Cultural Competence importance in Healthcare

8/6/2019 Cultural Competence importance in Healthcare

1/20

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Npealmaxmnl{ &OKAFN- niijp{ akkpjhmxaxmnl xn fjacxfkapj

npealmaxmnl{ xfax kndrc} umxf Onmlx Knddm{{mnl

{xalhaph{ alh knlxmlznz{c} dagj jiinpx{ xn mdrpnyj

xfj kapj alh {jpymkj{ xfj} rpnymhj, Xfj OKAFN dm{{mnl

m{ Xn knlxmlznz{c} mdrpnyj fjacxf kapj inp xfj rz`cmk#

ml kncca`npaxmnl umxf nxfjp {xagjfnchjp{# `} jyaczaxmlefjacxf kapj npealmaxmnl{ alh ml{rmpmle xfjd xn jvkjc ml

rpnymhmle {aij alh jiijkxmyj kapj ni xfj fmefj{x qzacmx}

alh yaczj, Nlj ni xfj gj}{ ml damlxamlmle akkpjhmxaxmnl

umxf OKAFN m{ xn mlkpja{j xfj a`mcmx} xn pjkpzmx alh pjxaml

fmef rjpinpdmle {xaii djd`jp{ ufn rpnymhj xfj fmef

qzacmx} kapj raxmjlx{ ljjh alh hj{jpyj, A knpj jvrjkxjh

qzacmx} ni {xaii m{ xn `j kzcxzpacc} {jl{mxmyj alh xfm{ `jeml{

umxf xfj pjknelmxmnl xfax xfjpj apj hmiijpjlkj{ `jxujjl

kzcxzpj{, Xfj{j hmiijpjlkj{ apj pjjkxjh ml xfj ua} xfax

hmiijpjlx epnzr{ knddzlmkaxj alh pjcaxj xn nlj alnxfjp#

alh xfj} kapp} nyjp mlxn mlxjpakxmnl{ umxf fjacxfkapj

rpnymhjp{, Akknphmle xn xfj OKAFN pjqzmpjdjlx{

FP,21,28,21 &xfj fn{rmxac rpnymhj{ npmjlxaxmnl xn {xaii-#

mxjd JR: {rjkmj{ xfax a fn{rmxac dz{x npmjlx {xaii nl xfj

inccnumle? [jl{mxmymx} xn kzcxzpac hmyjp{mx} `a{jh nl xfjmpon` hzxmj{ alh pj{rnl{m`mcmxmj{ alh xfax kndrcjxmnl ni xfm{

npmjlxaxmnl `j hnkzdjlxjh,

Jyjl umxf xfm{ pjqzmpjdjlx# mx m{ mdrnpxalx xn knl{mhjp

xfax kzcxzpac {jl{mxmymx} hnj{ lnx nlc} djal xfax a rjp{nl

`j auapj ni hmiijpjlkj{ xn mlxjpakx jiijkxmyjc} umxf rjnrcj

ipnd nxfjp kzcxzpj{, Xfj} {fnzch ac{n xagj xfj {xjr{

ljkj{{ap} xn pjknelmj xfjmp nul kzcxzpac yaczj{ alh

rnxjlxmac `ma{j{ ufjpjyjp rn{{m`cj, Xfm{ {jci$auapjlj{{

`jkndj{ rapx ni xfj yjp} jqzaxmnl inp {zkkj{{,

Xn `j kzcxzpacc} kndrjxjlx rpnymhjp{ {fnzch lnx `j

jvrjkxjh xn fayj izcc glnucjhej ni jyjp} kzcxzpac

rpakxmkj alh `jcmji, Paxfjp xfj} dz{x j {jl{mxmyj xn xfj

rpjijpjlkj{ alh yaczj{ ni nxfjp{# alh {fnzch lnx a{{zdj

xfax nlj rjp{nl{ rpjijpjlkj{ alh yaczj{ arrc} xn

jyjp}nlj ml xfax {adj epnzr, Mx m{ lnx ml ljjhmle xn glnu

jyjp}xfmle a`nzx jyjp} kzcxzpj# `zx paxfjp ml faymle xfj

auapjlj{{ xfax raxmjlx{ `jcmji{ da} `j hmi ijpjlx ipnd

xfj kapjemyjp# xfax rpnymhj{ xfj nrrnpxzlmx} xn `j dnpj

{jl{mxmyj alh auapj alh jl{zpj xfj `j{x jvrjpmjlkj

rn{{m`cj,

Ml ahhmxmnl# hjacmle umxf jyjp} raxmjlx a{ a zlmqzj

mlhmymhzac umxf {rjkmac jvrjpmjlkj{# `jcmji{# yaczj{#

calezaej alh rjpkjrxmnl{ dnyj{ ujcc `j}nlh jvrjpmjlkj,

Mx fa{ xfj rnxjlxmac xn mlkpja{j xfj nhh{ ni xfj raxmjlx{

akkjrxalkj ni xfj kcmlmkac {jpymkj hjcmyjp}# zlhjp{xalhmle

ni xfj hmaeln{m{# alh zcxmdaxjc} kndrcmalkj umxf xfjmp

rcal ni kapj, Kzcxzpac kndrjxjlkj hnj{lx {mdrc} dagj

xfj jvrjpmjlkj `jxxjp# mx accnu{ inp xfj `j{x nzxkndj{ inp

xfj raxmjlx nyjpacc,

Xn `j kzcxzpacc}kndrjxjlx rpnymhjp{{fnzch lnx `j jvrjkxjhxn fayj izcc glnucjhejni jyjp} kzcxzpac rpakxmkjalh `jcmji,


7/20


[ndj Fjcrizc Hjlxmnl{

@jinpj hm{kz{{mle ua}{ ni ahhpj{{mle kzcxzpac

kndrjxjlkj alh hmyjp{mx} ml fjacxfkapj# mx mdrnpxalx xn

pjymju xfj gj} xjpd{ xfax rca} a rapx ml xfm{ knlyjp{axmnl,

Xfj} mlkczhj?

