Practical Strategies for Providing Culturally Sensitive, Ethical Care in Developing Nations

Crigger, Nancy; Holcomb, Lygia

doi:10.1177/1043659606294198

Cited by 20 publications

(24 citation statements)

References 31 publications

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“…Language barriers also are common (Bjerneld et al, 2004). In this context there will be less that HCPs can take for granted and tacit knowledge of how health care is understood and experienced will be called into question (Crigger and Holcomb, 2007). Expatriate HCPs will need to consider how they address local cultural and spiritual understandings of health and illness, respond to local cultural practices, and relate to traditional health practitioners.…”

Section: Moral Landscape Of Humanitarian Workmentioning

confidence: 99%

Establishing moral bearings: ethics and expatriate health care professionals in humanitarian work

Hunt

2011

Disasters

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Expatriate health care professionals frequently participate in international responses to natural disasters and humanitarian emergencies. This field of practice presents important clinical, logistical and ethical challenges for clinicians. This paper considers the ethics of health care practice in humanitarian contexts. It examines features that contribute to forming the moral landscape of humanitarian work, and discusses normative guidelines and approaches that are relevant for this work. These tools and frameworks provide important ethics resources for humanitarian settings. Finally, it elaborates a set of questions that can aid health care professionals as they analyse ethical issues that they experience in the field. The proposed process can assist clinicians as they seek to establish their moral bearings in situations of ethical complexity and uncertainty. Identifying and developing ethics resources and vocabulary for clinical practice in humanitarian work will help health care professionals provide ethically sound care to patients and communities.

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Section: Moral Landscape Of Humanitarian Workmentioning

confidence: 99%

Establishing moral bearings: ethics and expatriate health care professionals in humanitarian work

Hunt

2011

Disasters

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“…Evaluative comments by the physician representing the YIMC indicated that the needs of the community were met as well. The "drop-in-care" discussed by Levi (2009) was avoided through careful and thoughtful planning within the current health care system as suggested by Crigger and Holcomb (2007).…”

Section: Discussionmentioning

confidence: 99%

Learning and Helping: Benefits of International Nurse Practitioner Student Experiences

Smit¹,

Delpier²,

Giordana³

et al. 2012

OJCCNH.org

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“…Such an approach also supports clinicians to consider how they, and the NGOs for which they work, are situated within transnational social, political and economic processes that shape their local contexts of action. An orientation toward reflexivity is especially important given the trans‐national, inter‐cultural nature of these fields of healthcare practice, as there is less that expatriate clinicians can take for granted in these contexts . Tacit knowledge regarding a range of contextual issues, including cultural and social norms, functioning of the healthcare system, professional expectations and political realities, will be put into question.…”

Section: Orientations Of An Ethics Of Engaged Presencementioning

confidence: 99%

The Ethics of Engaged Presence: A Framework for Health Professionals in Humanitarian Assistance and Development Work

Hunt¹,

Schwartz²,

Sinding³

et al. 2012

Developing World Bioethics

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In this article, we present an ethics framework for health practice in humanitarian and development work: the ethics of engaged presence. The ethics of engaged presence framework aims to articulate in a systematic fashion approaches and orientations that support the engagement of expatriate health care professionals in ways that align with diverse obligations and responsibilities, and promote respectful and effective action and relationships. Drawn from a range of sources, the framework provides a vocabulary and narrative structure for examining the moral dimensions of providing development or humanitarian health assistance to individuals and communities, and working with and alongside local and international actors. The elements also help minimize or avoid certain miscalculations and harms. Emphasis is placed on the shared humanity of those who provide and those who receive assistance, acknowledgement of limits and risks related to the contributions of expatriate health care professionals, and the importance of providing skillful and relevant assistance. These elements articulate a moral posture for expatriate health care professionals that contributes to orienting the practice of clinicians in ways that reflect respect, humility, and solidarity. Health care professionals whose understanding and actions are consistent with the ethics of engaged presence will be oriented toward introspection and reflective practice and toward developing, sustaining and promoting collaborative partnerships.

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Practical Strategies for Providing Culturally Sensitive, Ethical Care in Developing Nations

Cited by 20 publications

References 31 publications

Establishing moral bearings: ethics and expatriate health care professionals in humanitarian work

Establishing moral bearings: ethics and expatriate health care professionals in humanitarian work

Learning and Helping: Benefits of International Nurse Practitioner Student Experiences

The Ethics of Engaged Presence: A Framework for Health Professionals in Humanitarian Assistance and Development Work

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