Transcultural Assessment

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Transcultural Assessment

• Developed by
• Tim Corbett RN, MA, LMHC

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General Considerations

• assess your own personal beliefs
• set aside values, biases, judgmental attitudes
  that may affect nursing care
• assess communication variables from a cultural
  perspective
• modify communication approaches to meet cultural
  needs

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General Considerations

• communicate in a non threatening manner
• conduct the interview in an unhurried manner-take
  your time
• follow acceptable social and cultural amenities
• be patient
• use active listening skills
• validate information

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Specific Considerations

• speak distinctly and slowly but not loudly
• use pictures, gestures, play acting to help the
  patient understand
• repeat the message in different ways
• keep messages simple
• repeat them frequently
• avoid medical terms/abbreviations

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Guidelines For Using Interpreters

• allow more time for the interview if using an
  interpreter
• consider the gender, ethnicity or dialect
• of the interpreter
• pay attention to nonverbal communication
• look at the patient not the interpreter
• speak in the first person

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Explanatory Model

• Arthur Kleinman has developed an explanatory
  model for understanding a patients conception of
  his/her illness
• there are eight key questions that a patient
  should attempt to answer

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Explanatory Model

• What do you call the problem?
• What do you think has caused the problem?
• Why do you think it started when it did
• What do you think the sickness does?
• How severe is the sickness?
• Will it have a short or long course?

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Explanatory Model

• What kind of treatment do you think you
• should receive? What are the most important
  results you hope to receive from this treatment?
• What are the chief problems the sickness has
  caused?
• What do you fear most about the sickness?

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