Adopting a Critical Intercultural Communication Approach to Understanding Health Professionals’ Encounter with Ethnic Minority Patients

Kirsten Jæger (1)
(1) Department of Culture and Global Studies Aalborg University, Denmark , Denmark

Abstract

Even in the Scandinavian countries, where welfare resources such as education and healthcare are offered wholly or partly free of charge, health disparities between the majority populations and ethnic minority groups challenge the national healthcare systems. The knowledge levels of health professionals and their approach to ethnic minority patients influence the accessibility of healthcare and availability of health prevention resources of ethnic minorities. When adapting healthcare practice to minority patients, healthcare professionals draw on insights from intercultural communication and anthropology. However, within these disciplines such concepts as culture, interculturality, and ethnicity are subjected to contestation due to co-existing, but competing paradigms. This paper demonstrates how healthcare discourses on ethnic minority patients reflect shifting intercultural communication paradigms and advocates the adoption of a critical intercultural communication approach in relation to ethnicity-based health inequality.

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References

Abebe, D. S.(2010).Public Health Challenges of Immigrants in Norway.A Research Review. Oslo: Norwegian Center for Minority Health Research.Available at http://www.migrasjonsforskning.no/site-no/04-Publikasjoner/pdf/Public%20Health%20Challenges.pdf [Accessed October 14th 2011].

Allwood, J., BerbyukLindström, N., Börjesson, M., Edebäck, C., Myhre, R., Voionmaa, K.,Öhman, E. (2007). European Intercultural Workplace: SWEDEN. Gothenburg: The European Intercultural Workplace Project.

Allwood, J. and Jokinen, K.(2010). Hesitation in Intercultural Communication: Some Observations on Interpreting Shoulder Shrugging”. Proceedings of the International Workshop on Agents in Cultural Context.The First International Conference on Culture and Computing 2010, Kyoto, Japan, 25-37.Available at http://sskkii.gu.se/jens/publications/bfiles/B91.pdf.[Accessed January 2, 2012].

Alvesson, M. and Kärreman, D.(2000).Varieties of discourse: On the study of organizations through discourse analysis.Human Relations, 53(9), 1125-1149. doi:10.1177/0018726700539002. DOI: https://doi.org/10.1177/0018726700539002

Askehave, I. and Norlyk, B., eds. (2006).Meanings and Messages: intercultural business communication. Århus: Academia.

Barkani, L. (2003). Muslimske patienter. Sygeplejersken 1.

Berbyuk, N.,Allwood, A. and Edebäck, C.(2005).Being a Non-Swedish Physician in Sweden: A Comparison of the View on Work Related Communication of Non-Swedish Physicians and Swedish Health Care Personnel. Journal of InterculturalCommunication 8. Available at http://www.immi.se/jicc/index.php/jicc/article/view/119/87.[Accessed January 2, 2012]. DOI: https://doi.org/10.36923/jicc.v5i1.398

Blasco, M. (2009).Teaching the hard stuff.In M. Blasco and M. Zølner, eds. (2009).Teaching Cultural Skills.Adding Culture in Higher Education. Copenhagen: NytfraSamfundsvidenskaberne.

Breinholdt, M. (2007). Sundhedsprofessionelle i en multikulturel verden.Copenhagen: The National Board of Health (Sundhedsstyrelsen).

Carbaugh, D. and Berry, M. (2001). Communicating History, Finnish and American Discourses: An Ethnographic Contribution to Intercultural Communication Inquiry. Communication Theory 11(3), 352-366.DOI: 10.1111/j.1468-2885.2001.tb00247.x DOI: https://doi.org/10.1111/j.1468-2885.2001.tb00247.x

Carbaugh, D. (2005). Cultures in Conversation. Mahwah: Lawrence Erlbaum Associates.

CSDH(2008).Closing the gap in a generation: health equity through action on the social determinants of health.Final Report of the Commission on Social Determinants of Health.Geneva: World Health Organization.

Dansk Sygeplejeråd (2006). Sygeplejerskens undersøgelse om den etniske patient. Available at http://www.dsr.dk/Sygeplejersken/Sider/SY-2006-02-0-1-Kultursammenst%C2%A2d.aspx.[Accessed November 3 2011].

Dutta, M. J. (2008). Communicating Health.A Culture-centered Approach. Cambridge: Polity Press.

Folmann, N. B. and Jørgensen, T. (2006).Etniske minoriteter - sygdom og brug af sundhedsvæsenet. et registerstude.Copenhagen: National Board of Health (Sundhedsstyrelsen).

Foucault, M.(1980).Truth and Power. In: C. Gordon, ed. (1980)Michel Foucault. Power/Knowledge.Selected Interviews and other Writings 1972-1977 by Michel Foucault.London: Longman, 109-133.

Gee, J. P. (2001). An introduction to discourse analysis: theory and method. London: Routledge.

Geertz, C. (1973). The Interpretation of Cultures.Selected Essays. New York: Basic Books.

