Lecture 11: Communication In Cultural Competenece Flashcards

0
Q

What are some examples of cultures recognised by the pharmacy council?

A
Religion 
Age 
Physical or mental impairments
Socioeconomicalposition
Sexual orientation
Gender
Race
Ethnicity
Organisational culture
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1
Q

What is culture?

A

This is the sum total of ways of living built up by a group of human beings and transmitted from one generation to another.

Culture is learned and acts as a template which shapes our behaviour and beliefs from generation to generation

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2
Q

How is culture relevant to pharmacy?

A

Competence standard 1 states the registered pharmacists and interns must practice pharmacy in a culturally competent manner

Applies to all pharmacists regardless of their area of practice
Goes beyond an awareness of our sensitivity to another culture to include the ability to use that knowledge in cross-cultural situations

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3
Q

What is cultural competence?

A

The ability to interact respectfully and effectively with persons from a background which is different from your own

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4
Q

What are the benefits of practicing pharmacy in a culturally competent manner?

A

Enhances pharmacist patient relationship
Encourages collaborative management of patients illness
Has the potential to improve patient health outcomes
Potential to save health system money
Potential to reduce disparities in health as what patient thinks and believes is very important

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5
Q

What is the journey towards cultural competence?

A

This is the building of cultural knowledge without reverting to stereotyping. It includes the following steps:

Valuing differences
Engaging in self evaluation
Understanding dynamics of relationships and communication
Building cultural knowledge
Adapting practices,

(The last two steps repeat)

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6
Q

What is a culturally competent pharmacist like?

A

Skilled in selecting and using culturally sensitive intervention strategies to get the message across and be heard

They have the ability to use, send and interpret a variety of communication skills including verbal and non verbal.

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7
Q

What is the purpose of a culturally competent pharmacist?

A

To facilitate the pharmacist client interaction

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8
Q

What is phatic conversation?

A

Ice break conversation
It is a non threatening way to start off theraction.
It is speech which promotes human warmth

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9
Q

How does technology affect the way we communicate?

A

Technology has facilitated communication, but has also provided areas in which can provide barriers. E.g. Sometimes speaking over the telephone instructions can be heard wrong, you dont have the option of showing them what you mean because they are not physically in the store
You cannot assess their nonverbal communication

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10
Q

What are some general communication strategies to cultural competence?

A

Listen to what is actually being said
Use reflective techniques
Ask questions to check that you have understood correctly.

Be aware of different ways of communicating and any barriers to communication that exist

Recognise cultural differences in spoken and non spoken communication styles and concepts with cultural differences e,g, family, time and social organisation

Be flexible enough to alter your method or manner of communication if necessary

Avoid culturally insensitive language and beahvrious. Reflect back on conversations to monitor these

Be open minded to understand and consider different beliefs and views on the same situation

Avoid stereotyping but do use generalisations as a starting point to inform questions

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11
Q

Why do pharmacists need to use these general communication strategies?

A

It is the pharmacists job to adapt to the patient, not the other way round

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12
Q

What is the difference between generalising and stereotyping?

A

We can use generalisations as a starting point to inform questions when dealing with patients in a culturally competent manner, however if we do not ask the patient first, and simply assuming, then we are stereotyping and we shouldnt be doing this.

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13
Q

How do you deal with pronounciation? E,g, of names,

A

If you are unsure of the correct way to pronounce names and other words ask

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14
Q

How can pharmacists manage language barriers?

A

It is a legal requirement and a professional obligation that pharmacists are able to communicate verbal and written info fit for the receiver in order to facilitate optimal health outcomes for all pharmacy service users,

We can use language line,
Primary health care interpreting services

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15
Q

What are some issues with using interpretors?

A

Some can be unqualified translators
They may be unwilling
There could be privacy issues
There could be misinterpretations which may go undetected because you yourself do not understand the langauge
Some times confidentiality issues can arise.
There may be bias,

16
Q

What is language line?

A

Offers telephone interpreting in 43 diff languages from 6 days a week

17
Q

What is primary health care interpreting service

A

Service provider for all auckland district health board general practices and their clients,

For all non english or limited english speaking clients who are eligible for publicly funded healthcare in NZ, practices can access free interpreting services for their clients

18
Q

What are the universal precautions when it comes to communication and language?

A
Use plain language
Limit info to 3-5 points
Be specific and concrete
Demonstrate, draw pics, use models
Repeat and summarise
Encourage questions
Use teach back to confirm understanding
Be positive and empowering
19
Q

What is a healer?

A

Someone who treats causes of an illness to alleviate symptoms

They can be pharmacists, or CAM related like homeopaths, masseuse

20
Q

What are kleinmens questions?

A

Why do you think it happened when it did
What do you think caused the problem
What do you think your sickness does to you? How does it work?
How severe is your sickness? Will it have a short course?
What kind of treatment do you think you should receive?
what are the most important results you hope to receive from this treatment?
What are the chief problems your sickness has caused for you?
What do you fear most about your sickness?

21
Q

What is the ETHNIC model?

A
Explanation
Treatment
Healers
Negotiate
Intervention (must be agreed on)
Collaboratkon
22
Q

What is the LEARN model?

A
Listen to patients perspective
Explain and share ones own perspective
Acknowledge differences and similarities
Recommend a treatment plan
Negotiate a mutually agreed on treatment plan