1, Jxflmkmx}? [fapmle a {jl{j ni mhjlxmx} umxf a

rapxmkzcap pjcmemnz{# pakmac np laxmnlac epnzr,

0, Pakj? A `mncnemkac knlkjrx xfax hjlj{ epnzr{

ni fzdal `jmle{ à{jh nl a {jx ni ejljxmkacc}

xpal{dmxxjh kfapakxjpm{xmk{,

Lnxj? Pakj alh jxflmkmx} apj nixjl knliz{jh7 pakj

pjijp{ rpmdapmc} xn rf}{mkac axxpm`zxj{ ufmcj jxflmkmx}

fa{ {rjkmk axxpm`zxj{ xfax jvkjjh xfj cmdmxaxmnl ni

xfj hjlmxmnl ni pakj,

;, Kzcxzpj? Xfj knccjkxmyj rpnepaddmle np umpmle ni xfj

fzdal dmlh akqzmpjh nyjp xmdj xfax hm{xmlezm{fj{

xfj djd`jp{ ni nlj fzdal epnzr ipnd alnxfjp

xfpnzef xfjmp `jfaymnp{ xfax mlkczhj {jci unpxf alh

j{xjjd# xfnzefx{# knddzlmkaxmnl# akxmnl# yaczj{#

alh `jcmji{ alh xfax ac{n ezmhj hjkm{mnl dagmle,

Kzcxzpj xn a epnzr m{ rjp{nlacmx} xn al mlhmymhzac,

Kzcxzpj m{ xfj epnzr mhjlxmx}, Kzcxzpj m{ a cjapljh

kfapakxjpm{xmk alh xpal{dmxxjh xfpnzef iadmcmj{#

npealmaxmnl{ alh nxfjp {nkmac epnzr{,

8, Hmyjp{mx}? Xfj fzdal qzacmxmj{ xfax dagj jakf

rjp{nl zlmqzj alh hmiijpjlxmaxj z{ ipnd nxfjp{,

Hmdjl{mnl{ ni hmyjp{mx} mlkczhj? aej# jxflmkmx}#

ejlhjp# rf}{mkac a`mcmxmj{.qzacmxmj{# hm{a`mcmxmj{#

pakj# {jvzac npmjlxaxmnl# jhzkaxmnlac àkgepnzlh#

ejneparfmk cnkaxmnl# mddmepaxmnl {xaxz{# mlkndj#

dapmxac alh rapjlxac {xaxz{# dmcmxap} jvrjpmjlkj#

rapjlxac {xaxz{# pjcmemnz{ `jcmji{# unpg jvrjpmjlkj#

rncmxmkac ymju{# zpàl yjp{z{ pzpac cmij# alh on`

kca{{mkaxmnl,

:, Kzcxzpac Auapjlj{{? Xn `j glnucjheja`cj a`nzx

nlj{ nul xfnzefx{# ijjcmle{# `jcmji{ alh {jl{axmnl{

a{ ujcc a{ xfj a`mcmx} xn pjjkx nl fnu xfj{j kal

aiijkx nlj{ mlxjpakxmnl{ umxf nxfjp{,

9, Kzcxzpac [jl{mxmymx}? Xfj pjknelmxmnl xfax xfjpj

apj hmiijpjlkj{ `jxujjl kzcxzpj{# pjjkxjh ml xfj

ua}{ xfj} knddzlmkaxj alh pjcaxj xn nlj alnxfjp#

alh fnu mlhmymhzac{ mlxjpakx umxf nxfjp{, Kzcxzpac

{jl{mxmymx} m{ jvrjpmjlkjh ufjl ljzxpac calezaej

&`nxf yjpàc alh lnlyjpàc- m{ z{jh ml a ua} xfax

pjjkx{ {jl{mxmymx} alh arrpjkmaxmnl inp xfj hmyjp{mx}

ni nxfjp{,

5, Kzcxzpac Kndrjxjlkj? A{ hjljh } xfj Hjrapxdjlx

ni Fjacxf alh Fzdal [jpymkj{# Kzcxzpac Kndrjxjlkj

m{ a {jx ni knlepzjlx `jfaymnp{# axxmxzhj{# alh

rncmkmj{ xfax kndj xnejxfjp ml a {}{xjd# aejlk}#

np adnle rpnij{{mnlac{ xfax jla`cj{ jiijkxmyj

unpg ml kpn{{$kzcxzpac {mxzaxmnl{, Kzcxzpj pjijp{ xn

mlxjepaxjh raxxjpl{ ni fzdal `jfaymnp xfax mlkczhj

xfj calezaej# xfnzefx{# knddzlmkaxmnl{# akxmnl{#

kz{xnd{# `jcmji{# yaczj{# alh ml{xmxzxmnl{ ni pakmac#

jxflmk# pjcmemnz{# np {nkmac epnzr{, Kndrjxjlkj

mdrcmj{ faymle xfj karakmx} xn izlkxmnl jiijkxmyjc}

a{ al mlhmymhzac alh al npealmaxmnl umxfml xfj

knlxjvx ni xfj kzcxzpac `jcmji{# `jfaymnp{# alh ljjh{

rpj{jlxjh `} knl{zdjp{ alh xfjmp knddzlmxmj{,

Xfj rjpkjrxmnl np pjacmx}ni hm{kpmdmlaxnp} rpakxmkj{

kal pj{zcx ml {melmkalx

mlxjplac knlmkx{ alh fayjca{xmle kzcxzpac jiijkx{,


8/20

6

[ndj apja{ ni fzdal hmyjp{mx} alh

yapmaxmnl apj ymjujh a{ jymhjlx ml

acc kzcxzpac epnzr{# xfj dn{x n`ymnz{nlj{ apj?

