Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies Proceedings of a Workshop (2017) / Chapter Skim
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5 Application of Health Literacy to Communication with Immigrants, Refugees, and Migrants
5 Application of Health Literacy to Communication with Immigrants, Refugees, and Migrants
Pages 53-60
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From page 53... ...
To provide some context for her remarks, Megan Rooney, director of program development at Health Literacy Media, said there are 42.4 million immigrants in the United States, representing approximately 13 percent of the U.S. population.
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From page 54... ...
Structural competency, she explained, represents a broad view of health and incorporates social determinants with culture and focuses clinical care on reducing inequalities at the neighborhood, institutional, and policy levels. To illustrate the importance of using words for messaging that people in the community use and understand, Rooney recounted some instructional materials Health Literacy Media was developing to explain clinical trials to adult learners.
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From page 55... ...
Commenting on important messages she had heard throughout the day, Rooney stressed the need of culturally informed organizations to build connections with local political leadership, which Henry Perea discussed in his presentation. The success of the Healthy Nail Salon Collaborative in getting the state legislature to pass a bill to better protect nail salon workers demonstrates the value of working with the political system.
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From page 56... ...
True community engagement also involves activities that fall outside of the narrow definition of health care services, such as building and organizing a community garden and holding events with the primary mission of having fun and making them interactive. Rooney reiterated Kari LaScala's point that a simple smile can go a long way toward building trust and making someone feel safe.
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From page 57... ...
Beyond torture, immigrants, refugees, and migrants have experienced a loss of extended family and social networks. Many have also experienced difficult journeys to the United States and spent time in refugee camps, which she said are dangerous places, and in detention centers.
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From page 58... ...
Rooney recommended sitting in a triangle or circle during the clinical encounter so that everyone can see each other and for the clinician to look at the patient, not the interpreter, when speaking to the patient. She also recommended keeping sentences short, avoiding jargon, paying attention to body language, and to be prepared to redirect the conversation when necessary.
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From page 59... ...
Providers should also remember to speak slowly, maintain a friendly tone of voice and a smile, and respect cultural norms around handshakes and hugs at the end of a clinical encounter. "All of this is to create a better kind of empathic, trusting relationship between provider and patient," said Rooney in closing.
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