Culturally insensitive patients

Nurses Relations

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A little background: I am Chinese American. I live in a university town in the Midwest that is fairly multicultural, but that is also surrounded by farming communities that are generally 100% white and very insulated.

I work at a magnet teaching hospital that is affiliated with the university here. The problem is, that many of the patients from these rural communities get transferred here. They have a tendency to say really awkward things to me.

For example:

"Your English is really good!" (English is my primary language)

Or

"Where are you from?" And then they don't believe me when I insist that I am, in fact, from Midwestern America.

Or

"Would you ever go back to China?" No, why would I do that? I'm a citizen and this is my home... They continued to look puzzled and then said, "but why not?"

Or

Asking me a zillion questions about what China is like, and continuing to ask them when I've politely explained that I probably don't know any better than they do.

Or, my favorite is when gentlemen who are World War II vets start speaking Japanese to me, and look confused when I don't understand. (Actually the Japanese came over to china and committed horrible atrocities... But that's another thing entirely).

Generally I am polite, and patient with these patients. Most of the time i try to have a sense of humor abut the situation. i know they aren't being intentional in their insensitivity, but it still grates on me that despite growing up here, they insist on treating me like I'm a foreigner. I find that if I try to correct them, it just leads to things being awkward. "actually English is my primary language that I speak, much like you don't speak polish, mr. Wienawski (not an actual name)"

At the same time, if I ignore it, then it continues with the patient making my race and heritage a constant topic of conversation.

Has anyone else dealt with this before? How did you deal with it? Should I just ignore it, or should I try to politely correct them, if appropriate?

Specializes in ICU.
I have experienced a similar situation, although it wasn't a patient asking the question...it was another nurse! I was a travel nurse working in Southern California. I am white (with quite pale skin, due to those long Canadian winters) with blonde hair and brown eyes.

Upon learning I was from Canada she exclaimed, "but you don't LOOK Canadian !"

Say wha-at?

I was literally too surprised (and at the moment too busy) to ask her what did she mean.

So I never did find out what she thought Canadians "looked like" but I have often wondered. Lol

To the OP- that sounds very frustrating! And while I'm sure your patients are just being curious, there does

come a point when good manners (on their part) dictates they need to stop being so

clueless & nosy!!

We have floppy heads, beady eyes, and square tires, how aboot that. Most of the sterotypes ive encountered originated from Southpark. But yes most people are quite "surprised" I am Canadian, once I got , " I could tell you are not from here, your too inteligent" Oh boy

Specializes in LTC (LPN-RN).

I was born in Canada. Not the same as what the OP has gone thru, but those silly American comments do get to you.

I'm an Asian American too but if it was me, I'd make a joke out of it. Let's face it, you're going to meet a wealth of different types of patients. I haven't encountered any problems like that yet, but I did get funny looks for being young. Pt: "Wow, how old are you? You look like you're 12." Me: "Why yes, I am 12 years old. I finished up nursing school while enrolled in middle school, and now I am here to take care of you." The dear old lady laughed.

Having a smile on your face plus some sense of humor helps.

Specializes in ICU.

The patients may just be curious, but honestly - don't they have better things to be curious about? I get that they may be sick and/or nervous, but would they really want someone to be interrogating THEM about their race/beliefs/age? It tells you a lot about how close-minded and judgmental those people are. I don't get race/beliefs questions because I am a boring whitebread Southern American living in the South, but I do get the age thing and it makes me really mad. Don't get me wrong, I joke and laugh about it and don't let my patients see how annoyed I get, because that would be terrible customer service, but it really does bug me.

If only people would ask, "How old are you?" instead of stating "You don't look like you're old enough to be here." Why people insist on saying things in such a hostile manner instead of just asking a neutral question always bugs me. I'm always glad those people are my patients, and not anyone I know outside of the hospital... I can only imagine how much more irritated I'd be if I started getting comments about my ethnic heritage too.

I get asked all the time about my religion and my accent. I wear a head covering, so everyone thinks I'm Amish (or Mennonite, or Mormon, or a nun). And, despite being born and raised in the USA, something about my accent leads everyone to think I'm from some other country ( Ireland, England, Sweden, Russia). I always have to assure them I'm not exotic in any way. Most people are very polite, even apologetic, about asking, so it doesn't really bother me to have to explain it over and over.

I was born in the suburbs of Chicago, but apparently I have an accent, so I've been told. My favorite response to the where do I come from question....... Earth.

Keep your head up and have a great weekend. :)

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