Knddzlmkaxmnl, Xfj à{mk

kndrnljlx{ ni xfj knddzlmkaxmnl

rpnkj{{ apj damlc} zlmyjp{ac# `zx

yap} adnle kzcxzpj${rjkmk epnzr{ ml

xjpd{ ni calezaej np hmacjkx {rngjl#

rmxkf# ynczdj# rpnlzlkmaxmnl# z{j ni

{mcjlkj# alh z{j ni `nh}.lnlyjpàc

knddzlmkaxmnl,

Calezaej.Pjahmle Rpnkmjlk},

Ufjl Jlecm{f m{ xfj raxmjlx{

{jknlh calezaej xfj rpnà`mcmxmj{

ni dm{zlhjp{xalhmle alh

dm{knddzlmkaxmnl `jkndj fmefjp,

Inp jvadrcj a Djvmkal dacj `n}

ua{ `pnzefx xn xfj Jdjpejlk} Pnnd

zlknl{kmnz{# fm{ iadmc} jvrcamljh fm{

ka{j a{ mlxnvmkahn# ufmkf djal{

laz{jaxjh ml [ralm{f# `zx xfj{xaii a{{zdjh fj ua{ mlxnvmkaxjh `}

jmxfjp acknfnc np hpze{# alh xpjaxjh

nl xfax à{m{# nlc} dahj xfj raxmjlx

{mkgjp, Fm{ }nzlejp `pnxfjp ufn ua{

`npl ml xfj Zlmxjh [xaxj{ jvrcamljh

xfj djalmle ni xfj unph aixjp a ha}

fah ra{{jh, Xfj fn{rmxac ua{ {zjh

inp dacrpakxmkj, Ml alnxfjp jvadrcj#

dn{x mlhmejlnz{ calezaej{ hn lnx

mlkczhj a unph inp kalkjp, Xfz{

ufjl hm{kz{{mle rpjyjlxmnl alh

japc} hjxjkxmnl# {rjkmacm{x{ ahym{j

pjrcakmle xfj unph kalkjp umxf

fjacxf# {zkf a{ `pja{x fjacxf

{kpjjlmle,

Rjp{nlac [rakj? Ml kzcxzpj{ cmgj

xfj Zlmxjh [xaxj{# rjp{nlac {rakj

m{ pj{rjkxjh alh mi jlkpnakfjh kal`j knl{mhjpjh xfpjaxjlmle7 ml nxfjp

kzcxzpj{ cmgj Dmhhcj Ja{xjpl kzcxzpj{#

ejxxmle kcn{j xn a rjp{nl alh

xnzkfmle xfjd mlhmkaxj{ kcn{jlj{{

alh ipmjlhcmlj{{, Xfj kzcxzpac a{rjkx

ni {rakj hjxjpdmlj{ xfj hjepjj ni

kndinpx nlj ijjc{ ml rpnvmdmx} xn

nxfjp{# ml `nh} dnyjdjlx# alh ml

rjpkjrxmnl ni rjp{nlac# mlxmdaxj# alh

rz`cmk {rakj,

Xnzkfmle? Xfj djalmle ni a {mdrcj

xnzkf hmiijp{ `jxujjl mlhmymhzac{#

ejlhjp{# alh kzcxzpj{, Ml Djvmkn# inp

jvadrcj `jmle epa{rjh nl xfj apd `}

alnxfjp dal m{ a {mel ni ipmjlh{fmr,

Xn rzcc aua} m{ {jjl a{ pzhj, Ml

Mlhnlj{ma# xn xnzkf al}nlj nl xfj

fjah np xn xnzkf al}xfmle umxf nlj{

innx m{ knl{mhjpjh fmefc} niijl{myj,

Ml M{cadmk kzcxzpj a ijdacj raxmjlx

kallnx `j xnzkfjh `} a dacj fjacxf

rpnij{{mnlac {n# inp jvadrcj# a dacj

lzp{j kallnx hpau fjp cnnh, Ac{n

{fagmle falh{ `jxujjl ejlhjp{ m{

ac{n inp`mhhjl,

[nkmac Npmjlxaxmnl, Kndrnljlx{ ni

{nkmac npealmaxmnl yap} `} kzcxzpj

umxf hmiijpjlkj{ n`{jpyjh ml ufax

knl{xmxzxj{ nlj{ zlhjp{xalhmle ni

kzcxzpj# pakj# jxflmkmx}# iadmc} pncj

alh izlkxmnl# unpg# cjm{zpj# kfzpkf#

alh ipmjlh{ ml ha}$xn$ha} cmij,

Xmdj, Xfj Zlmxjh [xaxj{ kzcxzpj m{

dnln$kfpnlmk ufjpj xmdj m{ dnlj}

alh inkz{jh rpmdapmc} nl nlj xa{g ax

a xmdj yjp{z{ Fm{ralmk# A{mal# alh

Dmhhcj Ja{xjpl kzcxzpj{# ufmkf apj

rnc}kfpndmk kzcxzpj{ ufjpj xmdj m{jvm`cj# pjcaxmnl{fmr{ kndj p{x xfjl

`z{mlj{{# ufjpj dal} xa{g{ apj

hnlj ax xfj {adj xmdj, Rjpkjmymle#

dja{zpmle# alh yaczmle xmdj apj

hmiijpjlx akpn{{ kzcxzpj{, Kzcxzpj{

ac{n da} cnng ax xmdj umxf a inkz{

jmxfjp nl xfj ra{x# rpj{jlx np izxzpj#

ufmkf mlzjlkj{ xfjmp `jfaymnp, Dn{x

knddnlc} xfn{j xfax yaczj xfj ra{x

{jj xfax xfjmp rnujp m{ dnpj ml xfjra{x xfal ml xfj rpj{jlx alh umcc xjlh

xn `j knl{jpyaxmyj alh xpahmxmnlac

ml xfjmp fjacxf arrpnakfj{, Xfn{j

xfax cnng ax xfjmp rpj{jlx# hn lnx

rcal inp xfjmp izxzpj fjlkj xfj} umcc

lnx inccnu rpjyjlxmyj dja{zpj{ xn

gjjr xfjd{jcyj{ ujcc, Xfn{j dnpj

npmjlxjh xn cnng ax xfj izxzpj# `jcmjyj

ml rpjyjlxmnl {n xfj} gjjr fjacxf}

a{ xfj} rpnepj{{ ml cmij `} jvjpkm{mle#

rpnrjp hmjx# {zrrcjdjlx{# jxk,

Iadmc} npealmaxmnl, Jeacmxapmal.

