The Changing Nature of Multicultural Cabramatta: Challenges in an Aged Care Facility

This report explores the impact of cultural and linguistic diversity on aged care services in Cabramatta, focusing on challenges and solutions in providing care for migrants from Vietnam, Russia, and China. It emphasizes the importance of training, organizational structure, and cross-cultural awareness in delivering quality care.

THE
CHANGING
NATURE OF
MULTICULTU
RAL
CABRAMATT
A:
CHALLENGE
S IN AN
AGED CARE
FACILITYAGED CARE

DISCLAIMER
This report has been produced as a part of student assessment 92638 Foundations of the
Australian Healthcare System at the University of Technology Sydney. As such, the material
presented here, any opinions, findings, conclusions or recommendations are those of the student
authors and do not necessarily reflect the views of the University of Technology Sydney or its
academic staff.

EXECUTIVE SUMMARY
This report has focused on the cultural and linguistic diversity in the Cabramatta which is an area
in which migrants from Vietnam, Russia and China is living. This report has provided information
about the problems and solutions in providing aged care in the cultural and linguistic diversity
surroundings in a newly developed aged care home in Cabramatta. The key aim of this report is
to analyse the changing environment of local community in Cabramatta to produce a better
service by aged care home. Qualitative research method is used in identifying and analysing the
relevant areas of this research and secondary research is conducted to analyse the relevant
sources on the changing environment in Australia and impact of cultural diversity in providing
aged care services. It is required in this case to provide a proper training and learning to the
workers on the cultural diversity which supports them to produce a better service for migrant
dementia patients.

TABLE OF CONTENTS
Executive Summary 3
Key findings & Recommendations (In short paragraph point form) 5
Introduction 6
a. What is the Problem or Opportunity 6
b. What is the Purpose of the Proposal? 6
c. What is the Background of the Problem or Opportunity? 6
d. Project Objectives (Statement of Objectives from Client + Measures of
Success) 6
Literature Review 8
Client profile 9
The Recommendation 10
Scope 10
Problem, Methodology, Conclusions, and Recommendations 10
Australian Health Care System and The Challenge Brief 11
Reflection on implications for the healthcare of Australia’s Indigenous Peoples in
the context of the health care challenge 12
Benefits, Risks and Costs 13
Reference List (Not included in the Word Count) 15
Appendices (Not Included in the Word Count) 16
Appendix A: Capability Statement: Profile of Our Team 17
Appendix B: Stakeholder Assessment 18
Appendix C: Insight Statements with Explanation 19
Appendix D: HSM Assessment Cover Page Information 20

KEY FINDINGS & RECOMMENDATIONS (IN SHORT
PARAGRAPH POINT FORM)
Some of the findings and recommendations are given below:
Training and learning: It is required to provide training and learning to the workers of dementia
aged care centre in the Cabramatta. It helps to improve the outcomes for the migrants suffering
from dementia and having a need of aged care.
Appropriate organisational structure: It is essential to use an appropriate structure of
management in the dementia aged care centre by which they can produce better services in the
context of migrants.

INTRODUCTION
A. WHAT IS THE PROBLEM OR OPPORTUNITY
Cabramatta is an area in which most migrants are living belongs to Vietnam, China and Russia.
This area is effective and affordable for those people who have less purchase power and income
to spend on their living standards. Cultural and linguistic diversity are the ruling factor on the
society which has developed challenge in communication. It is analysed that 20% of the current
population which are living in the Australia are migrants living from Post War Migration. It is
essential to provide care to these people due because number of aged people is increased in the
migrants. It is essential to provide dementia care services in this area which can help to the aged
people. The key problem is cultural and linguistic diversity in this particular area which is creating
communication gap. Communication, religious, cultural gap has analysed in the community which
is challenge to bridge in developing an aged care for dementia.
B. WHAT IS THE PURPOSE OF THE PROPOSAL?
The key purpose of this proposal is to analyse the cultural and communicational gap in the
community and society in Cabramatta. It is essential to provide dementia care to aged people in
this particular area by analysing the needs of people. It is required to develop a proper treatment
and care plan for the people according to the culture and communication which community
contains. This proposal has focus to analyse the diversity and communicational gap which can be
bridged in the newly developed dementia care centre. Carer and workers has to be equivalent
able to communicate with people belongs to distinct cultures and countries. This proposal will
analyse the ideas and factors to bridge the cultural and communicational gap in the community.
C. WHAT IS THE BACKGROUND OF THE PROBLEM OR OPPORTUNITY?
Australia is highly affected by the cultural diversity and it contains a long history of migration.
Postwar migration has affected on the urban landscape in which thousands of migrants has
reached and started to live in the urban areas to get a better life and standards. Now these
migrants are in the age in which people a need of aged care facilities and services has. These
people belong to different cultures and countries which are creating a difference of
communication. Most of the people belong to Russia, China and Vietnam which are non-English
speaking country. Most of the aged people have difficulties in speaking and reading English
which is the key challenge or problem in providing aged care services.
D. PROJECT OBJECTIVES (STATEMENT OF OBJECTIVES FROM CLIENT +
MEASURES OF SUCCESS)
It is required to develop project objectives which provide a direction to conduct research report to
analyse the key findings. This project will be developed on the below-mentioned project
objectives:

