Moving From Cultural Competence to Cultural Humility in Occupational Therapy: A Paradigm Shift

Am J Occup Ther. 2020 Jul/Aug;74(4):7404347010p1-7404347010p7. doi: 10.5014/ajot.2020.038067.

Abstract

Other: As the U.S. population becomes increasingly multicultural, occupational therapy practitioners must be adept at working with diverse populations. For the past 15-20 yr, many occupational therapy scholars have recognized this need, and in response, they have promoted cultural competence training. Although cultural competence has provided an important initial conceptual framework for the field, I argue that it is time to move toward a practice of cultural humility, which is defined by flexibility; awareness of bias; a lifelong, learning-oriented approach to working with diversity; and a recognition of the role of power in health care interactions. In this article, I present three main arguments why cultural humility is a more useful and critical conceptual framework than cultural competence, and I review preliminary research that examines the influence of cultural humility on patient experience. I conclude by briefly describing how cultural humility can be incorporated in occupational therapy curricula and applied in clinical and community practice settings.

What this article adds: This article provides a clear articulation of what cultural humility is, how it differs from cultural competence, and how it can be applied in occupational therapy.

Publication types

  • Review

MeSH terms

  • Cultural Competency*
  • Cultural Diversity
  • Curriculum
  • Delivery of Health Care
  • Humans
  • Occupational Therapy*