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PHC312

Health Communications

Q:

• Discuss some health communication strategies used by Saudi MOH during COVID-19
• Give examples

Briefly evaluate these strategies (or one of the examples)

Criteria
Presentation	The purpose and focus are clear and consistent
	Punctuation, grammar, spelling, and mechanics are appropriate
Content	Information and evidence are accurate, appropriate, and integrated effectively
Thinking	Analysis/synthesis/evaluation/interpretation are effective and consistent
	Connections between and among ideas are made
Total

Answer 1

The Kingdom of Saudi Arabia (KSA) has experienced rapid growth in its healthcare system, leading to an influx of many foreign professional nurses in the healthcare workforce. This increasing trend of foreign professional nurses into the KSA healthcare system has serious implications such as cultural, language and communication barriers that in turn have the potential to compromise the ability to ensure quality of care to Saudi patients.

KSA is a conservative Islamic country and has other unique cultural and language traits, the large involvement of foreign workers in its healthcare system has its implications for cultural, language and communication barriers. This paper focuses on language and communication barriers in healthcare systems that can lead to compromised quality of care and proposes recommendations on how to address removing healthcare communication barriers. The Saudi Ministry of Health (MoH) is a government department whose responsibility is to develop a network of primary healthcare centers and ensure that the Saudi population has adequate access to care. An essential development has been a comprehensive referral system throughout a broad base of general and specialist hospitals.

Clear communication between the patient and caregivers is paramount for ensuring the highest quality of health practices. In a study by Cioffi,  23 registered nurses and certified midwives working in Sydney, Australia were interviewed; 10 of whom were from a variety of non-Anglo-centric backgrounds such as Asia, South America, the Philippines, Sri Lanka, Europe and indigenous Australia. The study found that interpreters and bilingual health workers were effectively used to facilitate communication with culturally and linguistically diverse (CLD) patients, and some nurses showed empathy, respect and willingness to make an effort in the communication process, while others showed an ethno-centric orientation.The chief recommendations were that the medical authority should prioritize health workers having access to appropriate linguistic services, and the provision of support for nurses by multi-lingual healthcare workers. ^[It was felt that assisting nurses to develop their awareness of cultural diversity would build acceptance, appreciation, and commitment to the care of CLD patients and their families.

It is not only the act of communication, but the parties with which the nurse in the Saudi Arabia workforce communicates that is shaped by the Saudi culture. Expatriate nurses should be made aware of a dominant Arab practice, that Saudi patients will have a family member or "sitter" with them during most of their duration of stay in a clinical setting. ^[20] As a consequence, communication, not only with the patient, but with family, friends, and the sitter will be a necessary and an integral part of delivering healthcare. ^[20]

With these challenges to culturally competent care, it is not surprising that Saudi patients are not always very satisfied with the care they receive. Mansour and Al-Osimy ^[21] interviewed 300 Saudi patients regarding their satisfaction with the quality of healthcare at three primary care centers in Riyadh, Saudi Arabia. The results revealed a high degree of dissatisfaction in one of these centers in the item related to "nurse's way of treating you," which may have been due to the presence of non-Arabic speaking nurses in the center. These findings provide evidence and explanations regarding the gaps in communication with respect to the culture in the KSA healthcare system. These gaps are important because they have the potential to affect the quality of care.