 To ascertain the relationship in between cross-cultural awareness and performance of
employees in treatment and care of aged people
 To identify relationship in between cultural diversity and performance of employees in a
team and organisation perspectives
 To analyse the effect of cultural awareness and knowledge with medical assistance
 To measure the effects of cross-cultural factor on the performance of aged care centre

LITERATURE REVIEW
According to Ronaldson, et. al (2008), author has analysed that palliative approaches are needed
to provide a better services to aged people. Most of the people which are working in the aged
care have to manage cultural differences by analysing and adopting cultural difference according
to the patients and society. Extended knowledge of cultural difference supports in adoption of
appropriate palliative approach. It is analysed by the author that cultural difference and lack of
knowledge on cultural diversity negatively effects on the patients and people (Jones, et. al.,
2008). Cultural difficulties and diversity are able to create problems in the development of
organisational structure which has to be appropriate according to the cultural diversity. It is
essential to adopt cultural diversity in the organisational structure and management which can
help- to the organisation to deliver a quality services in a cultural diverse and communicational
gap containing society. Lack of management in cultural diversity in organisational structure can
be a cause of inappropriate medical assistance (Barber, et. al., 2009). In addition with the cultural
difference, it is analysed by the author that person-centred approach in care is highly affected by
the cultural diversity and communication gap in between the care person and patient (Koren,
2010).
According to Gillhama, (2018), sympathy and sensitivity factors has to be adopted by the staff
members in providing care and services to the aged people in the organisation. It is also
analysed by the authors that appropriate learning’s on problematic cultural situation has to be
provided by the management to workers which can help to the care person to deliver a better
service to the aged people and patients. It is analysed by (Nicholas, et. al., 2015) that cross-
cultural factor is significant to the aged care service provider workers to develop and establish
communication to people belongs to different culture which can help them to provide a better
services. Lack of cross-cultural knowledge impacts negatively on the outcomes of the people
working aged care services in the cultural diverse society and community. As per the views of
(Hickman, et. al., 2016) higher investment is needed in the aged care centres and dementia care
centres to facilitate better culturally diverse people by providing an appropriate environment to
them which makes a huge impact on the patients. Surroundings of dementia care centre are
effective to provide a better care and recovery on the disease. Establishment of the
communication is effective to develop a positive impact on the mind and feelings of the patient.

CLIENT PROFILE
Refer to your team portfolios for evidence from Client Profile documents to complete this section.

THE RECOMMENDATION
SCOPE
This project is based to analyse the cultural diversity and communicational difference in between
the people living in the Cabramatta society to provide a better service in the aged care area by
the development of aged care centre containing 24 beds. Change in socio-economic culture
factors are also affecting on the people to live and work in the care service sector in the
Cabramatta which is also analysed in the research. Changing migration patterns and educational
expectations of young people is also affecting on the staff to communicate effectively to the
culturally diverse environment.
PROBLEM, METHODOLOGY, CONCLUSIONS, AND RECOMMENDATIONS
In this research qualitative research method is used to analyse different literatures related to the
cultural diversity and aged care service in cultural and linguistic diversity working environment.
Secondary research method is used to conduct the research on the topic.
According to the above-analysed literatures, it have been concluded that cross-cultural
knowledge is significant for the workers and care person to provide a better care and treatment to
the patients. Knowledge on cross-cultural difference supports to provide better services to the
patients.
It is analysed that in the development of the dementia aged care centre in the Cabramatta a
proper investment have to be made. Training and knowledge has to be provided to the workers
on the cultural diversity and communication gap to bridge these factors. A proper organisational
structure has to be maintained in the aged care centre in the Cabramatta by which they can
provide a proper treatment and care.

AUSTRALIAN HEALTH CARE SYSTEM AND THE
CHALLENGE BRIEF
It is analysed that migrants are ruling to on the society which are also impacting on the
organisation structure of care service providers. It is analysed that cultural diversity management
is essential in the care centres to provide better services to migrants. Australian health care
system is now adopting or recruiting the people belongs to different culture in the organisational
structure to manage cultural diversity and develop better working plan accordingly.