Fmjpapkfmkac? xfj} ac{n yap} ml

{nkmac {xpzkxzpj, Inp jvadrcj xfj

Zlmxjh [xaxj{ kzcxzpj inccnu{ xn al

jeacmxapmal dnhjc# ufjpj jyjp}nlj

m{ {zrrn{jh xn `j jqzac, [xaxz{ alh

rnujp ni a rjp{nl apj à{jh nl xfj

mlhmymhzac{ akfmjyjdjlx{ paxfjp xfal

ejlhjp np aej np xmxcj,

Nxfjp kzcxzpj{# inp jvadrcj xfj

A{mal kzcxzpj{# xjlh xn inccnu a

fmjpapkfmkac dnhjc ufjpj {xaxz{ alh

rnujp apj à{jh nl ejlhjp# aej# alh

nkkzraxmnl,

Apja{ ni Kzcxzpac [jl{mxmymx}


9/20


Pjcaxmnl{fmr xn laxzpj, Rjnrcj ymju

laxzpj a{ jmxfjp `jmle a`cj xn knlxpnc

mx# `jmle rapx ni mx# np faymle lnknlxpnc ufax{njyjp nl mx, Ml xfj Zlmxjh

[xaxj{ xfjpj m{ a `jcmji xfax laxzpj

kal `j knlxpnccjh# alh `jkaz{j

xfj `nh} m{ rapx ni laxzpj# mx kal `j

knlxpnccjh a{ ujcc, Ml nxfjp kzcxzpj{#

{zkf a{ A{mal alh Laxmyj Adjpmkal#

rjnrcj apj {jjl a{ rapx ni laxzpj,

Fapdnl} umxf xfj japxf m{ rapx ni

xfjmp cmij rpmlkmrcj{# fjlkj xfj laxzpac

fjpàc xpjaxdjlx{ alh pjdjhmj{,Ml kzcxzpj{# {zkf a{ xfj Fm{ralmk

alh Dmhhcj Ja{xjpl kzcxzpj{# xfj}

`jcmjyj xfax xfj} fayj ln knlxpnc nyjp

laxzpj# jyjp}xfmle fa{ `jjl acpjah}

hjkmhjh {n ufaxjyjp umcc `j umcc `j,

Rpjyjlxmyj fjacxf kapj dja{zpj{ apj

cmgjc} xn `j melnpjh7 xfj} unzch hn ln

ennh al}ua},

J}j knlxakx.Ej{xzpj{, [ndj

kzcxzpj{# {zkf a{ xfj Fm{ralmk alh

A{mal kzcxzpj{ apj fzd`cj# {n xfj}

aynmh hmpjkx j}j knlxakx a{ a {mel ni

pj{rjkx, Ml xfj Dmhhcj Ja{x# hmpjkx

j}j knlxakx m{ xfj lnpd jvkjrx

`jxujjl ejlhjp{, Ac{n {dmcmle alh

lnhhmle ml kjpxaml kzcxzpj{ oz{x

djal{ nlj m{ `jmle rncmxj alh m{ lnx

aepjjmle np jyjl zlhjp{xalhmle,

Knl{mhjp xfj falh alh fjah ej{xzpj{

a{ ujcc# a fjah dnyjdjlx xfaxdjal{ }j{ ml a kzcxzpj kal djal ln

ml alnxfjp, Al jvadrcj ni falh {mel

xfj pjrpj{jlx{ NG ml xfj Zlmxjh

[xaxj{ m{ niijl{myj ml @pamc# djal{

dnlj} ml Pz{{ma alh 2 ml Oaral,

Jxflmkmx}.Knzlxp} ni Npmeml,

Knl{mhjpmle alh rnpxpa}mle undjl

m{ hmiijpjlx ml yapmnz{ kzcxzpj{# inpjvadrcj# Fm{ralmk Undjl# apj nixjl

rnpxpa}jh ml dnymj{# alh lnyjcca{

a{ `jmle kapjemyjp{ ufn xjlh xn

rzx xfj ujcc$`jmle ni xfjmp iadmcmj{

`jinpj xfjmp nul, Xfm{ axxmxzhj kal

knlxpm`zxj xn a xjlhjlk} lnx xn xagj

kapj ni xfjmp fjacxf knlhmxmnl{ ml japc}

{xaej{, Rfmcmrmln lzp{j{ ml ejljpac

apj knl{jpyaxmyj ml hm{rjl{mle raml

djhmkaxmnl a{ ml Rfmcmrmln Kaxfncmkpjcmemnl xfjpj m{ ympxzj ml {ziijpmle,

Mx m{ mdrnpxalx xn jvrcaml xfj rpnrjp

ahdmlm{xpaxmnl ni djhmkmlj npac#

mlojkxmnl np cnkac7 a{ {ndj knzlxpmj{

{jkxmnl{ `jcmjyj xfax acc djhmkaxmnl

apj xn `j epmlhjh xn rnuhjp alh

arrcmjh cnkacc}, Hn lnx a{{zdj xfax

a raxmjlx umcc zlhjp{xalh fnu xn xagj

xfj djhmkaxmnl rpj{kpm`jh, Djhmkmlj{

apj z{jh ml hmiijpjlx ua}{ ml hmiijpjlx

knzlxpmj{# alh knliz{mnl kal pj{zcx,

Yaczj{# @jcmji{ ) Kz{xnd{,

Zlhjp{xalhmle rjnrcj{ yaczj{ m{ a

gj} xn zlhjp{xalhmle xfjmp `jfaymnp#

inp nzp `jfaymnp ejljpacc} pjjkx{

nzp yaczj{, Ml xfj Kfmlj{j kzcxzpj

xfj àcalkj ni }ml alh }ale m{

jvxpjdjc} mdrnpxalx xn damlxaml

nlj{ fjacxf a{ xfj} aiijkx xfj

`nh} kfalljc{ jljpe} Qm, Xfm{

`jkndj{ djalmleizc ml ahdmlm{xjpmle

djhmkaxmnl inp zlcj{{ a rpj{kpm`jh

djhmkaxmnl x{ xfax àcalkj xfj

raxmjlx dmefx hm{knlxmlzj xfj

djhmkaxmnl umxfnzx mlinpdmle xfj

rf}{mkmal, Ml Fm{ralmk iadmcmj{#

pj{rjkx dz{x `j knlyj}jh ax p{x

xn xfj iaxfjp# xfjl xn xfj dnxfjp#

xfjl xn xfj nxfjp nchjp ahzcx{,Ahhpj{{mle xfj iadmc} djd`jp{ a{

Dp, alh Dp{, m{ mdrnpxalx a{ mlinpdac

z{j ni calezaej umcc `j {jjl a{

hm{pj{rjkxizc alh kal ac{n mlkpja{j

xfj cjyjc ni {z{rmkmnl,

[rmpmxzacmx}, Jakf kzcxzpj fa{ mx{ nul

hjepjj ni {rmpmxzacmx}, Inp jvadrcj

xfj dacj [mgf{ apj lnx xn {fayj xfjmp

`japh{ np al} famp nl xfjmp `nh}

jyjl mi ljjhjh inp {zpejp}, Xagmle

a rmkxzpj ni {ndj Adjpmkal Mlhmal

xpm`j djd`jp{ m{ lnx ahym{jh# a{ xfj}

`jcmjyj xfax xfj rmkxzpj xagj{ xfj {nzc

aua}# xfj pjdjh} umcc `j ml iadmc}

rpa}mle xn ejx mx àkg,

Pjcmemnl, Dal} `jfaymnp{ alh

kz{xnd{ apj pjezcaxjh `} pjcmemnl, Inp

jvadrcj `nxf knl{jpyaxmyj Ojum{f

alh Dz{cmd raxmjlx{ umcc lnx akkjrxxfj pjrcakjdjlx ni xfjmp dmxpac yacyj

mi akqzmpjh ipnd rme xm{{zj a{ `nxf

pjcmemnl{ hn lnx knl{zdj rnpg, Ml

M{cadmk kzcxzpj{# knl{mhjp rpj{kpm`mle

Ml{zcml xfax fa{ {ndj rnpg

mlepjhmjlx{ nlc} aixjp jvrcamlmle mx xn

xfj raxmjlx alh fm{ np fjp iadmcmj{,

Ojfnyaf umxlj{{j{ umcc lnx akkjrx

`cnnh xpal{iz{mnl a{ mx m{ aeaml{x

xfjmp pjcmemnl# alh xfj} kal {zj al}

fjacxfkapj ml{xmxzxmnl inp àxxjp} mi mx

m{ hnlj aeaml{x xfjmp umcc np umxfnzx

xfjmp glnucjhej alh knl{jlx,


10/20

12

Ufax Farrjl{ Ufjl Uj CakgKzcxzpac Kndrjxjlkj

Xfj kzcxzpac hmiijpjlkj{ ni `nxf raxmjlx{ alh rpnymhjp{

aiijkx fjacxfkapj `jcmji{# rpakxmkj{# alh `jfaymnp{alh mlzjlkj xfj yjp} jvrjkxaxmnl{ xfax raxmjlx{ alh

rpnymhjp{ fayj ni jakf nxfjp, Nixjl ml fjacxfkapj a{

ml nxfjp {jkxnp{ xfjpj m{ cakg ni auapjlj{{ ni xfj{j

hmiijpjlkj{ alh xfjmp mdrakx, Xfj dn{x knddnl pja{nl{

nixjl apj?

Cakg ni glnucjhej# pj{zcxmle ml al mla`mcmx} xn

pjknelmj xfj hmiijpjlkj{

[jci$rpnxjkxmnl.hjlmac# cjahmle xn al axxmxzhj xfax

xfj{j hmiijpjlkj{ apj lnx {melmkalx# np xfax nzp

knddnl fzdalmx} xpal{kjlh{ nzp hmiijpjlkj{ Ijap ni xfj zlglnul np xfj lju# `jkaz{j mx m{

kfaccjlemle alh rjpfar{ mlxmdmhaxmle xn zlhjp{xalh

{ndjxfmle lju xfax hnj{ lnx x mlxn nlj{ unpch ymju

Ijjcmle ni rpj{{zpj hzj xn xmdj knl{xpamlx{# ufmkf

kal cjah xn ijjcmle pz{fjh alh zla`cj xn cnng$ml$

hjrxf ax al mlhmymhzac raxmjlx{ ljjh{

Xfj cakg ni kzcxzpac kndrjxjlkj ml xfj fjacxfkapj

unpgrcakj nkkzp{ ax xun kjlxpac xnzkf$rnmlx{# &1-

mlxjplacc} `jxujjl xfj kapj rpnymhjp{ xfjd{jcyj{ alh

&0- ml xfj raxmjlx$rpnymhjp pjcaxmnl{fmr, Ax jakf ni xfj{jxnzkf$rnmlx{ xfjpj m{ xfj rnxjlxmac inp {melmkalx mdrakx,

Kfaccjlemle mlxjpakxmnl{ `jxujjl kapj rpnymhjp{ kal

kaz{j xjl{mnl ml xfj unpgrcakj, Zlfarr} jdrcn}jj{ kn{x

al npealmaxmnl dnpj xfal cnu rpnhzkxmymx}# fmef xzplnyjp

np a`{jlxjjm{d# alh cn{{ ni pjyjlzj{, Xfj rjpkjrxmnl np

pjacmx} ni hm{kpmdmlaxnp} rpakxmkj{ kal pj{zcx ml {melmkalx

mlxjplac knlmkx{ alh fayj ca{xmle kzcxzpac jiijkx{,

Xfj cakg ni auapjlj{{ m{ daelmjh ufjl cnngmle ax

xfj raxmjlx$rpnymhjp pjcaxmnl{fmr, Xfj{j pjcaxmnl{fmr{

apj aiijkxjh ufjl xfj zlhjp{xalhmle ni jakf nxfjp{

jvrjkxaxmnl{ m{ dm{{mle a{ ml xfj inccnumle jvadrcj{?

