Professional Documents
Culture Documents
Work in Health
and Community Services
Version 1.4Produced27 April 2018
Version control & document history
LEARNER GUIDE......................................................................... 5
I. WORKING WITH DIVERSE PEOPLE ............................................ 12
1. An Introduction to Australia’s Cultural Diversity ............................................. 13
1.1 How Does Diversity in Australia Impact Different Areas of Work and
Life? 14
1.2 Influences and Changing Practices in Australia ......................................... 16
2. Reflecting on Own Perspectives ......................................................................... 18
2.1 Your Own Social and Cultural Perspectives and Biases ............................. 18
2.2 Cultural Awareness, Cultural Safety, and Cultural Competence ................ 18
2.3 Ways to Improve Self and Own Cultural and Social Awareness ................20
2.4 Impact of Diversity Practices and Experiences .......................................... 21
3. Appreciating Diversity and Inclusiveness ......................................................... 23
3.1 Diversity and Inclusiveness in All Areas of Work ....................................... 23
3.2 Areas of Diversity ........................................................................................ 23
3.3 Work Practices that Make Environments Safe for All ................................ 24
4. Communicating with People from Diverse Backgrounds ................................. 28
4.1 Respecting Diversity in Communication with All People........................... 28
4.2 Verbal and Non-verbal Communication ..................................................... 29
4.3 Strategies to Overcome Language Barriers................................................. 29
4.4 Resources to Help Embrace and Respond to Diversity ..............................30
5. Promoting Understanding Across Diverse Groups ........................................... 31
5.1 Issues that May Cause Communication Misunderstandings and
Difficulties.............................................................................................................. 32
5.2 Addressing difficulties and seeking assistance when required .................. 33
II. COMMUNICATING AND WORKING IN HEALTH AND COMMUNITY
SERVICES ................................................................................ 35
1. Communicating Effectively with People ............................................................ 35
1.1 Principles of Effective Communication ...................................................... 35
1.2 Verbal and Non-Verbal Communication .................................................... 39
1.3 Communicating Service Information ......................................................... 41
1.4 Responding to Clients’ Requests ................................................................. 43
1.5 Exchanging Information in the Individual Support Context ..................... 45
2. Collaborating with Colleagues ........................................................................... 47
2.1 Listen to, Clarify, and Agree Time Frames for Completing Workplace
tasks 47
2.2 Structure of the Organisation and Other Services ......................................48
2.3 Use Industry Terminology Correctly in Verbal, Written and Digital
Communications.................................................................................................... 53
2.4 Follow your Organisation’s Communication Protocols and
Procedures in Interacting with Different People .................................................. 54
3. Addressing Constraints to Communication ...................................................... 55
3.1 Signs of Complicated or Difficult Situations............................................... 55
It is essential that you begin your training by becoming familiar with the industry
standards to which organisations must conform.
These units of competency introduce you to some of the key issues and
responsibilities of workers and organisations in this area. The unit also provides you
with opportunities to develop the competencies necessary for employees to operate
as team members.
Learning Program
As you progress through this unit of study, you will develop skills in locating and
understanding an organisation’s policies and procedures. You will build up a sound
knowledge of the industry standards within which organisations must operate. You
will become more aware of the effect that your own skills in dealing with people
haveon your success or otherwise in the workplace. Knowledge of your skills and
capabilities will help you make informed choices about your further study and career
options.
Search for other resources. You may find books, journals, videos and other
materials which provide additional information about topics in this unit.
Search for other resources in your local library. Most libraries keep
information about government departments and other organisations, services
and programs. The librarian should be able to help you locate such resources.
Contact information services such as Infolink, Equal Opportunity
Commission, Commissioner of Workplace Agreements, Union organisations,
and public relations and information services provided by various government
departments. Many of these services are listed in the telephone directory.
Contact your facilitator.
Here are some of the things your facilitator may do to make your study easier:
Give you a clear visual timetable of events for the semester or term in which
you are enrolled, including any deadlines for assessments.
Provide you with online webinar times and availability.
Use ‘action sheets’ to remind you about tasks you need to complete, and
updates on websites.
Make themselves available by telephone for support discussion and provide
you with industry updates by email where applicable.
Keep in touch with you during your studies.
Flexible Learning
Studying to become a competent worker is an interesting and exciting thing to do.
You will learn about current issues in this area. You will establish relationships with
other students, fellow workers, and clients. You will learn about your own ideas,
attitudes, and values. You will also have fun. (Most of the time!)
