Bibliografie tematiche / Transcultural medical care

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Letteratura scientifica selezionata sul tema "Transcultural medical care"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 1 agosto 2024

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Articoli di riviste sul tema "Transcultural medical care"

Bartlett, Carolyn. "Transcultural Health Care: A Culturally Competent Approach". AORN Journal 68, n. 3 (settembre 1998): 479–80. http://dx.doi.org/10.1016/s0001-2092(06)62424-1.

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Alsop-Shields, Linda. "Perioperative Care of Children in a Transcultural Context". AORN Journal 71, n. 5 (maggio 2000): 1004–20. http://dx.doi.org/10.1016/s0001-2092(06)61550-0.

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Ismail, Suhartini, Ma Theresa Salinda e Daryl Jake Fornolles. "Nurses’ Expression of Transcultural Care to Patients With Cancer: A Phenomenological Study of the Philippines Context". Jurnal Keperawatan Soedirman 18, n. 3 (5 novembre 2023): 164. http://dx.doi.org/10.20884/1.jks.2023.18.3.8222.

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Transcultural health care involves providing individualized and holistic health care to clients across cultures. Understanding and learning the differences in each culture will promote optimum care levels, especially for patients with cancer. This study describes nurses' expression of transcultural care to patients with cancer. This is a descriptive phenomenological study of nurses' expression in transcultural care to patients with cancer. A total of 11 participants were selected by using purposive sampling. Data was gathered from in-depth interviews among nurses who took care of patients with cancer via an online platform. Data analysis used Colaizzi's thematic analysis. The study’s trustworthiness was established by its credibility, dependability, confirmability, and transferability. Four major themes were generated in this study: (1) cultural congruent care, (2) cultural and communication competency, (3) integrity as a vital aspect of respect and consideration of other cultures, and (4) challenges nurses face when a caring for patients with cancer and their transcultural and patient-driven solutions. Caring is about giving patients hope, love, and services based on their cultural sensitivity. Connecting and interacting effectively with people from different cultural backgrounds is essential in today's globalized society.

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Berhanu, Robera Demissie, Abebe Abera Tesema, Mesfin Beharu Deme e Shuma Gosha Kanfe. "Perceived transcultural self-efficacy and its associated factors among nurses in Ethiopia: A cross-sectional study". PLOS ONE 16, n. 7 (22 luglio 2021): e0254643. http://dx.doi.org/10.1371/journal.pone.0254643.

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Background Transcultural self-efficacy is a nurse’s perception of his or her own ability to accomplish activities effectively for culturally diverse clients. This self-efficacy may be affected by different factors, either positively or negatively. Quality care can be improved significantly when nurses provide patient-centered care that considers cultural background of the patients. Thus, this study aimed to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. Methods Facility-based cross-sectional study with both quantitative and qualitative methods of data collection was conducted among 244 nurses and 10 key informants from 20 May to 20 June 2020. Bivariate and multivariable linear regression analyses were used to identify factors associated with transcultural self-efficacy. Qualitative data were coded and analyzed thematically. Quantitative results were integrated with qualitative results. Results A total of 236 nurses participated in the study making the response rate 96.7%. The mean transcultural self-efficacy score was 2.89 ± 0.59. Sex, work experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. Ten in-depth interviews were conducted and the findings of qualitative data yielded four major themes. Conclusion The level of perceived transcultural self-efficacy was moderate among nurses. Transcultural self-efficacy of nurses varies with several factors including sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. This calls for the need to offer transcultural nursing training for nurses.

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Alvarez Garcia, C., e A. Gomez Martín. "Equality in healthcare: transcultural psychiatry". European Psychiatry 65, S1 (giugno 2022): S634. http://dx.doi.org/10.1192/j.eurpsy.2022.1626.

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Introduction Migratory flows are increasing more and more, especially regarding the refugee crisis during the last years. There are around 86,7 million migrants in Europe. Migrants share similar experiences that may affect their physical and mental health, such as loss of a social network, lack of economical support or high levels of stress and discrimination. Objectives To analyze the obstacles that migrants must face to obtain a mental health assistance and the importance of an intercultural approach. Methods A narrative review of the existing literature on the subject. Results Although there exists evidence that shows that migrants tend to have more health needs, they usually seek less medical advice and receive a poor-quality attention, fulfilling the inverse-care law. This is due to several reasons. Many migrants are excluded of the health care system due to bureaucratic impediments. Also, the language has a determining role, since a higher quality of communication could lead to a better understanding of the symptoms, reducing the risk of erroneous evaluations. Besides, different background and culture between the patient and the doctor can result in lack of communication, mistrust, mistreatment, poor adherence, and worse prognosis. Conclusions Despite the exponential growth of migration in the last decade and the continue progression, migrants still face many barriers to receive healthcare. It is necessary to do more research on the mental health of migrants and ethnic minorities to ensure quality care to different cultures. Disclosure No significant relationships.

