Chapter 8 – Hazel Finlay (D1SOP8)
Domain 1 Standard of Proficiency 8
Recognise the importance of practising in a non-discriminatory, culturally sensitive way and acknowledge and respect the differences in beliefs and cultural practices of individuals or groups.
KEY TERMS Differences in beliefs and cultural practices Non-discriminatory practice Cultural sensitivity Cultural competence Everyday activities |
Social care is … a helping hand that values and empowers us to make positive changes in our lives. |
TASK 1
Write a reflective piece on your personal values and beliefs and how they are (or are not) helpful in your development as a social care worker.
Acknowledge and Respect Differences in Beliefs and Cultural Practices
The word culture relates to the particular set of knowledge and characteristics shared by a group of people, for example ethnic minority groups, social groups, people of the same gender, people with disabilities and so on. In this chapter, the focus will be on culture and ethnic diversity in social care practice.
TASK 2
Watch the documentary ‘Direct Provision – Ireland’s Asylum Seekers’ (28 October 2017). From watching this documentary, what have you learned about asylum seekers in direct provision?
- Understanding of wider political, social and economic concerns
- Understanding of the link between migrant/ethnic status and rights and entitlements
- Impact of poverty/discrimination/exclusion
- Impact on family life
- Impact on mental health and parental capacity
- Impact on children’s development and welfare
- Impact on human rights
- Non-Discriminatory and Culturally Sensitive Practice
Principles of human rights and social justice are fundamental to social care work. As social care workers, we are legally required to respect and uphold the rights of the people in our care. National standards and guidance documents such as Safeguarding Ireland and HIQA’s recent Guidance on a Human Rights-based Approach in Health and Social Care Services and the Social Care Workers Registration Board’s Code of Professional Conduct and Ethics (SCWRB 2019) promote a human rights- based approach in our health and social care services. A rights-based approach in social care work requires the worker to promote and protect the rights of the people in their care. These include the right to autonomy; the right to make important decisions about their own lives; the right to dignity and respect; the right to participate in family and community life; the right to equality; and the right to live a life free from discrimination and abuse (Safeguarding Ireland & HIQA 2019).
Culturally sensitive or ethnic-sensitive practice requires the social care worker to recognise and value differences in the beliefs and cultural practices of the individuals and groups in our care. However, being sensitive to cultural/ethnic needs and differences is not enough; good practice should also be anti-oppressive. Anti-oppressive practice is important in social care as many of the people we work with are from populations where their diversity can place them at risk of discrimination and oppression (McGinnity, Grotti, Kenny, Russell 2017). According to the Social Care Workers Registration Board (2019), in addition to a human rights-based approach, social care workers should also promote social justice in their practice. This requires the worker to critically examine their own work practices, challenge discrimination and unfair policy, and respect diversity and different cultural practices.
A Culturally Competent Approach
Culturally competent practice is a relatively new and emerging concept that incorporates both culturally sensitive and ethnic-sensitive practice and anti-oppressive practice. This approach is relationship based and ‘calls for the worker to be able to practise in ways that are consistent with expectations in the client’s culture’ (Yanca & Johnson 2008:53). When we are culturally competent in our practice, we adapt our skills to meet the needs of the service user and understand the effects of diversity on the worker, the services user, the environment and how all three interact (ibid.). Culturally competent practice or diversity-competent practice can extend to all areas of culture and diversity including gender, class, race, ethnicity, age, disability, sexual orientation, religion, etc. (ibid.).
Developing a Culturally Competent Approach
Understanding Self |
Understanding Social and Political Factors |
Understanding Culture of Diverse Group |
Diversity-competent Skills/Practice |
Values Beliefs Attitudes Prejudice |
Oppression Racism Discrimination Rights and Entitlements Human Rights Exclusion |
Values Beliefs Attitudes Cultural Practices |
Reflection Self-awareness Relationship Building Empathy/Compassion Communication/ Partnership Research/ Understanding Listening/Learning Non-discriminatory Non-judgemental |
(Adapted from Yanca and Johnson 2008)
TASK 3
Putting a Culturally Competent Approach into Practice in your Setting.
a) Ask your student to read this case study and answer the following questions.
b) Prepare a case study relevant to your setting that will help the student understand how to practice in a culturally sensitive way.
