Pathways to Cultural Competence: Diversity Backgrounds and Their Influence on Career Path and Clinical Care Purpose The purpose of this study was to collect and analyze experiential narratives of clinicians from culturally and linguistically diverse (CLD) backgrounds and then disseminate the findings to promote cultural proficiency through shared experiences. Method An exploratory, qualitative approach was implemented using ... Article
Article  |   August 17, 2018
Pathways to Cultural Competence: Diversity Backgrounds and Their Influence on Career Path and Clinical Care
Author Affiliations & Notes
  • Soren Y. Lowell
    Department of Communication Sciences and Disorders, Syracuse University, Syracuse, NY
  • Debra C. Vigil
    Department of Speech Pathology and Audiology, University of Nevada, Reno, Reno, NV
  • Mariam Abdelaziz
    Department of Communication Sciences and Disorders, The University of North Carolina at Greensboro, Greensboro, NC
  • Kimberly Edmonds
    Phoenixville Area School District, Phoenixville, PA
  • Puja Goel-Sakhalkar
    Soliant Health, Inc., Santa Fe, NM
  • Mark Guiberson
    Division of Communication Disorders, University of Wyoming, Laramie, WY
  • Alicia Fleming Hamilton
    Birth to Five Evaluation Team, Special Education Department, Minneapolis Public Schools, Plymouth, MN
  • Pei-Fang Hung
    Department of Speech-Language Pathology, California State University, Long Beach, Long Beach, CA
  • Dorian Lee-Wilkerson
    Department of Communicative Sciences and Disorders, Hampton University, Hampton, VA
  • Charlotte Miller
    Communication Sciences & Disorders Program, State University of New York Plattsburgh, Plattsburgh, NY
  • Jean F. Rivera Perez
    Davies School of Communication Sciences & Disorders, Texas Christian University, Fort Worth, TX
  • Ishara Ramkissoon
    Department of Speech Pathology & Audiology, University of South Alabama, Mobile, AL
  • Diane Scott
    Communication Disorders Program, Department of Allied Professions, North Carolina Central University, Durham, NC
  • Disclosures
    Disclosures ×
  • Financial: The authors have no relevant financial interests to disclose.
    Financial: The authors have no relevant financial interests to disclose.×
  • Nonfinancial: The authors have no relevant nonfinancial interests to disclose.
    Nonfinancial: The authors have no relevant nonfinancial interests to disclose.×
  • *This work was conducted as part of the volunteer activities of the Multicultural Issues Board, a volunteer governance-related board for the American Speech-Language-Hearing Association.
    *This work was conducted as part of the volunteer activities of the Multicultural Issues Board, a volunteer governance-related board for the American Speech-Language-Hearing Association.×
Article Information
Cultural & Linguistic Diversity / Professional Issues & Training / Part 2
Article   |   August 17, 2018
Pathways to Cultural Competence: Diversity Backgrounds and Their Influence on Career Path and Clinical Care
Perspectives of the ASHA Special Interest Groups, August 2018, Vol. 3, 30-39. doi:10.1044/persp3.SIG14.30
History: Received February 1, 2018 , Revised May 9, 2018 , Accepted June 14, 2018
Perspectives of the ASHA Special Interest Groups, August 2018, Vol. 3, 30-39. doi:10.1044/persp3.SIG14.30
History: Received February 1, 2018; Revised May 9, 2018; Accepted June 14, 2018

Purpose The purpose of this study was to collect and analyze experiential narratives of clinicians from culturally and linguistically diverse (CLD) backgrounds and then disseminate the findings to promote cultural proficiency through shared experiences.

Method An exploratory, qualitative approach was implemented using semistructured interviews with guided questions to gather narratives from the American Speech-Language-Hearing Association affiliates from CLD backgrounds. Participants were recruited during the 2016 American Speech-Language-Hearing Association Convention conference, and subsequent individual interviews were held with 3 participants whose service settings included graduate clinical training, clinical practice, and academic training in the fields of audiology and speech-language pathology. Narrative analysis was performed to extract major narrative themes.

Results Three primary themes were identified: (a) ways in which the CLD backgrounds of these professionals influenced their career choices, (b) how their CLD backgrounds and experiences influence the services they provide and their chosen work environments, and (c) key issues considered important for other professionals to be aware of to be optimally responsive and sensitive to clients from diverse backgrounds.

Conclusion The combined experiences and insights of these professionals demonstrate that for every audiology and speech-language pathology professional, cultural proficiency requires sensitivity, adaptability, continuous development and expansion of self-knowledge, and collaborative exchange.

Acknowledgments
We would like to gratefully acknowledge the insightful and essential input provided by Karen Beverly-Ducker and Perry Flynn. Their guidance shaped and strengthened this study throughout the development, implementation, writing, and results dissemination phases.
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