A comparison of verbal communication and psychiatric medication use by Greek and Italian residents with dementia in Australian ethno-specific and mainstream aged care facilities

Runci, Susannah Jane; Eppingstall, Barbara Joan; O'Connor, Daniel William

doi:10.1017/s1041610211002134

Cited by 39 publications

(66 citation statements)

References 12 publications

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“…Unmet psychosocial care needs for older people are reported even in aged care settings that are culturally congruent (Ryvicker, ; Turjamaa et al, ; Ryan & McKenna, ). The cultural diversity of residents increases the complexity, making it more difficult for staff to meet individualized psychosocial care needs (Runci et al, ; Kim et al, ; Small et al, ). This study provides insight into how limited culturally and linguistically appropriate activities are in meeting individualized psychosocial interactions for CALD and non‐CALD residents.…”

Section: Discussionmentioning

confidence: 99%

“…This workforce profile is similar to those reported in other developed nations that have an ageing population and skill shortages (Walsh & Shutes, ; Hart & Mareno, ; Small et al, ). There are an increasing number of studies across the globe on the impact of cultural diversity of care workers on services (Walsh & Shutes, ; Nichols et al, ), or factors affecting quality of care for residents from a CALD background in aged care homes (Runci et al, ; Kim et al, ). However, studies on residents and their family members' perceptions of the impact of cultural diversity in the aged care home on residents' adaptation are scarce.…”

Section: Introductionmentioning

confidence: 99%

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Resident and family member perceptions of cultural diversity in aged care homes

Xiao

Willis

Harrington

et al. 2016

Nursing & Health Sciences

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Similar to many developed nations, older people living in residential aged care homes in Australia and the staff who care for them have become increasingly multicultural. This cultural diversity adds challenges for residents in adapting to the care home. This study explores: (i) residents' and family members' perceptions about staff and cultural diversity, and (ii) culturally and linguistically diverse residents' and family members' experiences. An interpretive study design employing a thematic analysis was applied. Twenty-three residents and seven family members participated in interviews. Four themes were identified from interpreting residents and family members' perceptions of the impact of cultural diversity on their adaptation to aged care homes: (i) perceiving diversity as an attraction; (ii) adapting to cross-cultural communication; (iii) adjusting to diet in the residential care home; and (iv) anticipating individualized psychosocial interactions. The findings have implications for identifying strategies to support staff from all cultural backgrounds in order to create a caring environment that facilitates positive relationships with residents and supports residents to adjust to the care home.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Resident and family member perceptions of cultural diversity in aged care homes

Xiao

Willis

Harrington

et al. 2016

Nursing & Health Sciences

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“…However, we know very little about how people in these specific ethnocultural groups themselves understand, explain, and experience a disease such as dementia. In fact, apart from studies conducted by Ekman (1993Ekman ( , 1996 and colleagues (Ekman, Robins Wahlin, Norberg, & Winblad, 1993;Ekman, Robins Wahlin, Viitanen, Norberg, & Winblad, 1994) regarding Swedish Finns and Runci and colleagues' (Runci, Doyle, & Redman, 1999;Runci, Eppingstall, & O'Connor, 2012; studies regarding Italian and Greek immigrants in Australia, no further studies could be found on ethnoculturally targeted dementia care. The studies mentioned here mostly concerned linguistic aspects, and the fact that immigrants with a dementia disease functioned on a level of manifest competence that seemed far below their level of latent competence if interaction was based on the person with dementia's second language rather than their native tongue.…”

Section: Gathering Datamentioning

confidence: 93%

“…Earlier research has been almost entirely targeted at the linguistic aspect of CALD persons' possible different needs. There Ekman (1993Ekman ( , 1996 and colleagues Ekman et al, 1994) and Runci and colleagues (Runci et al, 1999;Runci et al, 2012; were able to show that immigrants with a dementia disease function on a level of manifest competence that seemed far below their level of latent competence if interaction was based on the person with dementia's second language rather than on their native tongue. The cultural aspect, however, is hardly touched on in studies regarding persons with dementia diseases and with CALD backgrounds.…”

Section: Afsoonmentioning

confidence: 98%

Frankly, None of Us Know What Dementia Is: Dementia Caregiving Among Iranian Immigrants Living in Sweden

