Australia is becoming increasingly culturally diverse. With this the need for the ability to successfully communicate proficiently with other cultures is paramount. Intercultural communication is becoming increasingly important in the healthcare industry as many workers must learn how to communicate effectively with people from other cultures. For many businesses, effective intercultural communication stands to bring them increased business and profits; however, in the health care industry, effective intercultural communication carries greater importance as it affects patients’ physical and mental well-being (Ulrey et al. 2001, p. 449). Each culture does this through its own verbal and nonverbal behaviors and has its own way of expressing and interpreting messages. It is easy to see how problems can result when individuals of different cultures come into contact with each other (Ulrey et al. 2001, p. 449). There is clear evidence of there being an issue with intercultural communications in healthcare when looking at the health of Indigenous Australians.
Diagram showing the process of successful intercultural communications in healthcare
Intercultural communications with indigenous Australians needs to be improved significantly as in the area of healthcare many Aboriginal people do not have a strong understanding of how to best look after themselves and their children (2011). While we live in a first-world nation, some Aboriginal people struggle with third-world
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Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.
Aboriginal health is majorly determined by several social factors that are related to their cultural beliefs. Health professionals regularly find it difficult to provide health care to aboriginal people due to the cultural disparity that exists between the conventional and aboriginal cultures, predominantly with regard to systems of health belief (Carson, Dunbar, & Chenhall, 2007). The discrepancy between the aboriginal culture and typical Western customs seems to amplify the difficulties experienced in every cross-cultural setting of health service delivery (Selin & Shapiro, 2003). Most of the social determinants of the aboriginal health are due to their strict belief in superstition and divine intervention.
The five following questions are a great way to discuss today’s communication in the health care field; this paper will give a better explanation on what therapeutic communications are, cultural blindness as well as cultural competence, and identifying cultural backgrounds. Working in the health care field we use these very few things every day without even realizing it. It is important that health care professionals have a clear understanding about these concepts to provide the proper care to patients.
Good communication with the families may improve the impact of excessive drinking by family members. This can be done understanding how to best communicate with Aboriginal and/or Torres Straight Islanders. In the Aboriginal culture, silence is important and it is not uncomfortable to have pauses in conversations. Also ‘going around’ sensitive topics is more respectful and polite in the Aboriginal culture. Talking about their mother-in-law or sister is also a subject that is not considered polite to talk about, especially if their have any issues with their relationship. Also understanding that if an Elder is needed to deal with an issue, they must be treated with a high level of respect and dignity
Firstly, a challenge that the nurse may face are the cultural differences in non-verbal communication. For example, “maintaining eye contact during conversation [conveys] respect” in American culture (Potter, 2014, p. 247). However, eye contact is “considered intrusive, threatening, or harmful” in Aboriginal culture (Potter, 2014, p. 247). Whereas patients in Western culture are expressive, Aboriginal patients often control their affect to maintain a calm demeanor (Eliopoulos, 2010, p. 30). Secondly, another challenge that the nurse may face is a language barrier. For instance, the nurse may be unable to communicate with the Aboriginal client in their native language. Alternatively, the Aboriginal client may unable to communicate in a common language with the nurse. Thirdly, a challenge that the nurse may face is the consolidation of traditional Aboriginal and Western healing practices. For instance, Aboriginal culture emphasizes the role of “energy and nature” in the healing process (Potter, 2014, p. 243). However, Western culture has only been recently introduced to this concept (Potter, 2014, p. 243). Whereas Western medicine emphasizes the use of pharmaceutical drugs, traditional Aboriginal medicine “promotes harmony within a community and in the physical and spiritual worlds through sweating and purging,
Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.
This paper will examine the healthcare of Indigenous Australian peoples compared to non-indigenous Australians. The life expectancy gaps between the two are a cause for alarm when statistics show Indigenous Australian peoples die on average 17 years earlier than non-indigenous Australians (Dick 2017). This paper will examine the social determinants of health to explore these factors and what interventions are in place to improve health status and life expectancy gaps for equality. The Federal Government has seen the implementation of the Northern Territory Intervention and the Closing the Gap Initiative. This essay will examine these two strategies and discuss the effectiveness of both policies. It will explain the differences, similarities and look at the success so far to
As health professionals, we must look beyond individual attributes of Indigenous Australians to gain a greater understanding and a possible explanation of why there are such high rates of ill health issues such as alcoholism, depression, abuse, shorter life expectancy and higher prevalence of diseases including diabetes, heart disease and obesity in our indigenous population. Looking at just the individual aspects and the biomedical health model, we don’t get the context of Aboriginal health. This is why we need to explore in further detail what events could have created such inequities in Aboriginal health. Other details that we should consider are the historical and cultural factors such as, ‘terra nullius’, dispossession and social
The inequalities in today’s indigenous communities are still strongly evident. Heard, Khoo & Birrell (2009), argued that while there has been an attempt in narrowing the gap between Indigenous and non Indigenous Australians, a barrier still exists in appropriate health care reaching indigenous people. The Indigenous people believe, health is more than the individual, it is
The people of Aboriginal are classified to have a low level of education. The poor education received by these people has rendered them to undertake low income jobs. Low income jobs are linked to low quality health care they receive since they cannot afford to pay for quality health care services (Marmot and Wilkinson 1999) Low education levels in the Aboriginal community limits them in the kind of information related to health care they receive. Lowly educated individuals have limited access to information systems and this is also directly linked to the low incomes they receive and as a result they cannot afford to purchase information materials.
The substance of this paper will be to discuss the discourse regarding the inequalities facing aboriginal peoples living on reserves in the northwestern corner of Ontario. Inequality is not naturally occurring; poverty is not an innate cultural trait that accumulates at the feet of the marginalized (Schick & St.Denis, 2005, p.304). Stephens, Nettleton and Porter stated in the Lancet (2005) “Aboriginal people in Canada suffer enormous inequalities in health and in accessibility to health
Many factors are there which negatively affect the health of aboriginal people in Canada. It includes poverty, several generational effects of colonization and residential schools. One obstacle to good health lies squarely in the lap of health care system itself. Many aboriginal people are not accepting health care system because they don’t have trust on them. They do not feel safe from racism and stereotyping. Main reason is that the Western approach to health care can feel isolated and scary. Cultural competency has a beneficial effect on health care. It creates safe environment for aboriginal people, which is free from racism and stereotype. It treats aboriginal people with respect, dignity and empathy. Culturally effective
The Aboriginals also known as the Indigenous people are the first people’s inhabitants of mainland Australia (WIKIPEDIA). Historically, Aboriginals enjoyed better health before any invasions from non-Indigenous peoples. They didn’t suffer from any major illnesses though they did have other type of health issues, but their life was happier and content. Everything started to change after 1788 when non-Indigenous people introduced illnesses where the mortality rate of Aboriginals population started to increase, and this affected their life and the community (http://www.healthinfonet.ecu.edu.au/health-facts/overviews/the-context-of-indigenous-health). There are various factors that contribute to the poor health status of Indigenous people, and this is part of the social determinants of health which should been seen in a broader context (1)(2). Factors such as employment, income, stress, gender, education, behavioral aspects, working and living conditions, social networks and support, are interrelated and complex, and are part of the social
Communication is the leading factor in heath care errors (book). (Treas & Wilkinson Book p463) defines communication as “a dynamic, reciprocal process of sending and receiving messages. The messages may be verbal, non-verbal,