The purpose of this program is to support nursing home staff to deliver high quality cross-cultural care to residents and improve team cohesion. Staff will learn principles, knowledge and skills in cross-cultural interaction with residents and team members. This program is designed for staff to work with a facilitator designated by the care home to learn and improve cross-cultural care services and team cohesion.
Implement mentoring, coaching, group learning, and one-on-one self-learning to engage staff in improving cross-cultural resident care and team cohesion.
INTRODUCTION TO CROSS-CULTURAL CARE FOR RESIDENTS
Staff should ask residents or their family and find out how the resident would like to be addressed in an intercultural meeting.). Intercultural communication is defined as a process of symbolic exchange where individuals from two (or more) different cultural communities negotiate shared meaning in an interactive situation (Ting-Toomey 2010). This strategy is good as the staff demonstrates motivation and cultural humility in facilitating cross-cultural communication with Ms. Talbot.).
Connecting with other staff in this way will help build cross-cultural understanding in the multicultural team.).
INTRODUCTION TO FOSTERING TEAM COHESION AND COLLABORATION
Miguel, Princess and May felt that Jia's behavior also affected the attitude of the other staff towards them, making them feel isolated in the workplace. This response is good because it reinforces the Jia values that guide the appropriate action and behavior that staff should display in the workplace. This answer is not good because it may take time for Jia to unlearn her previous values and learn Australian values and how to deal with team members in the workplace.
She can also give them the details of the Employee Assistance Program if any of them want to talk about an opportunity with a confidential external counsellor.
WORK RELATED ENGLISH LANGUAGE RESOURCES FOR STAFF
National Aging and Aged Care Strategy for people from culturally and linguistically diverse backgrounds https://agedcare.health.gov.au/older-people-their-families-and-carers/people-from-diverse-backgrounds/. Working with older Aboriginal and Torres Strait Islander people - Research to Practice Assignment 8 https://www.sarmy.org.au/Global/SArmy/Social/econnect/issue71/. Department of Health and Aging (2012) National Aging and Aged Care Strategy for People from Culturally and Linguistically Diverse (CALD) Backgrounds.
A comparison of verbal communication and psychiatric medication use by Greek and Italian residents with dementia in Australian ethno-specific and mainstream aged care facilities.
LEARNING TO IMPROVE PRACTICE AND PERFORMANCE
This is a good way to use non-verbal communication to demonstrate caring, a condition for cross-cultural communication.) g. This is a good way to show cultural humility and empower a resident in cross-cultural communication.). This is a good way to allow Delara to contribute to team learning in cross-cultural communication.).
This is a good way to help Delara adjust to care practices in the nursing home.).
AN UNFOLDING CASE STUDY - MRS NIKOU
An unfolding case study: Mrs Nikou
This is a good answer because it enables the care home's capacity to build and improve cross-cultural care.). The residential care home should have adequate resources to enable cross-cultural communication with residents. This is a good answer because it shows the co-creation of intercultural communication resources between the family and the care home.).
Demonstrate abilities to apply leadership qualities to their own practice in cross-cultural care services. Lead and engage with others to identify and meet residents' care needs in cross-cultural interactions. Using evidence to inform better cross-cultural care services is one of the leadership qualities valued in aged care.
One of the leading attributes in intercultural care services is to find and use appropriate resources to facilitate culturally and linguistically appropriate care for residents. Effective interventions to improve intercultural care services are based on culturally and linguistically appropriate assessment of residents. Discuss the positive impact of cross-cultural leadership on residents and staff at the facility.
Refer to the organization's diversity policy to support the importance of good intercultural communication in the workplace. This is an example that helps facilitate self-reflection in cross-cultural dementia care. Apply effective communication principles to interactions with residents and their families to facilitate high-quality intercultural end-of-life care.
Use 'Tips on cross-cultural communication in pain management for CALD residents' for self-assessment.
AN UNFOLDING CASE STUDY IMPROVING TEAM COHESION
Improving team cohesion
Your participation in this module contributes to quality improvements in intercultural dementia care. Work in a small group and identify barriers in intercultural communication with residents with dementia in your residential facility. This approach to communication is a good way to understand Angela's needs and demonstrate caring, a prerequisite for intercultural communication.) h.
It is widely recognized that cross-cultural interactions add to the difficulties for staff in achieving high quality end-of-life care (Frahm et al. 2012, Johnson 2013, Johnstone 2012). Promotes high quality cross-cultural care and services in partnership with residents and families. Quality: Intercultural care services provided by staff demonstrate high quality, continuous improvement against criteria/standards and are monitored within the aged care system.