At other times, studying can seem overwhelming and impossibly demanding,
particularly when you have an assignment to do and you aren’t sure how to tackle it,
your family and friends want you to spend time with them, or a movie you want to
see is on television.
Sometimes being a student can be hard.
Here are some ideas to help you through the hard times. To study effectively, you
need space, resources, and time.
If it is impossible for you to set up a study space, perhaps you could use your local
library. You will not be able to store your study materials there, but you will have
quiet, a desk and chair, and easy access to the other facilities.
Study Resources
The most basic resources you will need are:
1. A chair
2. A desk or table
3. A computer with Internet access
4. A reading lamp or good light
5. A folder or file to keep your notes and study materials together
6. Materials to record information (pen and paper or notebooks, or a computer
and printer)
7. Reference materials, including a dictionary
Do not forget that other people can be valuable study resources. Your fellow workers,
work supervisor, other students, your facilitator, your local librarian, and workers in
this area can also help you.
Time
It is important to plan your study time. Work out a time that suits you and plan
around it. Most people find that studying, in short, concentrated blocks of time (an
hour or two) at regular intervals (daily, every second day, once a week) is more
effective than trying to cram a lot of learning into a whole day. You need time to
‘digest’ the information in one section before you move on to the next, and everyone
needs regular breaks from study to avoid overload. Be realistic in allocating time for
study. Look at what is required for the unit and look at your other commitments.
Make up a study timetable and stick to it. Build in ‘deadlines’ and set yourself goals
for completing study tasks. Allow time for reading and completing activities.
Remember that it is the quality of the time you spend studying rather than the
quantity that is important.
Further Reading checkpoints direct you to external resources that are highly
recommended for you to read. They also contain additional questions to facilitate
supplementary learning and to guide you relate what you have read in real life.
Checkpoint! Let’s Review contains review questions for you to answer on your own
to ensure that you have learned key points from the relevant section. If you have a
hard time answering these questions, worry not. You can always revisit chapters and
take another shot at these review questions.
(Source:www. gladstone.uoregon.edu)
They lived in an abundant land, and they spent only a little time working for survival.
This enabled them to develop a rich and complex culture. This culture primarily
involved their rituals, language, customs, spirituality, and the law – all of which are
closely interrelated to their land.
Lt. James Cook’s arrival in 1770, under the orders of the British Crown, had marked
the beginning of the end for the ancient way of life of these indigenous people. Lt.
Cook arrived and declared the land, which he called New South Wales, to be the
property of Britain’s King George III. His arrival ushered more fleets from Europe,
mainly Great Britain and Ireland, and soon colonies were established onthe
continent. Indigenous Australians were greatly weakened, and their population
dwindled by diseases and conflicts with the colonists that persevered during this
period.
Gold rushes and agricultural industries brought prosperity to the land and drew
migrants from other countries and in 1901, the modern Australia that we know
today, came into being. Since the end of World War II, the country’s population has
more than doubled; majority of it is attributed to massive-scale European
immigration in the post-war decades. It was also at this time when the White
Australia Policy was in force, discouraging non-European immigration.
The industry had almost declined through the years because pearls became
scarce especially in the Torres Strait. The cultivation method for pearls was
then developed to continue the industry.
Farming industry
The Australian farming industry
flourished with both agricultural
farming and livestock grazing.
Australia had become a leading food
exporter. As cattle farming faced
setbacks in resources, agricultural
farming was developed by the
European settlers. Exploratory
missions were sent to Australia to find
regions in the land which were suitable for agriculture. Because of innovation
and adaptability of the farmers, the technology used in both industries has
helped the economy continue to thrive.
The bush
The bush is an icon of the Australian identity and nationalism. It refers to an
Australian landscape that is unsettled and undeveloped and is unique to
Australia. This is different from the European landscape for vegetation. The
bush had become a symbol of the nation’s greatness in 1900. It had been
described as a place where a person can use their ability for self-reliance and
strength.
Romanticism towards the concept of the bush demonstrated through folklore,
literature and art, evoked the ideals even of the modern Australians.
The following sections will introduce you to important concepts and practices in
working with diverse people.
Further Reading
Learn more about cultural diversity in Australia today. Find out
about its population statistics by researching online:
Further Reading
Learn about two (2) other cultures that are different from
yours. Research online, visit the local library or consult
someone you know who come from different cultural or
social backgrounds.
