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Gaviola MA, Omura M, Inder KJ, Johnson A. Caring for people with dementia from culturally and linguistically diverse backgrounds in nursing homes: A scoping review. Int J Nurs Stud 2024; 151:104674. [PMID: 38215689 DOI: 10.1016/j.ijnurstu.2023.104674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 12/05/2023] [Accepted: 12/09/2023] [Indexed: 01/14/2024]
Abstract
BACKGROUND With continued increase in global migration, older people population in most countries is culturally diverse. Despite lesser preference for nursing home placement, people with dementia from culturally diverse backgrounds with higher needs and acuity do access nursing homes, however, little is known about care provision. OBJECTIVE The aims of this review were to map and synthesise available literature on care provision amongst people with dementia from culturally and linguistically diverse backgrounds in nursing homes and identify literature gaps that could inform future research. DESIGN A scoping review was conducted guided by the six-step scoping review methodology of Levac and colleagues. METHODS A literature search was conducted from August to September 2022 and updated in June 2023 using six databases: Medline, CINAHL, Embase, Cochrane Library, PsycINFO, and Scopus. Screening of articles, data extraction, and quality appraisal was performed independently by two authors. Articles included were primary empirical studies that explored care provision to people with dementia from culturally and linguistically diverse backgrounds living in nursing homes. Critical appraisal was conducted using the Joanna Briggs Institute Critical Appraisal Tool. Data were analysed using thematic analysis. Results were presented in a table and narrative format. RESULTS Of the 1149 articles identified, 25 were included. A majority of the articles were qualitative (n = 17) and conducted in Western countries such as those in Europe (n = 11), as well as Australia (n = 5) and the United States (n = 4). Data analysis led to the development of three themes: (1) maintaining a sense of home; (2) fostering communication and interaction; (3) barriers and facilitators to providing care. Most articles did not specify the model underpinning the approaches to care provision. CONCLUSIONS Care provision for people with dementia from culturally and linguistically diverse backgrounds living in nursing homes entails an environment which enables them to live up to the standards of what "home" means to them, communicate their needs, and engage in meaningful interactions. Predominant barriers to care provision relate to language and the facility's resources and capacity to deliver culture-specific care. Methodological quality of the studies that explored care provision for people with dementia from culturally and linguistically diverse backgrounds in the nursing home context is mostly limited. To strengthen the evidence base, there is a need for more rigorous research that informs care provision approaches and development of an inclusive model of culturally appropriate care to people with dementia from culturally diverse backgrounds in the nursing home context. TWEETABLE ABSTRACT A scoping review synthesised evidence on care provision amongst people with dementia from CALD backgrounds in nursing homes.
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Affiliation(s)
- Minah Amor Gaviola
- School of Nursing and Midwifery, The University of Newcastle, NSW, Australia.
| | - Mieko Omura
- School of Nursing and Midwifery, The University of Newcastle, NSW, Australia.
| | - Kerry Jill Inder
- School of Nursing and Midwifery, The University of Newcastle, NSW, Australia.
| | - Amanda Johnson
- School of Nursing and Midwifery, The University of Newcastle, NSW, Australia.
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Goodyear AC, Arola A, Rosendahl S. 'I wish I had asked for support earlier' - Immigrant family caregivers' experiences of living with a person with dementia. Scand J Caring Sci 2023; 37:710-719. [PMID: 36808759 DOI: 10.1111/scs.13155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 11/08/2022] [Accepted: 01/24/2023] [Indexed: 02/22/2023]
Abstract
INTRODUCTION Immigrant family caregivers are increasing worldwide, likewise the number of older people with dementia. Caring for a person with dementia is demanding, with the carer's own life put on hold. Immigrant family caregivers have been less studied. Therefore, the aim of this study was to explore immigrant family caregivers' experiences of living with an older person with dementia. METHOD A qualitative approach was chosen, consisting of open-ended interviews analysed using qualitative content analysis. The ethical principles of the Helsinki Declaration were applied in the study, which was duly approved by a regional ethics review board. RESULTS The content analysis resulted in three main categories: (i) the diverse roles of a family caregiver; (ii) the impact of language and culture on daily life and (iii) wish for support from society. CONCLUSIONS Living with a person with dementia is demanding and burdensome and the consequences of working without any rest may increase social isolation and impair quality of life. Immigrants and country-born family caregivers living with a person with dementia seem to have similar care experiences, but immigrant family caregivers seem to receive help rather late due to a lack of information about the services available, language barriers and to financial reasons. A wish for support earlier on in the caring process was expressed, likewise for care services in the participants' native language. The various Finnish associations and peer support were important sources of information about support services. Together with culturally adjusted care services, these could contribute to better access to care, to quality and to equal care.