REFLECTION ON IMPLICATIONS FOR THE HEALTHCARE
OF AUSTRALIA’S INDIGENOUS PEOPLES IN THE
CONTEXT OF THE HEALTH CARE CHALLENGE
It is analysed that more than 20% of the current population are the migrants living in the country
and the people belongs to the non-English speaking countries. Most of the old age people are not
able to understand English language which is creating a communicational gap in between the
healthcare workers and patients. Indigenous people are not able to understand the other
language effectively which creates a communication gap in the both parties. Communication gap
impacts on the service provided by the workers. Less effective health care services are provided
by the care person due to communicational gap.

BENEFITS, RISKS AND COSTS
In the case of the some of the benefits, risks and costs are associated which are given below:
Benefits:
Enhanced understanding on cultural difference supports to provide better care
It is analysed by the literature review that cultural diversity management and knowledge of this
factor is essential for the care service workers. It can help in the case of Cabramatta care centre
they can provide a better care to people suffering from dementia.
Risks:
Financial and time investment on the training of workers can be effective or not according
to outcomes
It is essential to provide a proper training to the employees and workers in dementia care centre
in Cabramatta, but it contains a risk factor is associated in the outcomes of this training to
manage cultural diversity.
Costs:
Training for different language is the key cost for the dementia care centre in the
Cabramatta.
It can be a measure cost for the dementia care centre in the Cabramatta that training can take a
huge time to learn different language to the workers. It is a challenge for the management and
employees to provide learning on the different language.

CONCLUSION
On the basis of above report, it has been concluded that cultural diversity management is
essential to provide better health care services to the migrants. Cultural and communicational
diversity is a leading challenge in providing appropriate services to the people. People belong to
different countries have a huge difference in the culture and language. It creates gap for the
people belong to different couture. Learning and training on the cultural diversity is significant to
provide people work in this section. Investment and on training and learning program is effective
to produce better outcomes for migrants.

REFERENCE LIST (NOT INCLUDED IN THE WORD COUNT)
 D.Gillhama and A. D. Bellis and L. Xiao and E. Willis and A. Harrington and W. Morey and
L. Jeffers. (2018). Using research evidence to inform staff learning needs in cross-cultural
communication in aged care homes. Nurse Education Today, 18-23.
 J. Jones and J. Cheek and A. Ballaantyne. (2008). Providing residential care to older
Australians: Issues for registered nurses. Contemporary Nurse, 225*234.
 L. D. Hickman and S. Neville and T. Fischer and P. M. Davidson and J. L. Phillips. (2016).
Call to action: greater investment in the registered nurse role is required to improve care
outcomesfor dementia patients living in residential aged care and their
families. Contemporary Nurse, 137-139.
 M. J. Koren. (2010). Person-Centered Care For Nursing Home Residents: The Culture
Change Movement. HEALTH AFFAIRS, 1-6.
 N D Barber and D P Alldred and D K Raynor and R Dickinson and S Garfield and B
Jesson and R Lim and I Savage and C Standage and P Buckle and J Carpenter and B
Franklin and M Woloshynowych and A G Zermansky. (2009). are homes’ use of medicines
study: prevalence, causes and potential harm of medication errors in . BMJ Quality & Safety ,
341-346.
 Pam Nichols and Barbara Horner and Katrina Fyfe. (2015). Understanding and improving
communication processes in an increasingly multicultural aged care workforce. journal of
Aging Studies, 23-31.
 S. Ronaldson and L. H. Hayes and M. Carey and C. Aggar. (2008). A study of nurses’
knowledge of a palliative approach in residential aged care facilities. Journal compilation The
University of Sydney, 258-267.

APPENDICES (NOT INCLUDED IN THE WORD COUNT)

APPENDIX A: CAPABILITY STATEMENT: PROFILE OF OUR TEAM
This section should be used to introduce the key members of your team, speaking to their capabilities,
background, any special skills and experience. This assists in providing the client with a view of who
worked on their report, and to give them a sense of your developing expertise in the field.
You may choose to include small profile photographs to help personalise the section should you wish.

APPENDIX B: STAKEHOLDER ASSESSMENT
This section should include readable photographs and/or commentary about the stakeholder
assessment you developed in class. Be sure to include information about your key stakeholders,
to show how you truly understand the needs and desires of the key stakeholders.

APPENDIX C: INSIGHT STATEMENTS WITH EXPLANATION

APPENDIX D: HSM ASSESSMENT COVER PAGE INFORMATION