Title Culture, community health and wellbeing intercultural sensitivity and participation) Code NAM116 Level 7 Credit rating 20 credits Pre-requisites Normal entry requirements for the Graduate Programme in Health and Social Sciences. Type of module Intensive Aims Learning outcomes/objectives (formerly To enable students to understand how health knowledge, related practices and health behaviour are shaped by the cultural, social, economic and political contexts in which they occur To develop students’ ability to critically reflect on experience, knowledge and evidence relevant to community health and well -being On successful completion of the module the student will be able to: 1. Critically reflect on the relationship between personal experience and cultural, social, political and economic factors that influence health and wellbeing. 2. Critically explore diverse cultural traditions of health by examining different knowledge systems, power relations and healing traditions across cultures. 3. Compare how culture shapes diverse health traditions and consider the interface between biomedicine and alternative approaches to knowledge generation in Western health contexts. 4. Critically synthesise knowledge to consider the influence of cultural pluralism, diversity and inequalities on health behaviour. 5. Gain a reflexive self awareness of values during collaboration with ‘others’ in culturally diverse health contexts. Content Theoretical content will be drawn from health and social care, health promotion, social sciences and anthropology in order to consider: Culture, health discourses and pluralism (What are different ideas about health across cultures? What makes for a healthy body? How do these relate to diverse worldviews? What are the implications of these views for collaborative working practices?) Biomedical-, social-, solution focused or appreciative approaches to health How culture and healing traditions shape the body in health care Dealing with diversity, recognition and difference Cultural and personal narratives of health Intercultural collaboration, cultural safety and social inclusion Participation, social capital and community processes Processes of critical reflection in health and social care Health policy, inequalities and the social justice agenda Values and ethics of cultural diversity Notions of knowledge, power and self-governance of health Reflexivity and an awareness of how personal values impact on collaborative working practices Teaching and learning Keynote lectures, a field trip, critical reflection group, journal strategies writing, workshop, individual tutorials and learning via student central and electronic resources. Formative assessment: The student will make an informal presentation to peers about how their own values, beliefs and personal philosophies were challenged due to an encounter with cultural difference or culturally diverse health traditions which they have experienced in previous practice or during the modulefieldtrip. (Learning outcomes 4 & 5) In preparation of the fieldtrip students will receive detailed guidance and a briefing document during a workshop. Module leaders as workshop facilitators will clarify any potential ethical and safety considerations prior to the event. The fieldtrip will be undertaken in small groups during the interval between the first and second series of taught sessions. The fieldtrip will be followed by a critical reflection workshop where students will explore their experiences and the cultural values and/or assumptions that underpin these experiences. Students will be supported to make meaning of their experiences and consider socially just change. *Students with limited professional or intercultural exposure will be encouraged to undertake an additional optional fieldtrip during the interval between first and second series of taught sessions. Module and Course Leaders will offer suggestions for an additional fieldtrip; however the student will be responsible for making detailed arrangements. Direct taught hours 48 Independent student effort 152 Total hours 200 Learning support Anderson, J. et al 2003 “Rewriting” Cultural Safety within the Postcolonial and Postnational Feminist Project: Towards new epistemologies of healing. Advances in Nursing Science. 26 (3):196-214 Browne, Annette.J. Varcoe, Colleen. Smye, Victoria. et al 2009 Cultural safety and the challenges of translating critically orientated knowledge in practice. Nursing Philosophy (10):167-179. Chambers, R. 2002 Participatory Workshops: A Sourcebook of 21 Sets of Ideas and Activities Earthscan Publications Finlay, L. & Gouch, B. 2003 Reflexivity: A practical guide for researchers in health & social sciences. Oxford:Blackwell Fraser, Nancy. & Honneth, A. 2003 Redistribution or Recognition: A Political-Philosophical Exchange. London:Verso. Frank A. 2010. Socio-Narratology: letting stories breath. Chicago: University of Chicago Press. Fook, J. & Gardner, J. 2007 Practicing Critical Reflection. Berkshire: Open University Press. Fulford, K.W.M. 2004 Ten Principles of Values-Based Medicine. The philosophy of Psychiatry: A Companion. Ch. 14 J. Radden. New York, Oxford University Press, 2004:205234. Gaventa, J. 2006 ‘Finding the Spaces for Change: A Power Analysis’, IDS Bulletin, 37(6): 23-33. Gaventa, J. and Cornwall, A. 2006 ‘Challenging the Boundaries of the Possible: Participation, Knowledge and Power’, IDS Bulletin, 37(6): 122-127 Grant A, Biley F, Walker H. (eds). 