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

Festini, Filippo; Focardi, Stella; Bisogni, Sofia; Mannini, Claudia; Neri, Silvia Gonçalves Ricci

doi:10.1111/j.1547-5069.2009.01274.x

Cited by 26 publications

(22 citation statements)

References 28 publications

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“…In the present study, both Japanese and Korean nurses reported encountering difficulties caring for culturally diverse patients. The findings from this study support those from previous research concerning difficulties that nurses may feel when caring for culturally diverse patients [18][19][20]. Adachi, et al [19] found that "communication problems", "interaction with a patient's family", "differences in culture and customs", "food", and "religious taboos" caused difficulties in nursing care for foreign patients.…”

Section: Challenges Regarding the Provision Of Care For Culturally DIsupporting

confidence: 81%

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Japanese nurses' perception of their experiences caring for culturally diverse patients: Comparison with Korean nurses

Kuwano¹,

Lee²,

Jang³

et al. 2017

Health Prim Car

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Purpose: The purpose of this study was to explore Japanese nurses' perceptions of their experiences caring for culturally diverse patients through a comparison with Korean nurses. Methods:A qualitative exploratory design with a thematic analysis approach was used to collect and analyze data. Using purposive sampling, 15 nurses (9 Japanese nurses, 6 Korean nurses) who provided nursing care to culturally diverse patients within the past year were selected. Data were gathered using semi-structured interviews. The six steps of Braun and Clarke were followed for data analysis.Results: Based on the data analysis, the following three themes were identified: challenges regarding the care of culturally diverse patients; important components regarding the care of culturally diverse patients; and deficiencies in nursing education for culturally congruent care. Conclusion:In the present study, Japanese nurses had less experience and provided fewer descriptions than Korean nurses regarding changes in thinking gained through experience caring for culturally diverse patients, and they also expressed feeling anxiety when providing care for such patients. This suggests that organizational support for culturally-based care should be promoted in Japan. Furthermore, our findings also suggest that education/training programs should be offered in order to enhance the cultural competency of Japanese and Korean nurses.

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Section: Challenges Regarding the Provision Of Care For Culturally DIsupporting

confidence: 81%

“…That study revealed components nearly identical to those identified in the present study. Language as a means of communication is fundamental for effective nurse-patient relationships, without which, nursing care is incomplete [18].…”

Section: Important Components Regarding the Care Of Culturally Diversmentioning

confidence: 99%

Japanese nurses' perception of their experiences caring for culturally diverse patients: Comparison with Korean nurses

Kuwano¹,

Lee²,

Jang³

et al. 2017

Health Prim Car

View full text Add to dashboard Cite

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“…The response rate was only 64% [30]. In a similar study, again suffering from a low participation rate (37.2%), language, extended family, non-compliance, religious customs and culturally inappropriate food and nursing gender roles were mentioned as problematic [31].…”

Section: Resultsmentioning

confidence: 99%

“…International research on paediatric migrant services is scarce and focuses mainly on nurses [30-32,35], resulting in an evidence gap on the needs of other involved actors. Nurses’ difficulties described in the literature were mostly related to language, compliance, culture, family involvement, and diet [30,31,35].…”

Section: Discussionmentioning

confidence: 99%

Migrant-friendly hospitals: a paediatric perspective - improving hospital care for migrant children

Jaeger

Kiss

Hossain

et al. 2013

BMC Health Serv Res

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BackgroundThe European Union (EU) Migrant-Friendly Hospital (MFH) Initiative, introduced in 2002, promotes the adoption of care approaches adapted to meet the service needs of migrants. However, for paediatric hospitals, no specific recommendations have been offered for MFH care for children. Using the Swiss MFH project as a case study, this paper aims to identify hospital-based care needs of paediatric migrants (PMs) and good service approaches.MethodsSemi-structured interviews were conducted with principal project leaders of five paediatric hospitals participating in the Swiss MFH project. A review of the international literature on non-clinical hospital service needs and service responses of paediatric MFHs was conducted.ResultsPaediatric care can be complex, usually involving both the patient and the patient’s family. Key challenges include differing levels of acculturation between parents and children; language barriers; cultural differences between patient and provider; and time constraints. Current service and infrastructural responses include interpretation services for PMs and parents, translated information material, and special adaptations to ensure privacy, e.g., during breastfeeding. Clear standards for paediatric migrant-friendly hospitals (P-MFH) are lacking.ConclusionsInternational research on hospital care for migrant children is scarce. The needs of paediatric migrants and their families may differ from guidance for adults. Paediatric migrant needs should be systematically identified and used to inform paediatric hospital care approaches. Hospital processes from admission to discharge should be revised to ensure implementation of migrant-sensitive approaches suitable for children. Staff should receive adequate support, such as training, easily available interpreters and sufficient consultation time, to be able to provide migrant-friendly paediatric services. The involvement of migrant groups may be helpful. Improving the quality of care for PMs at both policy and service levels is an investment in the future that will benefit native and migrant families.