Have you been to a country or to a place that has a
different culture from yours? What have you observed in
their cultural and social practices? What language do they
speak?
Personal Behaviour
Each person’s personal behaviour is often rooted in one’s culture. When
included in a social environment, a person may tend to look at their own
behaviour either as dominant to the others or socially acceptable for the
majority.
Interpersonal Relationships
In order for a person to establish good interpersonal relationships, a person
must learn about the other culture through personal interaction. What a
person sees and reads about the other culture might be different from the
point of view of the person who is living in that culture. Compromise when
interacting with other cultures so that the differences, which are seen as either
dominant or inferior, can be ignored.
Perception
A person will have a wider perspective on the culture of others. They will be
able to recognise and accept the differences of each culture. Some cases,
however, tend to have people rejecting their own native cultures when they
see other culture as dominant.
Further Reading
Take time to reflect on your own culture. Briefly describe your own
culture’s:
Community attitudes
Language
Policies
Structures
Think about how these aspects of your own culture impact other
people and groups.
...An environment, which is safe for people; where there is no assault, challenge or
denial of their identity, of who they are and what they need. It is about shared
respect, shared meaning, shared knowledge and experience, of learning together
with dignity, and truly listening.
(Source:www.utas.edu.au)
(Source:www.creativespirits.info)
In addition, even until today, mentioning anything that refers back to the
experience of the members of Stolen Generations still brings back a lot of hurt
and bad memories.
The case study above is only one illustration of the impacts of discrimination,
trauma, exclusion, and negative attitudes. Knowing these and taking these into
consideration when delivering services is an important part of ensuring a
culturally safe environment for all.
The by and large of working with diverse people can be attributed to communication.
Communication is used in a variety of areas in the individual support context:
And sometimes, even when not realising it, we communicate how we feel through
non-verbal cues; smiling, laughing, frowning, crying, etc.
All these play a huge part in how we work with diverse people. The following sections
will provide you with an overview of communicating with people from diverse
backgrounds.
This is also shown in customs that people practice when communicating with others;
some people shake hands when meeting and greeting a new person or when
congratulating someone, in other cultures, people bow when greeting others - some
even kiss!
A language barrier is a figurative phrase used to indicate the difficulties faced when
people who have nolanguagein common attempt to communicate with each other.
Can you recall a time when you encountered language barriers when you tried to
communicate with someone who spoke an entirely different language? What
strategies did you use to overcome these barriers and were they successful?
In the individual support worker’s routines, language barriers are not uncommon,
especially in cross-cultural residential supportfacilities and communities. A client
may be trying to say something that the individual support worker might not fully
understand because the client is speaking in an entirely different language;
misunderstandings may then arise. However, there are ways to overcome these:
Further Reading
1. Research online or visit your local library to find out about
other effective strategies for overcoming language
barriers. Identify at least three (3) other than those
discussed in this Learner Guide.
In line with international laws on human rights, the Australian Government has an
obligation to respect, protect, and fulfil human rights – meaning to say, the
government has an obligation to take the necessary actions to ensure people can
enjoy their human rights. Aside from this, the government must also avoid taking
actions that would breach people’s human rights.
These obligations are carried out following a framework. The framework is based on
five (5) key principles and focuses on:
1. Reaffirm – Reaffirming a commitment to human rights obligations.
2. Educate – The importance of human rights education.
3. Engage – Enhancing our domestic and international engagement on human
rights issues.
4. Protect – Improving human rights protections including greater
parliamentary scrutiny.
5. Respect – Achieving greater respect for human rights principles within the
community.
(Source:www.apo.org.au)
The following are communication issues that the individual support worker may
encounter while working with diverse people in the health and community sector:
1. That you treat everyone fairly, regardless of their race, age, disability, and sex.
The court may require the employer to pay damages to the employee as
a way of compensation.
The court may require the employer to change the termination of the
employee’s contract or agreement to amend any loss or damage
suffered by the employee.
The court may declare that the employer has committed unlawful
discriminationand may direct the employer not to repeat or continue
the discriminatory act.
The scenarios below demonstrate recognition and respect for human rights:
A religious aged care facility has the right to impose their religious
belief on their residents. This is in breach of people’s rights.
3. That you act in accordance with the frameworks, approaches and instruments
used in the workplace these include your organisation’s policies, protocols,
and procedures.
4. That, in all actions you take, you ensure to recognise, respect, and uphold the
rights of your clients, employers, and co-workers.