Gumperz, J., ed.(1982). Language and Social Identity. Cambridge: Cambridge University Press.

Halualani, R. T., Mendoza, S.L. and Drzewiecka, J. (2009). “Critical” Junctures in Intercultural Communication Studies: A Review. Review of Communication 9 (1), 17-35.doi:10.1080/15358590802169504 DOI: https://doi.org/10.1080/15358590802169504

Halualani, R T. and Nakayama, T.(2010).Critical Intercultural Communication Studies.At a Crossroads. In: T.K. Nakayama and R.T. Halualani,eds. The Handbook of Critical Intercultural Communication.Oxford: Wiley-Blackwell, 1-16. DOI: https://doi.org/10.1002/9781444390681.ch1

Halualani, R. T.(2011). In/visible dimensions: framing the intercultural communication course through a critical communication framework. Intercultural Education, 22(1), 43-54.doi:10.1080/14675986.2011.549644. DOI: https://doi.org/10.1080/14675986.2011.549644

Hall, S. (1992). Encoding/decoding.In D. Hobson, A. Lowe, P. Willis and S. Hall, eds. (1992).Culture, Media, Language.Working Papers in Cultural Studies, 1972-79.London :Routledge

Hemminki, E. (2009).Perinatal health in the Nordic countries - current challenges.Scandinavian Journal of Public Health, 37, 671-673.doi:10.1177/1403494809346096. DOI: https://doi.org/10.1177/1403494809346096

Hjort, K., Løngreen, H. and Søderberg, A.-M., eds.(1993).Interkulturel kommunikation: spændingsfeltet mellem det globale og det lokale. Copenhagen: Samfundslitteratur.

Jensen, I. (2006). Grundbog i kulturforståelse. Roskilde: Roskilde Universitetsforlag.

Jørgensen, M. and Phillips, L. (2002). Discourse analysis: as theory and method.London: Sage Publications. DOI: https://doi.org/10.4135/9781849208871

Kjærgaard, G. (2006). Skadestuen: Prioritering forhindrer konflikter. Sygeplejersken, 2.

Koochek, A., Montazeri, A., Johansson, S.-E.andSundquist, J.(2007). Health-related quality of life and migration: A cross-sectional study on elderly Iranians in Sweden.Health and Quality of Life Outcomes, 5 (60), 1-8. Available at: http://www.hqlo.com/content/pdf/1477-7525-5-60.pdf [Accessed October 14:th 2011]. DOI: https://doi.org/10.1186/1477-7525-5-60

Larzén-Östermark, E.(2008). The Intercultural Dimension in EFL-Teaching: A Study of Conceptions Among Finland-Swedish Comprehensive School Teachers. Scandinavian Journal of Educational Research 52 (5), 527-547.DOI: 10.1080/0031383080234640. DOI: https://doi.org/10.1080/00313830802346405

Ludvigsen, B. (2008). Det er nok noget kulturelt. Sygeplejersken 17.

Marmot, M.(2005).Social determinants of health inequalities.The Lancet, 365(March), 1099-1104.doi:10.1016/S0140-6736(05)71146-6. DOI: https://doi.org/10.1016/S0140-6736(05)71146-6

Martin, J. N. and Nakayama, T. K. (2007).Intercultural communication in contexts. Boston, Mass.: McGraw Hill.

Martin, J. N. and Nakayama, T. K. (2010). Intercultural Communication and Dialectics Revisited. In: T.K. Nakayama and R.T. Halualani, eds. (2010)The Handbook of Critical Intercultural Communication. Oxford: Wiley-Blackwell, 60-83. DOI: https://doi.org/10.1002/9781444390681.ch5

Mendoza, S. L., Halualani, R. T. and Drzewiecka, J. (2002).Moving the Discourse on Identities in Intercultural Communication: Structure, Culture, and Resignifications.Communication Quarterly 50 (3/4), 312-327.doi:10.1080/01463370209385666. DOI: https://doi.org/10.1080/01463370209385666

Michaelsen, J. J., Krasnik, A., Nielsen, A S., Nørredam, M. and Torres, A. M.(2004). Health professionals’ knowledge, attitudes, and experiences in relation to immigrant patients; a questionnaire study at a Danish hospital.Scandinavian Journal of Public Health, 32, 287-295.doi:10.1080/14034940310022223. DOI: https://doi.org/10.1080/14034940310022223

Moon, D. G. (2010).Critical Reflections on Culture and Critical Intercultural Communication. In: T.K. Nakayama and R.T. Halualani, eds. (2010). The Handbook of Critical Intercultural Communication. Oxford: Wiley-Blackwell, 34-52. DOI: https://doi.org/10.1002/9781444390681.ch3

Nielsen, S. S. and Krasnik, A.(2010). Poorer self-perceived health among migrants and ethnic minorities versus the majority population in Europe: a systematic review.International Journal of Public Health, 55, 357-371.doi: 10.1007/s00038-010-0145-4. DOI: https://doi.org/10.1007/s00038-010-0145-4

Nordby, H. (2008). Values, Cultural Identity and Communication: A Perspective from Philosophy of Language. Journal of Intercultural Communication 17.Available at http://www.immi.se/jicc/index.php/jicc/article/view/64/37.[Accessed January 2, 2012].