Antelius

Kiwi²

2015

Care Management Journals

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In quite a short amount of time, Sweden has gone from being a relatively homogeneous society to a multicultural one, with a rapid expansion of immigrants having culturally and linguistically diverse (CALD) backgrounds growing old in Sweden. This is particularly interesting in relation to studying age-related dementia diseases. Research shows that not only do CALD persons with dementia diseases tend to mix languages, have difficulties with separation of languages, or revert to speaking only their native tongue as the disease progresses, but they also show tendencies to experience that they live in the cultural environment in which they were brought up, rather than in the current Swedish one. In this article, we explore findings in relation to one such CALD group in Sweden, Iranians. The article is empirically driven and based on data gathered in 2 separate settings with specific ethnocultural profiles, offering dementia care with Middle Eastern, Arab, and/or Persian profile. Observations were carried out in combination with semistructured in-depth interviews (n = 66). By using a combination of content and ethnographic analysis, 4 main findings related to ethnocultural dementia care were elucidated. These include (a) a wider recognition of people from different CALD backgrounds possibly having different perceptions of what dementia is, (b) a possibility that such ascribed meaning of dementia has a bearing on health maintenance and health-seeking behavior as well as the inclination to use formal services or not, (c) choosing to use formal service in the forms of ethnoculturally profiled dementia care facility seems to relate to being able to "live up to ideals of Iranian culture," and (d) "culture," however ambiguous and hotly debated a concept it is, appears to be a relevant aspect of people's lives, an aspect that is both acquired as well as ascribed to oneself and to others. As such, we argue that culture needs to be further addressed in relation to dementia care in multicultural societies because ascribing culture boxes people in as well as out. In addition, ethnocultural contextualization of dementia care needs to be understood in relation to this because it affects the care provided.

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“…The "getting by" approach has the potential for miscommunication and misdiagnosis, that may lead to inappropriate or inadequate care provision and patients' needs being unmet. At worst, the "getting by" approach can result in inappropriate or non-beneficial treatments and care as highlighted by Runci et al 2012 [11], finding a higher frequency of prescription of antipsychotic drugs for Italian speaking residents in mainstream residential care facilities than their counterparts in language specific facilities.…”

Section: Introductionmentioning

confidence: 99%

Language Translation Apps in Health Care Settings: Expert Opinion (Preprint)

Panayiotou¹,

Gardner²,

Williams³

et al. 2018

Preprint

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Background: Currently, over 300 languages are spoken in Australian homes. People from non-English speaking (NES) countries without proficient English may not receive equitable care if their health care workers do not speak the same language. Use of professional interpreters is considered the gold standard, but, for a variety of reasons, is often limited to specific aspects of care (e.g. diagnosis and consent). People from NES backgrounds may be disadvantaged when health care workers try to "get by" with minimal means of communication. With the emergence of mobile technologies, health care workers are increasingly using digital translation tools to fill this gap. However, many of these technologies were not developed for or evaluated in health care settings, and may pose a risk if used for certain situations and conversations. Objective: The aim of this study was to evaluate language translation applications that have the potential to be used in health care settings. The applications will be analysed for their capabilities and potential risks. Methods: Translation applications were identified by searching the Apple iTunes Store, and published and grey literature. Applications that met inclusion criteria were reviewed in two stages. Stage 1: was conducted by two independent researchers who evaluated technology features (e.g. input and output methods, languages available). Stage 2: was conducted by two independent experts in translation and cross-cultural communication, who evaluated the potential risk when used in a health care setting. Highrisk health care conversations involved clinical assessment, provision of diagnoses, conversations about treatment and care planning, discharge planning, and medico-legal information such as seeking consent for medical treatments. Results: Fifteen applications were evaluated. Eight of the 15 applications contained voice to voice and voice to text translation options. Six applications were restricted to using pre-set health phrases only, while one application used a combination of free input and pre-set phrases. Five applications were excluded prior to Stage 2. Six of the 10 remaining applications reviewed in Stage 2 were specifically designed for health care translation purposes. Of these, two applications were rated as low risk for use in the health care setting -CALD Assist and Talk To Me. Both of these applications contained simple and appropriate pre-set health phrases and did not enable free input. Conclusions: No translation application was without risk and none should replace professional interpreters. However, some applications may be suitable for low risk everyday conversations, such as those that enable pre-set health phrases to be translated on subject matters that pose little to no risk in the continuum of care. Further research into the use of translation technology for these types of conversations is needed and clinicians should use translation technology cautiously and consider the risks before use.

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A comparison of verbal communication and psychiatric medication use by Greek and Italian residents with dementia in Australian ethno-specific and mainstream aged care facilities

Cited by 39 publications

References 12 publications

Resident and family member perceptions of cultural diversity in aged care homes

Resident and family member perceptions of cultural diversity in aged care homes

Frankly, None of Us Know What Dementia Is: Dementia Caregiving Among Iranian Immigrants Living in Sweden

Language Translation Apps in Health Care Settings: Expert Opinion (Preprint)

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