English 2 Cross Culture Communication

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ENGLISH 2

CROSS CULTURE COMMUNICATION

BY :

DINI NOVITA SARI


1411311028

NURSING FACULTY
ANDALAS UNIVERSITY
2014/105
Cross Culture Communication

COMMUNICATION in health care is a complex issue. Language and cultural barriers complicate the
situation. Language is the framework in which the world view of a culture is molded, and it describes the
boundaries and perspectives of a cultural system. A language barrier disarms a communicant's ability to
assess meanings, intent, emotions, and reactions and creates a state of dependency on the individual who
holds the keys to the entire process—the interpreter.

Interpretation requires a great deal of skill. Interpreters find it necessary to describe and explain terms,
ideas, and processes that lie outside of the linguistic systems of clients. The interpretation process must
account for divergent world views. Individuals and cultures have varying perspectives regarding the
cause, presentation, course, and treatment of sickness, as well as the risk it represents to others.

Significant demographic changes in patient populations have contributed to an increasing


awareness of the impact of cultural diversity on the provision of health care. For this reason
methods are being developed to improve the cultural sensitivity of persons responsible for giving
health care to patients whose health beliefs may be at variance with biomedical models.

Building on methods of elicitation suggested in the literature, we have developed a set of


guidelines within a framework called the LEARN model. Health care providers who have been
exposed to this educational framework and have incorporated this model into the normal
structure of the therapeutic encounter have been able to improve communication, heighten
awareness of cultural issues in medical care and obtain better patient acceptance of treatment
plans.

The emphasis of this teaching model is not on the dissemination of particular cultural
information, though this too is helpful. The primary focus is rather on a suggested process for
improved communication, which we see as the fundamental need in cross-cultural patient-
physician interactions.

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