Are we ready for intercultural cancer care?

Crombez, Patrick; Michiels, Sandra; Bron, Dominique

doi:10.1097/cco.0000000000000449

Cited by 5 publications

(3 citation statements)

References 52 publications

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“…Moreover, half of the studies included in the review concluded that professional interpreters were not used adequately. This was confirmed by findings from our grounded theory which evidenced the interpreter/cultural mediator as key in facilitating a cross-cultural approach 26 (“understanding each other”) and providing proper intercultural cancer care 27 (“addressing diversity”). Family members would have appreciated a stronger role of interpreters/cultural mediators to alleviate their “spokesperson burden.” Taken together, the findings suggest opening the doctor-patient interactions to well-trained interpreters and creating a triadic care relationship where the role of culture is acknowledged and becomes a teachable moment for all the actors involved.…”

Section: Discussionsupporting

confidence: 75%

Section: Main Findingssupporting

confidence: 74%

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“Achieve the best while rushing against time”: A grounded theory study on caring for low-income immigrant cancer patients at end of life

et al. 2020

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Background: Between 2000 and 2020, Europe experienced an annual net arrival of approximately 1.6 million immigrants per year. While having lower mortality rates, in the setting of severe diseases, immigrants bear a greater cancer-related burden due to linguistic and cultural barriers and socio-economic conditions. Professionals face a two-fold task: managing clinical conditions while considering the social, economic, cultural, and spiritual sphere of patients and their families. In this regard, little is known about the care provision to low-income immigrant cancer patients in real contexts. Aim: To investigate the perspective of professionals, family members, and stakeholders on the caring process of low-income immigrant cancer patients at the end of life. Design: A Constructivist Grounded Theory study. Setting/participants: The study, conducted at a Hospital in Northern Italy, involved 27 participants among health professionals, family caregivers, and other stakeholders who had recently accompanied immigrant cancer patients in their terminal phase of illness. Results: Findings evidenced that professionals feel they were not adequately trained to cope with immigrant cancer patients, nonetheless, they were highly committed in providing the best care they could, rushing against the (short) time the patients have left. Analyses evidenced four main categories: “providing and receiving hospitality,” “understanding each other,” “addressing diversity,” and “around the patient,” which we conceptualized under the core category “Achieve the best while rushing against time.” Conclusions: The model reveals the activation of empathic and compassionate behavior by professionals. It evidences the need for empowering professionals with cultural competencies by employing interpreters and specific training programs.

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Section: Discussionsupporting

confidence: 75%

Section: Main Findingssupporting

confidence: 74%

“Achieve the best while rushing against time”: A grounded theory study on caring for low-income immigrant cancer patients at end of life

et al. 2020

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“…The topic of MEM adherence to OAM is far less studied. The ethnic background has been frequently reported to be a predictor of poor adherence in other chronic diseases [12][13][14][15], but even in this field, those studies presented important limitations that prevented definite conclusions [16].…”

Section: Introductionmentioning

confidence: 99%

A mixed method study design to explore the adherence of haematological cancer patients to oral anticancer medication in a multilingual and multicultural outpatient setting: The MADESIO protocol

et al. 2021

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Background Patients with haematologic malignancies are increasingly treated by oral anticancer medications, heightening the challenge of ensuring optimal adherence to treatment. However, except for chronic myelogenous leukaemia or acute lymphoid leukaemia, the extent of non-adherence has rarely been investigated in outpatient settings, particularly for migrant population. With growing numbers of migrants in Belgium, identifying potential differences in drug use is essential. Also, previous research regarding social determinants of health highlight important disparities for migrant population. Difficulties in communication between health caregivers and patients from different cultural and ethnic backgrounds has been underlined. Methods Using a sequential mixed method design, the MADESIO protocol explores the adherence to oral anticancer medications in patients with haematological malignancies and among first and second generation migrants of varied origin. Conducted in the ambulatory setting, a first quantitative strand will measure adherence rates and associated risk factors in two sub-groups of patients with haematological malignancies (group A: first and second generation migrants and group B: non-migrants). The second qualitative strand of this study uses semi-structured interviews to address address the patients’ subjective meanings and understand the statistical associations observed in the quantitative study (strand one). MADESIO aims to provide a first assessment of whether and why migrants constitute a population at risk concerning adherence to oral anticancer medications. Discussion Our protocol is designed to provide a comprehensive understanding of adherence in a specific population. The methodological choices applied allow to explore adherence among patients from diverse linguistic and cultural backgrounds. A particular emphasis has been paid to minimize the biases and increase the reliability of the data collected. Easily reproductible, the MADESIO design may help healthcare services to screen adherence to Oral anticancer medications and to guide providers in choosing the best strategies to address medication adherence of migrants or minority diverse population.

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Les défis actuels en cancérologie dans la région de Bruxelles-capitale : une étude qualitative

Horicks

Coppieters

2021

Bulletin du Cancer

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Are we ready for intercultural cancer care?

Cited by 5 publications

References 52 publications

“Achieve the best while rushing against time”: A grounded theory study on caring for low-income immigrant cancer patients at end of life

“Achieve the best while rushing against time”: A grounded theory study on caring for low-income immigrant cancer patients at end of life

A mixed method study design to explore the adherence of haematological cancer patients to oral anticancer medication in a multilingual and multicultural outpatient setting: The MADESIO protocol

Les défis actuels en cancérologie dans la région de Bruxelles-capitale : une étude qualitative

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