1, Xfj rpnymhjp da} lnx zlhjp{xalh uf} xfj raxmjlxhnj{ lnx inccnu ml{xpzkxmnl{,

0, Uf} hnj{ xfj iadmc} np xfj {rnz{j# paxfjp xfal

xfj raxmjlx# dagj mdrnpxalx hjkm{mnl{ a`nzx xfj

raxmjlx{ fjacxf kapj>

;, Xfj raxmjlx da} pjojkx xfj rpnymhjp &alh xfj jlxmpj

{}{xjd- jyjl `jinpj al} nlj$nl$nlj mlxjpakxmnl

nkkzp{ `jkaz{j ni lnlyjp`ac kzj{ xfax hn lnx x

jvrjkxaxmnl{,

8, Xfj raxmjlx hnj{ lnx xpz{x xfj rpnymhjp np xfj ufncj

ml{xmxzxmnl mi xfj hnkxnp hnj{ lnx ujap a ufmxj knaxnp m{ xnn ka{zac kaccmle xfj raxmjlx np xfjmp iadmc}

djd`jp{ `} fm{ np fjp p{x ladj{# np jyjl {dmcmle

xnn dzkf,

Xfj{j m{{zj{ {jpyj a{ {adrcj{ ni xfj dzcxmxzhj ni

rnxjlxmac kfaccjlej{ iakjh ufjl uj hn lnx knl{mhjp

kzcxzpac kndrjxjlkj a{ rapx ni nzp jvrjpmjlkj rcal, Xfj}

ac{n pam{j xfj cjyjc ni mdrnpxalkj inp mlkpja{mle kzcxzpac

kndrjxjlkj auapjlj{{ ml fjacxfkapj npealmaxmnl{

nyjpacc, [n ufjpj hn }nz jeml xn jleaej {xaii nl xfj

kpmxmkac m{{zj{ ni kzcxzpac kndrjxjlkj>

A knl{m{xjlk} ml kzcxzpj{akpn{{ {mdmcap epnzr{kallnx `j a{{zdjh# lnpkal a knddnl kzcxzpjakpn{{ fjacxfkapj {jxxmle{,


11/20


Fnu Kal Uj @jeml xn Ahhpj{{Kzcxzpac Kndrjxjlkj>

Nlkj }nz pjknelmj xfj mdrnpxalkj ni kzcxzpj

kndrjxjlkj a{ a kpmxmkac rapx ni }nzp jvrjpmjlkj alh kapjrcal{# }nz umcc xfjl ljjh xn ipadj xfj gmlh ni cjaplmle

}nz ualx xn rzx ml rcakj, [ndj kpmxmkac inkac rnmlx{ ml

rpnymhmle kzcxzpac kndrjxjlkj xpamlmle {fnzch mlkczhj?

Pjknelmj xfj yaczj ni alh `zmch pj{rjkx inp

mlhmymhzac hmiijpjlkj{

Zlhjp{xalh `a{mk{ ni pakmac.jxflmk hm{xmlkxmnl{ alh

hm{rapmxmj{

@jkndj iadmcmap umxf a raxmjlx$`a{jh arrpnakf xn

kpn{{$kzcxzpac kapj

Mdrpnyj knddzlmkaxmnl {gmcc{ alh knnrjpaxmnl ml

kpn{{$kzcxzpac raxmjlx mlxjpakxmnl{

Mdrpnyj kpn{{$kzcxzpac knddzlmkaxmnl{ `jxujjl

fjacxfkapj rpnij{{mnlac{ xfjd{jcyj{

Mlkpja{j auapjlj{{ ni rjp{nlac kzcxzpj{# yaczj{#

`jcmji{

Hjyjcnr {gmcc{ ml mlxjpakxmle alh pj{rnlhmle xn

mlhmymhzac{ ipnd nxfjp kzcxzpj{

Kzcxzpac kndrjxjlkj m{ a hjyjcnrdjlxac rpnkj{{, @j}nlh

auapjlj{{ ni {z`xcj jvrjkxaxmnl{ np a{{zdrxmnl{# xfjpjm{ a ljjh inp glnucjhej a`nzx hmiijpjlx kzcxzpac lnpd{#

cmij{x}cj ljjh{# alh rjp{nlac rpjijpjlkj{ ni mlhmymhzac{

ipnd hmiijpjlx epnzr{, [ndj mdrnpxalx xnrmk{ xn knl{mhjp

ml `zmchmle jiijkxmyj kzcxzpac kndrjxjlkj cjaplmle

nrrnpxzlmxmj{ mlkczhj?

Aharxaxmnl ni {jpymkj{ xn djjx kzcxzpacc} zlmqzj

ljjh{

@zmchmle kzcxzpacc} kndrjxjlx knddzlmx}

rapxljp{fmr{

Jiijkxmyj kpn{{$kzcxzpac knlmkx pj{nczxmnl

Jiijkxmyj kpn{{$kzcxzpac knddzlmkaxmnl

[zrjpym{mle a dzcxmkzcxzpac unpginpkj

Unpgmle jiijkxmyjc} ml hmyjp{j xjad{

[ndj Knl{mhjpaxmnl{ Ufjl Ahhpj{{mle

Kzcxzpac Kndrjxjlkj

Kzcxzpac m{{zj{ mlyncyj aej# ejlhjp# jhzkaxmnl alh

{nkmnjknlndmk {xaxz{ a{ ujcc a{ jxflmk# pakmac# alh

pjcmemnz{ hmiijpjlkj{,

Pj{rjkx m{ a knpj yaczj ml acc kzcxzpj{ xfjpjinpj pj{rjkx

{fnzch `j {fnul xn xfj raxmjlx alh iadmc} djd`jp{ ax

acc xmdj{,

Raxmjlx{ apj fzdal `jmle{ ufn fayj hmelmx} alh fnlnp

alh apj lnx oz{x ka{j{# hmaeln{j{ np `jh lzd`jp{,

Lnh{ alh rncmxj {dmcj{ hn lnx ljkj{{apmc} akkndrcm{f

jiijkxmyj knddzlmkaxmnl# alh hn lnx ljkj{{apmc} djal

xfax xfj raxmjlx zlhjp{xnnh xfj hmaeln{m{ np xpjaxdjlx

{xjr{ np jyjl aepjj umxf xfj kapjemyjp np rf}{mkmal,

Djhmkmlj m{ a calezaej xfax da} pjqzmpj xpal{caxmnl

jyjl inp laxmyj Jlecm{f {rjagjp{ hzj xn xfj djhmkac

xjpdmlncne},

Djhmkac hjkm{mnl$dagmle da} mlyncyj a iadmc} np

knddzlmx} alh lnx nlc} xfj mlhmymhzac raxmjlx,

Mlyncyj xfj fn{rmxac kfarcaml.cnkac pjcmemnz{ cjahjp np

xfj raxmjlx{ nul pjcmemnz{ cjahjp ufjl `jcmji {}{xjd{

da} aiijkx fjacxfkapj hjkm{mnl{,


12/20

10

Ipadmle a Kzcxzpac KndrjxjlkjCjaplmle Rpnepad

Ufjl hjyjcnrmle a cjaplmle rpnepad inkz{jh nl kzcxzpac

kndrjxjlkj }nz {fnzch a{g xfpjj kjlxpac qzj{xmnl{? ufax

apj uj axxjdrxmle xn hn# uf} apj uj hnmle xfm{# alh fnu

hn uj rcal xn akfmjyj mx>

1, Ufax apj uj axxjdrxmle xn hn>Ml mx{ {mdrcj{x inpd

uj apj unpgmle xnuaph{ lzpxzpmle al npealmaxmnlac

kzcxzpj xfax m{ epnzlhjh ml zlhjp{xalhmle alh

pj{rjkx, Mx m{ jvjdrcmjh ml fnu uj jvrpj{{ xfax

pj{rjkx inp raxmjlx{# raxmjlx{ iadmcmj{ alh {zrrnpx

ljxunpg{# alh knccjaezj{,

0, Uf} apj uj hnmle xfm{> A{ ipadjh ml xfj nrjlmle ni

xfm{ rarjp# xfjpj m{ a kcjap ka{j xn `j dahj inp xfj

mdrnpxalkj ni kzcxzpac kndrjxjlkj zlhjp{xalhmle

ml nzp fjacxfkapj jlympnldjlx, Uj dz{x kpjaxj xfj

nrrnpxzlmx} xn zlhjp{xalh xfj r{}kfn{nkmac# {rmpmxzac#

alh kzcxzpac yaczj{ xfax apj ax rca} ml xfj fjacxfkapj

pjcaxmnl{fmr alh hjxjpdmlj xfjmp mdrakx nl fnu uj

jleaej ml xfj hjcmyjp} ni kapj alh `jxxjp zlhjp{xalh

xfj rjp{rjkxmyj{ ni raxmjlx{# iadmcmj{ alh {zrrnpx

ljxunpg{,

;, Fnu uj rcal xn akfmjyj nzxkndj{ m{ kpmxmkac# `zx ac{n

pjqzmpj{ xfj umccmlelj{{ xn fayj a {mdrcj alh inkz{jh

cmlj ni {mefx, Xn ipadj xfj fnu uj dz{x {jx kcjap

nòjkxmyj{ inp xfj jiinpx mlkczhmle enac{ inp?

