Challenging Our Stereotypes


Written by:  Evelina Silveira, President, Diversity at Work in London Inc,   Author of Diversity and Inclusion on a Budget

 

In our early childhood education, we are taught to classify, sort and separate.  We categorize by shape, colour, texture, and by things that we like and do not like.  This early training helps us to sort out large chunks of material into smaller pieces which are more easily understood.  While this system may work with objects, it can be problematic when it comes to trying to categorize people and placing them into labels or stereotypes. Each day we engage in this labelling process whether consciously or unconsciously.

 

 

 I was on the bus one morning travelling through some of the less than desirable parts of town.  A man in his mid-thirties got on the bus with what looked to be his 5 year old daughter.  He seemed a bit rough around the edges, heavily tattooed and on the messy side.  This tough man held a little pink brush in his right hand.  He sat his daughter on his lap and proceeded to brush her hair and make the neatest pig tails.  All the while she was smiling and kissing her father’s hand as he admiringly transformed his little daughter’s tangled hair into a tamed coiffure.

 

While I sat and admired the interaction in front of me, behind me were a couple who regularly attend a methadone clinic in the downtown core.   On the surface they would appear kind of scary.  Dishevelled appearance and missing teeth – people you might want to avoid. However, over the years I have seen this couple who live in government housing show generousity to others on the bus.  Lending others an ear, offering their poverty-stricken neighbours some of their own food.  That day they were engaged in a deep conversation about the upcoming election, and judging by their vocabulary they would have appeared to be well educated.

 

I get to the conference that I was supposed to attend and visit my associate.  After the conference she told me that a woman who was wearing a burka had approached her before her talk to tell her that a man at the conference has stolen the books that she had on display.  My friend who was about to start her talk did not have the time to do anything about it.  As it turns out the woman in the burka chased the man outside the school and demanded that he hand over what he had stolen.  At the end of the conference the woman in the burka handed over the text book to my friend.  

 

I was pleasantly surprised by each of these incidents that I witnessed in one day.  They were a gift to me.  I was challenged by common stereotypes that not only I have but that society has in general.  It is hard for us to imagine a tough looking guy feeling comfortable fixing his daughter’s hair in public.  We don’t expect people who have a problem with addictions and are poor may have a strong depth of political analysis.  And surely, with all of the images of passive women in burkas in the media we would not expect one to stand up to a man and demand stolen merchandise be returned.

 

Multilingualism: An Essential Ingredient of Culturally Competent Healthcare


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By: Evelina Silveira, President, Diversity at Work in London Inc, Publisher, the Inclusion Quarterly

Everyday occurrences and unprocessed feelings usually form the basis of my blogs. Today’s is no different. It is Tuesday, and I am still thinking about the elderly Italian woman I saw over the weekend in a long-term care facility and left wondering: Is there a better way to meet the needs of residents who do not speak English?

I don’t know Rosa (name changed to protect her identity) but I do know that she is Italian as I recognize some of the words she yells or her conversations to imaginary people. No one understands what she is saying and nurses and attendants just continue to speak to her in English, or they ignore her completely because they just don’t know how to communicate with her. Residents will refer to her as “the crazy one” or the “one who is always screaming”. I only know a few words in Italian, but I happened to recall the expression, Che bella ragazza. I decided to look directly at her and say these words to her, checking to see if there was a response. For a moment, she paused as she appeared to hear something familiar and I only had wished I could remember more. I had just referred to her as “a beautiful girl!”  Her face temporary lit up and my heart was warmed. If only, I could have a conversation with her, I thought.

I had to wonder, what was it like for her to be in a home where no one understands her. How frightening to become invisible and voiceless. What a disappointing way to end the remaining years of one’s life.

The need for multilingual staff and volunteers is extremely important in effective healthcare delivery. As more immigrants are entering these facilities, I believe that we could be at a crisis point if we do not do more to address this issue especially in long-term care. Even though the immigrant resident may be fluent in English, for reasons I don’t understand they will often resort back to their mother tongue especially as dementia sets in.

While it may be impossible to have staff who can speak all the languages the residents do, there should be more effort made to provide care to them in their own language.

Here are some recommendations for providing more multilingual services in long-term care.

Employee Recruitment . Research the demographics of your community and include foreign language competencies in job postings based on what you find and on your current service needs.

Libraries and Print Materials. Consider purchasing or asking for donations of multilingual books, periodicals and tapes that residents can enjoy. Add international media.

Foreign Language Training.  There are many low-cost and no-cost ways of learning another language. Conduct a Google search and you’ll find many that are free.

Create a Picture Dictionary With Basic Words and Salutations. These small gestures could go a long way with keeping the resident more stimulated in addition to increasing the competencies of the employees.

We are facing unprecedented changes in healthcare and creating more culturally competent organizations do not have to be costly. Using existing community resources and becoming more innovative in the recruitment, selection and retention of employees can go a long way with developing more inclusive services.

 

 

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