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Curriculum Co-design for Cultural Safety Training of Medical Students in Colombia: Protocol for a Qualitative Study

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Computer Supported Qualitative Research (WCQR 2018)

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 861))

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Abstract

Cultural safety in medical training encourages practitioners, in a culturally congruent way, to acknowledge the validity of their patients’ worldviews. Lack of cultural safety is linked to ethnic health disparities and ineffective health services. Colombian medical schools currently provide no training in cultural safety. The aim of this qualitative study is to: (i) document the opinions of stakeholders on what a curriculum in cultural safety should teach to medical students; and (ii) use this understanding to co-design a curriculum for cultural safety training of Colombian medical students. Focus groups will explore opinions of traditional medicine users, medical students, and cultural safety experts regarding the content of the curriculum; deliberative dialogue between key cultural safety experts will settle the academic content of the curriculum. The research develops participatory methods in medical education that might be of relevance in other subjects.

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References

  1. World Health Organization: The Promotion and Development of Traditional Medicine. http://apps.who.int/medicinedocs/en/d/Js7147e/. Accessed 30 July 2018

  2. World Health Organization: Declaration of Alma-Ata. http://www.who.int/publications/almaata_declaration_en.pdf. Accessed 30 July 2018

  3. Williamson, M., Harrison, L.: Providing culturally appropriate care: a literature review. Int. J. Nurs. Stud. 47(6), 761–769 (2010). https://doi.org/10.1016/j.ijnurstu.2009.12.012

    Article  Google Scholar 

  4. Hester, R.J.: The promise and paradox of cultural competence. HEC Forum 24(4), 279–291 (2012). https://doi.org/10.1007/s10730-012-9200-2

    Article  Google Scholar 

  5. Chomat, A.M., Kring, B., Paiz, L.: Approaching maternal health from a decolonized, systemic, and culturally safe approach: case study of the Mayan-indigenous populations of Guatemala. In: Maternal Death and Pregnancy-Related Morbidity Among Indigenous Women of Mexico and Central America, 1st edn, pp. 483–511. Springer, Augusta, GE (2018)

    Google Scholar 

  6. LaVeist, T., Gaskin, D., Richard, P.: Estimating the economic burden of racial health inequalities in the United States. Int. J. Heal. Serv. 41(2), 231–238 (2011). https://doi.org/10.2190/hs.41.2.c

    Article  Google Scholar 

  7. Liaison Committee on Medical Education: Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the MD Degree. http://lcme.org/publications/. Accessed 30 July 2018

  8. General Medical Council: Tomorrow’s Doctors - Outcomes and Standards for Undergraduate Medical Education. http://www.gmc-uk.org/Tomorrow_s_Doctors_1214.pdf_48905759.pdf. Accessed 30 July 2018

  9. Committee on Accreditation of Canadian Medical Schools: Standards for Accreditation of Medical Education Programs Leading to the MD Degree. https://www.afmc.ca/pdf/CACMS_Standards_and_Elements_June_2014_Effective_July12015.pdf. Accessed 30 July 2018

  10. Brusin, J.H.: How cultural competency can help reduce health disparities. Radiol. Technol. 84(2), 129–147 (2012)

    Google Scholar 

  11. Starr, S.S., Wallace, D.C.: Client perceptions of cultural competence of community-based nurses. J. Community Health Nurs. 28(2), 57–69 (2011). https://doi.org/10.1080/07370016.2011.564057

    Article  Google Scholar 

  12. Cai, D.Y.: A concept analysis of cultural competence. Int. J. Nurs. Sci. 3(3), 268–273 (2016). https://doi.org/10.1016/j.ijnss.2016.08.002

    Article  Google Scholar 

  13. Hawthorne, K., Robles, Y., Cannings-John, R., Edwards, A.G.K.: Culturally appropriate health education for type 2 diabetes in ethnic minority groups: a systematic and narrative review of randomized controlled trials. Diabet. Med. 27(6), 613–623 (2010). https://doi.org/10.1111/j.1464-5491.2010.02954.x

    Article  Google Scholar 

  14. Pon, G.: Cultural competency as new racism: an ontology of forgetting. J. Progress. Hum. Serv. 20(1), 59–71 (2009). https://doi.org/10.1080/10428230902871173

    Article  Google Scholar 

  15. Brascoupe, S., Waters, C.: Cultural safety: exploring the applicability of the concept of cultural safety to aboriginal health and community wellness. J. Aborig. Heal. 5, 6–41 (2009)

    Google Scholar 

  16. Dyck, I., Kearns, R.: Transforming the relations of research: towards culturally safe geographies of health and healing. Health Place 1(3), 137–147 (1995). https://doi.org/10.1016/1353-8292(95)00020-M

    Article  Google Scholar 

  17. Nursing Council of New Zealand: Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice. http://www.nursingcouncil.org.nz/Publications/Standards-and-guidelines-for-nurses. Accessed 30 July 2018

  18. McEldowney, R., Connor, M.J.: Cultural safety as an ethic of care. J. Transcult. Nurs. 22(4), 342–349 (2011). https://doi.org/10.1177/1043659611414139

    Article  Google Scholar 

  19. World Health Organization: WHO Traditional Medicine Strategy 2002–2005. http://www.wpro.who.int/health_technology/book_who_traditional_medicine_strategy_2002_2005.pdf. Accessed 30 July 2018

