Transcultural Mediation in the Management of Cancer Patients in the Tropical Area

Bouznah, Serge; Larchanche, Stéphanie

doi:10.1007/978-3-319-18257-5_8

Cited by 5 publications

(6 citation statements)

References 24 publications

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“…To cope with these issues, many initiatives exist in health institutions, relying on language translators or cultural brokers 9 10. Despite the fact that cultural brokers can be experts in the patient’s culture, they are most of the time unable to understand the intricacies of the clinical language and ‘medical world’ 11…”

Section: Introductionmentioning

confidence: 99%

“…Babel Centre—European Resources Centre for Transcultural Issues—has been experimenting since 1998 with a new programme: transcultural mediation . This original programme is directed at hospital professionals dealing with difficult situations with their immigrant patients suffering from chronic diseases 12. Transcultural mediation is adapted from the cultural consultations that have been successfully used for mental health services,13–17 where a group of multicultural therapists are working with the concept of culture to allow migrant patients to rethink illness and care with their cultural theories 18.…”

Section: Introductionmentioning

confidence: 99%

“…Transcultural mediation aims to empower patients and their families by restoring the discourse of patients and their families and their own personal experience of the disease. The shared narrative of cultural and medical representations may allow each to find meaning in what goes on in treatment and to understand that the different discourses about the disease can coexist without one disqualifying the other 12 20. As a result, patients and their families may become actors in the patient’s recovery by mobilising resources from both the medical and cultural worlds.…”

Section: Introductionmentioning

confidence: 99%

“…The medical teams should obtain keys to understanding the ways of thinking and behaving that come from other cultures. Finally, transcultural mediation promotes patient–doctor interaction and improves the therapeutic relationship 12 21…”

Section: Introductionmentioning

confidence: 99%

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Transcultural mediation programme in a paediatric hospital in France: qualitative and quantitative study of participants’ experience and impact on hospital costs

Lachal

Escaich

Bouznah³

et al. 2019

BMJ Open

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ObjectiveIn France, immigrants with chronic diseases encounter numerous difficulties in gaining access to care and then in its initiation and organisation, difficulties only partly explained by socioeconomic factors. A transcultural mediation consultation programme has been set up in Necker Hospital in Paris to help families and professionals deal with these situations. The objective of this study was to assess the economic impact and the experience of this consultation.DesignQualitative and quantitative descriptive study.SettingThis study of inpatients treated at Necker Hospital included those whose families participated in transcultural mediation in 2014 through 2016.ParticipantsThe first portion of the study applied quantitative methods and compared hospital costs before and after the mediation from the patients' records and accounting data for 15 cases. The qualitative portion analysed 15 semistructured interviews of physicians and families after the mediation, and a focus group of three psychologists.ResultsThe results show a systematic reduction in costs after mediation, associated with fewer emergency hospitalisations and the shift of care toward less specialised facilities, calmer relationships between families and professionals, improved mutual understanding and increased confidence by the professionals in the families' ability to manage the treatment.ConclusionTranscultural mediation can benefit both patients and the healthcare system and may be useful for other hospitals that care for socially and culturally diverse patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transcultural mediation programme in a paediatric hospital in France: qualitative and quantitative study of participants’ experience and impact on hospital costs

Lachal

Escaich

Bouznah³

et al. 2019

BMJ Open

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“…Health-care institutions have developed various initiatives to help with these issues, including hiring cultural brokers. But while cultural brokers share substantial knowledge of the patient's cultural background, they are most often unfamiliar with medical clinical language and the world of health-care professionals (Bouznah & Larchanché, 2015).…”

Section: Introductionmentioning

confidence: 99%

Perspective changes through transcultural mediation training: A qualitative study of trainees, instructors, and experts

Ogrizek

Moro

Bouznah³

et al. 2021

Transcult Psychiatry

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To deal with cultural misunderstandings in health care due to increased migration, the Babel Centre—a training and mediation center—developed “transcultural mediation”: a service meant to help health-care professionals encountering difficulties with migrant patients and their families. One of the center's health-care professionals, trained as a mediator, and a cultural broker jointly conduct the mediation session. In 2017, the center initiated a specialized training program to teach health-care professionals the skills needed to serve as transcultural mediators. We conducted a study to evaluate, through the trainees’ and instructors’ subjective experiences, the quality of this innovative training. We used semi-structured interviews and focus groups to question seven trainees, three instructors, and three experts in transcultural psychology at different stages of the 10-month program (before, at midpoint, and afterwards). We used Interpretative Phenomenological Analysis to explore the data. The themes are organized around the central concept of the transmission of knowledge from instructors to trainees and vice versa. Trainees were globally satisfied with this program by its end but did not feel able to lead a mediation by then, due to insufficient anthropology knowledge and practical training. Training in transcultural mediation resembles that for resolving situational problems. It cannot be taught by an approach based on reasoning by the inverse problem method, used for teaching medical sciences. Pedagogical tools more suited to problem solving, such as role-playing or use of senior-assisted mediations, should be used to improve the quality of this training.

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Family‐centred care interventions for children with chronic conditions: A scoping review

Chow,

Saad,

Al‐Baldawi

et al. 2024

Health Expectations

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IntroductionChildren with chronic conditions have greater health care needs than the general paediatric population but may not receive care that centres their needs and preferences as identified by their families. Clinicians and researchers are interested in developing interventions to improve family‐centred care need information about the characteristics of existing interventions, their development and the domains of family‐centred care that they address. We conducted a scoping review that aimed to identify and characterize recent family‐centred interventions designed to improve experiences with care for children with chronic conditions.MethodsWe searched Medline, Embase, PsycInfo and Cochrane databases, and grey literature sources for relevant articles or documents published between 1 January 2019 and 11 August 2020 (databases) or 7–20 October 2020 (grey literature). Primary studies with ≥10 participants, clinical practice guidelines and theoretical articles describing family‐centred interventions that aimed to improve experiences with care for children with chronic conditions were eligible. Following citation and full‐text screening by two reviewers working independently, we charted data covering study characteristics and interventions from eligible reports and synthesized interventions by domains of family‐centred care.ResultsOur search identified 2882 citations, from which 63 articles describing 61 unique interventions met the eligibility criteria and were included in this review. The most common study designs were quasiexperimental studies (n = 18), randomized controlled trials (n = 11) and qualitative and mixed‐methods studies (n = 9 each). The most frequently addressed domains of family‐centred care were communication and information provision (n = 45), family involvement in care (n = 37) and access to care (n = 30).ConclusionThis review, which identified 61 unique interventions aimed at improving family‐centred care for children with chronic conditions across a range of settings, is a concrete resource for researchers, health care providers and administrators interested in improving care for this high‐needs population.Patient or Public ContributionThis study was co‐developed with three patient partner co‐investigators, all of whom are individuals with lived experiences of rare chronic diseases as parents and/or patients and have prior experience in patient engagement in research (I. J., N. P., M. S.). These patient partner co‐investigators contributed to this study at all stages, from conceptualization to dissemination.

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Transcultural Mediation in the Management of Cancer Patients in the Tropical Area

Cited by 5 publications

References 24 publications

Transcultural mediation programme in a paediatric hospital in France: qualitative and quantitative study of participants’ experience and impact on hospital costs

Transcultural mediation programme in a paediatric hospital in France: qualitative and quantitative study of participants’ experience and impact on hospital costs

Perspective changes through transcultural mediation training: A qualitative study of trainees, instructors, and experts

Family‐centred care interventions for children with chronic conditions: A scoping review

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