A model for the delivery of culturally competent community care

Kim‐Godwin, Yeoun Soo; Clarke, Pamela N.; Barton, Leslie

doi:10.1046/j.1365-2648.2001.01929.x

Cited by 97 publications

(85 citation statements)

References 31 publications

(30 reference statements)

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“…Therefore, the strong resistance expressed by the participants in this study against community health care may have been caused in part by misunderstandings and a limited knowledge of the Norwegian health care system due to language difficulties. The complexity of a Western health-care system can be far from what they were used to in their former homeland [40] .…”

Section: Discussionmentioning

confidence: 99%

Experiences of health and care when growing old in Norway - From the perspective of elderly immigrants with minority ethnic backgrounds

Thyli¹,

Hedelin²,

Athlin³

2014

Clinical Nursing Studies

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Background: Along with the growing population in Norway of older people with immigrant backgrounds from countries in Asia, Africa and Eastern Europe there is a need for a better understanding of trans-cultural aging, illness experiences and care preferences among minorities and their families.Aim: This study explored older ethnic minority immigrants' experiences of growing old in Norway with a focus on health and care.Design: An explorative, descriptive design with a grounded theory approach was used. Method:The data was collected in Norway by means of open-ended interviews with nine ethnic minority immigrants representing an age span from 63 to 85 years. In total 15 interviews were conducted, with the sampling, data collection and analysis carried out simultaneously and guided by the constant comparative method.Results: This study showed that the most important issue when growing old in a new homeland as an ethnic minority immigrant was to be surrounded by one's family. When the needs for care increased due to changes in age and health, the family was seen as the only possible solution. Feelings of fear and distrust, language barriers, and preferences for the familiar care were reasons for this. Due to cultural rules it was taken for granted that the younger generation took on responsibility for their older parents/relatives in need of care, which led to feelings of dependency and being a burden. A high price had been paid for finding a new homeland. Conclusions and Implications for Practice:The elderly immigrants' expectations of care was found to be strongly connected with traditions from their native country, where it was taken for granted that the younger generation took the responsibility for their older parents/relatives in need of care. Our findings highlighted the dilemma of culturally determined controversies, as elderly immigrants' beliefs and values about care within the family may be rather difficult to unite with a life in a new Western society. Nursing practice needs to implement a more family-oriented care perspective in order to meet the needs of elderly people with ethnic minority and immigrant backgrounds. Further it is important to increase elderly immigrants' feelings of trust and cultural safety towards health-care services.

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Section: Discussionmentioning

confidence: 99%

Experiences of health and care when growing old in Norway - From the perspective of elderly immigrants with minority ethnic backgrounds

Thyli¹,

Hedelin²,

Athlin³

2014

Clinical Nursing Studies

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“…This is because the future of health care depends not only on scientifically based evidence but also on recognition of population diversity and people's cultural understanding of health itself. [17,20,52] As a result, hospital nurses should incorporate patients' constructs of health into the framework of the patient's daily care plan and health promotion activities.…”

Section: Implication For Practicementioning

confidence: 99%

“…[17,18] Subsequently establishing culturally congruent health care as well as health promotion activities will not only be lacking empirical guidance, [12,19] but also their cultural applicability will be in doubt. [20] The current study examines qualitatiavly hospital patients' understanding of health and its cultural constructions in Jordan. Once hospital patients' understanding of health is identified and verified by the literature, hospital nurses, as health promoters, can incorporate them into the framework of the patient's daily care plan, and thus achieve a higher level of compliance with the prescribed treatment.…”

Section: Introductionmentioning

confidence: 99%

Images of health among hospital patients in Jordan: A qualitative study

Shoqirat

2012

IJANS

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The purpose of this study was to examine hospital patients' understanding of health and its cultural constructions in Jordan. Four focus group discussions were carried out with hospital patients. The findings showed three images of health among patients in Jordan with different complexity levels. This included health as the freedom from illness, health as being in good social and psychological wellbeing, health as being physically, psychologically, socially and economically satisfied. Gender related conceptualisation of health was associated with the role of men and women in the society. Hospital patients' understanding of health is diverse, multidimensional, and affected by their gender. Therefore, hospital nurses are urged to incorporate patients' conceptualisations of health and factors involved into the framework of the patient's daily care plan and health promotion activity. The study limitations and recommendations for practice and future research are also outlined.

