Purpose. To describe the development of a conceptual framework for cultural competence that could help and guide the training of rehabilitation practitioners, students and researchers. Method. A systematic review of the literature yielded 259 usable documents that were further reviewed by two independent readers to identify 32 publications that described cultural competence conceptual models. Results. After eliminating redundancy, 18 unique cultural competence models were identified. A synthesis model was first developed which included four components. After an empirical validation of the model, a new model with only three components emerged. Conclusion. The empirically validated conceptual framework is a promising tool for training and evaluation of cultural competence.

Addressing health disparities and promoting health equity for Roma has been a challenge. The Roma are the largest disadvantaged ethnic minority population in Europe and have been the victims of deep social and economic injustices, institutional discrimination, and structural antigypsyism over many centuries. This has resulted in a much worse health status than their non-Roma counterparts. Current strategies based on ameliorative and top-down approaches to service delivery have resulted in paradoxical effects that solidify health disparities, since they do not effectively address the problems of vulnerable Roma groups. Following a health justice approach, we present a community-based participatory action research case study generated by a community and university partnership intended to address power imbalances and build collaboration among local stakeholders. This case study involved a group of health providers, Roma residents, researchers, Roma community organizations, and other stakeholders in the Poligono Sur, a neighborhood of Seville, Spain. The case study comprises four phases: (1) identifying Roma health assets, (2) empowering Roma community through sociopolitical awareness, (3) promoting alliances between Roma and community resources/institutions, and (4) building a common agenda for promoting Roma health justice. We highlighted best practices for developing processes to influence Roma health equity in local health policy agendas.

Objective: To determine pharmacy students’ impressions of their faculty’s interactions with diverse student and patient populations.Methods: Three student focus groups were convened. Eighty-four page transcripts were coded, and emergent themes identified by qualitative analysis.Results: Students defined diversity as multidimensional beyond traditional categories. Emergent themes were faculty awareness or lack of awareness of cultural diversity, disparate cultural perspectives and preferences within student groups, teaching/learning approaches to prepare students to be more culturally competent, and student group dynamics. First- and second-year students emphasized student-to-student interactions, while third- and fourth-year students emphasized a lack of preparation for the realities of contemporary practice based on instructional methods.Conclusions: Students perceived the majority of their pharmacy faculty to be culturally sensitive and aware, but microaggressions and discrimination from faculty and stu...

Entrepreneurship is increasingly emerging as a viable employment option for many people with disabilities. It provides opportunities to develop interests, skills, and passion for starting a business. We conducted multiple interviews with various stakeholders to identify the perceived supports and barriers that people with disabilities encounter in the process of pursuing entrepreneurship. Individual interviews included 20 entrepreneurs with disabilities, 6 service providers, and 5 school administrators. This qualitative study used a constructivist grounded theory approach to shape the process of data collection, analysis, and theory building. People with disabilities interested in pursuing entrepreneurship benefit from facilitators such as social support, mentoring, and access to space, equipment, and money. Personal qualities include their desire to be "my own boss," help others, earn money, creativity, persistence, and flexibility. On the other hand, they may face several systemic barriers, such as the lack of infrastructure to set up the business, discrimination, lack of formal support from Vocational Rehabilitation counselors or their school settings, and/or lack of money. The systemic barriers can make it difficult for entrepreneurs to start and/or continue to operate their businesses. We discuss the implications of the findings for the development of entrepreneurship training for youth with disabilities and offer recommendations for future research and practice in the rehabilitation field. (PsycInfo Database Record (c) 2023 APA, all rights reserved).