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Cultural competency in health care providers' ethical decision-making and moral reasoning: Implications for reducing racial and ethnic health disparities for diverse populations
William J Hunter
Paperback. ProQuest, UMI Dissertation Publishing 2011-09-02.
ISBN 9781243468123
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Publisher description
Health care providers face a series of ethical dilemmas and problems arising in clinical practice and health care delivery as a result of making decisions that reflect one's core beliefs and values. For health care, the link between ethics and ethical decision-making and professional conduct is vital. Ethical obligations in the health care profession arise primarily because of the nature of the health care environment, the physician-patient relationship, and the responsibility of health care providers for the well-being of vulnerable populations. Health care providers' modes of reasoning and moral norms are largely grounded in European and Anglo-American culture. Racial and ethnic groups' values systems sometimes are congruent with, and sometimes at odds with, Western European cultural values. Ethics and cultural competency knowledge is highly valued, as it contributes to health care providers' moral development and professional decision-making. Formal education in the profession of health care providers has shown to increase moral reasoning scores on the Defining Issues Test (DIT), a measure of post-conventional moral thinking (Bebeau, 2002; Duckett et al., 1997). Furthermore, it has been shown that education in ethics and cultural competency training as a component of ethics positively affects the moral development of medical students, particularly when an ethics course with group participation and decision-making is employed (Duckett et al., 1997). This research adds to the important body of work and makes a valuable contribution to the understanding and explanation of ethics and the ethical decision-making of health care providers. Also, it presents an explanation of cultural competency in health care providers' ethical decision-making. Empirical cognitive moral development research posits that people progress from a lower stage to higher stages throughout life, and that education and training, such as cultural competency training, can assist one to achieve higher stages of moral development
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Cultural competency in health care providers' ethical decision-making and moral reasoning: Implications for reducing racial and ethnic health disparities for diverse populations
Book reviews » Cultural competency in health care providers' ethical decision-making and moral reasoning: Implications for reducing racial and ethnic health disparities for diverse populations
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