towards their healthcare. As a healthcare professional trained

towards
their healthcare. As a healthcare professional trained with a large emphasis of
holistic patient care and engaging patient to take control of their healthcare,
it is difficult and challenging to see patient comment exercise and any
self-management strategies as an invaluable part of the treatment. This was not
helped with advocating the benefits of exercise, because this often led to
patient not value your professionalism once you have given and encouraged these
self-management advices. Upon reflection I felt that my difficulties were
largely due to the differences on healthcare beliefs, especially the patients’
belief that ill people needed to be looked after, and responsibilities of
taking care of their health should be solely on healthcare professionals.
Through working a longer period of time in the unit, I further understood and
reflected that these views were not only a result of a lack of patients’
awareness about the benefits of engaging in their healthcare journey, but also
about the influence of the cultural belief that most of the Chinese had grown
up with. I realised that these views were something that I would need to
continually be aware of throughout this placement so as to practice in
culturally competent manner. According to NHS England (n.d.), effective practice should be having patients to
be actively involved in their own care; therefore, being aware of patient
uninvolved behaviour and being culturally competent to respect patients’
cultural differences and adapt my practice accordingly can contribute
effectively to delivery of care. A number of studies including one by (Longtin
Y et al., 2010) have found a lower satisfaction rate and quality of outcome can
be compounded by different cultural factors such as the passivity – the
tendency that Chinese patients are more likely to disagree the value of taking
control with their healthcare. In
respond to this, I performed a cultural competence self-assessment
questionnaire published by American Speech-Language-Hearing Association (2010) to measure my
change of awareness of how I view patients from different cultural background
at the end of my placement (See Appendix F).

Messner and Schafer (2012), defined cultural
competence as “the ability to communicate effectively and appropriately with
people of other cultures.” Through my time on the department I demonstrate
cultural competence in a number of ways. This included ensuring I respected my
patients’ beliefs and decision in traditional and alternative medicines when I
prescribe a treatment regimen. I also ensured I incorporated their views in my
assessment process and actively listened with their opinions. Furthermore, because
of the understanding of the importance of family relationship, I sometime asked
if family member could be involved to facilitate the process of gaining
patient’s understanding of exercises and self-management strategies if
necessary. I also ensured that I gained their consent to include their family
in determining decision-making. I also ensured to seek assistance from
bilingual co-workers and patients’ family members and friends if patient may
have an insufficient level of proficiency in Mandarin and/or Cantonese.
Additionally, I did some specific work assisting in interpreting Cantonese and
English, gained feedback from patients that they positively change their view on
receiving exercise treatment, and gained an improvement with the marks from the
cultural competence self-assessment questionnaire (See Appendix G) all of which
are very motivating to see. 

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Conclusion

Reaching
the end of this placement has allowed me to reflect back on my personal and
professional progress not only in this placement but also throughout my studies
as a whole. This placement has provided me with the opportunity to evaluate my
practice and knowledge in international context. I was able to identify the
infection risk and further contribute with educational value to others; I was able
to develop a greater global sense of how public health initiatives influence my
practice; and I was able to refine my skills in demonstrating cultural
competent practice.

I
felt this placement has offered me greater understanding and knowledge of the healthcare
status in China and overall I found it will be easier having an international
placement to link theory and academic issues and to compare the difference from
different countries to my practice and I felt that this could be beneficial
with my career prospect. Overall I have thoroughly enjoyed this placement and I
hope that I made a positive contribution to the team and also to the patients.