* The leading cause of death in children younger than 19 is unintentional injuries.
* 6 elements included in the process of developing cultural competence are: * Working on changing one’s own world view through examining one’s own values and behaviors and striving to reject racism and institutions that support it * Becoming familiar with core cultural issues by recognizing these issues and exploring them with patients * Becoming knowledgeable about the cultural groups we work with while learning about each individual patient’s unique history * Becoming familiar with core cultural issues related to health and illness and communicating in a way that encourages patients to explain what an illness means to them * Developing a relationship of trust with the patient and creating a welcoming atmosphere in the health care setting * Negotiating for mutually acceptable and understandable interventions of care.
* Culturally sensitive interactions * Nonverbal strategies * Invite family members to choose where they would like to sit or stand, allowing them to select a comfortable distance. * Observe interactions with others to determine which body gestures (ex. Shaking hands) are acceptable and appropriate. Ask when in doubt. * Avoid appearing rushed * Be an active listener * Observe for cues, regarding appropriate eye contact * Learn appropriate use of pauses or interruptions for different cultures * Ask for clarification if nonverbal meaning is unclear * Verbal strategies * Learn proper terms of address * Use a positive tone of voice to convey interest * Speak slowly and carefully, not loudly, when families have poor language comprehension * Encourage questions * Learn basic words and sentences of family’s language, if possible * Avoid professional terms