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BackgroundManaging cancer in a multicultural environment poses several challenges, which include the communication between the patient and the healthcare provider. Culture is an important consideration in clinical care as it contributes to shaping patients’ health-related values, beliefs, and behaviours. This integrative literature review gathered evidence on how culturally competent patient–provider communication should be delivered to patients diagnosed with cancer.DesignWhittemore and Knafl's approach to conducting an integrative literature review was used. A number of databases were systematically searched and a manual search was also conducted. Specific inclusion and exclusion criteria were set and documents were critically appraised independently by two reviewers. Thirty-five documents were included following these processes. Data extraction and synthesis followed and were also independently verified.ResultsVarious strategies and personal characteristics and attitudes for culturally competent communication were identified. The importance of culturally competent healthcare systems and models for culturally competent communication were also emphasised. The findings related to all themes should be treated with caution as the results are based mostly on low-level evidence (Level VII).ConclusionsMore rigorous research yielding higher levels of evidence is needed in the field of culturally competent patient–provider communication in the management of cancer. Most of the available literature was classified as non-research evidence. The themes that emerged do, however, provide some insight into how culturally competent patient–provider communication may be delivered in order to improve treatment outcomes in patients diagnosed with cancer.

The use of religion and spirituality in psychotherapy has been a contentious issue for decades. This paper explores and describes whether psychologists would use religion and spirituality in psychotherapy as well as enablers and barriers in this regard. A qualitative exploratory descriptive method was followed using purposive sampling to obtain a sample of clinical and counselling psychologists. The focus group strategy was used to collect the data, and Tesch's model of content analysis was used to analyse the qualitative findings. Most participants expressed a willingness to discuss religion and spirituality with their clients. Participants also highlighted specific enablers and barriers to incorporating religion and spirituality in psychotherapy. This article has the potential to influence professional training in psychology and psychotherapy.

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We aimed to identify, explore and describe the resiliency factors that enable remarried families to adjust and adapt. The Resiliency Model of Family Stress, Adjustment and Adaptation was used to conceptualize the factors that contribute to the families' adaptation process. Triangulation of method -with an exploratory, descriptive correlation design was used in this study. A biographical questionnaire with open-ended questions, in conjunction with a number of structured questionnaires, was used to gather the data. Non-probability purposive and snowball-sampling techniques were used to obtain the participants. Participants consisted of 19 parents and 16 adolescents, equalling a total of 35 participants. Descriptive statistics were used to analyse the biographical information. Correlation analysis was used to analyse the quantitative data; and content analysis was used to analyse the qualitative data. Family hardiness, problem-solving communication, and family time and routines showed a positive correlation with the FAC18 for both adults and adolescents; while acquiring social support, a subscale of the F-COPES showed a positive correlation with the FAC18 for the adults, and social support as measured by the SSI showed a positive correlation for the adolescents. The results of the qualitative component of the study revealed that various common themes emerged between the adult and adolescent participants' responses. These themes included spirituality, boundaries, communication, flexibility, and tolerance.