Dissertations / Theses on the topic 'Transcultural medical care'
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1
Kawashima, Asako. "Study on cultural competency of Japanese nurses." Fairfax, VA : George Mason University, 2008. http://hdl.handle.net/1920/3072.
Abstract:
Thesis (Ph.D.)--George Mason University, 2008.Vita: p. 231. Thesis director: Chen-Yun Wu. Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Nursing. Title from PDF t.p. (viewed June 30, 2008). Includes bibliographical references (p. 217-230). Also issued in print.
2
von, Zerssen Detlev, Carlos A. León, Hans-Jürgen Möller, Hans-Ulrich Wittchen, Hildegard Pfister, and Norman Sartorius. "Care Strategies for Schizophrenic Patients in a Transcultural Comparison." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-108639.
Abstract:
This study was conducted in order to test the hypothesis derived from the International Pilot Study of Schizophrenia (IPSS) that the existence of extended families in developing countries contributes to the more favorable course and outcome of schizophrenia in these countries in comparison with industrial countries. For this purpose, we compared data from the 5- and 10-year follow-up obtained within the IPSS at Cali, Colombia with data from two 5 to 8-year follow-up studies of former schizophrenic inpatients of the Max Planck Institute of Psychiatry (MPIP) in Munich, FRG. Although, in Cali, schizophrenics are hospitalized and treated with drugs only during acute episodes of the psychosis and no facilities exist for long-term treatment, the psychopathological outcome was, on the whole, not worse than in Munich. Furthermore, the duration of hospitalization during the follow-up period was much lower at Cali and a significantly lower number of Colombian than of German patients was not separated from their families. However, contrary to the hypothesis, family size did not predict course and outcome at both centers.
3
von, Zerssen Detlev, Carlos A. León, Hans-Jürgen Möller, Hans-Ulrich Wittchen, Hildegard Pfister, and Norman Sartorius. "Care Strategies for Schizophrenic Patients in a Transcultural Comparison." Technische Universität Dresden, 1990. https://tud.qucosa.de/id/qucosa%3A26763.
Abstract:
This study was conducted in order to test the hypothesis derived from the International Pilot Study of Schizophrenia (IPSS) that the existence of extended families in developing countries contributes to the more favorable course and outcome of schizophrenia in these countries in comparison with industrial countries. For this purpose, we compared data from the 5- and 10-year follow-up obtained within the IPSS at Cali, Colombia with data from two 5 to 8-year follow-up studies of former schizophrenic inpatients of the Max Planck Institute of Psychiatry (MPIP) in Munich, FRG. Although, in Cali, schizophrenics are hospitalized and treated with drugs only during acute episodes of the psychosis and no facilities exist for long-term treatment, the psychopathological outcome was, on the whole, not worse than in Munich. Furthermore, the duration of hospitalization during the follow-up period was much lower at Cali and a significantly lower number of Colombian than of German patients was not separated from their families. However, contrary to the hypothesis, family size did not predict course and outcome at both centers.
4
Ferguson, Pam Adkins Amee. "Transcultural self-efficacy in graduating nursing students." Normal, Ill. : Illinois State University, 2007. http://proquest.umi.com/pqdweb?index=0&did=1414124091&SrchMode=1&sid=2&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1205255176&clientId=43838.
Abstract:
Thesis (Ph. D.)--Illinois State University, 2007.Title from title page screen, viewed on March 11, 2008. Dissertation Committee: Amee Adkins (chair), Zeng Lin, Dianne Gardner, Jacklyn Ruthman. Includes bibliographical references (leaves 122-127) and abstract. Also available in print.
5
Stojakovic, Jelena. "Teaching intercultural communication competence in the healthcare context." Diss., [Missoula, Mont.] : The University of Montana, 2009. http://etd.lib.umt.edu/theses/available/etd-06052009-204749.
6
Gilliam, Krystal. "A model cultural competency handbook for health care professionals : creating an ideal handbook to reduce disparities /." View online version, 2010. http://ecommons.txstate.edu/arp/323/.
7
Karlsson, Hanna, and Linn Lundebo. "Nursing care of patients with postoperative pain : an observation study at Kilimanjaro Christian Medical Centre, Tanzania." Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-74.
Abstract:
Some cultures regard pain as a natural part of life compared with the Western culture which believes that pain is something unnatural and that has to be eliminated. Transcultural nursing is a way to learn about and provide culturally fitting and meaningful care to people with different cultures. Tanzania suffers from a lack of qualified health workers due to an increased burden of disease and this affects the quality and supply of effective health services. It has been seen that it is common for patients to get inadequate pain treatment and this results in many different complications. The aim of the study was to describe the nursing care of patients with postoperative pain at a rural hospital in Tanzania. The study was implemented at the Kilimanjaro Christian Medical Centre in Moshi. A qualitative participating observation study with an ethnographic approach was used to collect the data. The data was analyzed by content analysis and resulted in three themes: 1. The role of the nurse, 2. Pain management, and 3. Meeting the patient. The conclusion was that the nursing care around patients with postoperative pain showed an extended collaboration between the nurses and other health care professionals as well as with the patients’ parents. The study further showed that the atmosphere around the patients was positive and calm and that the nurses assessed pain by measuring vital signs and facial expressions.
8
Fried, Ofra. "Cross cultural issues in the medical management and nursing care of terminally ill Aboriginal people in Central Australia." Thesis, University of Sydney, 2000. https://hdl.handle.net/2123/24340.