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Neilly, Chia-Hui, Anne Rader, Sara Zielinski, Hiba Wehbe-Alamah e Margaret Murray-Wright. "Using Transcultural Nursing Education to Increase Cultural Sensitivity and Cultural Assessment Documentation by Staff in an In-Home Chronic Disease Self-Management Program". Journal of Doctoral Nursing Practice 12, n. 1 (1 aprile 2019): 16–23. http://dx.doi.org/10.1891/2380-9418.12.1.16.

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BackgroundDespite literature indicating that culturally sensitive care promotes a positive patient environment and may help improve outcomes, limited data exist on the documentation of patients' cultural concerns in electronic medical records (EMR).ObjectiveThe project's objective was to use an educational intervention to increase clinic staff's cultural sensitivity and cultural assessment documentation.MethodsResearchers conducted this 3-month project at a Midwestern clinic's in-home, self-care chronic disease management program. The voluntary sample of clinical staff (n= 8) received an educational intervention on transcultural nursing practices. Researchers administered the Transcultural Self-Efficacy Tool for the Multidisciplinary Healthcare Provider (TSET-MHP) to participants before and after the intervention. A pre- and postintervention EMR audit was completed on 128 charts to evaluate cultural assessment documentation.ResultsTSET-MHP cognitive and practical subscales scores increased postintervention. Affective subscales scores decreased slightly. Electronic cultural assessment documentation increased by 10%. An assessment questionnaire showed an increase in participants' cultural self-awareness and comfort with cultural assessment.ConclusionsAn educational intervention demonstrated an increase in providers' cultural awareness and cultural assessment documentation.Implications for NursingTranscultural nursing education may help increase providers' perceived cultural self-efficacy, which may improve cultural assessments and culturally competent care.

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Cowan, David T. "The Impact of Culture on Anaesthetic Practice". British Journal of Anaesthetic and Recovery Nursing 5, n. 3 (agosto 2004): 47–51. http://dx.doi.org/10.1017/s1742645600001303.

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IN debating the issue of whether or not nursing care should be perceived within a framework of cultural competence, this paper briefly describes the background of this approach to nursing, and as an exemplar, discusses how culture can impact on the practice of anaesthetics and peri–anaesthetic care. This is illustrated through drawing on my own transcultural experiences while employed for nearly five years as a non–physician anaesthetist in Saudi Arabia and may therefore be of interest to those practitioners involved in the delivery of anaesthetics and peri–anaesthetic care.

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Amiri, Rana, Abbas Heidari, Nahid Dehghan-Nayeri, Abou Ali Vedadhir e Hosein Kareshki. "Challenges of Transcultural Caring Among Health Workers in Mashhad-Iran: A Qualitative Study". Global Journal of Health Science 8, n. 7 (18 dicembre 2015): 203. http://dx.doi.org/10.5539/gjhs.v8n7p203.

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BACKGROUND: One of the consequences of migration is cultural diversity in various communities. This has created challenges for healthcare systems.OBJECTIVES: The aim of this study is to explore the health care staffs’ experience of caring for Immigrants in Mashhad- Iran.SETTING: This study is done in Tollab area (wherein most immigrants live) of Mashhad. Clinics and hospitals that immigrants had more referral were selected.PARTICIPANTS: Data were collected through in-depth interviews with medical and nursing staffs. 15 participants (7 Doctors and 8 Nurses) who worked in the more referred immigrants’ clinics and hospitals were entered to the study. DESIGN: This is a qualitative study with content analysis approach. Sampling method was purposive. The accuracy and consistency of data were confirmed. Interviews were conducted until no new data were emerged. Data were analyzed by using latent qualitative content analysis.RESULTS: The data analysis consisted of four main categories; (1) communication barrier, (2) irregular follow- up, (3) lack of trust, (4) cultural- personal trait.CONCLUSION: Result revealed that health workers are confronting with some trans- cultural issues in caring of immigrants. Some of these issues are related to immigration status and some related to cultural difference between health workers and immigrants. These issues indicate that there is transcultural care challenges in care of immigrants among health workers. Due to the fact that Iran is the context of various cultures, it is necessary to consider the transcultural care in medical staffs. The study indicates that training and development in the area of cultural competence is necessary.

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Lukács, Ágnes, e Helga Judit Feith. "Betegjogok etnikai metszetben". Orvosi Hetilap 157, n. 18 (maggio 2016): 712–17. http://dx.doi.org/10.1556/650.2016.30424.