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Affiliation(s)
| | - Annikki Arola
- School of Engineering, Culture and Wellbeing, Arcada University of Applied Sciences, Helsinki, Finland
| | - Sirpa Rosendahl
- School of Health Sciences, University of Skövde, Högskolevägen, Skövde, Sweden
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Knutsson S, Axelsson J, Lindqvist G. An application of the caritative caring approach – nursing students’ experiences of practising caring and uncaring encounters by simulation at a clinical training centre. Int J Qual Stud Health Well-being 2022; 17:2100610. [PMID: 35822434 PMCID: PMC9291673 DOI: 10.1080/17482631.2022.2100610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Purpose Nurses’ lack of competence to be caring affects patients’ health and patients describe a desire for more individual and compassionate care. Nursing education tends, however, to focus less on the caring approach in nursing practice and more on developing knowledge in psychomotor skills. The aim of this study was to describe nursing students’ experiences of simulating caring and uncaring encounters founded on the caritative perspective at a Clinical Training Centre (CTC). Method A qualitative, inductive approach using a qualitative latent content analysis. Written reflections of 49 students were analysed. Findings By intertwining reflection with acting and observation, the students experienced that they achieved an open mind and gained an understanding of how important it was to treat the patient based on a caring approach. To act, first uncaring and thereafter caring, gave them an awakening. The students were touched and an overwhelming feeling of suddenly understanding human uniqueness and vulnerability appeared. Conclusions To simulate caritative caring and uncaring encounters at the CTC enhanced students’ knowledge and understanding about caring and strengthened their prerequisites to acquire a caritative ontological basic view and attitude which in the long run may lead to an increased feeling of patient well-being in the encounter.
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Affiliation(s)
- Susanne Knutsson
- Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden
| | - Johanna Axelsson
- Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden
| | - Gunilla Lindqvist
- Faculty of Health and Life Sciences, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden
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McGrath M, Bagul D, Du Toit SHJ. Barriers and facilitators of meaningful engagement among older migrants living with dementia in residential aged care facilities: A mixed studies systematic review. Scand J Occup Ther 2022; 29:530-541. [PMID: 33761300 DOI: 10.1080/11038128.2021.1898675] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 02/24/2021] [Accepted: 02/28/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Migrants with dementia living in residential care may be at risk of disengagement. OBJECTIVE To synthesize research relating to the meaningful engagement of migrants with dementia who are living in residential care. METHOD Mixed studies systematic review following PRISMA guidelines. Nine electronic databases were searched for relevant studies. Studies were eligible for inclusion if they reported original research relating to meaningful engagement of migrants with dementia living in residential aged care and were published in English. Two independent reviewers screened the title and abstracts, full texts of eligible studies and conducted a quality appraisal of included texts. A convergent qualitative synthesis approach was used. RESULTS From 1460 articles, 14 papers representing 12 studies were included. Facilitators of meaningful engagement included: the presence of cultural artefacts in the care environment, the use of multimodal communication and a shared but flexible understanding of residents' culture. Barriers were the absence of a common language and a task-orientated approach to care. CONCLUSIONS Migrants with dementia who are living in residential care are at increased risk of disengagement. Our review highlights the need for culturally congruent residential care to go beyond issues of language and to consider how occupations can be tailored to support ongoing participation and engagement.