Abstract:
This research documents, for the first time, the experiences of non-Aboriginal primary health workers caring for terminally ill Aboriginal patients in Central Australia. Despite the high mortality amongst Aboriginal Territorians, issues around terminal illness, death and bereavement have been little studied. The area is sensitive in both cultural and human terms. Many clients of the local health care services are Aboriginal people whereas most nurses and doctors are non-Aboriginal. Their clinical interactions are inherently cross cultural and are additionally influenced by several sequelae of Australian colonial history, including socioeconomic and status disparity between participants and entrenched discriminatory attitudes and practices. The study was approached from the perspective of the new public health, informed by the philosophy of contemporary palliative care and aimed to contribute to the development of a culturally safe practice for the care of terminally ill Aboriginal people. Data was collected using a qualitative method of serial interviews with a representative sample of primary health care workers with an Aboriginal clientele. The study found that cultural factors were important determinants of good health care communication, the making of appropriate end-of-life care decisions and the provision of quality case management and bereavement support. Significant cultural issues for achieving a “good death” included recognition of the wish of many Aboriginal people to die on their own country and of the value of the Aboriginal kinship system for enabling care decisions and providing care. To date however, these have had little formal impact on the design or delivery of health care services for terminally ill Aboriginal people in Central Australia. Nurses and doctors interviewed for this study considered Aboriginal patients’ access to quality health care during a terminal illness to be inadequate and inequitable. The difficulties of providing health care in remote areas impacted disproportionately on Aboriginal clients. Their treatment options were limited by their poverty and by institutional policies determining the availability of resources. Cultural and language mis-communication between Aboriginal clients and non-Aboriginal health professionals impaired the process of decision making and the delivery of care. The hegemony of the majority culture and its health care institutions disempowered Aboriginal clients while entrenched discriminatory social attitudes perpetuated inequitable practices. Specific service gaps were identified in the availability of interpreter services, transportation, respite care, domiciliary nursing and bereavement support. The wider care network, including hospitals, nursing homes, multidisciplinary health care providers, and the transport needed for remote clients to access these, was inequitably available and insufficiently accommodating of Aboriginal cultural needs. The existing palliative care services employed no Aboriginal staff. Improving care will therefore require a range of institutional and societal responses, including addressing service gaps, providing practical responses to cultural aspects of service provision, and continuing to work towards reconciliation. A major deficit was found in the training and support available to practitioners caring for terminally ill Aboriginal people. Addressing this requires a policy shift by health care institutions. The most useful training interventions included directing non-Aboriginal workers toward local sources of cultural information, dispelling myths and stereotyping and assisting in exploring ethical issues arising from cross cultural conflict. Practitioners also needed support both in analysing difficult care situations so as to arrive at practical management solutions and in debriefing their emotional responses. This would reduce the stress of providing cross cultural terminal care and improve service delivery. Palliative care in Central Australia can only be developed with input from both Aboriginal and non-Aboriginal participants. It cannot be progressed without the guidance and support of Aboriginal workers and community members, which requires Aboriginal empowerment at all levels of planning and decision making. This reflection on the nature of cross cultural terminal care, from the viewpoint of professionals within the majority culture, will contribute to the development of a culturally safe practice for working with Aboriginal colleagues and clients.
9
Tran, Duong T. "Queensland Health multicultural and language services policy statements and public oral health care for Vietnamese community in the Brisbane South Health Region /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19497.pdf.
10
Cain, Ruby. "Assessing cultural proficiency of healthcare students." Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/757.
11
Haghshenas, Abbas Public Health & Community Medicine Faculty of Medicine UNSW. "Negotiating norms, navigating care: the practice of culturally competent care in cardiac rehabilitation." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/32280.
Abstract:
BACKGROUND Increasingly, it is recognised that the unique needs of people from culturally and linguistically diverse backgrounds (CaLDB) should be addressed within a framework of cultural competence. To date, there are limited data on the issues facing CaLDB patients in the Cardiac Rehabilitation (CR) setting. Appreciation of an individual???s values, attitudes and beliefs underpins negotiation of behaviour change in the CR setting. Therefore an understanding of patient and professional interactions is of key importance. OBJECTIVES The focus of this study has been to undertake an exploration of CR service delivery to people from culturally and linguistically diverse backgrounds, using Arabic speaking people as an exemplar of a CaLDB group. More broadly, this research project has sought to identify factors, which influence the practice of health professionals towards CaLDB patients, and to develop a model for evaluation of culturally competent health care in the CR setting. The study sought to achieve these aims by addressing the following research questions: 1. In what way do health practitioners in CR adjust their treatment and support to accommodate the perceived needs of CaLDB communities? 2. In what way do factors (such as individual and organisation perspectives) influence the adjustment of clinical practice and service delivery of CR practitioners; and what are practitioners??? and patients??? perception of barriers and facilitators to service delivery? 3. To what level are CaLDB patients satisfied with CR services? This study design is comprised of the following elements: (1) interviews with health practitioners and Arabic speaking background patients as an exemplar of CaLDB patients; (2) review of policy and procedure documents and medical records; and (3) field observation. METHOD This thesis embraces a qualitative approach as the primary method of investigation to align with the exploratory and descriptive nature of the study. The main methods used in the study were: in depth interviews with health professionals and patients; field observations; appraisal of relevant documents and consultation with expert panels. Study samples were selected through a purposive sampling strategy.Data were analysed using the method of content analysis, guided by the research questions. FINDINGS In total, 25 health professionals (20 female and 5 male) and 32 patients (21 male and 11 female) were interviewed. The method of qualitative content analysis was used for data analysis. Data analysis revealed four major themes: 1) The challenging context; 2) Tuning practices; 3) Influencing factors; and 4) Goodness of fit. The study demonstrated a challenging context for CR delivery, both from the perspective of patients and health professionals. Data reveal a process of reflection, negotiation, and navigation of care by CR health professionals in an effort to understand and meet the diverse needs of CALDB patients. CONCLUSION On the basis of the study findings, a process-oriented model of tuning practice to achieve cultural competence in CR delivery is proposed to inform policy, research and clinical practice.
12
Andreasson, Marek, and André Sandström. "Omvårdnad vid livets slutskede när patienter inte förstår och talar svenska - En empirisk studie av vårdpersonalens upplevelser." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24507.
Abstract:
Dagens mångkulturella samhälle avspeglas inom vården där vårdpersonal dagligen möter patienter från olika kulturer. Kommunikationssvårigheter relaterade till språkbrister kan uppkomma i mötet med patienter som inte förstår och talar svenska. I omvårdnadsarbetet ställs detta på sin spets, i synnerhet när det gäller vård vid livets slutskede. Denna studie syftade till att kartlägga och tolka vårdpersonalens upplevelser av möjligheter och svårigheter i omvårdnaden av denna patientgrupp. I studien har en kvalitativ metod med en hermeneutisk forskningsansats använts. Totalt åtta semistrukturerade djupintervjuer genomfördes med undersköterskor och sjuksköterskor som arbetade på en hospiceavdelning i södra Sverige. Studien resulterade i tio deltolkningar som sedan bildade tre nya deltolkningar på en högre nivå. Slutligen gjordes en huvudtolkning: att en individanpassad vård kan ses som en möjlighet för att överbygga svårigheter och problem som uppkommer i mötet med patientgruppen. Möjligheterna och svårigheterna för att åstadkomma en individanpassad vård återfanns i yttre faktorer, hos patienten och hos personalen. Culture Care teorin användes för att skapa en djupare förståelse för delar av studiens resultat. Vidare multidisciplinär forskning och utbildning krävs för att vården ska kunna leva upp till hälso- och sjukvårdslagens krav om vård på lika villkor.Today’s multicultural society is reflected in healthcare as professionals encounter patients from different cultures on a daily basis. Communication problems related to language deficiencies consequently occur in interactions with these patients. This can lead to inadequate care delivery at the end stage of life. The aim of this study was to identify and interpret health care professionals’ experiences of opportunities and challenges in delivery of nursing care to this patient group. A qualitative method was used with a hermeneutic approach. Eight semi-structured in-depth interviews were conducted with healthcare professionals working at a hospice in Southern Sweden. The results identified ten sub-interpretations which were distilled into three over-arching interpretations which lead to the following singular conceptual interpretation: Individualized care is viewed as an opportunity to overcome problems that arise when meeting this group of patients. The possibilities and challenges to achieve individualized care came from a combination of external, patient and staff factors. Cultural Care Theory was applied to parts of the study results to achieve greater understanding of the subject. Furthermore, multi-disciplinary research and education is necessary to ensure that health care providers can live up to The Act of Health Care requirements for care delivery on equal terms.