2011. Our Encounters with Madness. Ross-on-Wye: PCCS Books Hart, A., V. Hall, & F. Henwood. 2003 Helping health and social care professionals to develop an ‘inequalities imagination’: a model for use in education and practice. Journal of Advanced Nursing , 41(5),482-491 Helman, C. 2007. Culture, health and illness. New York: Hodder Arnold. Hickey, S. & Mohan, G. (eds) 2004 Participation: From Tyranny to Transformation? - Exploring New Approaches to Participation in Development. London: Zed Books Kline, M. & Huff, R. 2007 Health Promotion in Multicultural Populations. London: Sage. Lindstrom, B. & Eriksson, M. 2006 Contextualizing Salutogenisis and Antonovsky in public health development. Health Promotion International, 21(3):238-244. Marmot, M. 2004 Dignity and Inequality. The Lancet. (364): 1019-1021. MacLachlan, M. 2006. Culture and Health, a critical perspective towards Global Health. Chichester: John Wiley & Sons. McDonnell, O., Lohan, M., Hyde, A. & Porter, S. 2009 Social Theory, Health and Healthcare. Basingstoke: Palgrave Macmillan. McNay, L. 2008 Against Recognition. Cambridge: Polity. Twigg, J. 2006 The Body in Health and Social Care. Basingstoke: Palgrave Macmillan. Walsh, T. 2010 The Solution-focused Helper, Ethics and Practice in Health and Social Care. Maidenhead: Open University Press. Wilkinson, R. & Pickett, K. 2009 The spirit level, why do more equal societies almost always do better. London: Penguin. White, S., Fook, J. & Gardner, F. 2006 Critical Reflection in Health and Social Care. Berkshire. Open University Press. Policy Framework DoH (2009) Tackling health inequalities, 10 years on. London: HMSO. DoH (2010) Healthy lives, healthy people. Our strategy for public health in England. London: HMSO. DoH (2010) Our health and wellbeing today. London: HMSO. DoH (2009) Transforming community services: ambition, action, achievement. London: HMSO. NICE (2008) Community Engagement to improve health. London: NICE. WHO (2004) Global strategy on diet, physical activity & Health. Genève: World Health Organisation. UN (2000) Millennium development goals. New York. United Nations Development Programme. UN (2010) Global strategy for women’s and children’s health. New York. United Nations Development Programme. WebPages National Social Inclusion Programme (2009) Vision and progress/ social inclusion and mental health. CSIP, NIMHE. [Online] Available at: http://www.socialinclusion.org.uk/home/index.php Marmot Review (2010) Fair Society, Healthy Lives. The Marmot Review. Strategic Review of Health Inequalities in England post 2010. Available at: http://www.ucl/ac.uk/marmotreview Centre for Social Justice (2011) Mental Health, Poverty and Family Breakdown. [Online] Available at: Assessment tasks http://www.centreforsocialjustice.org.uk Summative assessment Using an entry from the journal kept throughout the module, the student will prepare a photo/picture essay (12-15 photos, 3000 words and 20-30 references) as critical reflection to consider the impact of culture on health and wellbeing. The subject of the reflection might be drawn from previous work/life experience, or from module fieldwork and may / may not be the same as used in the formative assessment. (Learning outcomes 1,2,3) Brief description of module content and/or The module will enable students to critically reflect on how aims (maximum 80 their own values, beliefs and assumptions are informed by words) the broader cultural contexts in which they occur. The relationship between culture, health and wellbeing will be explored by illuminating diverse community health traditions. The knowledge systems that underpin health traditions and practices will be examined via module content. Area examination SNM GPHSS AEB board to which module relates Module coordinators Laetitia Zeeman Contributors Alec Grant, Juliet Millican, Kay Aranda, Sharon de Goeas, Nita Muir Semester offered, 1 where appropriate Timetable slot(s) Site where delivered Falmer Date of first approval 1st Feb 2012 Date of last revision Date of approval of 1st Feb 2012 this version Version number Replacement previous module 1 for 0 Course(s) for which Mandatory module is acceptable PG Cert Health and status in that PG Dip/MSc Community Health course MSc Community Health and Education MSc Community Health and Management Optional Cert/PG Dip/MA Health Promotion PG Dip/MA International Health Promotion GPHSS School home Nursing and Midwifery External examiner Dr Lynne Kennedy (Oct 2008 – Sep 2012) Dr Pamela Schickler (Oct 2012 – Sept 2016)