Patient-Centered Care or Cultural Competence

Nielsen, Lisa Seto; Angus, Jan; Howell, Doris; Husain, Amna; Gastaldo, Denise

doi:10.1177/1049909114527338

Cited by 23 publications

(30 citation statements)

References 34 publications

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“…25,41,43,51 Sixteen studies conceptualized advance care planning as a process of conversations about personal preferences. 24,25,38,39,41–44,46–51,53,54 Cultural identity ( n = 11) and cultural value ( n = 10) were the most-frequently studied elements of acculturation. Methodological quality was categorized as being strong in seven studies, good in eight, adequate in three, and low in three (Supplemental Tables 2 and 3).…”

Section: Resultsmentioning

confidence: 99%

“…According to some Chinese immigrants, children agreeing to and supporting parents’ wishes to withhold or withdraw life-sustaining treatments may be considered not being filial. 47–49,53…”

Section: Resultsmentioning

confidence: 99%

“…22,24,25,[38][39][40][41][43][44][45][47][48][49][50][51][52] Three studies enrolled healthcare professionals together with Chinese immigrants (as the targeted participants). 38,39,53 The term advance care planning was used in four studies. 25,41,43,51 Sixteen studies conceptualized advance care planning as a process of conversations about personal preferences.…”

Section: Study Characteristicsmentioning

confidence: 99%

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The role of acculturation in the process of advance care planning among Chinese immigrants: A narrative systematic review

et al. 2023

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Background: Acculturation is the process of two different cultures coming into contact. It is unclear how acculturation influences Chinese immigrants’ engagement in advance care planning due to the complexity and multifaceted nature of both acculturation and advance care planning. Aims: To synthesize evidence regarding the role of Chinese immigrants’ acculturation in their engagement in advance care planning. Design: Systematic mixed-method review, registered in PROSPERO (CRD42021231822). Data sources: EMBASE, MEDLINE, Web of Science, and Google Scholar were searched for publications until January 21, 2021. Results: Twenty-one out of 1112 identified articles were included in the analysis. Of those 21 articles, 17 had a qualitative design and 13 originated from the United States. Three of four quantitative studies reported that higher acculturation levels were associated with better knowledge or higher rate of engagement in advance care planning. Analysis of qualitative studies showed that Chinese immigrants’ engagement in advance care planning was associated with their: (1) self-perceived cultural identity (native or non-native); (2) interpretation of filial piety (traditional or modern); and (3) interpretation of autonomy (individual or familial). To facilitate their engagement, Chinese immigrants prefer an implicit approach, non-family-related initiators, contextualization advance care planning in Chinese culture and using Chinese language. Conclusion: Chinese immigrants’ willingness to engage in advance care planning varied with their acculturation level. To engage them in advance care planning, we recommend adapting the introduction of advance care planning to address people’s perceptions of their cultural identity, filial piety, and autonomy, as well as their preference for certain approach, initiator, context, and language.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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The role of acculturation in the process of advance care planning among Chinese immigrants: A narrative systematic review

et al. 2023

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“…[ 2 ] Without appropriate training, healthcare providers may not feel confident about negotiating the balance between patient-centered care and cultural competency, especially related to psychosocial needs that are considered culturally sensitive. [ 60 ].…”

Section: Discussionmentioning

confidence: 99%

Patient-centered care and geriatric knowledge translation among healthcare providers in Vietnam: translation and validation of the patient-centered care measure

Adetunji

Bishai

Pham

et al. 2023

BMC Health Serv Res

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Background People are living longer, and the majority of aging people reside in low- and middle-income countries (LMICs). However, inappropriate healthcare contributes to health disparities between populations of aging people and leads to care dependency and social isolation. Tools to assess and evaluate the effectiveness of quality improvement interventions for geriatric care in LMICs are limited. The aim of this study was to provide a validated and culturally relevant instrument to assess patient-centered care in Vietnam, where the population of aging people is growing rapidly. Methods The Patient-Centered Care (PCC) measure was translated from English to Vietnamese using forward-backward method. The PCC measure grouped activities into sub-domains of holistic, collaborative, and responsive care. A bilingual expert panel rated the cross-cultural relevance and translation equivalence of the instrument. We calculated Content Validity Indexing (CVI) scores at both the item (I-CVI) and scale (S-CVI/Ave) levels to evaluate the relevance of the Vietnamese PCC (VPCC) measure to geriatric care in the Vietnamese context. We piloted the translated instrument VPCC measure with 112 healthcare providers in Hanoi, Vietnam. Multiple logistic regression models were specified to test the a priori null hypothesis that geriatric knowledge is not different among healthcare providers with perception of high implementation compared with low implementation of PCC measures. Results On the item level, all 20 questions had excellent validity ratings. The VPCC had excellent content validity (S-CVI/Ave of 0.96) and translation equivalence (TS- CVI/Ave of 0.94). In the pilot study, the highest-rated PCC elements were the holistic provision of information and collaborative care, while the lowest-rated elements were the holistic attendance to patients’ needs and responsive care. Attention to the psychosocial needs of aging people and poor coordination of care within and beyond the health system were the lowest-rated PCC activities. After controlling for healthcare provider characteristics, the odds of the perception of high implementation of collaborative care were increased by 21% for each increase in geriatric knowledge score. We fail to reject the null hypotheses for holistic care, responsive care and PCC. Conclusion The VPCC is a validated instrument that may be utilized to systemically evaluate the practice of patient-centered geriatric care in Vietnam.

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“…A number of researchers have reported that culture could affect personal health habits and behavior, along with the cognition of, and seeking a response to healthy behavior [11–13]. Accordingly, Nielsen et al [14], conducted a qualitative study which showed that the issue of death is often considered a taboo when discussed in public for the Chinese. From this point of view, because nurses are the contemporary healthcare providers, and place a significant role in performing cultural assessments, they must be sensitive to the delivery of culturally appropriate care [13, 15].…”

Section: Introductionmentioning

confidence: 99%

Developing and validating the Nursing Cultural Competence Scale in Taiwan

et al. 2019

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Background Culture influences personal health habits and behavior, and healthcare personnel possess different views of cultural perspectives. Currently, an appropriate instrument to assess cultural competence in clinical practice is limited. The present study aimed to develop and examine the psychometric properties of the Nursing Cultural Competence Scale (NCCS) for clinical nurses. Methods Developing and assessing the scale was carried out in two phases: Phase I involved a qualitative research to explore the themes of nurses’ cultural competence and instrument development; Phase II established construct validity of the scale using a sample of 246 nurses in Taiwan. Data from the questionnaire were analyzed using exploratory factor analysis, confirmatory factor analysis, internal consistency and test-retest reliability. Analysis results were used to determine the reliability and validity of the developed scale. Results The results showed four factors including cultural awareness ability, cultural action ability, cultural resources application ability, and self-learning cultural ability were generated by exploratory factor analysis, and these factors explained 62.0% of total variance. Cronbach’s α of the Nursing Cultural Competence Scale was .88, and test-retest reliability correlation was .70. Conclusions The establishment of the tool will facilitate accurate monitoring of the cultural competence among nurses and nursing managers, which can inform the construction of nursing policies aimed at pledge cultural competence expansion.

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Patient-Centered Care or Cultural Competence

Cited by 23 publications

References 34 publications

The role of acculturation in the process of advance care planning among Chinese immigrants: A narrative systematic review

The role of acculturation in the process of advance care planning among Chinese immigrants: A narrative systematic review

Patient-centered care and geriatric knowledge translation among healthcare providers in Vietnam: translation and validation of the patient-centered care measure

Developing and validating the Nursing Cultural Competence Scale in Taiwan

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