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Introduction: The perception of health and sickness are culturally determined and, therefore, ethnic and religious socialization forms attitudes toward the medical system. During everyday practice, patients’ rights and obligations, which are based on the norms of the major society, confront Roma minority norms. Aim: The aim of the authors was to explore the main interferences of patients’ rights and obligations during the medical care of the Roma. Method: The authors analyzed the results of medical anthropology, health sociology, and the experience obtained from more than 40 courses about patients’ rights. Results: Cultural determinants, effects of the lower socioeconomic status and social-psychological mechanism equally form the situations of healthcare and the observance of patients’ rights and obligations. Conclusions: Most of the misunderstandings between healthcare workers and Roma patients stem from the lack of knowledge about cultural differences. Therefore, transcultural approach and Romani studies should be significant part of graduate and postgraduate courses in the field of medical education. Orv. Hetil., 2016, 157(18), 712–717.

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Mancuso, G., F. Moggia e F. Rizzello. "HEART FAILURE AND PALLIATIVE CARE, ITALIAN VALIDATION OF THE "NEED ASSESSMENT TOOL: PROGRESSIVE DISEASE – HEART FAILURE" (NAT: PD–HF)". European Heart Journal Supplements 26, Supplement_2 (aprile 2024): ii89. http://dx.doi.org/10.1093/eurheartjsupp/suae036.216.

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Abstract Palliative Care in Heart Failure cardiology setting is still a demanding topic and lacking of clear indications regarding which patients should be referred to palliative care is an actual issue, as confirmed by a systematic review of international literature. Assessment tools facilitate the identification of patient needs and guide the actions of healthcare professionals to address them. Some existing tools described in literature were used with non–cardiological patients, but they cannot be applied to Heart Failure as they are incomplete and investigate non–specific aspects of the disease. Two recent systematic reviews indicate that the most comprehensive and specific tool for Heart Failure patients is the "NAT: PD–HF." The "NAT: PD–HF" has already been translated and validated from English to Dutch and German, but an Italian validation is still missing in literature. It is a quick and easy–to–use tool consisting of four sections that assess the patient’s well–being and quality of life, the caregiver‘s ability to provide assistance and support, both patient’s and caregiver’s needs and requests and any critical element that, if present, would justify a specialist palliative evaluation. Therefore, with prior authorization from the original authors, we proceeded with the translation and transcultural validation of the tool. The study protocol was approved by the Bioethics Committee of Bologna in April 2023. We are currently at the final phase of the protocol, namely testing the tool on the target population by the professionals involved in the care process. The purpose of transcultural validation is to provide the Italian scientific community with the "NAT: PD–HF" tool: throw its incorporation into the medical records of Heart Failure Patients receiving care in the territorial setting, we aim to increase the use of palliative cares and, consequently, the quality of life of patients and caregivers, as demonstrated in the original study.

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Tesi sul tema "Transcultural medical care"

Kawashima, Asako. "Study on cultural competency of Japanese nurses". Fairfax, VA : George Mason University, 2008. http://hdl.handle.net/1920/3072.

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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.

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von, Zerssen Detlev, Carlos A. León, Hans-Jürgen Möller, Hans-Ulrich Wittchen, Hildegard Pfister e 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.

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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.

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von, Zerssen Detlev, Carlos A. León, Hans-Jürgen Möller, Hans-Ulrich Wittchen, Hildegard Pfister e Norman Sartorius. "Care Strategies for Schizophrenic Patients in a Transcultural Comparison". Technische Universität Dresden, 1990. https://tud.qucosa.de/id/qucosa%3A26763.

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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.

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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.

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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.

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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/.

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Karlsson, Hanna, e 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.

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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.

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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.

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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.

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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.

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Cain, Ruby. "Assessing cultural proficiency of healthcare students". Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/757.

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Libri sul tema "Transcultural medical care"

Narayanasamy, Aru. Spiritual care and transcultural care research. London: Quay, 2006.

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Boyle, Joyceen S. Transcultural conceptsin nursing care. Glenview, Ill: Scott, Foresman, 1989.

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Medcom, inc. Cultural awareness in healthcare: Understanding the need. Cypress, CA: Medcom Trainex, 2008.

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Medcom, inc. Cultural awareness in healthcare: An action plan. Cypress, CA: Medcom Trainex, 2008.

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M, Andrews Margaret, a cura di. Transcultural concepts in nursing care. Glenview, Ill: Scott, Foresman, 1989.

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Video, Inc National Educational. Understanding differences between Eastern & Western nursing. Naples, FL: National Educational Video, Inc., 2006.

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D, Purnell Larry, e Paulanka Betty J, a cura di. Transcultural health care: A culturally competent approach. Philadelphia: F.A. Davis, 1998.

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Luckmann, Joan. Transcultural communication in health care. Albany, NY: Delmar, 2000.

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Montalvan, Antonio J. Anthropology of transculturalism: Understanding context & diversity in health care. Cagayan de Oro City, Philippines: Capitol University Press, 2006.

