The Complexity of an Agreement: A Cross-Cultural Perspective on ‘Yes, Doctor’ Communication with Patients

IF 1.3 Q3 ETHICS
Mora Claramita, Indah Kartika Murni
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引用次数: 0

Abstract

This article explores the communication challenges faced by health professionals working with patients from high-context cultures (i.e. those that emphasize non-verbal communication), particularly in Southeast Asia, and proposes strategies to enhance interaction and patient care. Attention should be put on the impact of cultural dimensions such as high power distance and collectivism on patient behaviour and decision-making. In high power distance cultures, patients may be passive and reluctant to voice concerns, while collectivistic values often influence decisions through family or community input. To address these challenges, communication guides designed to improve interactions include observing subtle non-verbal and para-verbal cues, practicing active listening, encouraging patient participation, providing adequate consultation time, and discussing care plans collaboratively. Additionally, using familial terms of address and incorporating Kleinmann’s eight questions are recommended to bridge cultural gaps and facilitate a better understanding of patients’ perspectives. The proposed strategies aim to foster a culturally sensitive and patient-centred approach, enhancing communication, improving patient satisfaction, and leading to better health outcomes. By implementing these practices, health professionals can navigate cultural complexities more effectively and deliver high-quality, respectful care.

协议的复杂性:从跨文化视角看与患者“是的,医生”的沟通
本文探讨了卫生专业人员在与来自高语境文化(即强调非语言交流的文化)的患者打交道时所面临的沟通挑战,特别是在东南亚,并提出了加强互动和患者护理的策略。应注意高权力距离和集体主义等文化维度对患者行为和决策的影响。在高权力距离文化中,患者可能是被动的,不愿意表达自己的担忧,而集体主义价值观往往通过家庭或社区的投入来影响决策。为了应对这些挑战,旨在改善互动的沟通指南包括观察微妙的非语言和准语言线索,练习积极倾听,鼓励患者参与,提供充足的咨询时间,以及共同讨论护理计划。此外,建议使用家庭称谓,并结合Kleinmann的八个问题,以弥合文化差异,促进更好地理解患者的观点。拟议的战略旨在培养一种文化敏感和以病人为中心的办法,加强沟通,提高病人满意度,并取得更好的健康结果。通过实施这些做法,卫生专业人员可以更有效地应对文化复杂性,并提供高质量、尊重的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
3.40%
发文量
32
期刊介绍: Asian Bioethics Review (ABR) is an international academic journal, based in Asia, providing a forum to express and exchange original ideas on all aspects of bioethics, especially those relevant to the region. Published quarterly, the journal seeks to promote collaborative research among scholars in Asia or with an interest in Asia, as well as multi-cultural and multi-disciplinary bioethical studies more generally. It will appeal to all working on bioethical issues in biomedicine, healthcare, caregiving and patient support, genetics, law and governance, health systems and policy, science studies and research. ABR provides analyses, perspectives and insights into new approaches in bioethics, recent changes in biomedical law and policy, developments in capacity building and professional training, and voices or essays from a student’s perspective. The journal includes articles, research studies, target articles, case evaluations and commentaries. It also publishes book reviews and correspondence to the editor. ABR welcomes original papers from all countries, particularly those that relate to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore. The Centre for Biomedical Ethics is a collaborating centre on bioethics of the World Health Organization.
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