In our perceptions and judgement of others it is important therefore to watch and take
careful note of their non-verbal communication. However, although body language may
be a guide to personality, errors can easily arise if too much is inferred from a single mes-
sage rather than a related cluster of actions. According to Fletcher, for example: ‘you
won’t learn to interpret people’s body language accurately, and use your own to maxi-
mum effect, without working at it. If you consciously spend half an hour a day analysing
people’s subconscious movements, you’ll soon learn how to do it – almost uncon-
sciously’.
38
However, as Mann points out, with a little knowledge about the subject it is
all too easy to become body conscious. Posture and gesture can unmask deceivers but it
would be dangerous to assume that everyone who avoids eye contact or rubs their nose
is a fibber. Nevertheless an understanding of non-verbal communication is essential for
managers and other professions where good communication skills are essential.
39
There are many cultural variations in non-verbal communications, the extent of physi-
cal contact, and differences in the way body language is perceived and interpreted.
40
For example, Italians and South Americans tend to show their feelings through intense
body language, while Japanese tend to hide their feelings and have largely eliminated
overt body language from interpersonal communication. When talking to another
person, the British tend to look away spasmodically, but Norwegians typically look
people steadily in the eyes without altering their gaze. When the Dutch point a fore-
finger at their temples this is likely to be a sign of congratulations for a good idea, but
with other cultures the gesture has a less complimentary implication.
In many European countries it is customary to greet people with three or four kisses on
the cheek and pulling the head away may be taken as a sign of impoliteness. All cultures
have specific values related to personal space and ‘comfort zone’. For example, Arabs tend
to stand very close when speaking to another person but most Americans when intro-
duced to a new person will, after shaking hands, move backwards a couple of steps to
place a comfortable space between themselves and the person they have just met.
41
PART 4 THE INDIVIDUAL
454
Cultural
differences
Touching a patient to comfort them would be one of the
most natural gestures for a nurse.
But being touched by a nurse of the opposite sex could
offend an orthodox Jew because being comforted like that
is not welcome in Judaism.
Similarly, touching or removing a Sikh’s turban could
also cause offence because it has deep spiritual and moral
significance.
Now a book has been produced to help staff at
Portsmouth hospitals understand the differences between
ethnic minority groups and avoid unwittingly offending them.
Called the Ethnic Minority Handbook, it contains all the
information doctors and nurses need when dealing with
patients of different religious persuasions.
It was completed by Florise Elliott, Portsmouth Hospitals
NHS Trust’s ethnic health coordinator, who said: ‘It’s always
important for people to be aware of other people’s cultures.
‘This makes staff aware of other cultures and differ-
ences in ways of living.’
The book has sections for Buddhists, Chinese people,
Christians, Mormons, Hindus, Jehovah’s Witnesses, Jews,
Muslims, Sikhs and spiritualism and was compiled with
help from representatives from each culture.
As well as guidance on diet, language, cultures, death
and post-mortems, each section contains contacts hospital
medical staff can ring if they need advice.
One is Jewish spokesman Julius Klein, a member of the
Portsmouth and Southsea Hebrew Congregation, who wel-
comed the book.
He said: ‘It’s excellent. One of the difficulties when
people go into hospital is trying to put over certain things
about their culture and life that the hospital needs to know.
‘Anything that helps inform the nursing staff about
minorities must be a good thing.’
Each ward at Queen Alexandra Hospital, Cosham, and
St Mary’s Hospital, Milton, will have a copy of the book
which was started by the hospital’s service planning man-
ager Petronella Mwasandube.
About 1,500 of the 37,500 annual cases the hospitals
deal with are people from ethnic minority groups which
does not include emergencies.
(Reproduced courtesy of The News, Portsmouth, 16 February 1999.)
Hospitals set to play it by ethnic book
Staff receive guide to help them tend people from different cultures, writes Tanya Johnson
EXHIBIT 11.1