Case Study 1
You are working in a youth project with young people from the local community. Over the past few months, a number of young people currently living in direct provision have joined the group. You have noticed that there seems to be a divide between the children from the local community and those living in direct provision.
What do you do?
1 Understanding oneself (social care worker)
- examine own beliefs, values and prejudices
- research, learn, understand and respect difference
- be open to new ideas, traditions and routines
- listen to and learn from service users
- build relationships that value and empower the service users
2 Getting to know each other (focus on positive aspects of culture and break down language and cultural barriers)
- culture day (meals, traditions, hair, dress, appearance, language, social interaction)
- life story pictures/collage (identity, values, lived experience, family, friends)
- creative work/group work (values, beliefs, norms, discrimination, racism, exclusion)
- food culture days (cook foods from own culture and share
3 Finding common ground (identify shared values and common interest)
- shared positive experiences
- group/fun activities, e.g., football, cinema, dance, swimming
- day trip/camping out
- creative work/group work (identify shared values, hopes and dreams)
4 Celebrate diversity (focus on positive aspects of diversity and how it can enrich our society/ communities)
- culture day/party
- share new knowledge and ideas
- share talents and skills
Tips for Practice Educators
When students begin their practice placement journey, they should be encouraged to continue to engage in reflective practice; exploring their own, attitudes, values and beliefs and how they influence their responses to their practice placement experiences. Writing a daily reflective journal will allow students to capture their experiences and responses while providing the space for deeper understanding and self-awareness. This learning can be used to improve future responses and help students to understand the effects of diversity on themselves, the environment and the service user.
It is important that students have an induction period when they first start their placement. This usually involves some research on the purpose and values of the agency, the policies and procedures that guide the work of the agency and the needs of the service user group. It is important for students to engage in research and recognise theories that relate to the particular service user group and approaches and interventions used to respond to these needs.
Practice educators may need to guide students in understanding the needs of the service users. It is important that students do not make assumptions about service users because they perceive they come from a similar background to another service user or someone they know.
Rather than claiming to be diversity competent and to understand other cultures, students need to engage with and listen to the people they work with. Practice educators should encourage students to take an inductive approach when making links between theory and practice (see Yanca and Johnson 2008). An inductive approach requires the student to be open minded and put aside any preconceived judgements they may have about a particular group of people. Students should be encouraged to listen and learn from the people they work with and apply academic knowledge to their placement learning and experiences.
The above ‘Task – Putting a Culturally Competent Approach into Practice in your Setting’ may be useful to practice educators and students, and it can be applied to most areas of social care work. The ‘Task’ provides practical tips to help students develop a deeper understanding of their own diversity and, how it impacts their responses, the environment they work in and the service users they engage with. It offers practical and fun ways to listen to and learn about the people we work with, thus creating a space for positive relationships to grow and for students to develop cultural competence in their practice.
References
CSO (Central Statistics Office) (2016) Census 2016: Profile 7 – Migration and Diversity. Dublin: Stationery Office.
HIQA (Health Information and Quality Authority) and Mental Health Commission (2019) National Standards for Adult Safeguarding. Dublin: Stationery Office.
Loyal, S. (2003) ‘Welcome to the Celtic Tiger: Racism, Immigration and the State’ in C. Coulter and S. Coleman (eds) The End of Irish History? Reflections on the Celtic Tiger. Dublin: Gill & Macmillan.
McCabe, C and Timmons, F. (2013) Communication Skills for Nursing Practice, 2nd ed., London: MacMillan Education UK.
McCann James, C., de Roiste, A. and McHugh, J. (2009) Social Care Practice: An Integrated Perspective. Dublin: Gill & Macmillan.
McGinnity, F., Grotti, R., Kenny, O. and Russell, H. (2017) Who Experiences Discrimination in Ireland? Evidence from the QNHS Equality Modules. Dublin: ESRI and IHREC.
Safeguarding Ireland and HIQA (Health Information and Quality Authority) (2019) Guidance on a Human Rights-Based Approach in Health and Social Care Services. Dublin: Stationery Office.
SCWRB (Social Care Workers Registration Board) (2019) Code of Professional Conduct and Ethics. Dublin: CORU.
Yanca, S.J. and Johnson, L.C. (2008) Generalist Social Work Practice with Families, Boston: Ally and Bacon.