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HSC230 Cultural In Healthcare Environment Safety

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Question:

Factors contributing to ineffective communication include:

· Differences in language, conceptual and cultural knowledge

· Incorrect assumptions about what patients already know

· Incorrect assumptions about what patients want/need to know

· Different understandings about function e.g. of heart and lungs

· Use of culturally specific metaphors e.g. quantification such as percentage, time, frequency and pain rating

· Use of the same words but with different meanings e.g. ‘serious’ equivalent to ‘terminal’

· Different communication protocols e.g. asking direct questions may be considered offensive – results in discomfort when health staff ask many questions and inhibits patients asking questions of health staff when they don’t understand or want more information

· ‘gratuitous concurrence’ – politeness convention to say ‘yes’ even when you want to say ‘no’ particular in situations of unequal power or with strangers

· Location of control / power relationships 10

· Inadequate staff /interpreter training

· Lack of policies, protocols, accountability to ensure effective communication – an organizational culture of ‘making do’

 
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