13
Ohtsuka, Thai, and thai_ohtsuka@hotmail com. "Impact of cultural change and acculturation on the health and help seeking behaviour of Vietnamese-Australians." Swinburne University of Technology, 2005. http://adt.lib.swin.edu.au./public/adt-VSWT20051013.095125.
Abstract:
This study investigated the influence of cultural change and acculturation on
health-related help seeking behaviour of Vietnamese-Australians. Using convenience
sampling, 94 Vietnamese-Australians, 106 Anglo-Australians, and 49 Vietnamese in Vietnam participated in the study. Beliefs about health and health-related help-seeking behaviours were assessed through measures of common mental health symptoms, illness expression (somatisation, psychologisation), symptom causal attributions (environmental, psychological, biological), and choice of help seeking (self-help, family/friends, spiritual, mental health, Western medicine, Eastern medicine).Vietnamese-Australian data was compared with that of the Anglo-Australian and Vietnamese-in Vietnam. Results revealed that the help seeking behaviours and health related cognitions of Vietnamese-Australians, while significantly different from those of Anglo-Australians, were similar to those of Vietnamese in Vietnam. Specifically, both Vietnamese groups were less likely than Anglo-Australians to somatise and
psychologise or attribute the cause of symptoms to environmental, psychological or biological causes. However, the two Vietnamese groups were not different from each other in their style of illness expression or in their symptom causal attributions. The Vietnamese-Australians reported experiencing more mental health symptoms than the Vietnamese in Vietnam but fewer than the Anglo-Australians. In relation to help seeking, the Anglo-Australians chose self-help more than the Vietnamese, but there were few other differences between the cultural groups.
To investigate the influence of acculturation on health-related beliefs and help seeking behaviour, Vietnamese-Australians were compared according to their modes of acculturation (integration, assimilation, separation, and marginalisation). Generally, results showed a distinct pattern of response. Those with high levels of acculturation towards the Australian culture (the integration and the assimilation) were found to be most similar (in that they scored the highest in most areas measured) to the Anglo-Australians, while few differences were found between the separated and the
marginalised groups. Further, cultural orientation was a powerful predictor of help
seeking. In that, original cultural orientation predicted selection of help seeking from
Western and Eastern medicine, whereas, the host cultural orientation was a more robust predictor of the other variables. However, neither cultural orientation predicted preference for mental health help. Finally, the study found that, although the combination of symptom score, modes of illness expression, and symptom causal
attribution were strong predictors of choice of help seeking of Vietnamese-Australians,
acculturation scores further improved predictive power. The results were discussed in terms of the various limitations and constraints on interpretation of this complex data set.
14
Hanna, Isis. "Delivering culturally appropriate healthcare to Mexican immigrant women." Scholarly Commons, 2007. https://scholarlycommons.pacific.edu/uop_etds/678.
Abstract:
This study examined the experiences of United States America nurses caring for Mexican immigrant women; it focused on the language and cultural barriers that appear to be critical factors in delivering culturally appropriate healthcare. The questions that guided the research were: What adjustment issues .related to providing culturally appropriate healthcare to female Mexican patients do nurses have to face? What specific knowledge, skills can nurses learn to handle issues of cultural differences in patient care?
Ten U.S. American nurses caring for Mexican immigrant women were interviewed; from these interviews, critical incidents were developed specific to caring for female Mexican women issues. Subsequently four bi-lingual bi-cultural Mexican women reviewed the incidents; their comments and incidents were incorporated into a cultural sensitizer to be used in future trainings of U.S. American nurses caring for Mexican immigrant women.
My research shows that in attempting to make sense of ambiguous situations, U.S. American nurses tend to attribute the cause of Mexican immigrant women behavior through their own cultural filter. For this research, I identified salient intercultural concepts and skills that should be taught to U.S. American nurses caring for Mexican immigrant women. These intercultural skills, knowledge, and concepts are incorporated into the cultural sensitizer I designed and can be found in Chapter VI.
15
Murphy, Richard. "Health professionals and ethnic Pakistanis in Britain : risk, thalassaemia and audit culture." Thesis, University of St Andrews, 2005. http://hdl.handle.net/10023/2802.
Abstract:
The central theme or 'red-thread' that I consider in this thesis is the concept of risk as it is perceived by and affects the two sides of the medical encounter -in this instance ethnic Pakistanis and Health Professionals- in Britain. Each side very often perceives risk quite distinctively, relating to the balance between the spiritual and temporal realms. This is particularly germane in matters to do with possible congenital defects within the prenatal realm for the ethnic Pakistani, and predominantly Muslim, side of this encounter. Thus one of the factors considered in this thesis is how senses of Islam impact upon the two sides. By ethnic Pakistanis Islam is seen as central to all life decisions, whilst Health Professionals view Islam with some considerable trepidation, little understanding it or its centrality to the former's decision-making processes. This is particularly significant with regard to attitudes to health and health care. In the initial stages of the project I had thought first cousin marriage (FCM), seen by ethnic Pakistanis as desirable and by Health Professionals as putting ethnic Pakistanis at-risk to be central to the argument, but concluded that concerns around FCM were a 'red herring', merely a trope for the tensions between the two sides -at once both British and at-risk from audit culture. Although no longer central, FCM remains a viable touchstone in consideration of the two sides' perceptions of genetic risk. In this thesis the medical encounter between ethnic Pakistanis and Health Professionals is performed within the realm of the so called New Genetics. Here the respective understandings of the New Genetics are informed by the enculturation processes that shape the two sides' world view. Furthermore, I will agree with Lord Robert Winston's and others' concern that any attempt to eradicate an adaptive genetic mutation, in this instance, thalassaemia, from the gene pool is not only undesirable in the short term, but also that such eradications may have an adverse, and far reaching, effect on whole population groups in the future. The main thrust of my argument is that audit culture not only compounds risk for both sides, but also perpetuates institutional racism within the National Health Service (NHS), by promulgating what I have called the language myth. That is to say that much institutional racism is the unwanted by-product of the NHS's attempts to become more patient centred and its continuing efforts to develop systems of best practice. This professionalisation process within the NHS can be seen to impact most strongly in relation to communication -particularly the claimed language barrier between the two sides. This 'barrier' has worrying policy implications for any meaningful communication between the two sides, notably relating to obtaining informed consent from ethnic Pakistani patients -with a resultant increase in risk for the two sides and clear economic consequences for the NHS.
16
Olofsson, Malin. "Etnicitetens betydelse för vårdandet : - En kvalitativ studie ur ett sjuksköterskeperspektiv." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-42958.
