Lecture 3 Flashcards

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1
Q

What is intercultural communication?

A

“Language and the context in which words are interpreted, including gestures, postures, spatial relationships, concepts of time, the status and hierarchy of persons, the role of the individual within a group, and the setting

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2
Q

What is the cultural iceberg?

A
  • Comes into play how we act an treat others
  • Most visible can be debated too

Representation of apparent personal characteristics of a person versus unseen characteristics that may influence a person’s communication

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3
Q

What are the visible characteristics of the ice burg?

A

Race
Age
Gender

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4
Q

What are the least visible characteristics of the iceberg?

A
Degree of acculturation or assimilations
SES (rich people dress down and vie versa)
Health (mental health not visible)
Religion (sometimes clothes)
Sexual orientation 
Political affiliation
Education
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5
Q

what do people assume about the bottom of the iceberg?

A

Areas below the iceberg typically assumed
-Incorrect assumptions can lead to distrust of health care professional

Below play a more important role than those visibla too people

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6
Q

What is communication related too?

A

An action chain

One phrase or action > reciprocated action

“Thank you” > “You’re welcome”

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7
Q

What do reciprocated and unreciprocated actions lead to with communication?

A

Reciprocated actions = potential for successful relationship

Unreciprocated actions = potential for communication breakdown

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8
Q

Why do we use cultural norms?

A

When comply with cultural norms is positive outcomes

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9
Q

What do we do when we meet someone for the first time in terms of cultural norms?

A

Meeting a person for the first time

  • Automatic assumption to comply with cultural norms
  • Prediction of communication pathway
  • Communication breakdown with unanticipated response
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10
Q

What re the concepts for intercultural communication?

A

Communication uses codes to represent objects, ideas, or behaviours
-These are decoded to language and non verbal communication

Thoughts, emotions, attitudes > decoded into language and non-verbal communication

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11
Q

What are the components of marriage?

A

Content

Relationship between speaker and receiver

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12
Q

What type of communication is best for delivering and conveying info?

A

Verbal communication is best for delivering content

Non-verbal communication convey relationship information

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13
Q

What makes or breaks a conversation with someone?

A

Communication can only be correctly interpreted within context

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14
Q

What is verbal communication explained by?

A

Low- and High-Context Cultures

Individuals and Groups

Uncertainty Avoidance

Power, Authority, and Status

Time Perception

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15
Q

What is the different between low and high-contact cultures?

A

Affective and physical cues a speaker uses to indicate meaning

Tone of voice
Facial Expression
Gestures
Posture

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16
Q

What are characteristics of low contacts cultures?

A

Ideas presented in a logical, linear sequence

Use of precise, objective wording

May overuse medical jargon
“To the point”

little reading between the lines

E.g., Swiss, Germans, Scandinavians, Americans, Canadians

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17
Q

What are characteristics of high context cultures?

A

Meaning of the message is found in the context, not in the words
“Read between the lines”

Wording may be vague or incomplete

Word choice focused on the individual person, rather than objectively
-Varies depending on relationship

Attitudes and feelings more prominent than thought

Use different languge wuth each person based on your relatipnship with them

E.g., Asians, Middle Easterners, Indigenous people

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18
Q

What is relationship of the individual to the group determined by?

A

low vs high-context cultures

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19
Q

What are low context culture groups like?

A

Individuality, self-realization, and self-esteem predominate

Gain acceptance from a group through communication of one’s self

Canada, Great Britain, US, Australia, Netherlands, etc.

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20
Q

What are high context culture groups like?

A

Individual is defined by group association

Desire for “oneness” within a group

Affiliation with a group tells outsiders all that is needed about that person

Denmark, Ghana, El Salvador, Indonesia, Nigeria, Taiwan, Thailand, etc.

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21
Q

how tolerant are high uncertainty avoidance cultures?

A

Exhibit great discomfort with the unknown and things that are different

Typically have a history of central rule and laws that regulate individual action

Argentina, Belgium, Chile, Colombia, Egypt, France, Greece, Israel, Japan, Korea, Mexico, Turkey, etc.

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22
Q

how tolerant are low uncertainty avoidance cultures?

A

Curious about the unknown and things that are different

Willing to accept dissent within a group, open to change

Canada, Denmark, Great Britain, Hong Kong, India, Jamaica, Netherlands, Philippines, Sweden, US, etc.

