Cultural Humility: How To Implement It In Your Health & Well-Being Practice
Anyone who seeks out a health and well-being provider is looking for someone who will be a part of their health care team. When they walk into a space where they are vulnerable and reliant upon care, they hope that the provider will be respectful and allow them to share their story without judgment. For this to be possible, the provider (or anyone, for that matter) should have cultural humility.
What is cultural humility?
Cultural humility is a process of communal reflection to examine the root causes of suffering, with the goal of creating a more inclusive worldview. It was originally developed by Melanie Tervalon, M.D., MPH, and Jann Murray-Garcia, M.D., MPH, to address health disparities and inequities in medicine and is further discussed by filmmaker Vivian Chavez in the video titled Cultural Humility: People, Principles, and Practices.
It's a multidimensional concept that includes self-reflection, critical self-thought, and lifelong learning. It also requires an awareness of power dynamics to ensure respectful partnerships and institutional accountability.
The work of making cultural humility integral to your well-being practice hinges on the idea that you, as the provider, are able to be self-aware while considering the alternative viewpoint of your patient or the person you are caring for.
How can well-being providers practice cultural humility?
As a well-being provider, you are in a position of power. To practice cultural humility, aim to be open and compassionate. Strive to provide individualized, unbiased, patient-centered care. Allow the person to tell you their story rather than labeling them based on preconceived notions.
It's also important to consider the lived experience of the person seeking care, as this is very valuable to cultural humility. In some cases, you'll need to be aware and sensitive to the historical significance of what it means to be on the outside of the dominant power structure. How has this affected your patient's access to treatment and care?
How do you hone and strengthen these skills?
It takes time, and that's OK. Structural racism and bias have resulted in bigotry, hatred, disregard, and disrespect. It will take time to unravel this, as well as to collectively heal.
1. Commit to unlearning.
Begin unpacking and unlearning what you know while being ready to take in new information. Seek out educators and teachers who are not replications of yourself. To learn something new, we all need to be comfortable taking a step outside of our bubble.
2. Engage in both formal and informal learning.
3. Diversify your life and work experiences.
Allow yourself to cultivate organic relationships with people outside of your cultural group. Consume art and music from a multitude of cultures. Expand your palate and taste foods outside of your normal routine. Read books written by authors from other cultures, not just the books that outline disparities but where people live their everyday lives and experience a range of emotions. Continually ask yourself to make space for alternative viewpoints.
In this moment, many people are looking for ways to activate and move forward. It may be helpful to think on a small scale with sustainability and progression in mind. Begin with a course or workshop focused on self-reflection and how to ready oneself for learning. This work is messy and imperfect. It's rarely neatly completed. Embrace the uncomfortable moments, as you listen, learn, and assist.
Maya Feller, MS, RD, CDN is a Registered Dietitian who specializes in nutrition for chronic disease prevention. She received her masters of science in nutrition at New York University and completed her clinical nutrition training at Memorial Sloan Kettering Cancer Center. After graduating, Maya established a DOHMH funded food and nutrition program in an outpatient setting where she oversaw the nutrition program, counseled patients and was responsible for the daily soup kitchen and weekly food pantry where she partnered with neighborhood CSAs and food co-ops to bring local and organic food to her clients.
Maya shares her approachable, real food based solutions to millions of people through regular speaking engagements and as a nutrition expert on The Dr. Oz Show and Good Morning America. She's also an adjunct professor at NYU where she teaches nutrition and lectures at nutrition symposia. When she's not hard at work, you may spot Maya out for a run, shopping at the Park Slope Food Coop or enjoying a delicious meal with her family.