Abstract:
Background: Sweden has developed to a country with great ethnic variation. Previous research shows that knowledge about the patient’s ethnicity is important for the quality and it’s the nurse’s responsibility to ensure that the patient gets god care regarded what ethnicity the patients belong to. Research shows that patients with different ethnicity then the majority has a larger ability to develop illness. Purpose: To describe nurse’s experiences of caring for patients with different ethnicity. Method: A systematic literature review with descriptive syntheses. Results: The result showed that communication barriers, ethnic collision and lack of recourses is the greatest challenge for nurses to provide transcultural care. But at the same time nurse’s experienced that they evolved in a professional level when they experienced that their awareness of the importance of ethnicity as a key too holistic acre. That knowledge got better when they cared for patients with another ethnicity. Conclusion: Nurse’s experienced that it’s challenging to provide god care to patients with different ethnicity. Knowledge of transcultural care is an important key to holistic care. The nurse’s experienced that more knowledge about transcultural care and more recuses in form of time, education and access to professional interpreter as important elements to reach the goal to provide good and individualized care.
17
Nilsson, Agnes, and Risa Larsen. "INTERPERSONAL COMMUNICATION AS EXPERIENCED BY NURSES WORKING IN CULTURALLY DIVERSE INDIAN HOSPITALS." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26973.
Abstract:
Syfte: Syftet med studien var att skapa djupare förståelse kring sjuksköterskors upplevelse av mellanmänsklig kommunikation med patienter med annan kulturell bakgrund. Bakgrund: Kommunikation spelar en viktig roll i kulturen och är en stor del av relationen mellan individer. Kommmunikation är en grundbult i sjuksköterskans arbete och är av högsta vikt för att kunna erbjuda en patientcentrerad och säker vård. Transkulturell medvetenhet är essentiellt för god vård, speciellt som världen blir alltmer mångkulturell. Såväl sjukvårdsturism som utökade globala samarbeten inom Hälso- och sjukvården ökar kraven på kulturell kompetens bland sjuksköterskor. Indien är ett föregångarland inom sjukvårdsturism och människor från olika kulturell bakgrund reser dit för sjukvård. Metod: Semistrukturerade intervjuer genomfördes med 12 sjuksköterskor mellan 23 och 53 år från två indiska sjukhus. Sjuksköterskorna möter ofta patienter med olika kulturell bakgrund. En tematisk innehållsanalys utfördes på det insamlade materialet. Resultat: Två tematiska inriktningar framkom från materialet; ett tema med fokus på praktiska verktyg och tekniker för att arbeta med patienter med annan kulturell bakgrund och det andra temat handlar om att bibehålla vårdkvaliteten. Utökade språkkunskaper och kommunikationsverktyg skulle underlätta sjuksköterskans arbete. Kulturell medvetenhet leder till ett ökat självförtroende hos sjuksköterskan och hjälper denna förutse eventuella behov hos patienten. Slutsats: Transkulturell medvetenhet och kommunikationsverktyg bidrar till en säkrare och mer effektiv vård. Sjuksköterskeutbildningen behöver lägga mer fokus på kulturell mångfald inom hälso- och sjukvård. Mer forskning krävs inom detta område då vården globaliseras allt mer.Aim: The aim of the study was to gain a deeper understanding of interpersonal communication as experienced by nurses working in culturally diverse hospitals in India. Background: Communication is an important part of culture and a base in any interpersonal relationship. Communication is a foundation in the nursing occupation in order to give patient centered care which is safe and effective. Transcultural awareness in nursing is an important factor in order to give good care, especially as the world is becoming more multicultural. Medical tourism along with the expanding network of global interactions in healthcare ads to the necessity of developing culturally competent nursing care. India in one of the forerunners in medical tourism and cares for patients from many different cultural backgrounds. Method: Semi-structured interviews were conducted on a sample of 12 nurses between the age of 23 and 53, working with diverse patients at two different hospitals in India. A thematic content analysis was performed. Results: The developed themes focus on specific tools and techniques for working with culturally diverse patients and how to sustain the quality of care in diverse hospital settings. Language resources and tool which aid in communication would alleviate the nurses work. Cultural knowledge helps the nurses gain confidence and foresee possible needs of the patient. Conclusion: Highlighting transcultural interpersonal communication techniques within nursing leads to a safer and more productive practice of nursing care. Nursing education needs to prioritize cultural diversity in health care. More research needs to be conducted on the subject of interpersonal communication in culturally diverse hospital settings since healthcare is a continuously growing globalized organization.
18
Ayas, Fatma Mitare, and Najia Mangal. "Kulturmöten i vården : Sjuksköterskors upplevelser av att vårda patienter med annan kulturell bakgrund." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-18721.
Abstract:
Ungefär 14 procent av den svenska befolkningen utgörs av invandrare. Studier visar att många invandrare är utsatta i samhället då de kommer till ett nytt land. Denna utsatthet kan vara språksvårigheter, arbetslöshet, rasism och diskrimination. I samband med att invandringen ökar i Sverige ökar även sannolikheten att man som sjuksköterska kommer i kontakt med patienter med annan kulturell bakgrund. På så sätt kan det uppstå det kulturkrockar i mötet med invandrarpatienter. Sjuksköterskans roll är därmed väldig viktig i mötet med invandrarpatienter. För att mötet ska bli bra bör sjuksköterskan erhålla goda kunskaper om andra kulturer. Syftet med denna litteraturstudie är att beskriva sjuksköterskors upplevelser av att vårda patienter med annan kulturell bakgrund. I vår metod har vi använt oss av 15 kvalitativa studier där sjuksköterskors upplevelser har belysts genom intervjuer. Studierna har vi funnit genom diverse databaser. Sedan har vi analyserat studierna steg för steg utifrån Fribergs (2006) analysbeskrivning. I resultatet ledde de analyserade artiklarna fram till sex kategorier: (1) Språket är ett hinder, (2) Tolken kan vara både en tillgång och ett hinder, (3) Anhöriga på både gott och ont, (4) Olika kulturella föreställningar skapar utmaningar, (5) Kunskapen om andra kulturer är bristfällig, (6) Fördomar har betydelse. I diskussionen beskrivs olika strategier som sjuksköterskor kan tillämpa för att komma över språkliga hinder. Det framkommer även att kunskapen hos sjuksköterskor är något som bör förbättras, detta genom att införa transkulturell omvårdnad i sjuksköterskeutbildningens kursplan. Sjuksköterskor bör även ha förståelse för invandrarpatienters behov och önskan om att ha sina anhöriga närvarande under en sjukhusvistelse.Program: Sjuksköterskeutbildning
Uppsatsnivå: C
19
Acharya, Manju Prava, and University of Lethbridge Faculty of Arts and Science. "Constructing cultural diversity: a study of framing clients and culture in a community health centre." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Arts and Science, 1996, 1996. http://hdl.handle.net/10133/29.
