Emergency Nurses’ Caring Experiences With Mexican American Patients

Jones, Sharon M.

doi:10.1016/j.jen.2007.05.009

Cited by 13 publications

(16 citation statements)

References 5 publications

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“…6,41–44 Secondly, Latinas’ high regard for providers may also impact their level of comfort asserting themselves in patient-provider interactions. 35–37, 40,42 Thirdly, interpreters serve an important role in helping patients understand providers; however, having a third party may in fact perpetuate a more passive role in patient-provider communication. Thus, interventions geared to activate patients and consider the role of interpreters may be useful.…”

Section: Discussionmentioning

confidence: 99%

An Examination of Factors Associated with Healthcare Discrimination in Latina Immigrants: The Role of Healthcare Relationships and Language

Sheppard¹,

Williams²,

Wang³

et al. 2014

Journal of the National Medical Association

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Background Understanding factors that are associated with perceived discrimination in Latina immigrants may provide opportunities to improve care for this growing population. Objective To examine the prevalence of discrimination experiences in urban Latina immigrants and identify socio-cultural and healthcare factors that predict discrimination experiences. Design Cross-sectional survey of 166 Latina immigrants. Measurements Socio-cultural: region of origin, primary language, and education. Healthcare factors: insurance, place of care, patient-provider communication, trust in provider, and satisfaction with care. Multivariable logistic regression was used to examine factors that predicted discrimination. Results 42% had at least one discrimination experience. Communication with providers was the factor most strongly associated with reporting having a discrimination experience while controlling for other variables (p<. 01). Women with good communication with their provider were 71% less likely to report discrimination. Conclusion Better communication with providers may reduce Latinas’ perceptions of discrimination and thereby improve healthcare access and use of services.

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Section: Discussionmentioning

confidence: 99%

An Examination of Factors Associated with Healthcare Discrimination in Latina Immigrants: The Role of Healthcare Relationships and Language

Sheppard¹,

Williams²,

Wang³

et al. 2014

Journal of the National Medical Association

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“…Providing nursing care to people with different cultural backgrounds has the potential to create problems for nurses and to increase the level of difficulty perceived in their daily work (Berlin, Johansson, & Törnkvist, 2006). The use of a native language different from that of clients is one of the most frequently perceived problems (Grant, 2006; Jones, 2008). In the paediatric field, cultural diversity has been reported as a possible cause of conflict in nursing care (Hart, 1999).…”

mentioning

confidence: 99%

Providing Transcultural to Children and Parents: An Exploratory Study From Italy

Festini¹,

Focardi²,

Bisogni³

et al. 2009

J of Nursing Scholarship

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“…First and second-generation migrants were studied, however, as how ECPs identified them as such was unclear, the risk of stereotyping was evident. Only 8 of the 11 studies detailed the decision behind choice of population, stating the reasons as migrant load and ECP exposure to migrants 24–31. Populations of high migrant contact may demonstrate more compassionate behaviour than areas of less contact or, be able to self-regulate whether an experience is specific to a migrant.…”

Section: Resultsmentioning

confidence: 99%

Beliefs and challenges held by medical staff about providing emergency care to migrants: an international systematic review and translation of findings to the UK context

Harrison¹,

Daker‐White

2019

BMJ Open

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ObjectiveMigration has increased globally. Emergency departments (EDs) may be the first and only contact some migrants have with healthcare. Emergency care providers’ (ECPs) views concerning migrant patients were examined to identify potential health disparities and enable recommendations for ED policy and practice.DesignSystematic review and meta-synthesis of published findings from qualitative studies.Data sourcesElectronic databases (Ovid Medline, Embase (via Ovid), PsycINFO (via OVID), CINAHL, Web of Science and PubMed), specialist websites and journals were searched.Eligibility criteriaStudies employing qualitative methods published in English.SettingsEDs in high-income countries.ParticipantsECPs included doctors, nurses and paramedics.Topic of enquiryStaff views on migrant care in ED settings.Data extraction and synthesisData that fit the overarching themes of ‘beliefs’ and ‘challenges’ were extracted and coded into an evolving framework. Lines of argument were drawn from the main themes identified in order to infer implications for UK policy and practice.ResultsEleven qualitative studies from Europe and the USA were included. Three analytical themes were found: challenges in cultural competence; weak system organisation that did not sufficiently support emergency care delivery; and ethical dilemmas over decisions on the rationing of healthcare and reporting of undocumented migrants.ConclusionECPs made cultural and organisational adjustments for migrant patients, however, willingness was dependent on the individual’s clinical autonomy. ECPs did not allow legal status to obstruct delivery of emergency care to migrant patients. Reported decisions to inform the authorities were mixed; potentially leading to uncertainty of outcome for undocumented migrants and deterring those in need of healthcare from seeking treatment. If a charging policy for emergency care in the UK was introduced, it is possible that ECPs would resist this through fears of widening healthcare disparities. Further recommendations for service delivery involve training and organisational support.

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Emergency Nurses’ Caring Experiences With Mexican American Patients

Cited by 13 publications

References 5 publications

An Examination of Factors Associated with Healthcare Discrimination in Latina Immigrants: The Role of Healthcare Relationships and Language

An Examination of Factors Associated with Healthcare Discrimination in Latina Immigrants: The Role of Healthcare Relationships and Language

Providing Transcultural to Children and Parents: An Exploratory Study From Italy

Beliefs and challenges held by medical staff about providing emergency care to migrants: an international systematic review and translation of findings to the UK context

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