  20. Groleau, D., Zelkowitz, P., Cabral, I.E.: Enhancing generalizability: moving from an intimate to a political voice. Qual. Health Res. 19(3), 416–426 (2009). https://doi.org/10.1177/1049732308329851

    Article  Google Scholar 

  21. Israel, B.A., Schulz, A.J., Parker, E.A., Becker, A.B.: Review of community-based research: assessing partnership approaches to improve public health. Annu. Rev. Public Health 19(1), 173–202 (1998). https://doi.org/10.1146/annurev.publhealth.19.1.173

    Article  Google Scholar 

  22. Zuluaga, G., Andersson, N.: Initiation rites at menarche and self-reported dysmenorrhoea among indigenous women of the Colombian Amazon: a cross-sectional study. BMJ Open 3, e002012 (2013). https://doi.org/10.1136/bmjopen-2012-002012

    Article  Google Scholar 

  23. Sarmiento, I., Zuluaga, G., Andersson, N.: Traditional medicine used in childbirth and for childhood diarrhoea in Nigeria’s Cross River State: interviews with traditional practitioners and a statewide cross-sectional study. BMJ Open 6, e010417 (2016). https://doi.org/10.1136/bmjopen-2015-010417

    Article  Google Scholar 

  24. Marshall, M.N.: Sampling for qualitative research. Fam. Pract. 13(6), 522–526 (1996). https://doi.org/10.1093/fampra/13.6.522

    Article  Google Scholar 

  25. Green, J., Thorogood, N.: Qualitative Methods for Health Research, 3rd edn. Sage, London (2014)

    Google Scholar 

  26. Braun, V., Clarke, V.: Using thematic analysis in psychology. Qual. Res. Psychol. 3(2), 77–101 (2006). https://doi.org/10.1191/1478088706qp063oa

    Article  Google Scholar 

  27. Salsberg, J., Parry, D., Pluye, P., Macridis, S., Herbert, C.P., Macaulay, A.C.: Successful strategies to engage research partners for translating evidence into action in community health: a critical review. J. Environ. Public Health 2015, 1–15 (2015). https://doi.org/10.1155/2015/191856

    Article  Google Scholar 

  28. Boyko, J.A., Lavis, J.N., Abelson, J., Dobbins, M., Carter, N.: Deliberative dialogues as a mechanism for knowledge translation and exchange in health systems decision-making. Soc. Sci. Med. 75(11), 1938–1945 (2012). https://doi.org/10.1016/j.socscimed.2012.06.016

    Article  Google Scholar 

  29. The Center for Teaching and Learning: Bloom’s Taxonomy of Educational Objectives. https://teaching.uncc.edu/services-programs/teaching-guides/course-design/blooms-educational-objectives. Accessed 30 July 2018

  30. Shenton, A.K.: Strategies for ensuring trustworthiness in qualitative research projects. Educ. Inf. 22(2), 63–75 (2004). https://doi.org/10.3233/EFI-2004-22201

    Article  Google Scholar 

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Acknowledgments

This study is funded by the CEIBA Foundation (Colombia) and the Fonds de recherche du Québec – Santé (Canada). The traditional medicine users from the “Seed of Life” community organization, the cultural safety experts at the Group on Traditional Health Systems Studies and the Center for Community Health Studies, and medical students from La Sabana University supported the project. Cass Laurie helped proofread the final version of the manuscript and supported its write-up.

Author information

Authors and Affiliations

  1. McGill University, Montreal, QC, Canada

    Juan Pimentel, Anne Cockcroft & Neil Andersson

  2. Universidad de La Sabana, Chía, Cundinamarca, Colombia

    Juan Pimentel & Adriana Molina

  3. Universidad del Rosario, Bogotá, Cundinamarca, Colombia

    Juan Pimentel, Germán Zuluaga & Andrés Isaza

  4. Centro de Investigación de Enfermedades Tropicales (CIET), Universidad Autónoma de Guerrero, Acapulco, Guerrero, Mexico

    Neil Andersson

Authors
  1. Juan Pimentel
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  2. Germán Zuluaga
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  3. Andrés Isaza
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  4. Adriana Molina
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  5. Anne Cockcroft
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  6. Neil Andersson
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Corresponding author

Correspondence to Juan Pimentel .

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Editors and Affiliations

  1. Department of Education and Psychology, Didactics and Technology in Teacher Education (CIDTFF) Research Centre, University of Aveiro, Aveiro, Portugal

    António Pedro Costa

  2. Informatics Engineering Department Faculty of Engineering LIACC Research Center, University of Porto, Porto, Portugal

    Luís Paulo Reis

  3. Department of Education and Psychology, Didactics and Technology in Teacher Education (CIDTFF) Research Centre, University of Aveiro, Aveiro, Portugal

    António Moreira

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Pimentel, J., Zuluaga, G., Isaza, A., Molina, A., Cockcroft, A., Andersson, N. (2019). Curriculum Co-design for Cultural Safety Training of Medical Students in Colombia: Protocol for a Qualitative Study. In: Costa, A., Reis, L., Moreira, A. (eds) Computer Supported Qualitative Research. WCQR 2018. Advances in Intelligent Systems and Computing, vol 861. Springer, Cham. https://doi.org/10.1007/978-3-030-01406-3_9

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  • DOI: https://doi.org/10.1007/978-3-030-01406-3_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-01405-6

  • Online ISBN: 978-3-030-01406-3

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