Challenges of Transcultural Caring Among Health Workers in Mashhad-Iran: A Qualitative Study

Amiri, Rana; Heydari, Abbas; Dehghan–Nayeri, Nahid; Vedadhir, Abou Ali; Kareshki, Hossein

doi:10.5539/gjhs.v8n7p203

Cited by 11 publications

(16 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This finding is supported by the study conducted in China 24 which states that disrespecting patients' language and inappropriate use of terms can lead to stereotyping and misunderstandings. This study finding is also supported by other related studies conducted in Iran and Germany, 27,28 which states that the presence of multi-linguistic patients coming from different areas from the country and out of the country could affect cultural competency nursing care. In this study, participants explained that referral hospitals were served to patients coming from different areas within the region and out of the region with different cultures, values, and language backgrounds, which make difficult to give culturally congruent care due to the absence of an interpreter, originated from lack of interpreter and training related with a culture-based care for nurses.…”

Section: Discussionsupporting

confidence: 88%

Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Berie¹,

Salih²,

Abate³

2021

NRR

View full text Add to dashboard Cite

Background: Cultural competence comprises understanding the values, beliefs, traditions, and customs of diverse groups. Nurses working with a culturally diverse population are fronting challenges principally due to the coexistence of multicultural and multiethnic societies. Objective: To assess cultural competency nursing care and its associated factors among nurses working in Amhara Regional State Referral Hospitals, Ethiopia, 2021. Methods: Institution-based mixed method study design was conducted at selected referral hospitals in Amhara Regional state Ethiopia from April 1 to May 30, 2021. A simple random sampling technique was used to select 543 participants for quantitative and purposive sampling for qualitative study. Data were collected using a self-administered Nurse Cultural Competence Scale Questionnaire, and semi-structured questions for in-depth interviews. Data were entered into Epi data version 4.6 and exported to SPSS version 25 analysis. Descriptive statistics independent t-test and one-way analysis of variance with multiple linear regression analysis were used for data analysis. Qualitative data were analyzed using thematic analysis using open code software. Results: A total of 543 participants were involved in this study making a response rate of 95.02% and seven participants for qualitative until data saturation was involved. More than half (54.5%) were female. The overall cultural competence nursing care of mean score was 3.39 (0.61) out of a total possible score ranging from 1 to 5 which indicates a moderate level of cultural competency. The language barriers, lack of organizational support, cultural difference, and health care provider-related factors were the main identified themes in qualitative results. Conclusion and Recommendation:The overall cultural competence was at a moderate level, among four subscales cultural sensitivity was the highest. The language barrier and lack of training were the major barriers to culturally competent nursing care.

show abstract

Section: Discussionsupporting

confidence: 88%

Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Berie¹,

Salih²,

Abate³

2021

NRR

View full text Add to dashboard Cite

show abstract

“…Other barriers, such as transcultural problems, problems with user experience evaluation, lack of links with NHS procurement, and limited product scalability, are seldom mentioned in previous research. For example, transcultural issues are a challenge for healthcare staff working in clinics and hospitals (Amiri et al, 2016), and are frequently mentioned in research on nursing and healthcare (Shahzad et al, 2021); however, from a business perspective, their effects seem to be neglected, particularly for migrants with different cultural backgrounds running businesses in the UK. Iyer et al (2005) highlight the relationship between product scalability and the performance of web applications.…”

Section: Discussionmentioning

confidence: 99%

Does the transcultural problem really matter? An integrated approach to analyze barriers to eHealth SMEs’ development

Zhao

Suklan

Liu

et al. 2023

IJEBR

View full text Add to dashboard Cite

PurposeIn a competitive environment, eHealth small and medium-sized enterprises’ (SMEs’) barriers to survival differ from those of large enterprises. Empirical research on barriers to eHealth SMEs in less prosperous areas has been largely neglected. This study fills this gap by employing an integrated approach to analyze barriers to the development of eHealth SMEs. The purpose of this paper is to address this issue.Design/methodology/approachThe authors collected data through semi-structured interviews and conducted thematic analysis to identify 16 barriers, which were used as inputs into total interpretive structural modeling (TISM) to build interrelationships among them and identify key barriers. Cross-impact matrix multiplication applied to classification (MICMAC) was then applied validate the TISM model and classify the 16 barriers into four categories.FindingsThis study makes significant contributions to theory by identifying new barriers and their interrelationships, distinguishing key barriers and classifying the barriers into four categories. The authors identify that transcultural problems are the key barrier and deserve particular attention. eHealth SMEs originating from regions with cultural value orientations, such as hierarchy and embeddedness, that differ from the UK’s affective autonomy orientation should strengthen their transcultural awareness when seeking to expand into UK markets.Originality/valueBy employing an integrated approach to analyze barriers that impede the development of eHealth SMEs in a less prosperous area of the UK, this study raises entrepreneurs’ awareness of running businesses in places with different cultural value orientations.

show abstract

“…However, a study mentioned that UIs don’t have the right to be admitted to public hospitals, even if they are in an emergency situation. Doctors face difficulties in these situations because they are unable to refer patients for further treatment [ 25 ]. The high cost of some secondary and tertiary prenatal services, such as screening tests and prenatal sonography, reduces utilization of such services by Afghan women, particularly undocumented women, and puts them at a higher risk for adverse perinatal outcomes because they usually visit private facilities in fear of being arrested and deported at government facilities [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Financing of health services for undocumented immigrants in Iran: common challenges and potential solutions

et al. 2023

View full text Add to dashboard Cite

Introduction Iran is host to one of the largest urban refugee populations worldwide, about two million of whom are undocumented immigrants (UIs). UIs are not eligible to enroll in the Iranian health insurance scheme and have to pay out-of-pocket to access most health services. This increases the likelihood that they will delay or defer seeking care, or incur substantial costs if they do seek care, resulting in worse health outcomes. This study aims to improve understanding of the financial barriers that UIs face in utilizing health services and provide policy options to ensure financial protection to enhance progress towards UHC in Iran. Methods This qualitative study was conducted in 2022. A triangulation approach, including interviews with key informants and comparing them with other informative sources to find out the complementary findings, was applied to increase data confirmability. Both purposive and snowball sampling approaches were used to select seventeen participants. The data analysis process was done based on the thematic content analysis approach. Results The findings were explained under two main themes: the financial challenges in accessing health services and the policy solutions to remove these financial barriers, with 12 subthemes. High out-of-pocket payments, high service prices for UIs, fragmented financial support, limited funding capacity, not freeing all PHC services, fear of deportation, and delayed referral are some of the barriers that UIs face in accessing health care. UIs can get insurance coverage by using innovative ways to get money, like peer financing and regional health insurance, and by using tools that make it easier, like monthly premiums without policies that cover the whole family. Conclusion The formation of a health insurance program for UIs in the current Iranian health insurance mechanism can significantly reduce management costs and, at the same time, facilitate risk pooling. Strengthening the governance of health care financing for UIs in the form of network governance may accelerate the inclusion of UIs in the UHC agenda in Iran. Specifically, it is necessary to enhance the role of developed and rich regional and international countries in financing health services for UIs.

show abstract

Challenges of Transcultural Caring Among Health Workers in Mashhad-Iran: A Qualitative Study

Cited by 11 publications

References 25 publications

Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Cultural Competence Nursing Care and Its Associated Factors Among Nurses in Northern Ethiopia: A Mixed Method Study Design

Does the transcultural problem really matter? An integrated approach to analyze barriers to eHealth SMEs’ development

Financing of health services for undocumented immigrants in Iran: common challenges and potential solutions

Contact Info

Product

Resources

About