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23
Q

What is the perception of power and its influence on communication like in low context/individualistic cultures?

A

Power or status usually in the role/job a person fulfills

Power distance remains small due to equality focus

Questioning accepted > Focus on understanding why before a task can take place

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24
Q

What is the perception of power and its influence on communication like in high context/group cultures?

A

Superiors are different from subordinates

Large power distance

Belief that the higher-ranked person’s opinion dominates

Limited participation in selecting treatment or outcomes

25
Q

How do low context cultures (monochronistic) view time ?

A

Respect for a person’s time

Sticking to a schedule

Punctuality

26
Q

How do high context cultures (polychronistic) view time ?

A

Personal relationships are more important than time

Deadlines are only met if relationships are not impacted

Can be late if they are valuing another relationship

27
Q

What can non verbal communication reveal?

A

Can reveal more about a person’s thoughts and feelings than verbal communication

Can be more importan becaue protrays truly how someone if feeling

28
Q

What are examples of non verbal communication?

A
Touching
Gestures
Eye contact
Spatial relationships 
Sighing
29
Q

How do touching norms vary from culture?

A

Touching Unexpected:
Canada, US, Great Britain, Scandinavia, Japan, Korea, Germany, the Balkans, etc.

Touching Expected:
Middle East, Greece, Latin America, Spain, Italy, Mexico, Columbia, Russia, Portugal, etc.

Somewhere in the middle:
France, China, Ireland, India, countries in Africa, Southeast Asia, Pacific Islands

30
Q

What are gestures?

A

Waving, standing when an important person enters, nodding in acknowledgement, middle finger, etc.
-Varies depending on the country

31
Q

What are facial expressions?

A

Deliberate looks of attention or questioning and unintentional wincing or grimacing, smiling, frowning, etc.

32
Q

What is posture?

A

Sign of respect, confidence, “power stand”

33
Q

What does eye contact very with?

A

Vary according to SES, gender, distance from a person

  • Usually a sign of honesty and openness to Canadians, but staring is considered rude
  • Germans consider it a sign of attentiveness
  • Indigenous people may find eye contact rude
  • Asians and Latinos may look away as a sign of respect
  • Middle Easterners see the motions of the eyes and pupils as an indicator of a person’s reaction
34
Q

How can someone violate spatial relationships?

A

Each person has their own “bubble”, an area reserved for the individual

Depending on the circumference determined by a person, it can be offensive to step within this boundary

Considered insulting by some cultures to step back

35
Q

What is the role of communication?

A

HCP study for a long time

However, all of this is meaningless if communication is unsuccessful

Communication allows for mutual understanding of health beliefs, personal preferences, culture, etc.
-Ignorance of this can leave a patient unwilling to pursue treatment

36
Q

What are the 5 misunderstandings that occur between client and HCP?

A

Health professional can never fully know thoughts, attitudes, and emotions of client

A client’s verbal and nonverbal communication may be ambiguous

Meaning may be lost due to cultural context (e.g., mine vs yours)

Provider’s state of mind may induce bias

Provider’s interpretation of a client’s signals or behaviours may be inaccurate

37
Q

What is a large result of the 5 misunderstandings?

A

Noncompliance

Rejection of treatment
Skipping appointments
Terminating health care relationship

38
Q

What can poor client HCP relationships lead to?

A

Poor relatoionship can lead to extra//unecessary pain and death sometimes

39
Q

What are the responsibilities of the health care provider in terms of communication?

A

Communication requires a two-way participation between the client and provider

Provider assumes superordinate position

  • Obligation to understand what is said by client and provide necessary information for treatment
  • Knowledge of cultural norms and observance of personal cues
  • Demonstration of caring can lead to better outcomes
40
Q

What are the 4 stages of intercultural communication a awareness?

A

Unconscious incompetence
Conscious incompetence
Conscious competence
Unconscious competence

41
Q

What is successful intercultural communication?

A

Begins with the provider being aware of their own communication behaviours and consciously aware of their own biases

Limiting assumptions or bias and understanding the patient is truly the expert

42
Q

What is the Mnemonic to remember components of cultural competency?

A

C – consider Culture in all patient-practitioner interactions

R – show Respect and avoid gratuitous familiarity and affection

A – Assess/Affirm intracultural differences

S – be Sensitive to issues that may be offensive

H – demonstrate Humility. Apologize quickly and accept responsibility for communication missteps

43
Q

What doe successful face to face interaction need?