Abstract:
Introduction
The clinical community in Western society has long practised medicine as organized by "two dominant principles: 1) the principle of essentialism which states that there is a fixed "natural" border between disease and health, and 2) the principle of specific treatment which states that having revealed a disease, the doctor can, at least in principle, find the one, correct treatment. These principles have served as the
legitimization of the traditional, hierarchical organization of health-care" (Jensen, 1987:19). A main feature of medical practices based on these principles has been to address specific kinds of problems impeding or decaying health. This research is centrally concerned with essentialism and the institutional fixation of problems as two important nodal points of Canada's biomedical value and belief system. More specifically, I hope to show in an organized way how these principles shape staff knowledge of client and culture in a community health centre (CHC) in Lethbridge, Alberta. My analysis is based on four guiding points: 1) that in our polyethnic society health care institutions are massively challenged with actual and perceived
cultural diversity and cross cultural barriers to which their staff feel increasingly obliged to respond with their services; 2) while the client cultural diversity is "real", institutional responses depend primarily on how that diversity is imagined by staff -often as a threat to a health institution's sociocultural world; 3) that problem-specific, medicalized thinking is central in this community health centre, even though its mandate is health promotion and this problem orientation often combines with medical essentialism to reduce
"culturally different" to a set of client labels, some of which are problematic; and 4) while a "lifestyle model" and other models for health promotion are at present widely advocated and are to be found centrally in this institution's (CHC) charter, they have led to little institutional accomodation to cultural diversity.
In this thesis my aim is to present an ethnographic portrait of a community health centre, where emphasis is given to the distinctive formal and informal "formative processess" (Good 1994) of social construction of certain perceived common core challenges facing the Canadian biomedical community today - challenges concerning cultural difference and its incorporation into health care perception and practice. I am particularly interested in institutions subscribing to a "health promotion model" of health care, a term I have borrowed from Ewles and Simnett (1992). Ewles and Simnett descrive the meaning of "health promotion" as earlier defined by WHO (World Health Organization): this perspective is derived from a conception of "health" as the extent to which an individual or group is able, on the on hand, to realise aspirations and satisfy needs; and, on the other hand, to change or cope with the environment. Health is, therefore seen as a resource for everyday life, not the objective of living; it is a positive concept emphasising social and personal resources, as well as physical capacities (Ewles & Simnett, 1992:20) Health is therefore concerned with "a state of complete physical, mental and social wellbeing, and not merely the absence of disease and infirmity" (Ewles and Simnett, 1992:6), I am interested in determing how threats to this defintion prevail in a community health centre's ideology of preventive care, and how that ideology encodes dimensions of diversity. I, however, want to go much further than this by exploring everyday staff discourse and practice, to understand how client cultural diversity is formed and informed by what staff do and say. How, in short,
do individuals based in a health promotion organization socially construct their clients as objects of institutional concern? We need, as Young (1982) suggest, "to examine the social condition of knowledge production" in an institutionalized health care service provision subculture. There are, I believe, also practical reasons for conducting this research. Over the past ten years the Canadian health care system increasingly has had to focus on two potentially contradictory goals: reducing costs, and lessening persistent inequalities in health status among key groups and categories of persons in the Canadian population. Many now argue that one of the most central dimensions of the latter - of perisistent health inequalities in Canada - is ethnocultural. Few would seriously argue, for example, that Canadian First Nation health statistics are anything but appalling. Moreover, radical changes in immigration patterns over the past three decades have greatly increased urban Canadian cultural diversity. Caring "at home" now assumes international dimensions (McAdoo, 1993; Butrin, 1992; Buchignani, 1991; Indra, 1991, 1987; Galanti, 1991; Dobson, 1991; Waxler-Morrison, 1990; Quereshi, 1989). A growing voiced desire to provide more pluralistic health care and health care promotion has become persistently heard throughout the clinical community in Canada (Krepps and Kunimoto, 1994; Masi, 1993). Even so, for many health professionals cultural difference evidently remians either irrelevant or a threat to the established order of things. Applied research on health care institutions undertaken to investigate how better to meet these challenges nevrtheless remains very incomplete and highly concentrated in two broad areas. One of these is structural factors within the institution that limit cross-cultural access (Herzfeld, 1992; Hanson, 1980). Some of these studies have shown the prevalence of a strictly conservative institutional culture that frequently makes frontline agency workers gate-keeprs, who actively (if unconsciously) maintain client-institution stratification (Ervin, 1993; Demain, 1989; Ng, 1987; Murphy, 1987; Foster-Carter, 1987; de Voe 1981). In addition, extensive research has been conducted on disempowered minority groups. This research has examined the frequency, effectiveness and manner with which ethnic and Native groups make use of medical services. Some institutional research on cross-cultral issues shows that under appropriate conditions health professional like nurses have responded effectively to client needs by establishing culturally sensitive hiring and training policies and by restructuring their health care organizations (Terman, 1993; Henderson, 1992; Davis, 1992; Henkle, 1990; Burner, 1990). Though promising, this research remains radically insufficient for learning purposes. In particular, little work has been done on how such institutions come to "think" (Douglas, 1986) about cultural difference, form mandates in response to pressure to better address culturally different populations and work them into the institution's extant sub-cultral ideas and practice (Habarad, 1987; Leininger, 1978), or on how helping instiutions categorize key populations such as "Indians" or "Vietnamese" as being culturally different, or assign to each a suite of institutionally meaningful cultural attributes (as what becomes the institution's working sense of what is, say, "Vietnamese culture"). This is so despite the existence of a long and fruitful ethnographic institutional research tradition, grounded initially in theories of status and role (Frankel, 1988; Taylor, 1970; Parson, 1951), symbolic ineractionism (Goffman, 1967, 1963, 1961), ethnomethodology (Garfinkle, 1975), and organizational subcultures (Douglas, 1992, 1986, 1982; Abegglen & Stalk, 1985; Ohnuki-Tierney, 1984; Teski, 1981; Blumers, 1969). More recent work on anthropological social exchange theory (Barth, 1981), on institutional and societal discipline (Herzfeld, 1992; Foucault, 1984, 1977), on the institution-client interface (Shield, 1988; Schwartzman, 1987, Ashworth, 1977, 1976, 1975), and on framing the client (Hazan, 1994; Denzin, 1992; Howard, 1991; Goffman, 1974). I also hope that this study makes a contribution to the study of health care and diversity in southern Alberta. Small city ethnic relations in Canada have been almost systematically ignored by researchers, and similar research has not been conducted in this part of Alberta. Local diversity is significant: three very large Indian reserves are nearby, and the city itself has a diverse ethnic, linguistic and ethno-religious population. Also, significant province wide restructuring of health care delivery was and is ongoing, offering both the pitfalls and potentials of quick institutional change. Perhaps some of the findings can contribute to making the future system more responsive to diversity than the present one.202 p. ; 29 cm.
20
Carlson, Susanne. "Distriktssköterskans hälsofrämjande och förebyggande arbete med nyanlända flyktingar : En intervjustudie." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-36971.
