3.1 Teaching patients and families Flashcards
What is cultural competence
providing effective health care across diverse cultures by working collaboratively and communicating effectively
Providers who are aware of their own and their patients’ cultural backgrounds, along with the values that are often implicit in current medical models, are better able to achieve mutual understanding within the patient encounter and to focus on culturally appropriate health care interventions
What is the LEARN model for cross-cultural communication
a framework for cross-cultural communication that helps build mutual understanding and enhance patient care
What does LEARN stand for
L- listen (assess pts understanding of condition, what are their expectations for the encounter)
E- explain (explain your perceptions of the condition)
A- acknowledge (respectfully discuss differences in your and their views)
R- recommend (develop and propose treatment plan)
N- negotiate (acree on treatment plan incorporate cullturally relevant approaches)
When working with native or inuit patients what is important to consider when you receive silence as a response to your questions
facial expressions may be used to respond to questions
When working with inuit and native patients what should you do in silence
do not jump to fill silence - pay attention to nonverbal cues, establish trust
When you sense hesitancy amongst a parent how can you encourage them to express that
reassure them that it is okay if they disagree or are concerned with what you are saying and you want to talk about that
Consider the role of silences in each patient encounter. They may represent discomfort with a topic or uncertainty about a question being asked. Paying attention to nonverbal cues can help determine whether a differential power relationship is hindering communication.
When needing a translator should family and friends be used if available
avoid if possible- use professional translator
same with apps- good for simple questions for history but cannot effectively communicate for important conversations
Booking longer and repeat visits with the same interpreter can forge trust and understanding around child and youth health issues and management plans.
FYI
Tips for working with interpreters:
- Familiarize yourself with professional interpreter services in your area.
- Speak with the interpreter before each appointment to clarify expectations, such as whether to directly translate all communication among family members during the visit.
- Use the interpreter to arrange the next appointment and confirm transportation arrangements.
- Arrange for triangular seating, so everyone present can see nonverbal cues.
- Introduce everyone who is present.
- Ask who is the most appropriate person to address your questions to.
- Look at family members as you speak, and try to speak directly with them.
* Debrief with interpreter afterward to ensure communications were fully translated.
What is high-context communication vs low-context communication
high context = indirect communication such as head shaking, non verbal cues etc to convey meaning
low contect= direct communcation
Recognize that a ‘high-context’ communication style may be a family’s cultural norm and stay attuned to tone, body language and other nonverbal cues.
FYI avoid written communication and handouts in patients who cant read or write the language well
Health education techniques are based off theories- how do you pick a theory to use
pick a theory based on the topic and target population
