Cross-cultural communication barriers in health care

Taylor, Shena Parthab; Nicolle, Colette; Maguire, Malcolm

doi:10.7748/ns2013.04.27.31.35.e7040

Cited by 48 publications

(49 citation statements)

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“…On the other hand, residents' attempts to speak the language of staff (i.e., English) were very infrequent and consisted of minimal responses such as Bthank you^, Bno^, Bfine^. While there may be challenges associated with older adults learning a new language, it is worth considering the cost-benefit ratio of providing language training to staff in potentially many different languages compared to offering training in one language to residents (Taylor et al 2013; for further discussion, see Implications for Current Practice below).…”

Section: Discussionmentioning

confidence: 99%

“…A complimentary strategy for promoting cultural competency is to provide staff and/or residents with culture and/or language training (Mold et al 2005;Parker and Geron 2007;Taylor et al 2013). Cultural competence has been defined as encompassing Bthe knowledge, skills, attitudes and behaviors required of a practitioner to provide optimal health care services to persons from a wide range of cultural and ethnic backgrounds^ (Cohen 2002, cited in Parker andGeron 2007: 39).…”

Section: Implications For Current Practicementioning

confidence: 99%

“…Teaching residents the language of the health care context is an option not often suggested, yet is one advocated by Taylor et al (2013), and it aligns nicely with an independencesupportive approach to enhancing communication. In accordance with a communication enhancement approach, language learning opportunities for residents should take into account older adult learning styles as well as the residents' physical and cognitive status and the living context.…”

Section: Implications For Current Practicementioning

confidence: 99%

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Verbal and nonverbal indicators of quality of communication between care staff and residents in ethnoculturally and linguistically diverse long-term care settings

Small

Chan

Drance

et al. 2015

J Cross Cult Gerontol

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Linguistic and ethnocultural diversity in long-term residential care is a growing trend in many urban settings. When long-term care staff and residents do not share the same language or ethnocultural background, the quality of their communication and care are jeopardized. There is very little research addressing how staff and residents communicate when they experience a mismatch in their language and ethnocultural backgrounds. Thus, the goals of the present study were to 1) document the verbal and nonverbal behaviours used by staff and residents in diverse interactions, and 2) identify and account for behaviours that either promoted or detracted from positive communication by drawing on principles from 'Communication Accommodation Theory'. Two long-term care facilities in British Columbia Canada were selected due to the diverse linguistic and ethnocultural backgrounds of their staff and residents. Twenty-seven staff and 27 residents consented to being video-recorded during routine activities (e.g., mealtimes, recreational activities). The recorded observations were transcribed, translated, and coded using qualitative descriptive and interpretive analyses. A number of verbal and nonverbal behaviours were identified and interpreted in relation to whether they promoted or detracted from positive communication. The findings point to considering a variety of proactive strategies that staff and administrators could employ to effectively accommodate to language and ethnocultural diversity in long-term care practice.

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Section: Discussionmentioning

confidence: 99%

Section: Implications For Current Practicementioning

confidence: 99%

Section: Implications For Current Practicementioning

confidence: 99%

See 1 more Smart Citation

Verbal and nonverbal indicators of quality of communication between care staff and residents in ethnoculturally and linguistically diverse long-term care settings

Small

Chan

Drance

et al. 2015

J Cross Cult Gerontol

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“…Religious aspects, gender attitudes and health beliefs were found to alter communication between health care providers and patient in ER (Taylor et al, 2013). Vocal-medical: on-line language learning and cultural preparation... DOI: http://dx.doi.org/10.12795/elia.2015.i15.08 Several studies in the last decades emphasize the need to bridge the language gap and intercultural barriers in emergency care (Meischke et al, 2013;Flores, 2006;Carrasquillio et al, 1999).…”

Section: Rationale -Research Summarymentioning

confidence: 99%

Vocal-Medical: On-Line Language Learning and Cultural Preparation for Emergency Services

Brogan¹,

Adriaenssens²,

Kelly³

2015

Elia

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“…There can be difficulties in relying on relatives to serve as a go-between in communication. In some cases, depending on a family member for translation may lead to missed appointments when the translator is unavailable (Taylor et al 2013). Moreover, the same study reported that many of the participating male ethnic minorities who had limited understanding of English performed the prescribed exercises incorrectly due to overconfidence and misunderstanding translated instructions.…”

mentioning

confidence: 99%

Exploring self-management of chronic low back pain in Saudi Arabia

Mohammed¹

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Aim: The main purpose of this research project is to explore both patients' and physiotherapists' perceptions and understanding of self-management for chronic low back pain (CLBP) in the Kingdom of Saudi Arabia (KSA) and moreover, to explore current physiotherapy practice for managing CLBP in KSA. Methods:This research project used a mixed methods approach with sequential designs. The first section contains a quantitative study and the second section includes two qualitative studies. The quantitative section allowed exploration of current physiotherapy practices for CLBP management using a large population. The qualitative section has provided a more in-depth understanding of both patients' and physiotherapists' perceptions in regards to self-management and physiotherapy management for CLBP.Results: In the current study, physiotherapists acknowledged the importance of exercise and advice. Moreover, these represented the most common treatment methods used in daily practice. However, patients' preferences for passive approaches, such as rest, massage and modalities were frequently reported. This shows conflict between physiotherapists and patients with CLBP in terms of the preferred approach for managing the disorder.Physiotherapists' extensive use of modalities where evidence of effectiveness was lacking or insufficient was a common practice for physiotherapy management in patients with CLBP in the current research project. Moreover, physiotherapists and patients showed limited understanding of self-management as a concept. Conclusion:Promoting self-management in daily physiotherapy practice appears to be a complex issue. It involves various factors, such as promoting an evidencebased practice culture among physiotherapists; a patient-centred approach; access to guidelines and evidence; and organisational support through developing policy, local guidelines and CPD training. This research presents a platform of recommendations for future researchers, professionals, educators and policymakers to enhance the quality of care for patients with CLBP in the KSA in general and may increase the adoption of self-management.iii DECLARATION

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Cross-cultural communication barriers in health care

Abstract: It is essential that all individuals are able to interact effectively with healthcare services. New and innovative approaches are necessary to meet the needs of people from ethnic minorities accessing health care.

Cited by 48 publications

References 0 publications

Verbal and nonverbal indicators of quality of communication between care staff and residents in ethnoculturally and linguistically diverse long-term care settings

Verbal and nonverbal indicators of quality of communication between care staff and residents in ethnoculturally and linguistically diverse long-term care settings

Vocal-Medical: On-Line Language Learning and Cultural Preparation for Emergency Services

Exploring self-management of chronic low back pain in Saudi Arabia

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