5. That, in all actions you take, you act in line with the responsibilities set in the
individual support worker’s position description.
This part of the Learner Guide will discuss communicating and working effectively in
health and community services as well as the basics of communication including its
principles, influences, and techniques used.
Models of Communication
Interactive
The communication process is two-way. The sender provides the message and
waits for the receiver to provide feedback.
Message
Sender Receiver
Message
Feedback
Feedback
Linear
The following are the different modes and types of communication that you may
encounter while working in the individual support sector:
Non-verbal - This uses body language, gestures, facial expressions, and even
posture.
Communication Techniques
Motivational interviewing
Coercive approach
Collaboration
Confrontation
Influences in Communication
emotional
language culture religion
state
Language - Language can be a barrier between the client and the individual support
worker especially when the other party is unable to express themselves in the
mainstream language, or the common language used in the facility.
Culture - Culture must be considered when working with other staff or clients as
there are some cues or communication strategies that may be offensive to other
cultures but doesn’t pose any issues with another.
Religion - The religious belief of a client can affect how they view life, health, and
death.
Emotional state - The emotional state of the speaker can alter the mood of the
listener, depending on how the message was delivered.
Disability - Disability may affect the client’s capacity to understand your message
(e.g. the client has speech/hearing impairment, mental health issues, complex
communication needs).
Health - The person may be feeling unwell, have dental problems, hearing
problems, etc.that may affect their ability to communicate.
Verbal communication
The sharing of information by using speech.
Non-verbal communication
Behaviour and elements of speech apart from
the words themselves that transmit meaning.
Further Reading
Recall from previous experience when you were communicating
with a group of people either in the school setting or in the
workplace setting.
Whattype of information did you communicate?
What verbal communication strategies did you use in
communicating this information?
What non-verbal communication strategies did you use in
communicating this information?
Australian Council of
Social Services Aged and
Leading Aged
Community Services
(Community Services Australia
Australia
Services)
Communicate clearly
Director
Manager of Manager of
Department A Department B
Team
Member B1
Aside from the structure within your organisation, you must also be familiar with
other services in the health and community sector. These include:
Mental health services – Include treatment for patients who need recovery
from mental health illness or substance abuse.
Oral health - Promotes the prevention of tooth decay as it significantly
affects the person’s health and well-being.
Population health - Promotes behaviour and lifestyle change to prevent the
occurrence of chronic diseases.
Acute services - Care is provided by specialised personnel for patients with
acute illness, injuries or trauma, or recovery from surgery.
Home and community care - Provides support to older people and people
with a disability in their home for ADL assistance, community access, meals,
and domestic assistance
Registered health professionals - Provide specialist care to individual
clients, depending on their needs as specified in their individualised health
care plan.
Advocacy and information groups - Provide information and assistance
about the rights and responsibilities of clients, listen to the client’s concerns
regarding their service provider, and can provide referrals to other service
providers as needed.
Primary health care services - Refers to the overall health care for the
client. This includes promotion of health and well-being, preventing illnesses,
service advocacy and community service.
Secondary health care services - This includes emergency and elective
treatment, either in a hospital or non-hospital setting.
Tertiary health care services - Refer to a specialised kind of treatment for
the client and usually include afacility for advanced medical treatment and
investigation.
Residential services
Age pensions
Providing referrals.
Gathering information about the client’s needs for service.
Setting appointments to maintain work relationships effectively.
Sharing relevant information about the client and services while maintaining
privacy and confidentiality.
Home and
Aged care Person-centred Individualised
Community
worker planning plan
Care Worker
Disability
Progress notes Advanced care
Client individual
and report directives
support worker
Activities for
Strenghts-based
daily living
approach
(ADLs)
Further Reading
Lotus Compassionate Care is a simulated supportfacility that you
will be using throughout the course assessments.
Found in the link below is a copy of the Lotus Compassionate
Care Handbook for your reference.
Lotus Compassionate Care Handbook
Username: newusernamePassword: newpassword
This handbook contains the policies and procedures that all staff
at Lotus Compassionate Care must follow.
Browse through the handbook and attempt to answer the following
questions:
In your own words, discuss the organisation’s procedures for
incident reporting.