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Affiliation(s)
- Margaret McGrath
- Sydney School of Health Sciences, University of Sydney, Camperdown, Australia
| | - Deepali Bagul
- Sydney School of Health Sciences, University of Sydney, Camperdown, Australia
| | - Sanetta H J Du Toit
- Sydney School of Health Sciences, University of Sydney, Camperdown, Australia
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Monsees J, Schmachtenberg T, René Thyrian J. Intercultural care for people of migrant origin with dementia - A literature analysis. DEMENTIA 2022; 21:1753-1770. [PMID: 35506672 DOI: 10.1177/14713012221086702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Close to 12 million people of migrant origin who are 65 years or older live in different European countries. In the European Union (EU) and the European Free Trade Association (EFTA) countries, approximately half a million are estimated to have dementia. This rate is expected to increase in the coming decades. People of migrant origin who develop dementia and their families face challenges people without migration backgrounds do, but due to cultural differences, additional challenges may arise. There is an increasing need for interculturally sensitive care. There is research on certain aspects of intercultural care and this study will be a comprehensive summary of current topics in intercultural care. RESEARCH QUESTION What factors of intercultural care for people of migrant origin with dementia can be identified? What requirements and aspects are necessary to ensure intercultural care? METHOD A systematic literature analysis in the databases PubMed, PsycInfo and Psychology and Behavioural Sciences Collection was conducted. FINDINGS Thirty-nine articles were eligible for analysis. Enhancement in the areas diagnostics, education and information, healthcare services and healthcare professionals to ensure intercultural care is needed. DISCUSSION Current evidence supports the need for (a) thorough education of people of migrant origin with dementia, their families and healthcare professionals, (b) collaborations among everyone involved, (c) embracing different cultures in healthcare services, (d) the implementation of a care navigator functioning as a contact person and connecting all relevant parties with one another and (e) dementia testing suitable to the target group to ensure culturally sensitive and appropriate care for people of migrant origin with dementia and their families.
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Affiliation(s)
- Jessica Monsees
- Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) Rostock/Greifswald, Greifswald, Germany
| | - Tim Schmachtenberg
- Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) Rostock/Greifswald, Greifswald, Germany
| | - Jochen René Thyrian
- Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) Rostock/Greifswald, Greifswald, Germany; and Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
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Bosma C, Smits C. Behavioral changes in migrants with dementia : Experiences of professional caregivers. Z Gerontol Geriatr 2022; 55:281-286. [PMID: 35394191 DOI: 10.1007/s00391-022-02057-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 02/18/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Professional caregivers take care of an increasing number of migrants with dementia who may show behavioral changes. OBJECTIVE Insight into the experiences of professional caregivers concerning the care for people with a migration background who suffer from dementia and behavioral changes. MATERIAL AND METHODS Semi-structured interviews with 20 professional caregivers providing community and residential care. RESULTS The caregivers' experiences focus on behavioral changes itself and on their efforts to offer person-centered care. Caregivers are aware of the mismatch between the cultural background of the client and their relatives and the professional care context. The different care perspectives of relatives and professionals sometimes result in conflict and poor collaboration. Over time, the reflections on experiences result in an awareness that more expertise and support is needed. CONCLUSION Professional caregivers deserve support in their aim to provide high quality care for migrants with dementia and behavioral changes.
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Affiliation(s)
- Corina Bosma
- Carintreggeland, Hengelo, The Netherlands, Postbus 506, 7550 AM.
| | - Carolien Smits
- Programme Older adults and Health, Pharos, Dutch Centre of Expertise on Health Disparities, Utrecht, The Netherlands
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Susanti M, Febrianti L, Emrita R, Hilmawati H, Wahyudi W, Syafrida S. The Effect of Caring Training on the Implementation of Caring Behavior and Work Culture of Nurses in Providing Services to COVID-19 Patients in an Indonesia’s National Referral Hospital. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.8761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Nursing services are one of the criteria for hospital health care. Nurses are the health care workers who have the most contact with patients. Nurses had relatively limited interaction with patients during the epidemic. As a result, it is necessary to increase caring behavior in service delivery.
AIM: This study aims to determine the effect of caring training on the implementation of caring behavior and work culture of nurses in providing services to COVID-19 patients in an Indonesia’s National Referral Hospital.
METHODS: This study used a quasi-experimental design, with one-group pretest-posttest approach. The study was carried out in Indonesia’s National Referral Hospital. The research was conducted between August and December 2021. The caring training lasted around 4 h. Purposive sampling was used to select the sample, which included as many as 92 persons. The Caring Behaviors Inventory-42 and value culture tools were used to collect data. Questionnaires and observation sheets were utilized to retrieve direct measurement data. The collected data were analyzed using a univariate test and a Wilcoxon test for bivariate analysis.
RESULTS: The average age of nurses was 34 years old, with an average working time of 9 years. There was no significant difference in knowledge between before and after care training (p > 0.05). However, there was a significant difference in attitude, work culture, and caring behavior between before and after caring training (p < 0.05).
CONCLUSIONS: When nurses provided care to COVID-19 patients in an Indonesian national referral hospital, the caring training had an impact on their behavior and work culture. The hospital should continue a compassionate training program, reinforce it with regulations, monitor assessments, and apply rewords and consequences.
