An ethnographic study of communication challenges in maternity care for immigrant women in rural Alberta

Higginbottom, Gina; Safipour, Jalal; Yohani, Sophie; O’Brien, Beverley; Mumtaz, Zubia; Paton, Patricia

doi:10.1016/j.midw.2014.09.009

Cited by 32 publications

(69 citation statements)

References 42 publications

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“…Most ethnic minority patients report the coexistence of meaningful as well as disconnected care relationships [33, 35, 37, 38, 41, 44–46, 52, 56, 65–73]. In fact, every relational process between an ethnic minority patient and his or her caregiver continuously has the chance of reaching reciprocal understanding as well as running the risk of intercultural misunderstanding [35, 60, 68].…”

Section: Resultsmentioning

confidence: 99%

“…In their own communities, migrant women share the knowledge that giving birth is a natural process which might last for hours and might be a balance between life and death [40, 42, 55, 60, 70, 71, 76]. This shared knowledge, previous experiences of natural or complicated deliveries in the country of origin, previous traumas as well as painful memories of their own circumcision might revive in present hospital care [38, 40, 47, 55, 56, 61, 69–71, 75]. Due to this history, many patients appreciate the high standard of care in the safe environment of the new country [41, 45, 47, 52, 61, 70, 77].…”

Section: Resultsmentioning

confidence: 99%

“…In general, language difficulties and ethnic minority patients’ shame or reluctance in discussing this history as well as the unawareness and limited discussions by caregivers lead to difficulties in this “balancing between” process [38, 52, 55, 71]. Patients’ reviving memories and knowledge, their lack of knowledge regarding medical procedures, their fear about the medical treatment and their feeling that the treatment will not be effective, all might lead to the resistance or refusal of specific treatments [42, 55, 68, 75, 76].…”

Section: Resultsmentioning

confidence: 99%

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How do ethnic minority patients experience the intercultural care encounter in hospitals? A systematic review of qualitative research

et al. 2017

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BackgroundIn our globalizing world, caregivers are increasingly being confronted with the challenges of providing intercultural healthcare, trying to find a dignified answer to the vulnerable situation of ethnic minority patients. Until now, international literature lacks insight in the intercultural care process as experienced by the ethnic minority patients themselves. We aim to fill this gap by analysing qualitative literature on the intercultural care encounter in the hospital setting, as experienced by ethnic minority patients.MethodsA systematic search was conducted for papers published between 2000 and 2015. Analysis and synthesis were guided by the critical interpretive synthesis approach.ResultsFifty one articles were included. Four dimensions emerged, describing the intercultural care encounter as (1) a meeting of two different cultural contexts of care, (2) in a dynamic and circular process of (3) balancing between the two cultural contexts, which is (4) influenced by mediators as concepts of being human, communication, family members and the hospital’s organizational culture.ConclusionsThis review provides in-depth insight in the dynamic process of establishing intercultural care relationships in the hospital. We call for a broader perspective towards cultural sensitive care in which patients are cared for in a holistic and dignity-enhancing way.Electronic supplementary materialThe online version of this article (doi:10.1186/s12910-016-0163-8) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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How do ethnic minority patients experience the intercultural care encounter in hospitals? A systematic review of qualitative research

et al. 2017

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“…[9,10] The relationship between culture and health has been fully established in previous studies that have investigated the impact of culture on health and health behaviors, such as culture and nutrition, [11,12] beliefs and health behaviors, [4] pain and culture, [13] maternity and cultural values, [4,14] and culture and communication in healthcare settings. [15,16] However, our knowledge about the level of cultural awareness among nurses, and the role of academic education in increasing the cultural awareness skills among nursing students is still limited.…”

Section: Introductionmentioning

confidence: 99%

Measuring nursing students’ cultural awareness: A cross-sectional study among three universities in southern Sweden

Safipour

Hadziabdic

Hultsjö³

et al. 2016

JNEP

Self Cite

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Background/Objective: Cultural awareness refers to when someone is aware of his/her own and other people's cultural values. Academic nursing education should promote students' ability to analyze, understand, and respect people's cultural backgrounds and their values to be able provide equitable care in a multicultural society. This essential competence for nursing students can be obtained through learning and practicing to prioritize people's greatest needs. The aim of this study was to explore students' cultural awareness related to their nursing education by considering their socio-demographic background. Methods: This quantitative study was conducted by means of a pre-designed Cultural Awareness Scale. In total, 215 students participated in this study. Descriptive statistics were used to report the distribution of the data, and regression analysis was carried out to assess the statistical significance of the association between the variables. Results: The results indicated moderately high cultural awareness among nursing students related to their general education, cognitive awareness, comfort with interaction, and clinical practice/patient care. Nevertheless, no statistically significant correlation was identified between the socio-demographic factors (sex, age, and experience of living abroad). However, being a first generation immigrant was significantly associated with better cultural awareness in terms of Patient Care/Clinical Issue. Conclusions: In Sweden, universities are free to design their educational programs since there is no universal curriculum that applies to all the universities; nonetheless, the relatively high level of cultural awareness remained the same for the universities under investigation. This finding suggests that the importance of cultural awareness in nursing education is recognized in this context.

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“…A more recent study in Canada reported that the societal positioning of immigrant women is reflective of the quality of the maternity health care they receive [27]. The data gathered indicated that cultural issues and beliefs, as well as religious and traditional rituals, were often overlooked within maternity settings.…”

Section: Introductionmentioning

confidence: 99%

Impact of Forced Migration on Communication and Social Adaptation

Grech

2019

Folia Phoniatr Logop

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Forced migration has spread and grown across continents in recent decades. This has had an impact at various levels such as societal communication, health and education priorities, as well as political agendas and economic stability. As a result of the combined forces of migration, globalisation, advances in communication technology and education, there is an exceptional research interest in individuals seeking refugee status or asylum. The literature is sporadic on forced migrants’ communication and social adaptation. The perception of residents and professionals who encounter the challenges faced by these individuals on a regular basis needs to be evaluated, as well as the perception of the migrants themselves. This paper presents the current state of affairs and reviews the relevant literature with the intention of providing a more coordinated overview of forced migrants’ and relevant stakeholders’ views. A case scenario is presented that discusses the communication challenges faced by forced migrants. Strategic recommendations are also discussed.

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An ethnographic study of communication challenges in maternity care for immigrant women in rural Alberta

Cited by 32 publications

References 42 publications

How do ethnic minority patients experience the intercultural care encounter in hospitals? A systematic review of qualitative research

How do ethnic minority patients experience the intercultural care encounter in hospitals? A systematic review of qualitative research

Measuring nursing students’ cultural awareness: A cross-sectional study among three universities in southern Sweden

Impact of Forced Migration on Communication and Social Adaptation

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