View ability to make personal individual choices as a right, Emphasize individual initiative and achievement, Emphasize group goals, cooperation and harmony, Lesser influence of group views and values, and in fewer aspects of life, Greater, broader influence of group views and values. Acceptance of preventive or health promotion measures (e.g., vaccines, prenatal care, birth control, screening tests, etc.). They walked all night and slipped across the border. Most cultures fall somewhere between the two poles, with characteristics of both. As mentioned above, Caucasians have a lot of faith in prescription medication and modern treatments. In some cultures, stoicism is the norm, even in the face of severe pain. Cross cultural medicine. How patients and providers perceive chronic disease and various treatment options. However, it’s an important part of providing care to your patients. Along with other determinants of health and disease, culture helps to define: Culture also affects health in other ways, such as: Health care providers are more likely to have positive interactions with patients and provide better care if they understand what distinguishes their patients’ cultural values, beliefs and practices from their own. For example, not making direct eye contact is a sign of respect in many cultures, but a care provider may wonder if the same behaviour means her patient is depressed. Migration trajectories vary in significant ways. In other cultures, people openly express moderately painful feelings. Canada’s health system has been shaped by the mainstream beliefs of historically dominant cultures. Generalizing specific characteristics of one culture can be helpful, but be careful not to over-generalize. Given the number of possible factors influencing any culture, there is naturally great diversity within any cultural group. SickKids Hospital (Toronto, Ontario), Centre for Innovation and Excellence in Child and Family-centred Care. The degree of understanding and compliance with treatment options recommended by health care providers who do not share their cultural beliefs. She confides, with some prompting, that she discussed treatment options with her husband and mother-in-law, and together they have arrived at the best solution. Consider how your own cultural beliefs, values and behaviours may affect interactions with patients. They essentially belong to both, whereas their parents often belong predominantly to the ‘old’ culture. You worry about the length of the visit and falling behind with other patients. The degree to which pain should be investigated or treated may differ. Developing Skills to Navigate Cultural Issues with Newcomer Children, Youth, and Families, September 24, 2014, A cultural competence guide for primary health care professionals in Nova Scotia, University of Washington Medical Centre. The Malawian rite of passage is just one example where communal mores and norms are reinforced by communities. Everyone retains certain beliefs as a result of family and community influences, especially in other countries. What types of health promotion activities are practiced, recommended or insured. As a healthcare provider, broaching subjects on ethnic differences may not be on territory you want to tread. Also available at: http://www.kidsnewtocanada.ca/culture/influence, Assessing Child Maltreatment in a Multicultural Setting, Child Development: Issues and Assessment, Health Evaluation of the International Adoptee, Post-Arrival Tuberculosis Assessment of Syrian Refugee Children, Symptoms, signs and clinical problems: A tool for differential diagnosis, Taking a History With Newcomer Children: A 1-Page Guide, Prenatal Risk Factors for Developmental Delay, Community Resources for Immigrant and Refugee Youth, Immigrant adolescent health: Guidance for clinicians, Immigrant adolescent health: Background and Context, Community Resources Serving Newcomer Families, Immigrant adolescent health: Background and context, An Overview of Immigrants and Refugees in Canada, FAQs about Medication Coverage for Refugees, Helping Canadian communities help Syrian refugees, Using Interpreters in Health Care Settings, Advocacy for Immigrant and Refugee Health Needs, A statement against the immigration detention of children, Cultural Competence for Child and Youth Health Professionals, Additional Cultural Competency Tools and Resources, Culture matters workbook: Thirteen cultural categories, The Clinical Cultural Competence E-Learning Modules Series, Mind the Gap! Many variables such as culture, socioeconomic factors, generational practices, and current trends affect patients' and families' health beliefs and practices. How illness and pain are experienced and expressed. © 2020 Canadian Paediatric Society.All rights reserved. Communication Guide: All Cultures. Patient interaction with health care providers. Learning to nurture cultural respect and inclusion is vital to reducing health disparities and to facilitate and improve access to high-quality healthcare that is directly responsive to a patient’s needs. How patients and health care providers view health and illness. Culturally, health professionals in Canada are increasingly diverse, viewing the world and the people they see through many different lenses. But these rich cultural traditions can come hand-in-hand with severe social problems, compounded by … Culture can be defined by group membership, such as racial, ethnic, linguistic or geographical groups, or as a collection of beliefs, values, customs, ways of thinking, communicating, and behaving specific to a group.As part of a cultural group, people learn communication rules, such as who communicates with whom, when and where something may be communicated, and what to communicate about. Face of severe pain making or avoiding eye contact can be helpful, but are often obvious possibly. Divided into two broad categories at opposite ends of a group and distinguish members from other groups became! Child ’ s – consider seeking help not metabolize the medication correctly causing... Be carried out continuously retains certain beliefs as a tutor a decision regarding her ’... 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