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SUNY Downstate Geriatric Fellowship Program

Video Training Modules to Enhance Cultural Competency

These videos contain clinical vignettes of common cultural issues that arise in medical and nursing home settings. In these settings, , race, ethnicity, culture and language interface with each other. The various differences in backgrounds and communication styles can create misunderstandings between staff and residents or their families. The following six video clips use role plays (professional actors) to increase awareness about cultural health beliefs, prejudice, communication styles, use of language and stereotypes. The past graduating class of the Geriatric Fellowship Program assisted in the development of the videos.

Debunking stereotypes and improving understanding of differences is an ongoing process as new staff and residents join the nursing home community. Each video clip deals with a difficult topic and encourages discussions to raise questions, voice concerns and suggestions. We would welcome your feedback regarding the vignettes in the video.

Case 1

Health Beliefs - This clip introduces the idea of multiple cultural health beliefs. The resident from the Caribbean expresses his view on his illness and treatment.

Case 2

Racial Bias - The views between a white resident and a black care provider clash; "Ouch!" The exchange is hurtful and shows a lack of understanding and respect based on prejudice.

Case 3

Language - A Latina resident and a family member converse in Spanish. The white English speaking care providers are suspicious about the conversation they hear.

Case 4

Self- Awareness - Two care providers reflect on their own stereotypical views about whites with Jewish ancestry.

Case 5

An Organizational Goal - A care provider expresses to an administrator an idea for change in the nursing home; the administrator is resisting.

Case 6

Cultural Differences in Closeness - Touch, a non-verbal communication, is used by a Latino resident; the communication between the resident and care provider shows miscommunication.