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Date of Award

Summer 2025

Rights

Access perpetually restricted to EWU users with an active EWU NetID

Document Type

Thesis: EWU Only

Degree Name

Master of Arts (MA) in Child Life

Department

Children's Studies

Abstract

As pediatric healthcare settings become increasingly diverse, Certified Child Life Specialists (CCLS) are uniquely positioned to provide culturally competent care that supports the psychosocial and developmental needs of children and families. This qualitative study explores the strategies CCLSs use to address cultural differences, their perceptions of how cultural competence influences the services they provide, and the effectiveness of those services for children and families. Using semi-structured interviews, CCLS participants shared their approaches to providing inclusive and culturally competent care across various hospital settings. Thematic analysis revealed three overarching themes: 1) Approaches to Cultural Competency, 2) Personal and Institutional Challenges, and 3) Strategies for Inclusive Practice. Subthemes included Seeking Cultural Understanding through Communication and Inquiry, Respecting and Incorporating Cultural Values and Beliefs, Continual Learning and Cultural Humility, Systematic and Communication Barriers and Mistrust, Cultural Differences in Grief and Emotional Expression, Culturally Responsive Interventions and Play, Trust and Relationship Building as Foundation for Cultural Care, and Interdisciplinary Collaboration and Advocacy. Findings highlighted the importance of building trust, engaging in continuous professional and personal development, and collaborating with interdisciplinary teams to support culturally responsive care. This study expands on the current literature of cultural competence and highlights the specificity of the child life profession.

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