Edwina A. Brown|Hilary Bekker|Sara N. Davison|Jonathan Koffman|Jane O. Schell
Supportive Care: Communication Strategies to Improve Cultural Competence in Shared Decision Making
Hammersmith Hospital|University of Leeds|University of Alberta|Cicely Saunders International|King's College London|University of Pittsburgh Medical Center
historic migration everincreasing current migration western countries greatly changed ethnic cultural patterns patient populations health care beliefs minority groups may follow religion country origin inevitable conflict arise decision making end life principles truth telling patient autonomy embedded framework angloamerican medical ethics contrast many parts world cultural norm protection patient truth decision making family tradition familial piety dishonorable much possible parents challenge health care professionals understand culture enormous potential influence patients responses medical issues healing suffering well physicianpatient relationship paper provides framework communication strategies enhance crosscultural competency within nephrology teams shared decision making also enables clinicians culturally competent communicators providing model clinicians patients jointly consider best clinical evidence light patients specific health characteristics values choosing health care development decision aids include cultural awareness could avoid conflict proactively productively address occurs enable decision making within framework patient family cultural beliefs