Contextualizing cultural competence training of residents: results of a formative research study in Geneva, Switzerland

Hudelson, Patricia

doi:10.1080/01421590600607567

Cited by 12 publications

(10 citation statements)

References 9 publications

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“…The 14 tasks (see Table 1) included 2 general medical tasks (tasks 1-2), 6 general psychosocial/communication tasks (tasks 2-8), and 6 tasks more specific to immigrant patients (tasks 9-14). Items were developed to reflect common yet challenging clinical and intercultural situations [12-14]. …”

Section: Methodsmentioning

confidence: 99%

Self-assessment of intercultural communication skills: a survey of physicians and medical students in Geneva, Switzerland

2011

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BackgroundPhysicians working with multicultural populations need to know how to elicit the patient's understanding of the illness; determine the patient's sociocultural context and identify any issues that might affect care; communicate effectively across patient-provider social and cultural differences; and collaborate effectively with an interpreter. Skills self-assessment can contribute to identifying training needs and monitoring skills development in these areas.MethodsAs part of a larger study exploring the knowledge, attitudes and practices of Geneva physicians and medical students regarding the care of immigrant patients, we asked respondents to self-rate their ability to perform a range of common yet challenging intercultural communication tasks.ResultsOverall, respondents rated themselves less competent at intercultural tasks than at basic medical skills and less competent at specific intercultural communication skills than at general intercultural skills. Qualified doctors (as opposed to students), those with greater interest in caring for immigrants, and those who rarely encountered difficulties with immigrants rated themselves significantly more competent for all clinical tasks. Having a higher percentage of immigrant patients and previous cultural competence training predicted greater self-rated intercultural communication skills.ConclusionOur self-assessment results suggest that students and physicians should be provided with the opportunity to practice intercultural skills with immigrant patients as part of their cultural competence training. To strengthen the validity of self-assessment measures, they should ideally be combined with more objective methods to assess actual skills.

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Section: Methodsmentioning

confidence: 99%

Self-assessment of intercultural communication skills: a survey of physicians and medical students in Geneva, Switzerland

2011

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“…As populations become increasingly diverse, physicians need to be sensitive to the ways in which culture and language can influence clinical communication and care and learn the skills necessary to identify and respond to patients' diverse needs (Betancourt, 2006a(Betancourt, , 2006bCohen & Goode, 1999;Hudelson, 2006). The capacity to provide high-quality, patientcentered care to multicultural populations is usually referred to as clinical cultural competence (American Institutes for Research, 2002;BoutinFoster, Foster, & Konopasek, 2008;Tervalon, 2003) and is thought to be based on an awareness of the cultural aspects of health and health care; knowledge of sociodemographic, cultural, and health-related characteristics of patient populations; skills in culturally sensitive patient assessment and bilingual interviewing; and attention to race-and ethnic-specific epidemiological data in diagnosis and treatment (American Institutes for Research, 2002;Betancourt, 2003;Crandall, George, Marion, & Davis, 2003;Tervalon, 2003).…”

Section: Introductionmentioning

confidence: 99%

Measuring Physicians’ and Medical Students’ Attitudes Toward Caring for Immigrant Patients

Hudelson¹,

Perron²,

Perneger³

2010

Eval Health Prof

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It is generally believed that culturally competent clinical practice depends in part on the development of positive attitudes toward the care of immigrant patients. However, few tools exist to measure such attitudes in physicians. The authors operationalized ''culturally competent attitudes'' to include a high level of interest in caring for immigrant patients, an acceptance of the responsibility of doctors and hospitals to adapt to immigrant patients' needs, and the opinion that understanding the patient's psychosocial context is particularly important when caring for immigrant patients. The authors then assessed these attitudes and opinions among a sample of 619 Geneva doctors and medical students using a self-administered questionnaire and explored their association to respondents' personal characteristics and professional experience. The authors found that both personal characteristics and professional experience were associated with attitudes toward caring for immigrant patients. In particular, the perceived importance of understanding the psychosocial context when caring for migrants was higher among medical students, women, Swiss nationals, those with greater interest in caring for immigrant patients and those who had received training in cultural competence. However, it is unclear whether cultural competence training and clinical context lead to the development of more positive attitudes or whether medical students and physicians who already have positive attitudes are more likely to participate in such training.

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“…For several years worldwide, intercultural interaction in health care between clients and caregivers has been described as challenging and problematic (Doswell & Erlen, 1998; Kulwicki et al ., 2000; Blackford & Street, 2002; Hudelson, 2006). Training in cultural competence has been suggested as one way to reduce these difficulties (Ahmann, 2002; Campinha‐Bacote, 2002; Marcinkiw, 2003).…”

Section: Introductionmentioning

confidence: 99%

Research Article: Cultural competence among Swedish child health nurses after specific training: A randomized trial

Berlin

Nilsson

Törnkvist

2010

Nursing &Amp; Health Sciences

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An urgent need to improve Swedish primary child health-care nurses' cultural competence was revealed by previous research among nurses working in, and immigrant parents visiting, primary child health-care services. The aim of this study was to evaluate the extent to which specific training affected how nurses rated their own cultural competence, difficulties, and concerns and to study how the nurses evaluated the training. Conducted as a randomized controlled trial, the effects on a study sample of 51 nurses were assessed by questionnaires in a pre- and post-study design. The findings indicated that the 3 days of training were appreciated by the nurses and had some effects on their cultural competence, difficulties, and concerns. The training might have had positive effects on the nurses' working conditions as they rated it to have an impact on their ability to cope with the demands of their work activities in the health services. These effects are presumed to contribute to an improved quality of the health services, with a reduction in the risk for health-care disparities among children of immigrant parents.

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Contextualizing cultural competence training of residents: results of a formative research study in Geneva, Switzerland

Cited by 12 publications

References 9 publications

Self-assessment of intercultural communication skills: a survey of physicians and medical students in Geneva, Switzerland

Self-assessment of intercultural communication skills: a survey of physicians and medical students in Geneva, Switzerland

Measuring Physicians’ and Medical Students’ Attitudes Toward Caring for Immigrant Patients

Research Article: Cultural competence among Swedish child health nurses after specific training: A randomized trial

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