Cultural Considerations in Healthcare

Study Notes

Interpreter Selection:
- Priority should be given to interpreters fluent in various dialects of the patient's language.
- Avoid interpreters who speak excessively loudly, rush conversations, or avoid repetition.

Minority: A group of people with distinct physical and cultural characteristics differing from the majority of a society.
- Examples: Black/African Americans, Hispanics, Asian/Pacific Islanders, Native Americans

Cultural Congruence: Demonstrated through effective communication, respecting cultural norms, and establishing an environment of trust.
- Avoid imposing Western cultural practices such as maintaining continuous eye contact.

Direct Eye Contact: May be interpreted differently across cultures.
- Groups who might consider direct eye contact impolite: Native Americans, Asians, Indo-Chinese, Arabs, Appalachians.

Head and Scalp Examination:
- Certain cultures may perceive head and scalp examination as a violation of norms.

Decent work involves opportunities for work that is productive and delivers a fair income.
Decent work is characterized by:
- Conditions of work that prioritize safety and remuneration
- Respect for the physical and mental integrity of workers
- Opportunities for productive work
- Fair income, security and social protection for families
- Prospects for personal development and social integration
- Freedom to express concerns, organize and participate in decisions affecting workers' lives
- Equality of opportunity and treatment for all women and men

The nature of work refers to the type of tasks assigned to employees.
It can include routine daily tasks and non-routine tasks required of the position.
The nature of an employee's work is typically summarized in their job title, e.g. Head Nurse.

Complexity of work refers to the level of skill and knowledge needed for a specific job.
It is related to the level of employment, and can be graded objectively or perceived subjectively by managers.
Complexity of work is directly related to the nature of the job.

Pay structure refers to the salary and benefits offered to employed individuals.
Pay slips detail gross salary, deductions, and the net salary received.
Income tax is a levy placed on income generated by businesses and individuals.

The employer sets terms and conditions of the employment contract, aligned with Philippine labor laws.
The contract outlines the activities required of the employee.

Involves performing activities essential or desirable to the employer's regular business.
Offers security of tenure according to Philippine law.
Termination for reasons other than those outlined by law is only possible after due process.

Understanding the "culture of nursing" is crucial for student transition into the workplace.
This includes understanding institutional norms, behaviors, and communication patterns.
It is essential to develop self-awareness of one's own cultural background.
Cross-cultural communication skills are critical for effective interaction with clients from diverse backgrounds.