For Immigrant Employees

Supporting your success in American Long-Term Care settings with practical guidance and cultural understanding

Understanding Cultural Backgrounds

Build stronger teams by understanding the rich cultural perspectives your employees bring. Learn about values, communication styles, and traditions that shape your diverse workforce.

Somali Employees (East African Backgrounds)

Understanding East African Perspectives

Core Cultural Values

Modesty & Privacy

Some Somali employees value modest dress and may prefer same-gender assignments for personal care tasks.

Religious Practice

Daily prayers, fasting during Ramadan, and Friday worship are important. Some may request schedule flexibility.

Family & Community

Extended family and clan ties are strong. Care decisions may involve multiple family members or community input.

Communication & Work Style

Indirect Communication

Indirect communication is common. Saying “yes” may mean “I hear you” rather than full agreement.

Respect for Hierarchy

Respect for hierarchy is valued; some may be hesitant to question supervisors.

Elder Care Traditions

Traditionally, elders are cared for at home, so professional caregiving may feel unfamiliar to some families.

Tips for Supervisors & Teams

  • Confirm understanding by asking staff to repeat or demonstrate instructions.
  • Provide clear, step-by-step directions.
  • Respect prayer times and modesty requests when possible.
  • Build trust by treating all staff with fairness and consistency.

Latin American Employees

Including Mexican, Central & South American Backgrounds

Core Cultural Values

Familismo (Family-Centeredness)

Family is central, and obligations may influence work schedules.

Respeto (Respect for Hierarchy)

Respect for elders, supervisors, and formal titles is important.

Faith & Traditions

Religious observances may affect holiday and time-off requests.

Communication & Work Style

Personalismo

Warm, personal interactions help build trust.

Indirect Communication

A polite “yes” or “maybe” may not mean full agreement.

Time Orientation

Can be flexible, with relationships prioritized over punctuality. In LTC, explain why precise timing is critical for resident safety.

Tips for Supervisors & Teams

  • Take time to build rapport; ask about family or interests.
  • Clearly explain why timeliness matters in care.
  • Offer feedback privately and respectfully.
  • Honor family or religious requests when scheduling allows.

Filipino Employees

Southeast Asian Backgrounds

Core Cultural Values

Hospitality & Respect

Warmth, politeness, and respect for elders are highly valued.

Faith & Tradition

Many Filipinos are Catholic or Christian; religious practices may shape holiday observances.

Close Family Ties

Family responsibilities may influence work availability.

Communication & Work Style

Indirect Communication

Indirect communication is common; people may avoid saying “no” directly.

Harmony (pakikisama)

Group cooperation is important; open conflict is often avoided.

Hard Work & Extra Effort

Hard work and willingness to take overtime or extra tasks are often viewed as positive contributions.

Tips for Supervisors & Teams

  • Encourage open dialogue and clarify that questions are welcome.
  • Provide feedback gently and with appreciation.
  • Recognize contributions publicly to show respect.
  • Be mindful of family obligations when planning schedules.

Hmong Employees

Southeast Asian Backgrounds

Core Cultural Values

Community & Family

Extended family and clan relationships are central. Decisions may involve family discussion.

Tradition & Spiritual Beliefs

Traditional healing practices or ceremonies can influence some health decisions.

Respect & Modesty

Showing respect for elders and authority is important.

Communication & Work Style

Indirect Communication

Communication is often indirect; silence may show respect, not lack of understanding.

Conflict Avoidance

There may be a preference to avoid confrontation or open disagreement.

Purpose & Commitment

Work is viewed as a means to support family and community, with strong commitment once trust is established.

Tips for Supervisors & Teams

  • Be patient and allow extra time for questions or clarifications.
  • Explain facility procedures clearly, including how they connect with safety and regulations.
  • Respect cultural or spiritual practices when possible.
  • Encourage employees to share their preferences without fear of judgment.

High-Context and Low-Context Cultures

Many immigrant employees come from high-context cultures (Somali, Latin American, Filipino, Hmong, Asian, Middle Eastern), while U.S. workplaces tend to be low-context.

High-Context Cultures

  • Communication relies on tone, body language, and what is unsaid.
  • Group harmony is valued; open disagreement may be avoided.
  • Saying “yes” may mean “I understand,” not “I agree.”
  • Relationships are often prioritized before tasks.

Low-Context Cultures

  • Communication is direct and explicit; words carry most of the meaning.
  • Questioning and disagreement are seen as normal.
  • Saying “yes” usually means agreement and commitment.
  • Tasks and efficiency are usually prioritized before relationships.

Key Takeaways for Employers

  • Avoid assumptions. These insights are starting points, not rules.
  • Ask and listen. The best way to learn is by asking employees about their preferences and respecting their answers.
  • Adapt together. Cultural awareness is a two-way process — both employers and employees adjust for mutual respect and success.

Diversity is a strength. Each employee’s background brings values, skills, and perspectives that enrich long-term care teams and the residents they serve.

Understanding diverse perspectives on aging, authority, and care responsibilities

Many cultures view elder care as a sacred family responsibility. Professional caregiving may feel unfamiliar or impersonal.

  • Elders are cared for by family members, often daughters or daughters-in-law
  • Care decisions involve extended family consultation
  • Professional care may be seen as abandonment or failure

Many cultures view elder care as a sacred family responsibility. Professional caregiving may feel unfamiliar or impersonal.

  • Elders are considered repositories of wisdom and experience
  • Direct commands or corrections may feel disrespectful
  • Age-based hierarchy influences all interactions

Families make decisions together. Individual resident autonomy might conflict with cultural expectations.

  • Family consensus is prioritized over individual choice
  • Extended family members have input in care decisions
  • Community elders may be consulted for guidance

New Americans in LTC​

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