Raxmjlx.Hnkxnp pjcaxmnl{fmr{

Raxmjlx.Lzp{j pjcaxmnl{fmr{

Raxmjlx.[xaii pjcaxmnl{fmr{

Hnkxnp xn hnkxnp mlxjpakxmnl{

Lzp{j xn lzp{j mlxjpakxmnl{

[xaii mlxjpakxmnl{

Ml akxmle nl xfj fnu mx {fnzch `j pjknelmjh xfax

ahhpj{{mle kzcxzpac kndrjxjlkj m{ a fncm{xmk jiinpxxfax kallnx jleaej nlj ni xfj{j pjcaxmnl{fmr{ umxfnzx

knl{mhjpmle xfj nxfjp{, Inp ml{xalkj# {mdrc} kpjaxmle

kzcxzpac auapjlj{{ ni raxmjlx{# `zx lnx ahhpj{{mle {xaii

mlxjpakxmnl{ cjayj{ }nzp jlxmpj jiinpx mlkndrcjxj alh

yzcljpa`cj,

Ml ipadmle a cjaplmle rpnepad }nz ac{n ljjh xn

hjxjpdmlj ufjpj xn {xapx, Acc xnn nixjl npealmaxmnl{

xagj nl da{{myj mlxjpyjlxmnl{ np xpamlmle jiinpx{ xfax

kal nyjpufjcd np jyjl ejljpaxj epjaxjp pj{m{xalkj xn

xfj cjaplmle rpnkj{{, Mlmxmacc} knl{mhjp xfj à{mk {xjr{

xn `jeml xfj kpmxmkac hmacne nl uf} xfm{ xnrmk m{ mdrnpxalx

alh ufax mx kal hn inp }nzp npealmaxmnl ml mdrakxmle kapj

alh xfj raxmjlx jvrjpmjlkj, [xapxmle umxf xfj à{mk{ ac{n

accnu{ inp epjaxjp `z} ml alh `pnahjp zlhjp{xalhmle ni

ufax }nz apj xp}mle xn akkndrcm{f,

Nlkj }nz fayj a ipadjunpg ni xfj ufax# uf} alh fnu

}nz cnng xn rpnkjjh# knl{mhjp jleaemle }nzp {xaii ml xfj

à{mk glnucjhej ni kzcxzpj kndrjxjlkj ml fjacxfkapj,

A{mhj ipnd mhjlxmi}mle ufax kzcxzpac kndrjxjlkj m{ alh

fnu mx mdrakx{ kapj a{ hm{kz{{jh a`nyj# {ndj rnmlx{

xn knl{mhjp a{ jvadrcj{ alh {ndj knddnl d}xf{ xn

ahhpj{{ mlkczhj?

Mlhmymhzac hmiijpjlkj{ jvm{x jyjl umxfml xfj {adjepnzr ni rjnrcj, Inp jvadrcj# kfmchpjl `npl ml xfj

Zlmxjh [xaxj{ xn mddmepalx rapjlx{ umcc kapp} xfj

knd`mljh kzcxzpj ni fm{ np fjp rapjlx{ àkgepnzlh

alh ni xfj ejneparf} ml ufmkf xfj} epju zr,

[mdmcap arrjapalkj{ hn lnx ljkj{{apmc} djal rjnrcj

{fapj xfj {adj kzcxzpj, Inp jvadrcj xfj hmyjp{mx}

ml xfj `pnah {rjkxpzd ni A{mal kzcxzpj{ à{jh

nl `nxf laxmnlacmx} &Oaralj{j# Kfmlj{j# Gnpjal#

Xfam# Ymjxladj{j# alh Kad`nhmal# jxk,- alh iadmc}

kzcxzpj,

[fapmle a calezaej np a laxmnlacmx} hnj{ lnx djal

{fapmle xfj {adj kzcxzpj, Inp jvadrcj# rjnrcj ml xfj

Zlmxjh [xaxj{ acc {rjag Jlecm{f# `zx xfj} kndj ipnd

lzdjpnz{ hmiijpjlx kzcxzpj{ alh àkgepnzlh{# {n

ufmcj xfj} fayj dal} {mdmcapmxmj{# xfj} ac{n fayj ya{x

hmiijpjlkj{,

[fapmle xfj {adj pjcmemnl hnj{ lnx djal }nz

{fapj {mdmcap kzcxzpj{, Jyjl umxfml pjcmemnl{ }nz

kal jvrjpmjlkj a palej ni kzcxzpac `jcmji{ alh

akxmnl{, Inp jvadrcj# xfj kzcxzpac hmiijpjlkj ml

Npxfnhnv yjp{z{ Pjinpd Ozham{d np adnle xfj dal}hjlndmlaxmnl{ ni Kfpm{xmalmx},

Mx m{ mdrnpxalx xn lnxj xfax {xapxmle umxf {mdrcj knlkjrx{

fjcr{ mlhmymhzac{ `zmch xfjmp nul cjyjc ni auapjlj{{ alh

zlhjp{xalhmle ml a ua} xfax m{ djalmleizc# ca{xmle alh

fa{ al mdrakx nl xfj yjp} kapj jvrjpmjlkj{ rpnymhjh ml

fjacxfkapj,


13/20


Dnymle xn Akxmnl

Akqzmpmle kzcxzpac kndrjxjlkj inccnu{ a yjp} dalaeja`cj

{jx ni {xjr{, Damlxamlmle a cjyjc ni raxmjlkj ml

rpnepj{{mle xfpnzef xfj{j {xjr{ {zrrnpx{ faymle kzcxzpac

kndrjxjlkj a{ al mlxjepac alh zcxmdaxjc} {zkkj{{izc

kndrnljlx ni }nzp npealmaxmnl{ jvrjpmjlkj jiinpx{, Xfj

inzp {zeej{xjh rfa{j{ inp rzxxmle }nzp rcal ml dnxmnl

mlkczhj?

