ATSI health Flashcards
week 5
What are the consequences of Miscommunication for ATSI patients?
Incorrect diagnosis
Failing to obtain consent for treatment
Patient feels marginalised
Avoid future visits
what are the features of low context culture?
Emphasis on self
Explicit
Emphasis on verbal communication (what said)
Time specific
What are the features of a hgh context culture?
Emphasis on self
Explicit
Emphasis on verbal communication (what said)
Time specific
channels of NVC
Facial expression
eye movement/ contact
hand gestures
posture/ positioning
ability to interpret non-verbal que
silence
ATSI and eye contact regulations
ATSI people may avoid with a person of authority, can be disrespectful/confrontational
What are skin groups and where do they fit into the hierarchy?
Aboriginal Subsections pre-determined by parents, influences behaviour
Family group > clan group > skin group
What is the impact of skin groups on interactions?
Determines marital relationship
Avoidance relationships (in-laws)
Sharing of resources
Who have authority over
Cultural norms of referring t the deceased for Aboriginal Vs Torres Strait Islander People.
Avoid using their names out of respect for A
TS use their name to honour them
ATSI view of time
Broad (seasons, events, periods of the day)
Value on activity, relationships over achieving things
patient interview strategies for ATSI patients.
- talk about yourself (where you are from)
- talk about common ground
- work to create power balance and explore family context
- minimise use of medical terms
- be mindful of men and women’s business (signposting)
- be mindful of confrontational body position
Communication strategies centred around Body Language
avoid sitting directly in front of a person
avoid sitting too close
careful about touching
Communication strategies relating to Cultural safety
be mindful of negative stereotypes
avoid paternalistic approach
empathy not sympathy
understand Indigenous history
