Migrant and minority family members in the intensive care unit. A review of the literature

Quindemil, KettyElena; Nagl‐Cupal, Martin; Anderson, Kathryn H.; Mayer, Hanna

doi:10.1007/s16024-013-0171-2

Cited by 11 publications

(7 citation statements)

References 29 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The few studies that deal with this subject directly approach it through interviews with one of the parties (see for example [ 16 ]). Other studies only touch on this subject indirectly in the context of researching the experiences or needs of parties involved in intercultural communication [ 15 , 18 , 19 , 22 , 35 , 36 ]. As far as we know, this is the first study where conflicts in a multi-ethnic context in the ICU were investigated by means of an ethnographic research design.…”

Section: Discussionmentioning

confidence: 99%

Conflicts between healthcare professionals and families of a multi-ethnic patient population during critical care: an ethnographic study

et al. 2015

View full text Add to dashboard Cite

BackgroundConflicts during communication in multi-ethnic healthcare settings is an increasing point of concern as a result of societies’ increased ethno-cultural diversity. We can expect that conflicts are even more likely to arise in situations where difficult medical decisions have to be made, such as critical medical situations in hospital. However, in-depth research on this topic is rather scarce. During critical care patients are often unable to communicate. We have therefore investigated factors contributing to conflicts between healthcare professionals and family members from ethnic minority groups in critical medical situations in hospital.MethodsEthnographic fieldwork was done in one intensive care unit of a multi-ethnic urban hospital in Belgium over 6 months (January 2014 to June 2014). Data were collected through negotiated interactive observation, in-depth interviews with healthcare professionals, from patients’ medical records, and by making notes in a logbook. Data were analysed by using grounded theory procedures.ResultsConflicts were essentially related to differences in participants’ views on what constitutes ‘good care’ based on different care approaches. Healthcare professionals’ views on good care were based predominantly on a biomedical care model, whereas families’ views on good care were mainly inspired by a holistic lifeworld-oriented approach. Giving good care, from the healthcare professionals’ point of view, included great attention to regulations, structured communication, and central decision making. On the other hand, good care from the families’ point of view included seeking exhaustive information, and participating in end-of-life decision making. Healthcare professionals’ biomedical views on offering good care were strengthened by the features of the critical care context whereas families’ holistic views on offering good care were reinforced by the specific characteristics of families’ ethno-familial care context, including their different ethno-cultural backgrounds. However, ethno-cultural differences between participants only contributed to conflicts in confrontation with a triggering critical care context.ConclusionsConflicts cannot be exclusively linked to ethno-cultural differences as structural, functional characteristics of critical care substantially contribute to the development of conflicts. Therefore, effective conflict prevention should not only focus on ethno-cultural differentness but should also take the structural organizational characteristics of the critical care context sufficiently into account.Electronic supplementary materialThe online version of this article (doi:10.1186/s13054-015-1158-4) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Conflicts between healthcare professionals and families of a multi-ethnic patient population during critical care: an ethnographic study

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Families of critically ill patients have identified specific needs, such as shared decision making and the recognition of and respect for cultural norms and patients' preferences. 33,34 The critical care environment is often chaotic, adding to the stress and anxiety patients and patients' families experience. The inclusion of CAM, particularly therapies already practiced by a patient and the patient's family, may contribute to a healing environment.…”

Section: Implications For Acute and Critical Care Nursesmentioning

confidence: 99%

Introduction to Complementary, Alternative, and Traditional Therapies

Kramlich

2014

Critical Care Nurse

View full text Add to dashboard Cite

The use of complementary, alternative, and traditional therapies is increasing in the United States, and patients and their families are bringing these practices into the acute care setting. Acute and critical care nurses are in a unique and trusted position to advocate for their patients and to promote safe incorporation of complementary, alternative, and traditional therapies into the plan of care.

show abstract

“…It is often assumed that intercultural nurse-family conflicts are primarily related to ethnocultural differences, for example, different values concerning end-of-life decisions. Consequently, intercultural training programs for nurses, such as programs aiming to increase nurses' intercultural awareness, knowledge, and communication skills, are often regarded as the prime solution to such conflicts (Høye & Severinsson, 2010;Quindemil, Nagl-Cupal, Anderson, & Mayer, 2013). However, a previous ethnographic study by Van Keer et al (2015) showed that nurse-family conflicts are also greatly related to the characteristics of the critical care setting and the way health care services are organized.…”

mentioning

confidence: 99%

Preventing Conflicts Between Nurses and Families of a Multi-ethnic Patient Population During Critical Medical Situations in a Hospital

et al. 2019

View full text Add to dashboard Cite

Introduction: Little is known about how to avoid intercultural nurse–family conflicts in critical care settings. In this article, strategies are discussed that may be useful to prevent or mitigate intercultural nurse–family conflicts during critical medical situations in hospital. Method: Strategies are based on an ethnographic study by Van Keer et al., other literature, and expert opinion. Results: Sufficient structural measures are needed. First, institutions must create appropriate ward policies, such as including nurses in end-of-life communication. Second, nurses should be coached in the workplace. Third, institutions must provide adapted, visual, ward information to families. Additionally, education and research are needed. These measures should be actively stimulated by nurse managers and reflect a multicultural program supported by the hospital. Discussion: Intercultural nurse–family conflict prevention or mitigation should take into account organizational aspects, on hospital units and in hospital as a whole, and the crucial role of education and research.

show abstract

Migrant and minority family members in the intensive care unit. A review of the literature

Cited by 11 publications

References 29 publications

Conflicts between healthcare professionals and families of a multi-ethnic patient population during critical care: an ethnographic study

Conflicts between healthcare professionals and families of a multi-ethnic patient population during critical care: an ethnographic study

Introduction to Complementary, Alternative, and Traditional Therapies

Preventing Conflicts Between Nurses and Families of a Multi-ethnic Patient Population During Critical Medical Situations in a Hospital

Contact Info

Product

Resources

About