1, Mx {xapx{ umxf auapjlj{{, Xfm{ mlkczhj{ ahhpj{{mle

{ndj ni xfj {mdrcj knlkjrx{ ni hmiijpjlkj#

zlhjp{xalhmle xfj mdrnpxalkj ni xfm{ m{{zj# xfj

hjlmxmnl{ xfax {zrrnpx mx alh {ndj ni xfj knddnl

knlkjrx{ alh jyjl dm{rjpkjrxmnl{ xfax fjcr ipadj mx,

0, Mx epnu{ umxf glnucjhej, @a{jh nl }nzp npealmaxmnl

alh mx{ kzcxzpac {zppnzlhmle{ ufax m{ xfj gj}

glnucjhej }nz dz{x fayj xn jl{zpj {xaii m{ inkz{mle

nl xfj mdrnpxalx m{{zj{> @jmle auapj ni ufax

kzcxzpj{ }nz dn{x nixjl jlknzlxjp alh hjyjcnrmle

a {ncmh inzlhaxmnl ni ejljpac glnucjhej {zrrnpx{

kzcxzpac kndrjxjlkj {zkkj{{,

;, Mx m{ jlfalkjh `} {rjkmk {gmcc{, Nlkj xfj

inzlhaxmnlac auapjlj{{ alh ejljpac glnucjhej m{

ml rcakj# }nz kal `jeml xn hjyjcnr knpj {gmcc{ {zkf

a{ jiijkxmyj kpn{{$kzcxzpac knddzlmkaxmnl# knlmkx

pj{nczxmnl# np unpgmle nl hmyjp{j xjad{, @} rpnymhmle

{xaii xfj gj} {gmcc{ umxf ufmkf xn jleaej raxmjlx{

}nz rpnymhj xfj inzlhaxmnl inp knlxmlznz{c} rn{mxmyj

jvrjpmjlkj{,

8, Mx m{ rncm{fjh xfpnzef kpn{{$kzcxzpac mlxjpakxmnl{, Gj}

xn kzcxzpac kndrjxjlkj {zkkj{{ m{ dnymle `j}nlh

xfjnp} xn rpakxmkj, Zlhjp{xalhmle xfj{j mhja{

knlkjrxzacc} m{ dzkf hmiijpjlx xfal cmymle xfjd ml

rpakxmkj, Mx m{ nlc} xfpnzef xfj arrcmkaxmnl ni xfj{j

mhja{ ml ha}$xn$ha} mlxjpakxmnl{ xfax nlj m{ `nxf

xj{xjh alh `jfaymnp{ pjljh, Mx m{ ml xfj hnmle xfax

kzcxzpac kndrjxjlkj `jkndj{ a gj} iakxnp ml hpmymleraxmjlx jvrjpmjlkj {zkkj{{,

Xn pjmxjpaxj# xn `j kzcxzpacc} kndrjxjlx# kapjemyjp{ alh

fjacxfkapj {xaii hn lnx ljjh xn rn{{j{{ xfj jvxjl{myj

glnucjhej ni jyjp} kzcxzpac rpakxmkj alh `jcmji, Ml{xjah

xfj} {fnzch `j {jl{mxmyj xn nxfjp{ rpjijpjlkj{ alh

yaczj{# alh {fnzch lnx a{{zdj xfax nlj rjp{nl{

rpjijpjlkj{ alh yaczj{ arrc} xn jyjp}nlj ml xfax {adj

epnzr, Mx m{ ml {xapxmle umxf xfj{j yjp} à{mk# `zx mdrnpxalx

{xjr{ xfax kzcxzpac kndrjxjlkj kal `jkndj al mlxjepac

rapx ni nzp raxmjlx jvrjpmjlkj jiinpx{,

Ml mlkpja{mle kzcxzpac kndrjxjlkj alh z{mle mx a{ a gj} xn

rpnymhmle a rn{mxmyj raxmjlx jvrjpmjlkj xfj zcxmdaxj enac

{fnzch `j a fjacxfkapj {}{xjd alh {zrrnpxmle unpginpkjxfax kal hjcmyjp xfj fmefj{x qzacmx} ni kapj xn jyjp}

raxmjlx# pjeaphcj{{ ni pakj# jxflmkmx}# kzcxzpac àkgepnzlh#

np calezaej rpnkmjlk}, Xn {zrrnpx xfj {zkkj{{izc

mdrcjdjlxaxmnl ni kzcxzpac kndrjxjlkj rpakxmkj{ xfjpj

dz{x `j jpn xncjpalkj inp hm{kpmdmlaxmnl np rpjozhmkj,

[ndj ahhmxmnlac gj}{ xn knl{mhjp ml {zrrnpxmle xfj

{zkkj{{ ni }nzp kzcxzpac kndrjxjlkj jiinpx{?

Pjknelmj xfax kzcxzpac kndrjxjlkj m{ lnx a {xalh$

acnlj nzxkndj `zx dz{x `j a rapx ni jyjp} akxmnl

akpn{{ xfj knlxmlzzd ni kapj,

Pjkpzmx alh pjxaml {xaii ipnd yapmnz{ hmyjp{j epnzr{,

Ml{xmcc ijjcmle{ ni akkjrxalkj alh jqzacmx} umxfml xfj

unpginpkj xfax umcc pjjkx mx{jci ufjl hjacmle umxf

raxmjlx{,

Mlkpja{j auapjlj{{ ni hmiijpjlx kzcxzpac

knddzlmkaxmnl {gmcc{ alh knlxmlznz{c} xpaml xfj {xaii

nl fnu xn akx umxf nlj alnxfjp alh umxf raxmjlx{ ufn

apj kzcxzpacc} hmiijpjlx,

Niijp xfj {jpymkj{ ni a xpamljh djhmkac mlxjprpjxjp

np hjyjcnr a fn{rmxac calezaej àlg xfpnzef

dzcxmkzcxzpac {xaii,

Jl{zpj cmlezm{xmk kndrjxjlk} xfax jvxjlh{ `j}nlh

xfj kcmlmkac jlknzlxjp xn xfj arrnmlxdjlx hj{g#

ahymkj cmlj{# djhmkac `mccmle# alh nxfjp upmxxjl

daxjpmac{,

Mlkczhj iadmc} alh knddzlmx} djd`jp{ ml

fjacxfkapj hjkm{mnl dagmle,

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rjpxmljlx xn jakf iakmcmx} alh mhjlxmi}mle ufax mx m{ xfax umcc

{zrrnpx {zkkj{{, A knl{m{xjlk} ml kzcxzpj{ akpn{{ {mdmcap

epnzr{ kallnx `j a{{zdjh# lnp kal a knddnl kzcxzpj

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fjacxfkapj npealmaxmnl pjknelmj{ xfj xpzj mdrakx ni xfm{

m{{zj nl `nxf nzxkndj{ alh jvrjpmjlkj alh dagj{ a

knl{kmnz{ kfnmkj xn akx,


14/20

18

Jakf rjp{nl ml xfj fjacxfkapj {jxxmle# ufjxfjp a {xaii

djd`jp# a raxmjlx np a iadmc} djd`jp# m{ a zlmqzj

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xagjl inp epalxjh, Xfj mlhz{xp} dz{x akx umxf mlxjlxmnl

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ac{n fnlj{xc} inp xfj rnxjlxmac mlxpmkak} xfj} mlxpnhzkj xn

xfj fjacxfkapj jlympnldjlx,

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m{ nlj apja ml ufmkf uj kallnx iamc xn akx, Xfm{ rarjp fa{

ipadjh a lzd`jp ni gj} m{{zj{ alh niijpjh a lzd`jp ni

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unph{ np {xnpmj{ ni nxfjp{,

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kndrjxjlkj,

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a{ npealmaxmnl{ kal rcal inp alh xpaml nl kzcxzpac

