Cross-Cultural Decision-Making in Healthcare

Author(s):  
Tomasz Komendziński ◽  
Emilia Mikołajewska ◽  
Dariusz Mikołajewski

This chapter describes how people are connected to each other through a common system of encoding and decoding messages. Opening the European gate has made intercultural communication omnipresent, and this includes health care. Internationally-based tasks need new, culture-aware medical practitioners. The challenges, barriers, and solutions in the aforementioned area based on the personal experiences of the authors. The chapter concludes that in spite of personal experience, intercultural tension continues to be a major hinderance to patient healthcare services.

Author(s):  
Tomasz Komendziński ◽  
Emilia Mikołajewska ◽  
Dariusz Mikołajewski

This chapter describes how people are connected to each other through a common system of encoding and decoding messages. Opening the European gate has made intercultural communication omnipresent, and this includes health care. Internationally-based tasks need new, culture-aware medical practitioners. The challenges, barriers, and solutions in the aforementioned area based on the personal experiences of the authors. The chapter concludes that in spite of personal experience, intercultural tension continues to be a major hinderance to patient healthcare services.


Author(s):  
William Schneider

The essence of this article is interviewing in cross-cultural settings. Cross-cultural interviews involve an interviewer and an interviewee who come from different backgrounds and have different experiences. They may not share common assumptions about meaning and both must work to establish understanding of what they mean by what they say. Usually, the person interviewing comes from a literate tradition and is conducting the interview to create a record that they or others will analyze and reference in their work. The person interviewed often is from a group whose primary reference is their oral tradition and narratives based on personal experience. In cross-cultural settings the interviewee or narrator is creating narrative from his or her oral tradition and personal experiences, while the interviewer is working to make a record for reference after the recording session. This article also discusses the ways of communicating in cross-cultural context. An analysis of cross-cultural interviews concludes this article.


2019 ◽  
Vol 36 (7) ◽  
pp. 1243-1263 ◽  
Author(s):  
Mahender Singh Kaswan ◽  
Rajeev Rathi ◽  
Mahipal Singh

Purpose The purpose of this paper is to identify and prioritize prime just-in-time (JIT) elements in Indian healthcare sector based on the degree of importance and difficulty. This facilitates the implementation of JIT philosophy in healthcare services without any failure as well as provides quality services to patients at low cost. Design/methodology/approach JIT elements related to health care services have been sorted out from comprehensive literature survey. Moreover, important and difficult JIT elements have been ranked on the basis of score obtained by the quantitative method using statistical tools. Furthermore, validation and prioritization of important JIT elements based on the degree of importance have been computed using the analytical hierarchy process (AHP) and best worst method (BWM). Findings The present work provides important, difficult and easy to implement JIT elements in healthcare services. Besides, this work justifies the application of decision-making tool (AHP, BWM) for the prioritization of JIT elements in the health care sector. Practical implications The present study develops a deep understanding of JIT concepts in health care services. Furthermore, it motivates professionals for implementing JIT in healthcare services with healthy situation for both hospital and supplier. Social implications The present work is beneficial for all the dimensions of sustainable development (social, economic and environmental). The implementation of JIT with a proper understanding of its elements results in an improved patient care, lesser cost of healthcare delivery, time and better management of associated medical items. This work also facilitates the proper management of inventory items together with the reduction in various Lean wastes with the proper implementation of JIT in healthcare. The reduction in various associated wastes leads to cleaner surrounding and lesser environmental degradation. Originality/value This paper outlines the need of a robust JIT approach in the healthcare sector for quality services. The efficacy of JIT, AHP and BWM has been explored to find out critical elements for successful JIT implementation in health care.


2009 ◽  
Vol 58 (1) ◽  
pp. 19-39 ◽  
Author(s):  
Katherine M. White ◽  
Susi E. Wise ◽  
Ross McD. Young ◽  
Melissa K. Hyde

A qualitative study explored beliefs about active voluntary euthanasia (AVE) in a sample ( N = 18) of medical practitioners and nurses from Australia, where AVE is not currently legal. Four behaviors relating to AVE emerged during the interviews: requesting euthanasia for oneself, legalizing AVE, administering AVE to patients if it were legalized, and discussing AVE with patients if they request it. Using thematic analysis, interviews were analyzed for beliefs related to advantages and disadvantages of performing these AVE behaviors. Medical practitioners and nurses identified a number of similar benefits for performing the AVE-related behaviors, both for themselves personally and as health professionals. Benefits also included a consideration of the positive impact for patients, their families, and the health care system. Disadvantages across behaviors focused on the potential conflict between those parties involved in the decision making process, as well as conflict between one's own personal and professional values.


Author(s):  
Carole Boyce Davies

Drawing on both the author's personal experience and critical theory, this book illuminates the dynamic complexity of Caribbean culture and traces its migratory patterns throughout the Americas. Both a memoir and a scholarly study, the book explores the multivalent meanings of Caribbean space and community in a cross-cultural and transdisciplinary perspective. From the author's childhood in Trinidad and Tobago to life and work in communities and universities in Nigeria, Brazil, England, and the United States, the author portrays a rich and fluid set of personal experiences. The book reflects on these movements to understand the interrelated dynamics of race, gender, and sexuality embedded in Caribbean spaces, as well as many Caribbean people's traumatic and transformative stories of displacement, migration, exile, and sometimes return. Ultimately, the book re-establishes the connections between theory and practice, intellectual work and activism, and personal and private space.


2007 ◽  
Vol 31 (5) ◽  
pp. 20 ◽  
Author(s):  
Brendan Murphy

This paper outlines the increasing need for new health care practitioners to work under delegation or as substitutes for medical practitioners to resolve the Australian health workforce crisis. The personal experience of the author and common issues for medical practitioners related to the introduction of these new roles are discussed.


2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.


2012 ◽  
Vol 5 (1) ◽  
pp. 39-49
Author(s):  
Tzu-Hui Chen

This narrative aims to explore the meaning and lived experiences of marriage that a unique immigrant population—“foreign brides” in Taiwan—possesses. This convergence narrative illustrates the dynamics and complexity of mail-order marriage and women's perseverance in a cross-cultural context. The relationship between marriage, race, and migration is analyzed. This narrative is comprised of and intertwined by two story lines. One is the story of two “foreign brides” in Taiwan. The other is my story about my cross-cultural relationship. All the dialogues are generated by 25 interviews of “foreign brides” in Taiwan and my personal experience.


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