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“…The majority of our families were English (53%) and French-speaking (20%) with limited knowledge of Italian, especially the mothers, who were less able to speak Italian that the fathers or the children themselves. Language barrier was indeed the main difficulty experienced by nurses taking care of immigrant children in Italy [24] underlining the need for culture-sensitive care. During visits, parents frequently expressed their satisfaction for the possibility of communicating in their own language.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive care for sickle cell disease immigrant patients: A reproducible model achieving high adherence to minimum standards of care

Colombatti

Montanaro

Guasti

et al. 2012

Pediatric Blood & Cancer

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INTRODUCTIONSickle Cell Disease (SCD) is the most common genetic disease worldwide. In the past decades advances in basic research and clinical investigations have produced a marked decrease in morbidity and mortality during early childhood. Newborn screening, prophylactic penicillin, effective vaccinations, and stroke prevention have largely contributed to these results [1][2]. Even though comprehensive medical care has been shown to decrease health care resource utilization and to improve quality of life [3] for patients with SCD, in the United States only 36% of children with SCD perform at least one hematology visit per year for comprehensive care [4] and the rate of missed appointments is around 45% [5]. Moreover, although medical advances have resulted in availability of improved treatments for children with SCD, less than 50% are enrolled in Transcranial Doppler (TCD) screening programs for stroke prevention both in Europe [6][7] and the United States [8][9].In many countries SCD affects people belonging to minority communities, such as African Americans in the United States or African immigrants in Europe [10]. Immigrants present cultural, social, and financial barriers in accessing the health system and these factors have an effect on the management of chronic illnesses [11][12][13].New models of comprehensive care need to be developed in order to ensure that all patients with SCD receive high quality care and benefit from the advances in clinical research, overcoming patient-related and health system-related barriers to specialized health care [14].Italy does not have a hemoglobinopathy newborn screening program and for many years pediatric hematology services have focused primarily on thalassemia. SCD has emerged as an important health condition in the last decade due to immigration, mainly from Africa and Albania, and the number of affected children is steadily increasing [15]. The majority of patients are diagnosed with SCD in the Emergency Room during acute events or because referred to a specialized center by the pediatric general practitioner, by friends or relatives. SCD is considered a rare disease and, according to the legislation of European countries, if a patient is registered as having a rare disease by a specialized reference center, patients and families can apply for disability benefits, care is free, and drugs are provided almost for free, with only a minimum contribution (prescription token). Children usually refer to their pediatric general practitioner for routine primary care, to local hospitals for emergencies and to tertiary care reference centers for specialized care.The Clinic of Pediatric Hematology-Oncology of the Azienda Ospedaliera-Università di Padova began assisting patients with SCD in 2003.From 2003 to 2005, several patient-related and health-operator related barriers to care had been noted. Patient-related barriers in seeking and accepting care regarded mainly language difficulties, socioeconomic factors (no permit of stay, precarious living conditions, low income, dif...

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

Abstract: This study indicates the strengths and weaknesses of Italian nurses in managing the care of non-Italian children and their families; and the need for a background of transcultural nursing and theory.

Cited by 26 publications

References 28 publications

Japanese nurses' perception of their experiences caring for culturally diverse patients: Comparison with Korean nurses

Japanese nurses' perception of their experiences caring for culturally diverse patients: Comparison with Korean nurses

Migrant-friendly hospitals: a paediatric perspective - improving hospital care for migrant children

Comprehensive care for sickle cell disease immigrant patients: A reproducible model achieving high adherence to minimum standards of care

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