Nynäs, P., Jensen, I. and Dahl, Ø. (Eds.) (2006).Bridges of Understanding. Perspectives on Intercultural Communication. Oslo: Oslo Academic Press.

Nynäs, P. (2008a). Global vagabonds, place and the self: the existential dimension of mobility. In: S.H. Bergmann and T.T. Sager (eds.) (2008) Spaces of Mobility: Essays on the Planning, Ethics, Engineering and Religion of Human Motion. London: Equinox Publishing, 155-176.

Nynäs, P. (2008b). From Sacred Places to an Existential Dimension of Mobility.In: S. Bergmann and T. Sager (eds.) (2008). The Ethics of Mobility. Rethinking Place, Exclusion, Freedom and Environment.Aldershot: Ashgate.

Nørredam, M. and Krasnik, A.(2010).Forskningindenforsundhed, migration ogetnicitet. In:K. Vinther-Jensen, ed. (2010).Etniske Minoriteter i det Danske Sundhedsvæsen. En Antologi. Copenhagen: National Board of Health (Sundhedsstyrelsen), 82-86.

Porter, C.(2006). Ottawa to Bangkok: changing health promotion discourse.Health Promotion International, 22(1), 72-79.doi:10.1093/heapro/dal037. DOI: https://doi.org/10.1093/heapro/dal037

Ringkøbing, J. (2009). Sabeha er blevet tryggere ved lægen.PolitikenAugust 20.Available at http://www.ouh.dk/wm289328 [AccessedOctober 24 2011].

Sodemann, M., Svabo, A., Nielsen, D., Korsholm, K. M.(2010). Indvandrermedicinsk klinik på Odense Universitetshospital – en tværfaglig indsats. In:K. Vinther-Jensen, ed. (2010). Etniske Minoriteter i det Danske Sundhedsvæsen. En Antologi, Copenhagen: National Board of Health (Sundhedsstyrelsen),48-56.

Starosta, W. J. and Chen, G.-M.(2003). “Ferment,” an Ethic of Caring, and the Corrective Power of Dialogue.In W. J. Starosta and G.-M. Chen, eds. (2003)Ferment in the Intercultural Field. Axiology/Value/Praxis. Thousand Oaks: Sage Publications. DOI: https://doi.org/10.4135/9781452229720

Strunck, J. and Lassen, I. (forthcoming). Methodological challenges in cultural inquiry. In: L. Holmgreen (ed.), forthcoming. Culture and Identity in Organizations.Aalborg: Aalborg University Press.

Tange, H. (2009). Intercultural Alternatives – two Nordic Books on Intercultural Communication. Hermes. Journal of Language and Communication Studies 42, 233-249.Available at http://download2.hermes.asb.dk/archive/download/Hermes-42-12-tange_net.pdf [Accessed January 2, 2012]. DOI: https://doi.org/10.7146/hjlcb.v22i42.96854

Thomsen, A. S. (2007). Sygepleje med respekt for etniske minoriteter. Synergi. Available at: http://www2.dsr.dk/dsr/nl_vis.asp?intType=5&NLID=233&id=4092183 [Accessed November 3 2011].

Villadsen, S. F., Mortensen, L.H. and Andersen, A.-M. N. (2010). Etnisk ulighed i dødfødsel og spædbarnsdød i Danmark - sekundærpublikation. Ugeskrift for Læger 172(1), 30-33.

Wodak, R. and Meyer, M.(2009).Critical discourse analysis: history, agenda, theory and methodology. In:R. Wodak and M. Meyer, eds.Methods of Critical Discourse Analysis. London: SAGE Publications, 1-33.

Zinck Pedersen, K.(2008). Patientenspolitiskediskurshistorie.Copenhagen: Center for Health Management, Copenhagen Business School.Available at http://openarchive.cbs.dk/handle/10398/8194.[Accessed October 24 2011].

Authors

Kirsten Jæger
(Primary Contact)
Author Biography

Kirsten Jæger, Department of Culture and Global Studies Aalborg University, Denmark

Associate professor in Intercultural Studies, Department of Culture and Global Studies, Aalborg University. Since 2008, involved in the esearch project Talking Culture, whiwh aims at uncovering discursive patterns in professionals’ communication on culture and cultural difference. Member of the newly established Center of Health Communication at Aalborg University. Current research areas: Discursive constructions of culture and cultural difference in healthcare settings; workplace diversity and diversity management; cultural biases in Danish teacher education.

Jæger, K. (2012). Adopting a Critical Intercultural Communication Approach to Understanding Health Professionals’ Encounter with Ethnic Minority Patients. Journal of Intercultural Communication, 12(2), 1–15. https://doi.org/10.36923/jicc.v12i2.595

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