The Sharing the True Stories project identified a range of factors which contributed to the serious communication difficulties revealed in the encounters. Many of these factors are common to other areas of health care and could be expected to have similar consequences for communication and quality of care.
At the broadest level, there were systemic factors that prevented even the most experienced and motivated staff and patients from achieving effective communication. These included:
These political and systemic barriers were compounded by the extreme cultural and linguistic distance between participating staff and patients which are reflected in their very different ways of communicating and learning.
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these barriers to effective communication
Power and control in intercultural communication
Beyond management of communication: controlling behaviour.
Power and agency in biomedical discourse: verbalisation as cause??
Competence in intercultural communication
Different worlds, different languages..
Contrasting discourse systems..
Different ways of talking..
Terms and metaphors..
Key concepts in renal care: Yolŋu priorities
Key concepts in renal care: Balanda priorites
Masking of miscommunication
Masking of miscommunication - examples.
They speak good English...