Abstract:
Mångkulturell hälso- och sjukvård har ökat i Sverige på senare år på grund av krig i Syrien, och oro i andra länder i bland annat Mellanöstern och Afghanistan. Det har medfört mänskliga tragedier och stora flyktingströmmar. Sverige har tagit emot en stor andel av flyktingströmmen. Detta ställer nya krav på distriktssköterskan som i ett tidigt skede möter flyktingarna. Syftet med studien var att beskriva distriktssköterskans erfarenheter av hälsofrämjande och förebyggande arbete med nyanlända flyktingar ur ett vårdcentralsperspektiv. Metod: En kvalitativ intervjustudie med sju distriktssköterskor från olika vårdcentraler inom en västsvensk region. Materialet analyserades med en kvalitativ innehållsanalys. Resultat: Det framkom åtta subteman och fyra teman i analysen. Huvudteman var: Egenvårdens betydelse för att främja hälsan, Förebyggande arbete ur ett vårdcentralsperspektiv, Att kommunicera via tredje part samt Samordning mellan parter. Slutsats: Distriktssköterskornas hälsofrämjande och förebyggande arbete var betydelsefullt för de nyanlända flyktingarna eftersom distriktssköterskan var en av de yrkesprofessioner som de träffade i ett tidigt skede. Egenvårdsråd utmärkte det hälsofrämjande arbetet med nyanlända flyktingar men kunde vara svårt då många nyanlända flyktingar var vana från sina hemländer att alltid möta en läkare. Det utmärkande för det förebyggande arbetet var framförallt arbetet med vaccinationsuppföljning, som innebar en stor och krävande arbetsinsats för distriktssköterskorna.Multicultural health and medical care has increased in Sweden during the last few years due to war in Syria and unrest in other countries among others in the Middle East and in Afghanistan. This has led to human tragedies and big streams of refugees. Sweden has received a large number of these refugees. This poses new demands on district nurses who at an early stage meet the refugees. The purpose of the study was to describe district nurses experience of health promoting and preventive care of newly arrived refugees from a perspective of the care centre. Method: A qualitative interview study with seven district nurses from different care centres within a region in West Sweden. The material was analysed with a qualitative analysis of content. Result: The analysis resulted in eight subthemes and four themes. Main themes were: The importance of self-care in order to promote health, Preventive work from a perspective of the care centre, To communicate through a third party and Co-ordination between parties. Conclusion: District nurses health promoting and preventive care was important for newly arrived refugees as the district nurse was one of the professionals they met at an early stage. Advice on self-care characterized the health promoting work with newly arrived refugees but could be difficult, as many refugees were used always to meet a doctor in their home countries. Characteristic for the preventive work was above all the follow-up of vaccinations, which required big and demanding efforts for district nurses.
21
Fleck, Kenneth. "Finding the shadows in the mirror of experience an ontological study of the global co-worker : a thesis submitted to Auckland University of Technology in fulfilment of the requirements for the degree of Master of Philosophy, 2008." Click here to access this resource online, 2008. http://hdl.handle.net/10292/468.
Abstract:
This study explores the phenomenon of a personal exploratory field visit to HIV programmes in Malawi and how that informs my future plans to work cross-culturally with HIV. I use hermeneutic phenomenology with the guidance of Heidegger and Gadamer, and draw on Ackermann, Hill, Maluleke, Moltmann, and Thielicke for theological direction. This study analyses how personal formation takes place and how the meaning of that experience can inform future cross-cultural interaction. The data of this study is drawn from a range of people interviewing ‘me’. This includes a pre and post interview in relation to my three week exploratory visit to Malawi, and recorded daily reflections during the visit. Upon return I was interviewed about my experience by ten people from the following areas: nursing, counselling, development, theology, business, medicine, clergy, an Expatriate Malawian, and a women working from a Maori paradigm. These interviews focused on my experience with questions framed from the interviewer’s specialty area. The transcripts become further data for my study. The findings of this thesis suggest that people wishing to work cross-culturally need to understand their motivation for their work, and understand who they are before entering a foreign land. This transformative journey also needs to continue as part of the process of working with people because we can only be effective with change if we are listening and hearing the other’s perspective. It is in being open to this difference between persons that we continue to find ourselves. While perhaps we have a tendency to want to make everybody like us, we can only grow into our full potential in relationship with truly different others. Tensions I experienced demonstrate that there is a complex need to understand how the context controls how HIV is perceived. This requires uncovering some of the deeper issues of HIV and culture, and knowing how to conceptualise these in both positive and informative ways. This thesis asks four key questions for the global-co-worker to work through before embarking on cross-cultural mission: 1. How do you know you should go?; 2. How are you going to make a difference?; 3. Who are you going to be?; and 4. What will sustain your involvement? My own experience has drawn me into a deeper awareness of the need for a vital connectedness of faith, hope and love underpinning the everydayness of such an experience.
22
Kim, Jeanie Jinwee. "Nutrition education for English learning in the prison context." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2374.
Abstract:
This project addresses the need for English as a second language nutrition instruction for patients in a forensic mental institution. It incorporates concepts of motivation, situated learning, prison education, English for specific purposes, and content-based instruction into a model which guides the design of a nutrition curriculum, consisting of five lesson plans about the Food Guide Pyramid.
23
Bereda, Julia Elisa. "Traditional healing as a health care delivery system in a transcultural society." Diss., 2002. http://hdl.handle.net/10500/740.
Abstract:
This study analyzed the role of traditional healing as a health care delivery system in the context of a transcultural society. The perspectives, experiences and personal accounts of 90 respondents were assessed with respect to the categories used by the World Health Organization in its goal of primary health care. Focusing in the research setting that was based in the Limpopo Province, in South Africa the researcher sought to determine whether health practitioners appreciated and understood traditional healing system; if health institutions could integrate traditional healing systems; and how collaboration of the two health systems can be realized. Furthermore, drawing on a blend of qualitative and quantitative research design, the research project was intended to establish the extent to which traditional medicine equipped health practitioners with knowledge of traditional healing techniques and whether practitioners would reconcile traditional and conventional medicine.
Drawing on a modified version of the structure of Leininger's Sunrise model, which states that cultural, physical and social structure dimensions are influenced by multiple factors. The research findings offer insights into the historical, social, economic, cultural, among other developments, that lead to integrationist approach in health care systems. Concluding remarks that health practitioners should pursue a policy of neutrality follow a discussion of the findings, emphasizing, the need to allow health consumers to seek traditional health care system, if they so desire. Recommendations include suggestions for further research to determine effective partnerships between traditional and conventional health care systems.Health Studies
M.A. (Health Studies)
24
Stohs, Sheryl Magee. "The praxis of cultural competence in medical education : using environmental factors to develop protocols for action." Thesis, 2005. http://hdl.handle.net/1957/29918.
Abstract:
Cultural competence is a topic that concerns social scientists and medical
anthropologists who pay attention to demographic changes and health disparities.
This study demonstrates practical approaches to developing cultural competence in
medical education by using factors from the social environment to develop protocols
for action. With current concerns in domestic and global health care, it is evident that
health care organizations struggle to deliver culturally appropriate services.
Additionally, educational institutions also struggle to evaluate culturally applied
medical practices and competencies. Unlike medical competence, cultural competence
is seldom evaluated, and as a result, a gap exists in health care delivery. The purpose
of this research is to examine the changes in self-assessment of physician assistant
(PA) medical students and graduates, as indications of changes in their medical
practice and attitudes. Key objectives explore how PA medical students self-assess
their own cultural competence; what factors impact their evaluation, and if change
indicates cultural competence.