Periodic audits are needed to provide evidence of improvements in the organizational characteristics that support cross-cultural care services and the development of the multicultural workforce.
AN UNFOLDING CASE STUDY: ANNA, A POLISH RESIDENT WHO HAS DEMENTIA
Anna, a Polish resident who has dementia
Explain the influence of different cultures, spiritualities, religions, traditions on the care of the resident and their families. Apply the principles, guidelines and toolkit to support optimal end-of-life care and death for residents and their families from diverse cultural backgrounds. Reflect on your recent experience caring for a resident with a CALD background.
Consider your recent experience of end-of-life care for a CALD resident with late-stage dementia. This response is good because David, RN demonstrates leadership and a team approach to pain management in end-of-life care.). A mentoring approach to decision making would enable Edna to make decisions about her end of life care journey.
This response is good because it shows that Lin and Marina recognize the spiritual needs of the patient as an important component of end-of-life care and a team approach to meeting those needs.). Compare the similarities and differences in advance care planning or end-of-life care wishes and summarize them in Table 8. Staff should be aware of the influence of religion, culture, family dynamics, and family structures on the care recipient's decisions about end-of-life care planning.
What must the care team do to provide end-of-life care for Jaladar and support her family. What are the resident's wishes for end-of-life care Who is appointed as the deputy decision-maker. 101 It is recommended for best practice in end-of-life care that the care team should assess family members'.
2012) Bioethics, Cultural Differences and the Problem of Moral Disagreement in End-of-Life Care: A Terror Management Theory.
AN UNFOLDING CASE ON GRIEF, LOSS AND BEREAVEMENT
Madam Li
The 'Intercultural Care Staff Self-Reflection Tool' has been developed to help staff reflect on their own relationships and practice when providing intercultural care and services to older people. This tool is based on “cultural humility,” which is described as developing a mutual and equal partnership in intercultural interactions (Foronda, Baptiste, Reinholdt, & Ousman, 2016; Hook, Davis, Owen, Worthington, & Utsey, 2013). The Intercultural Care Services Audit Tool is designed to assist staff in collecting data to inform quality improvement activities.
Availability: The residential care center has sufficient effective intercultural care services to meet the specific care and service needs of residents with a culturally and linguistically diverse (CALD) background. Accessibility: The accessibility of intercultural care services for residents has four sub-dimensions: non-discrimination, physical accessibility, economic accessibility (or affordability) and information accessibility. Acceptability: Cross-cultural care services (CCCS) are respectful and acceptable to residents, family and friends.
10. Cultural exchange activities are available to the healthcare team to increase intercultural understanding of team members. Incidents of intercultural communication, team conflict and racially negative attitudes/behaviors are identified, investigated and resolved in a timely manner. Complaints from residents/family about intercultural communication problems have been investigated and resolved in a timely manner.
This audit tool is designed to help aged care organizations gather evidence to inform cross-cultural care services for residents and to effectively manage human resources. 127 6. The organization has resources and support mechanisms to enable culturally and linguistically diverse (CALD) staff to improve their English communication in the workplace. Access to the program Go to: www.flinders.edu.au/cross-cultural-care If you are not already registered with Open Learning, please create one.
The Australian aged care system
Residential aged care homes
Cross-cultural communication tips
Speaking loudly does not necessarily ensure that you are understood and it can be humiliating. It can also be misinterpreted, so make sure your body language is one of being there for the resident. Use touch when appropriate and acceptable as it can be reassuring and shows that you care about the residents.
It may be easier to talk to relatives and staff, but it is important that the resident is aware, involved and heard. Learn key words in the patient's language to improve communication during routine care and other simple procedures. Use qualified language interpreters during assessments, meetings, or other events to communicate with residents and their caregivers in situations requiring a level of assistance that may be critical or dangerous to the resident's well-being if not understood.
Use bilingual staff and family members to communicate with residents from the same culture, when available and appropriate if there are daily activities challenges. All information relating to key service contexts (e.g. care plans and service agreements) should be provided to the client and his/her lawyer in their own language. Avoid jargon or slang and do not use medical terms and abbreviations that the resident may not understand.
It can be seen as rude for staff to speak together in another language that is not understood by others. Staff from non-English speaking backgrounds must practice their English language and pronunciation, as well as write, read and document in English.