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Socialstyrelsen, Sweden. Mångkulturell sjukvård: En lärarhandledning för läkarutbildningen. Stockholm]: Socialstyrelsen, 1999.

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Capitoli di libri sul tema "Transcultural medical care"

Becker, Todd D., e John G. Cagle. "The Importance and Impact of Culture in Palliative Care". In The Oxford Textbook of Palliative Social Work, a cura di Terry Altilio, Shirley Otis-Green e John G. Cagle, 26–38. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197537855.003.0003.

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Culture constitutes the lens through which we see ourselves, others, and the world around us. The diversification of the American population has prompted increased attention to the role of culture in healthcare systems. Medical advances increasing life expectancy have led to Americans living longer with serious illness, thereby accentuating the need to foreground culture in palliative care. On a structural level, such efforts have been reflected in initiatives emphasizing the delivery of person-centered and culturally effective care. Social workers are uniquely positioned to lead these efforts and integrate cultural considerations into health social work. This chapter provides an analysis of the impact of culture in palliative social work. Transcultural social work andragogy, clinical presentations of culture, and tools for cultural assessment are presented. Patient narratives illustrate how these issues may manifest in real-world contexts. This chapter concludes with resources for expanding our understanding of culture in palliative care.

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Mas, Catherine. "Culture Brokers". In Culture in the Clinic, 103–39. University of North Carolina Press, 2022. http://dx.doi.org/10.5149/northcarolina/9781469670980.003.0004.

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This chapter examines an experiment in health care delivery known as the “Culture Broker Project” in 1970s Miami. The project involved mediation of care by so-called culture brokers, which promised to bring about a form of “transcultural” or “culturally appropriate” healthcare. Its history helps to illuminate the possibilities and limits of liberal multiculturalism as an intellectual project and an institutional policy. Medical social scientists launched the project amid certain political and economic conditions in Miami, which shaped a broader—albeit momentary—embrace of bilingualism and biculturalism. The chapter argues that notions of culturally appropriate care were rooted in an ascendant neoliberal economy that ascribed value to the maintenance of health and the efficient coordination of care. As the Culture Broker Project unfolded, formerly unregulated “clínicas” were transforming into newly designated “Health Maintenance Organizations.” Indeed, the language of brokering offered more than an anthropological metaphor; it signaled the ongoing marketization of medicine and the commodification of both “health” and “culture” in the late twentieth century.

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Deomampo, Daisy. "Public Health and Assisted Reproduction in India". In Transnational Reproduction. NYU Press, 2016. http://dx.doi.org/10.18574/nyu/9781479804214.003.0002.

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Chapter 1 describes the emergence of India as a global surrogacy destination within a broader discussion of public health, assisted reproduction, and medical tourism. By critically examining the political-economic contexts of transnational reproduction, the chapter considers the practice as a “racialized therapeutic landscape” that illuminates the sociopolitical dynamics within which gestational surrogacy has thrived. The chapter suggests that in order to grasp the contemporary politics of reproduction in India, readers must analyze the foundations of racialized politics of power in transcultural health care settings. The chapter complements this analysis with a description of the range of clinics and surrogacy practices one may encounter in India. While the chapter approaches commercial surrogacy in India through a transnational lens, it also investigates the context of surrogacy “on the ground” in order to demonstrate how the construction of therapeutic landscapes produces and perpetuates certain stereotypes about race.

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Incayawar, Mario. "Jaki, a Puzzling Inca Syndrome of Comorbid Pain and Mental Illness". In Overlapping Pain and Psychiatric Syndromes, a cura di Geetha Desai, Santosh K. Chaturvedi e Dinesh Bhugra, 389–98. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190248253.003.0028.

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The clinical encounter with a patient who is suffering from chronic pain and a psychiatric disorder is challenging. This can become a clinical conundrum if the patient has a different cultural background than the physician and says he or she has a mysterious culture-bound syndrome. This chapter discusses a Quichua-Inca illness experience called Jaki, a frequent condition that is well-known by millions of Quichua patients in the Andes, South America. Biomedically trained doctors usually dismiss it as a condition without any medical importance experienced by superstitious and primitive people. In contrast, Jaki patients believe it is a complex and threatening illness that could lead to death. They recognize four types of Jaki and believe the causes are related to “evil spirits” and that proper treatment should address them. The author conducted a transcultural psychiatry study showing that most Jaki patients are suffering from depression, anxiety, somatoform disorders, psychological factors affecting a physical condition, and adjustment disorders. Jaki patients are suffering indeed from comorbid chronic pain and psychiatric disorders. The chapter concludes with clinical recommendations for the practitioner who is willing to avoid racial bias, improve cultural competency, and offer culturally sensitive and better quality medical care.

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