Page 40 - ASCO Cultural Competency Toolkit

RESPECT MODEL (MUTHA, 2002) Rapport
▪ Connect on a social level.
▪ See the patient’s point of view.
▪ Consciously attempt to suspend judgment. ▪ Recognize and avoid making assumptions.
Empathy
▪ Remember that the patient has come to you for help.
▪ Seek out and understand the patient’s rationale for their behaviors or illness. ▪ Verbally acknowledge and legitimize the patient’s feelings.
Support
▪ Ask about and try to understand barriers to care and compliance. ▪ Help the patient overcome barriers.
▪ Involve family members if appropriate.
▪ Reassure the patient you are and will be available to help.
Partnership
▪ Be flexible with regard to issues of control.
▪ Negotiate roles when necessary.
▪ Stress that you will be working together to address medical problems.
Explanations
▪ Check often for understanding.
▪ Use verbal clarification techniques.
Cultural competence
▪ Respect the patient and their culture and beliefs.
▪ Understand the patient’s view of you may be defined by ethnic or cultural stereotypes.
▪ Be aware of your own biases and preconceptions.
▪ Know your limitations in addressing medical issues across cultures.
▪ Understand your personal style and recognize when it may not be working with a given patient.
Trust
▪ Self-disclosure may be an issue for some patients who are not accustomed to Western medical approaches.
▪ Take the necessary time and consciously work to establish trust.
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