Activity Which of the following statements do you most strongly identify with? Collectivism I talk about my relationship with others, but not about me. I prefer spending time with my other people. Sharing is a natural way of life. Things don’t belong to me they belong to the family/community for all to share and enjoy. Consensus rules in decision-making. I can leave, but I will always maintain my connections with country and community. My obligations to my family and social relationships are very important and non- negotiable. Individualism I talk about myself, my professional status, and my achievements. I enjoy time on my own. What’s mine is mine and I will choose with whom I will share. The majority rules in decision-making. I can move on if I don’t like it here. I have few obligations and many of these can be negotiated. Concepts of time The following table contains statements that relate to Non-Western and Western concepts of time. Which of the following statements do you most strongly identify with? Non-Western Western I view time as a cycle of life and events that is not measurable. I view time as an ordered sequence of events of the past, present and future. Time is not tangible. Time is tangible. It can be wasted, saved, spent, lost, made-up, measured, bought, and sold. I value time and feel comfortable with scheduling my priorities. I don’t feel comfortable with fixed schedules as my priorities are guided by my obligation; schedules don’t dictate the order of the day. Past events remain part of the here and now. The past is the past and is part of history. Activity Application to practice 4.3 Read: Individualism v collectivism (page 4) This offers an example of how an appreciation of one of the cultural dimensions individualism v collectivism can serve as a foundation for providing interprofessional culturally sensitive care. Make some notes on this section and then answer the following question. What do you think would be the outcome if Western-trained health practitioners imposed ‘their’ worldviews through individualism onto a person/patient who comes from a collectivistic culture? When Western-trained health practitioners during communication impose western ideals of individualism upon individuals from collectivist culture, they are at risk of making their patient feel misunderstood or uncomfortable. Within the healthcare system, it is important for a patient to feel safe, understood, and cared for, lack of communication that takes into account the background and ideals of a patient may also cause provision of treatment to be ineffective due to poor understanding of collectivism.