional and cultural health practices are widely used in Colombia, physicians are not trained to address intercultural tensions that arise in clinical practice. Cultural safety encourages practitioners to examine how their own culture shapes their clinical practice and to respect their patients' culture. It requires inviting patients of non-dominant cultures to co-design culturally safe health care. We co-designed a curriculum for cultural safety training of Colombian health professionals.Methods: A sequential-consensual qualitative study defined the learning objectives of the curriculum. Semi-structured questionnaires and focus groups explored the opinions of traditional medicine users, medical students, and intercultural health experts to inform the content of the curriculum. Deliberative dialogue between key intercultural health experts settled the academic content of the curriculum. A member-checking strategy modified and approved the final version.Results: Seven traditional medicine users, six medical students, and four intercultural health experts participated in the study. The stakeholders defined five learning objectives: (a) culturally unsafe practices: acknowledge the intercultural tensions and its consequences; (b) cultural awareness: examine their attitudes, beliefs, and values, and how they shape their professional practice; (c) cultural humility: listen and learn from the patients' traditional practices; (d) cultural competence: describe current pedagogical approaches to address intercultural tensions; and (e) cultural safety: discuss with patients to reach an agreement on their treatment.Conclusion: This study integrated the perspectives of different stakeholders and proposed new applications of cultural safety that are relevant to other countries. Researchers and educators can use these results to inform future cultural safety initiatives.

U2 - 10.36834/cmej.72675

DO - 10.36834/cmej.72675

M3 - Research Article

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JO - Canadian medical education journal

JF - Canadian medical education journal

IS - 2

ER -

A co-designed curriculum for cultural safety training of Colombian health professionals: sequential-consensual qualitative study

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