A

Require understanding of cultural communication expectations

Being aware of the distinctive style of the client

Understanding that each client may or may not abide by stereotypical behaviour of their culture

Every client will be different and communicae in their own different way

44
Q

When meeting a client for the first time what do you ask them?

A

How they want to be addressed

45
Q

What is appropriate language include?

A

Avoid ambiguous language; especially with those who are not proficient in English

Avoid words with multiple meanings (e.g., that’s cool)

Avoid vague verbs

Avoid slang/idioms

Avoid jargon

Avoid asking questions that can be answered with yes or no

46
Q

What kind of interpreter is the best?

A

Limit non-professional interpreters (e.g., spouse, family member)

  • Embarrassed to discuss issues in front of certain people
  • Unfamiliarity with medical terms/translation
  • Ethical issues

When interpreter present, speak to the person not the interpreter

47
Q

What is involved with intercultural counselling?

A

Practitioner attitude = most important element of successful intercultural counseling

Open mindedness is impossible when objectives and outcomes are planned before appointment

Engaging in give-and-take exchange can reveal key issues of a client, medical and social history, etc.

48
Q

What are the basic competencies needed for pre counselling preparation?

A

Information transfer

Relationship development and maintenance

Compliance gaining

49
Q

What is important in terms of communication for the in depth interview?

A

Important to determine many iceberg issues that may effect communication, treatment, and outcomes

Some questions may be viewed as invasive and unnecessary
-Only ask questions that are of necessity

Open-ended questions can be effective to initiate conversation

50
Q

What has intercultural nutrition assessment shows?

A

Research has shown standardized assessment tools can introduce systematic bias or provide misleading information when used with different cultural groups

Food recalls

  • Use of food groups may be unfamiliar to other cultures
  • Meals vs snacks
  • Different meaning of foods (e.g., tea = hot drink? -Evening meal? Afternoon snack?)
  • Mixed dishes can lead to omission of nutrient sources
  • Portion sizes
51
Q

With intercultural nutrition communication, how do you deliver that info to the client?

A

Biomedical paradigm emphasizes behaviour change through 1-1 counseling

Other cultural groups may prefer group setting with family or friends

52
Q

What is the phase of process for How to establish and succeed with communication?

A

motivaitonL first phase, influenced by different things (above)

When they are motivated they can move to attending or non participation. Cultural influence can contradict messages being recived.

Can provide welcoming eenvironet then they move onto learning. Need to deliver message to actually help them and thern in a way the suits them.

Can leanr then they move to behaviour change.

Blue box: reps opporunitiy to bring them back up, if they don’t work thtas wheen the engative actions star to happen

53
Q

How do you make a culturally relevant program?

A

Take time to understand your audience and their views of health

Collect demographics

Involve members of the target audience in program planning

54
Q

How do you set goal and objectives for the culturally relevant program?

A

Define clear and realistic goals and objectives

Overly ambitious goals are main cause of failure

Focus on behaviour changes (e.g., portion control) rather than elimination of culturally important foods (e.g., rice is a staple food for many Asian and Hispanic countries)
-Noncompliance associated with fear of losing cultural identity

55
Q

How do you develop the mesage for the culturally relevant program?

A

Relevancy to a group’s survival, safety, or social needs is key

Messages should be as direct and explicit as allowed in cultural norms

  • Writing should be brief
  • Use of pictures can be very useful

Personal messages are more effective than objective messages

  • Emotional context is just as important as the content
  • Storytelling can be very effective to resonate with the audience
56
Q

How should the implementation strategies be implemented for the culturally relevant program?

A

Should include:

  • Analysis of cultural influence channels and media preferences
  • Development of an effective marketing mix
  • Program evaluation

Even the most exciting, culturally appropriate messages fail if they never reach the target audience

57
Q

What are the implementation strategies?

A

Influence channels

  • TV, internet, social media, radio newsletters, etc.
  • Understanding this can better reach your audience

Marketing Mix: 4 P’s

58
Q

What are the 4 Ps?

A

Product
Price
Place
Promotion

59
Q

How do you evaluate the culturally relevant program?

A

Keep track of progress throughout the program (successes, barriers, etc.)

Assess program results through surveys, interviews, etc.

Publication of results can help other organizations