The methodology consisted of a qualitative approach designed to conduct
focus group discussions, in-depth interviews, and field work, while results of existing
quantitative data was used to inform the study. Triangulation methods substantiated
the findings along with environmental and data analysis to provide rigor to this
investigation. Participants were students and graduates from a Physician Assistant
Studies Program in Oregon.
Major findings showed changes in participants' cultural competence self
assessment due to a change in self-awareness, exposure and experiences with diverse
underserved populations, in domestic and international encounters with the real world.
In conclusion, change in self assessment had actually occurred, but the change in the
quantitative results really portrayed a level of development on a cultural competency
continuum, but not cultural competence itself.
It followed from these findings that using components which influenced
change along with external and internal environmental factors, provided a basis for a
model to establish procedures for action. This strategic model, the praxis of cultural
competence, takes critical elements or protocols to move medical students from theory
to practice. From the results of this study we can see evidence of closing the gap
between the theory of cultural competence and culturally competent practices.Graduation date: 2005
25
Schumacher, Gretchen Claire. "Culture care meanings, beliefs and practices of rural Dominicans in a rural village of the Dominican Republic an ethnonursing study conceptualized within the culture care theory /." 2006. http://etd1.library.duq.edu/theses/available/etd-06212006-153141/.
26
Grant, Julian Maree. "Colliding realities an ethnographic account of the politics of identity and knowledge in intercultural communication in child and family health /." 2008. http://catalogue.flinders.edu.au/local/adt/public/adt-SFU20081111.095203/index.html.
27
Marra, Jeremy. "Assessment of certified athletic trainers' levels of cultural competence in the delivery of health care." 2008. http://www.oregonpdf.org/index.cfm.
28
Scott-Hoy, Karen M. "Eye of the other within artistic autoethnographic evocations of the experience of cross-cultural health work in Vanuatu." 2000. http://arrow.unisa.edu.au:8081/1959.8/25018.
Abstract:
This thesis endeavours to explore, describe and portray the author's attempt to work with the people of Vanuatu, a small island nation in the South Pacific, establishing a preventative eye care project. The goal of this study is to offer a contribution to the understanding of cross-cultural health work in Vanuatu.thesis (PhD)--University of South Australia, [2000]
29
Schmidt, Lynn Marie. "An evaluation of the impact of an intercultural service learning experience on the development of transcultural self-efficacy of nursing students." 2014. http://hdl.handle.net/1805/8014.
Abstract:
Indiana University-Purdue University Indianapolis (IUPUI)The increase in diverse populations with unique, culturally specific needs, along with the lack of diverse healthcare providers to deliver culturally competent care, has escalated the need for non-diverse practitioners to gain the knowledge, skills, and attitudes to deliver culturally competent care. Culturally competent care cannot be offered to patients unless nurses understand how cultural values, attitudes, and beliefs impact patients' response to care. Nurses must develop cultural competence to accurately access, develop, and implement effective nursing interventions. The purpose of this exploratory, quasi-experimental, pretest-posttest study was to explore the impact of an intercultural service learning experience (domestic or international) on pre-licensure nursing students' perceived development of transcultural self-efficacy. A convenience sample of senior semester nursing students enrolled in a private, faith-based, baccalaureate degree nursing program in the Midwest United States completed the Transcultural Self-Efficacy Tool (TSET), Cultural Competence Clinical Evaluation Tool-Student Version (CCCET-SV), and reflective journals. All students were immersed in an intercultural service learning experience. Eighteen students traveled domestically and 38 traveled internationally. The data revealed that there was not a statistical difference in TSET scores based on location of the intercultural experience. However, there was a statistically significant difference from pretest to posttest for perceived Cognitive, Practical, and Affective dimensions of transcultural self-efficacy, in change scores (pretest to posttest), and pretest to posttest for pre-licensure BSN students’ perceived clinical competence behaviors (culturally sensitive and professionally appropriate attitudes, values, and beliefs) following an intercultural service learning experience.
30
Mason, Kim. "The undeserving other : a study of service and healthcare providers' perspectives on "Latino-ness" in Williamsburg /." 2009. http://hdl.handle.net/10288/1263.
31
Lindgren, Teri G. "Impact of Afghan women's community participation : an ethnographic inquiry /." 2004. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3136067.
32
Kelly, Janet. "Moving forward together in Aboriginal women's health a participatory action research exploring knowledge sharing, working together and addressing issue collaboratively in urban primary health care settings /." 2008. http://catalogue.flinders.edu.au/local/adt/public/adt-SFU20090324.084222/index.html.
33
Oosthuizen, Martha Johanna. "Die realiteit van transkulturele verpleging : 'n etiese perspektief." 1996. http://hdl.handle.net/10500/15710.
Abstract:
Transcultural nursing refers to the provision of nursing care to patients whose values,
beliefs and life-style differ from those of the nurse. To enable nurses to honour their
ethical obligation to provide quality care, they must have the necessary knowledge to
nurse patients across cultural boundaries.
This study was conducted to determine the nurse's knowledge of and attitudes towards
the culturally different patient. A questionnaire was used to collect the data.
Although nurses see it as a challenge to nurse patients from different cultures, it was
found that they do not have the necessary knowledge to provide culture-sensitive care.
Other factors, such as the nurse's attitude towards culturally different patients,
communication problems, mistrust, prejudice and a lack of understanding of cultural
uses and traditions, contribute to the lack of culture-sensitive care. The nursing
profession should pay attention to these problems.Health Studies
Van Tonder, Sally
M.A. (Nursing)
34
Ogunsiji, Olayide. "Meaning of health : migration experience and health seeking behaviour of West African women in Australia." Thesis, 2009. http://handle.uws.edu.au:8081/1959.7/43154.
Abstract:
Health concepts strongly influence people’s health seeking behaviour. In an increasingly multicultural Australia, the cohort of patients presenting for health care services are from cultural backgrounds that may have different concepts of health from that of the health care providers. West African immigrant women are among the recent immigrants to Australia who may have a different notion of health from the dominant western philosophy that guide health care provision in Australia. Understanding the meaning of health for these women and its influence on their health seeking behaviour will assist nurse in effective healthcare delivery. This qualitative study explored the meaning of health and the impact of this meaning on West African women’s health seeking behaviour. Guided by constructivist assumptions, participants were recruited through the snowballing technique. Twenty-one West African women living in Australia and willing to participate in the study were engaged in face-to-face audio-taped interview. Through continuous interplay of data collection and data analysis, four emerging themes namely being healthy, being spiritual, being a migrant and encountering health care system were identified. Findings revealed that West African women’s meaning of health incorporated biomedical ideas, belief in mystical forces and the participants’ social positioning as women. The women waited for physical symptoms of illness before presenting at health care facilities. Most of them believe that mystical forces such as witches, wizards and evil eye can cause illness. Patriarchal subservient positioning encouraged by traditional African culture subjected these women to domestic violence experience and overwork. Furthermore, the study revealed that West African women’s meaning of health was the major determinant of these women’s health seeking behaviour. It determined the type of health care services used by these women. The findings from this study demonstrate that meaning of health, migration experience and the participants’ personal experiences with the health care system are fundamental to their health seeking behaviour. The women’s meaning of health is subjective, dynamic and it is influenced by a combination of world views. Despite a high level of educational achievement as well as occupation of most of the women, belief in higher mystical forces was a significant cultural framework supporting their explanations of health. As immigrants these women experienced isolation and they had positive and negative experiences as they encountered the health care system in their new country. Influenced by their cultural belief and their experiences of settling in a new country, these women underutilised health care services in Australia and delayed access. It is suggested that provision of health care services aimed at meeting these women’s health care needs should incorporate these women’s meaning of health to enhance their participation. Implication of the study for nursing practice and recommendation for further research were also suggested.