Here’s a copy of the Incident Report Form used at Lotus
Compassionate Care, for your reference: Lotus Incident Report
Language barriers
Work task is being duplicated (e.g. if a task assigned to only one individual
support worker is also done by another individual support worker)
Moreover, in cases when conflicts remain unresolved, ensure that your supervisor is
notified and that you always act in accordance with legal and ethical responsibilities
and organisational policies and procedures.
The following sections will guide you in reporting problems such as the above to your
supervisor.
Discrimination
Strict policies and procedures are in place to ensure the organisation is compliant
with relevant anti-discrimination laws (e.g. policies on access and equity).
Individual support workers are expected and required to provide the same high-
quality and safe services without discrimination to the care recipient’s age, gender,
race, social status, etc.
Dignity of Risk
Every individual has the right to berespected to make informed personal choice and
self-determination. It is assumed an individual has the capacity to do so unless
shown otherwise. If a person has impaired decision-making capacity, then they can
be allocated a substitute decision-maker. All decisions must involve the client, their
wishes, what is right for them and be provided with relevant information and
possible consequences.
It is important there is a balance between thedignity of risk and duty of care and to
ensure duty of care does not create restrictions for people.
For example, a resident likes to walk around the facility but is at risk of falling.
Maintaining duty of care may involve such things as making a referral to a medical
doctor for a review to treat any health conditions that may increase the risk of falls,
physiotherapist for a walking aid, support the client to wear good fitting non-slip
shoes, ensure the area is free from slip hazards such as clutter and wet floors,
regularly monitor the resident and support the client to wear their glasses and keep
them clean.
Duty of Care
Service providers and workers have a duty of care to fulfil to their clients. Duty of
care is a legal obligation of care facilities and individual support workers to avoid
acts of omission (failing to act) that are likely to endanger clients and others.
For example, an individual support worker’s duty of care includes ensuring that a
venue where her clients’ are holding an activity is safe from any slip or trip hazard. In
this scenario, the individual support worker fails to fulfil her duty of care if she has
overlooked to secure or cover the electrical wires running across the walkways.
Mandatory Reporting
Mandatory reporting means mandated or required by the law. This includes
mandatory reporting procedures for:
Suspected cases of abuse
Suspected cases of neglect
WHS incidents
Emergency incidences
Health concerns and other relevant changes in client’s health condition, etc.
Translation
In line with access and equity principles, services and information services must be
made available for access to everyone who requires them, regardless of their cultural,
social, and linguistic backgrounds. In line with these, information to these services
must also be made available in other languages to cater to the needs of clients who
come from diverse backgrounds (CALD).
Informed Consent
Individual support workers must provide clients with sufficient information for
theprovision of care,so the client can consent to something they fully understand.
Consent may be implied, verbal, and written.
Not giving the client opportunity to provide informed consent may constitute assault.
How you will respond to these legal and ethical issues, and breaches will always
depend on the nature of the situation. An action or a number of steps can be taken.
Further Reading
The Department of Health for Ageing and Aged Care provides
a comprehensive guide for reporting reportable assaults. You
can read the guide HERE.
Organisational
Privacy and Writing Progress
Style Guides or
confidentiality Notes
Templates
Mandatory
Record keeping
Reporting and Sending emails
and management
Incident Reporting
The following sections will guide you in completing workplace correspondence and
documentation.
Further Reading
Lotus Compassionate Care is a simulated supportfacility that you
will be using throughout the course assessments.
Access and review a sample care plan from one of the clients at
Lotus Compassionate Care Organisation Chart.
Leonardo Cardoso’s Support Plan
In your own words, attempt to answer the following questions:
What are the client’s communication needs?
Provide a summary of the procedures that staff must follow in
supporting the client.
Staff handbook, containing policies and procedures that all staff must follow.
Client notes and progress notes
Communication plan
Health support plan
Behaviour support plan
Behaviour chart
Meeting minutes
Social media
They can be used to build a brand and client
relationships easily, as the communication are
immediate and direct.
Email
This can be used by healthcare professionals to
communicate with each other online.
Podcasts
It is a form of online audio broadcast that can be downloaded. These are usually used
to publish new research in the medical field.
Videos
These are recordings of digital moving visual images which can be accessed online or
through storage devices. They can be used in marketing the healthcare service or to
promote health information or even as instructional materials.
Intranet
It can help workers access communication data within the organisation in their
convenience.
Broadcasts
This form of media is found to be the most effective way to communicate as it can
reach awide range of audience.
Further Reading
Do you know someone who works or has worked in support
care? What procedures do they follow for continuous
improvement in the workplace?
End of Document