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“…The Sunrise Model [36] The Culturally Competent Community Care (CCCC) model [37] Family Cultural Heritage Assessment Tool (FAMCHAT) [25] Assessment, Communication, Cultural negotiation and Compromise, Establishing respect and rapport, Sensitivity, Safety (ACCESS model) [38] The Process of Cultural Competence in the Delivery of Healthcare Services Model [39] Purnell Model for Cultural Competence [40] Papadopoulos, Tilki and Taylor Model for Developing Cultural Competence [41] Giger-Davidhizar Transcultural Assessment (GDTAM) [42] Figure 1. Names of identified models/tools in cultural competency having some empirical basis for nursing practice.…”

Section: Review Of Availability and Empirical Basis Of Ethnocultural mentioning

confidence: 99%

Evaluating the utility of the FamCHAT ethnocultural nursing assessment tool at a Canadian tertiary care hospital: A pilot study with recommendations for hospital management

Higginbottom

2012

JNEP

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Objectives: The multicultural nature of Canadian society and the decline in health of immigrants after relocation to Canada prioritizes a commitment to ensure equity in health care access and outcomes. An important feature shaping health care access and outcomes is the reception of culturally safe and competent care. Partnering with senior management at a tertiary care hospital, this pilot study aimed to investigate whether an identified cultural assessment tool, the Family Cultural Heritage Assessment Tool (FamCHAT), validated for use in a rural primary care setting, was suitable for use in tertiary care. The objectives were to investigate: 1) whether using the FamCHAT enabled the nurses to elicit assessment information from their patients who represent diverse ethnocultural groups, and 2) the nurses' perspectives on the practical use of this form in their clinical practice.Methods: Nurses purposively selected from the Women's, Surgery and Medicine units were asked to complete the FamCHAT form with all patients admitted during a three-month period in 2009. Focus group interviews were then held to learn the nurses' perspectives related to the form's constructs and its use in their practice. The data from the completed FamCHAT forms were tabulated and analyzed using descriptive statistics to determine the extent of completion and accuracy, and the sample characteristics. The interview data was analyzed using qualitative analytical software (ATLAS.ti Scientific Software Development, GmbH, Germany) and Roper and Shapira's framework for analysis of ethnographic data. Results:The nurses filled out forty-four FamCHAT forms with patients having a diverse ethnocultural profile. In many forms, several questions were either left blank or answered incorrectly with regard to the guidance notes containing categorical answers for the variables of family size and language. Nine nurses participated in two focus groups (n = 4 and n = 5) and one in an individual interview. Five themes emerged from the qualitative data analysis: feasibility of using the FamCHAT in acute care practice; ethnocultural awareness needs of the participating nurses; perspectives of nurses about patient concerns; potential for enhancement to nursing care assessments; and suggestions for enhancing and facilitating a new tool or approach. Nurses participating in the interviews thought that the constructs within FamCHAT could be usefulwww.sciedu.ca/jnep Journal of Nursing Education and Practice, May 2012, Vol. 2, No. 2 Published by Sciedu Press 25for enhancing nursing assessments in their practice, but thought the tool was too long, was repetitive to some of their current assessment data, and had questions many patients were uncomfortable answering. One option suggested in both focus groups was to embed the most useful constructs into existing assessment frameworks. Some of the variables were thought to be of limited relevancy for some nursing specialties. Conclusions:The findings provided valuable information for the hospital management in their eff...

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A model for the delivery of culturally competent community care

Cited by 97 publications

References 31 publications

Experiences of health and care when growing old in Norway - From the perspective of elderly immigrants with minority ethnic backgrounds

Experiences of health and care when growing old in Norway - From the perspective of elderly immigrants with minority ethnic backgrounds

Images of health among hospital patients in Jordan: A qualitative study

Evaluating the utility of the FamCHAT ethnocultural nursing assessment tool at a Canadian tertiary care hospital: A pilot study with recommendations for hospital management

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