35
Ramos, Carlos E. Brown Shelton Hacker Carl S. Piller Linda Beth. "Crossing the border for dental care : factors related to dental health among the south Texas border region." 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1447163.
Abstract:
Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2008.Source: Masters Abstracts International, Volume: 46-03, page: 1499. Adviser: Shelton Brown. Includes bibliographical references.
36
Manganyi, Thokozile. "The knowledge of professional nurses about culture competent care at selected medical wards, oncology wards and outpatient departments in Mopani District, Limpopo Province." Diss., 2014. http://hdl.handle.net/10500/13367.
Abstract:
The purpose of the study was to determine professional nurses’ knowledge of culture- competent care at selected medical and oncology wards and outpatient departments in Mopani District, Limpopo Province. A quantitative descriptive design was used and data collected from one hundred and five professional nurses by means of a structured questionnaire. The study found that cultural knowledge needs to be nurtured through continuing education and mentoring and that culture-competent care should be included in the curriculum. Furthermore, cultural knowledge is not effective if there is no correlation of theory and practice and early clinical placement of student nurses during their basic trainingHealth Studies
M. A. (Health Studies)
37
Butchart, Robert Alexander. "On the anatomy of power : bodies of knowledge in South African socio-medical discourse." Thesis, 1995. http://hdl.handle.net/10500/16235.
Abstract:
Derived from a marxist/liberal humanist view of power, conventional
critiques and historical accounts of the socio-medical sciences in
South Africa see only their power to repress and negate the true
bodily attributes and authentic person of the African. In so doing,
they ignore the productive capacity of these knowledges and
practices as a manifestation of what Michel Foucault termed
"disciplinary" power, by which the human body is manufactured and
made manageable as an object of medical knowledge and industrial
utilisation. Accordingly, this thesis offers just such a Foucaultian
reading of western socio-medical knowledge in South Africa to
demonstrate how it has operated to fabricate the bodies of Africans
as visible objects possessed of distinct attributes that have
provoked particular strategies for their surveillance, management,
and government in health and disease.Psychology
D. Litt. et Phil. (Psychology)
38
Fenyves, Katalin. "South African traditional healers' organisations in the context of traditionalism and modernity." Thesis, 1994. http://hdl.handle.net/10539/23019.
Abstract:
A Research Report submitted to the Faculty of Arts, Department of Sociology, University
of the Witwatersrand, Johannesburg, in partial fulfillment for the degree of Master of Arts.
Johannesburg, 1994This research report seeks to explore the issues surrounding the organisation of traditiional healers and how their world views can be contextualised within tradtionalism and modernity. [Abbreviated Abstract. Open document to view full version]
MT2017
39
Khanyile, Thembisile Dorothy. "The nature of the problems experienced by non-Zulu student nurses during their encounter with Zulu patients." Diss., 1998. http://hdl.handle.net/10500/17075.
Abstract:
South African nurses have accepted the challenge that was brought about by the Health
Reform Policy of 1990 which opened health service centres to people of all racial and
cultural groups. However, recent studies on multicultural nursing have revealed that
problems have occurred when delivering care across cultural barriers. Most of these studies
have approached these problems from the patients point of view, where issues of
dehumanized care, labelling and discrimination have been reported.
Therefore, this study was an attempt to look into these problems from the nurses point of
view, by exploring the source of these problems, their effect on health care delivery and
possible solutions. The researcher focussed on three critical issues, namely, lack of cultural
knowledge, negative attitudes, as well as difficulty in communication.
Through focus group interviews (FGI) and responses to given scenarios, student nurses who
had experienced problems with culturally different patients were given a chance to reflect
on their experiences, report on these experiences and recommend possible solutions to the
experienced problems.
The results revealed that:
1. The major source of the problems was lack of experience due to inadequate exposure to
culturally diverse groups which in tum led to inappropriate decisions and actions at care
delivery level.
2.Difficult perceptions and negative attitudes lead to the formation of stereotypes which
block the delivery of culturally congruent care.
3 .Inability to communicate due to differences in spoken language lead to difficulty in
building the trust relationship and hence inadequate care delivery.Health Studies
M.A. (Nursing Science)
40
Peu, Mmapheko Doriccah. "The attitude of community health nurses towards integration of traditional healers in primary health care in North West Province." Diss., 2000. http://hdl.handle.net/10500/15763.
Abstract:
South Africa is called "the rainbow nation" because it has so many different cultures. These have an impact on the provision of primary health care. The purpose of this research is to foster good relationships between community health nurses and traditional healers and to explore, identify and describe the attitude of community
health nurses towards the integration of traditional healers into primary health care. A non-experimental, explorative and descriptive research strategy was designed to explore the working relationship between community health nurses and traditional healers. Data was collected using a structured questionnaire. Quantitative as well as qualitative data analysis techniques were adopted to interpret the findings. The results indicated that respondents demonstrated positive attitudes towards working with traditional healers, especially in the provision of primary health care. Positive opinions, ideas and views were provided about the integration of traditional
healers into primary health care. Respect, recognition and sensitivity were emphasized by respondents.Health Studies
M.A. (Nursing Science)
41
Kenney, Sarah G. "All Aflutter (OR) A Tale of Two Worlds: The Cultural Safety Component in New Zealand Nursing and Midwifery Education." 1997. http://hdl.handle.net/10125/21107.
42
deRose, Barbara Sue. "The lived experience of obtaining required childhood vaccinations from Latino immigrants’ perspective." Thesis, 2014. http://hdl.handle.net/1805/4605.
Abstract:
Indiana University-Purdue University Indianapolis (IUPUI)Vaccinations are an important step in preventing childhood illnesses and disease outbreaks in the community. Complete immunizations before school assure eligibility for enrollment and protect children against severe illness. The fact that foreign-born children of Latino immigrants face health disparities in receiving vaccinations is well documented. However, there is little information in the literature about the actual experience of immigrants facing the complexities of the health system, and through their eyes, which factors ultimately affect vaccination rates of immigrant Latino children. The purpose of this study is to give voice to Latino immigrant families who have recently immigrated to the United States, in terms of the issues they encountered when engaging the health care system for vaccinations.