kndrjxjlkj# mx m{ a rjp{nlac m{{zj alh a kfnmkj jakf

rjp{nl dz{x dagj, Cnngmle ax kzcxzpac kndrjxjlkj alh

xfj raxmjlx jvrjpmjlkj pjyjac{ xfj rnujp ni xfj rjp{nlac

pjcaxmnl{fmr{ xfax apj kjlxpac xn xfj fjacxfkapj rpnkj{{,

Mx m{ a`nzx fnu jakf alh jyjp} raxmjlx m{ mdrakxjh# alh

niijpjh xfj kapj# gmlhlj{{ alh pj{rjkx xfj} hj{jpyj, Ax

xfj jlh ni xfj ha} kzcxzpac kndrjxjlkj# a{ umxf raxmjlx

jvrjpmjlkj nyjpacc# m{ a`nzx kfnn{mle xn hn ufax m{ pmefx

ml jakf mlhmymhzac ka{j xn rn{mxmyjc} mdrakx jyjp} raxmjlx#

iadmc} djd`jp alh kapjemyjp,

Knlkcz{mnl

Xn mdrpnyj xfj raxmjlxjvrjpmjlkj# kzcxzpac

kndrjxjlkj m{ nlj apja mlufmkf uj kallnx iamc xn akx,


15/20


Pj{nzpkj{ alh Cau{ nl Raxmjlx Pmefx{ alh Kzcxzpac Kndrjxjlkj QP Knhj/

Xmxcj YM Ni Xfj Kmymc Pmefx{ Akx Ni 1=98

Xmxcj YM ni xfj Kmymc Pmefx{ Akx ni 1=98 m{ a laxmnlac cau xfax rpnxjkx{ rjp{nl{ ipnd

hm{kpmdmlaxmnl `a{jh nl xfjmp pakj# kncnp# np laxmnlac npmeml ml rpnepad{ alh akxmymxmj{ xfax

pjkjmyj ijhjpac lalkmac a{{m{xalkj, Mi a rjp{nl m{ jcmem`cj inp Djhmkamh# nxfjp fjacxf kapj#np fzdal {jpymkj{# xfj} kallnx `j hjlmjh a{{m{xalkj `jkaz{j ni pakj# kncnp# np laxmnlac

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&HFF[- jlinpkj{ Xmxcj YM a{ ujcc a{ nxfjp kmymc pmefx{ cau{,

fxxr?..uuu,oz{xmkj,eny.kpx.a`nzx.knp.knnph.xmxcjym,rfr

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jdjpejlk} pnnd inp axxjlxmnl xn al jdjpejlk} djhmkac knlhmxmnl,

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inccnumle aejlkmj{ xn j{xa`cm{f mx{ nul Nikj ni Dmlnpmx} Fjacxf? &1- Kjlxjp{ inp Hm{ja{j

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alh [jpymkj{ Ahdmlm{xpaxmnl7 &8- [z`{xalkj A`z{j alh Djlxac Fjacxf [jpymkj{ Ahdmlm{xpaxmnl7

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inp {zkf Nikj,

fxxr?..xfnda{,cnk,eny.kem$`ml.`hqzjp}.>h12;?[L21:9=?BBBH){zdd04d)

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kndrcmalkj umxf lnl$hm{kpmdmlaxmnl alh fjacxf mlinpdaxmnl rpmyak} cau{,

fxxr?..uuu,ff{,eny.nkp.nikj.mlhjv,fxdc

Onmlx Knddm{{mnl Ahyalkmle Jiijkxmyj Knddzlmkaxmnl# Kzcxzpac Kndrjxjlkj# alh

Raxmjlx$alh Iadmc}$Kjlxjpjh Kapj? A Pnahdar inp Fn{rmxac{

Xfm{ dnlneparf ua{ hjyjcnrjh `} Xfj Onmlx Knddm{{mnl xn ml{rmpj fn{rmxac{ xn mlxjepaxj

knlkjrx{ ipnd xfj knddzlmkaxmnl# kzcxzpac kndrjxjlkj# alh raxmjlx$ alh iadmc}$kjlxjpjhkapj jch{ mlxn xfjmp npealmaxmnl{, Xfj Pnahdar inp Fn{rmxac{ rpnymhj{ pjknddjlhaxmnl{ xn

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{xalhaph{# alh kndrc} umxf jvm{xmle Onmlx Knddm{{mnl pjqzmpjdjlx{,

fxxr?..uuu,onmlxknddm{{mnl,npe.Ahyalkmle^Jiijkxmyj^Knddzlmkaxmnl

/ [kal xfj QP knhj umxf }nzp dn`mcj rfnlj kadjpa alh iaynpmxj QP mlhjlxmi}mle arrcmkaxmnl xn hmpjkxc} akkj{{ xfj{j

pj{nzpkj{, QP pjahjp{ apj x}rmkacc} ayamca`cj xn knl{zdjp{ ax ln kfapej,


16/20

19

A`nzx xfj Azxfnp

[afap Alhpahj# D@,@Kf m{ a Hmyjp{mx} alh Kzcxzpj

Kndrjxjlkj [rjagjp.Knl{zcxalx# a{ ujcc a{ al

mlxjplaxmnlac dapgjxmle jvrjpx kjpxmjh a{ `nxf al

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{xzhmjh# alh unpgjh ml ; knlxmljlx{# [afap {rjag{ yj

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nl ecn`ac dapgjxmle alh {acj{,

A{ a pjknelmjh kzcxzpac knddzlmkaxmnl{ knl{zcxalx#

[afap fa{ arrjapjh dzcxmrcj xmdj{ nl laxmnlacc}

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ujcc a{ `cne xacg pahmn rpnepad{, [fj fa{ `jjl ijaxzpjh

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Xnha}# alh dzcxmrcj rapjlxac daeamlj{, [fj ac{n azxfnp{

a knczdl nl Xjkflnpaxm Hmyjp{mx} Kai alh m{ a ijaxzpjh

knczdlm{x ax xfj Ecn`ac Hmyjp{mx} Iakxnp,

[afap m{ a `naph djd`jp inp xfj Cn{ Alejcj{ Kfarxjp

ni xfj Laxmnlac A{{nkmaxmnl ni Aipmkal Adjpmkal{ ml FP,

[fj fnch{ a @akfjcnp ni Djhmkmlj alh a @akfjcnp ni

[zpejp}# dmlnp ml R{}kfmaxp} ipnd Kampn Zlmyjp{mx} alh fa{

{zkkj{{izcc} kndrcjxjh a Da{xjp} ni Fzdal Pj{nzpkj{

[xzhmj{ Kjpxmkaxj Rpnepad,

[afap m{ xfj inzlhjp ni [afap Knl{zcxmle# CCK,


17/20


0211

Xfj Mdrakx ni Lzp{j Jhzkaxmnl alh Ad`mjlx Lnm{j

Ejljpaxnp{ ml Pjhzkmle Lnm{j alh Mdrpnymle Raxmjlx

[axm{iakxmnl ml a Kpmxmkac Kapj Zlmx

Xfm{ pjrnpx m{ `a{jh nl pj{japkf knlhzkxjh ax XFJ FJAPX

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ml rapx `} Xfj @jp}c Ml{xmxzxj{ Raxmjlx Jvrjpmjlkj Epalx

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Xfj [xaxj ni xfj Raxmjlx Jvrjpmjlkj ml Adjpmkal

Fn{rmxac{

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jvjkzxmyj{# mx m{ {xmcc capejc} zlhjljh, Xfm{ calhdapg {xzh}

ni dnpj xfal 5=2 fn{rmxac jvjkzxmyj{ ipnd acc :2 {xaxj{alh HK jvadmlj{ xfj {xaxj ni xfj raxmjlx jvrjpmjlkj

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pnah`cnkg{ xn mdrcjdjlxmle kfalej,

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ni Mlxjpakxmyj Xjkflncne}

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[jrxjd`jp.Nkxn`jp 0212

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Jvkjrxmnlac Raxmjlx Jvrjpmjlkj

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Ozc}.Azez{x 0212_jpnmle ml nl xfj Raxmjlx Jvrjpmjlkj? Ymju{ alh

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mdrpnymle fnu raxmjlx{ knlljkx umxfxfjmp npealmaxmnl{,

Ac{n ipnd Xfj @jp}c Ml{xmxzxj


18/20

16

Ij`pzap} 0212

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Cultural Competence importance in Healthcare

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