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Rafii F, Nasrabadi AN, Tehrani FJ. The omission of some patterns of knowing in clinical care: A qualitative study. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2021; 26:508-514. [PMID: 34900649 PMCID: PMC8607894 DOI: 10.4103/ijnmr.ijnmr_75_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 10/14/2020] [Accepted: 07/17/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Providing holistic and humanistic care to patients requires a variety of factors. A care solely based on objective knowledge might be unsafe and of low quality. Using the patterns of knowing in an integrated manner and relative to the context of caring is one of the necessities for proving a holistic and efficient nursing care. This study aimed to explore the role of patterns of knowing in the formation of uncaring behaviors. MATERIALS AND METHODS The researchers used a qualitative research design for this study. Participants included 19 clinical nurses who attended semi-structured and in-depth interviews. In addition, theoretical and purposeful sampling methods were used in this research. Observation of caring processes in different hospital wards was another method used for collecting data. The data analysis was carried out according to conventional content analysis technique. RESULTS The study findings revealed five categories for the theme of "omission of some patterns of knowing" including omission of scientific principles, omission of therapeutic relationship, omission of ethics, omission of social justice, and omission of flexibility. CONCLUSIONS The omission of some patterns of knowing creates an ugly image of nursing and a negative outcome of caring as well.
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Affiliation(s)
- Forough Rafii
- Nursing Care Research Centre (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Alireza Nasrabadi Nasrabadi
- Department of Medical and Surgical, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Fereshteh Javaheri Tehrani
- Nursing Care Research Centre (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
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Xiao LD, Chen L, Han W, Meyer C, Müller A, Low LF, Brijnath B, Mohammadi L. Optimising social conditions to improve autonomy in communication and care for ethnic minority residents in nursing homes: A meta-synthesis of qualitative research. Nurs Inq 2021; 29:e12469. [PMID: 34647382 DOI: 10.1111/nin.12469] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 09/28/2021] [Accepted: 10/01/2021] [Indexed: 11/30/2022]
Abstract
A large proportion of nursing home residents in developed countries come from ethnic minority groups. Unmet care needs and poor quality of care for this resident population have been widely reported. This systematic review aimed to explore social conditions affecting ethnic minority residents' ability to exercise their autonomy in communication and care while in nursing homes. In total, 19 studies were included in the review. Findings revealed that ethno-specific nursing homes create the ideal social condition for residents to express their care needs and preferences in a language of choice. In nonethno-specific nursing homes, staff cultural competence and nursing home commitment to culturally safe care are crucial social conditions that enable this group of residents to fulfil their autonomy in communicating and in participating in their care. In contrast, social conditions that undermine residents' ability to express their care needs and preferences include low levels of staff cultural awareness and cultural desire, negative attitudes towards residents and limited organisational support for staff to improve culturally responsive and culturally safe care. In conclusion, it is important to optimise the social conditions to support ethnic minority residents to communicate their care needs and preferences.
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Affiliation(s)
- Lily D Xiao
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Li Chen
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Weifeng Han
- Speech Pathology, School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, Victoria, Australia
| | - Claudia Meyer
- Bolton Clarke Research Institute, Bolton Clarke, Melbourne, Victoria, Australia.,Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, Victoria, Australia.,Centre for Health Communication and Participation, La Trobe University, Melbourne, Victoria, Australia
| | - Amanda Müller
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Lee-Fay Low
- Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
| | - Bianca Brijnath
- Social Gerontology, National Ageing Research Institute (NARI), Parkville, Melbourne, Victoria, Australia.,School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Leila Mohammadi
- College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia
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Torossian MR. The dignity of older individuals with Alzheimer's disease and related dementias: A scoping review. DEMENTIA 2021; 20:2891-2915. [PMID: 34039079 DOI: 10.1177/14713012211021722] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Supporting human dignity is the essence of delivery of care. Dignity is one's sense of self-value that is influenced by the perceived value attributed to the individual from others. Individuals with Alzheimer's disease and related dementias (ADRD) are at risk of violations of their dignity, due to their diminished autonomy, the alteration in their sense of self, the loss of meaningful social roles, and their limited interactions with peers and confirmation of identity. OBJECTIVES A scoping review was conducted to explore the state of art regarding the dignity of individuals with ADRD. Methods: A search was conducted using CINAHL, PubMed, Web of Science, and PsycINFO. Relevant articles were analyzed and organized based on the themes they addressed, and a narrative description of findings was presented. RESULTS Twenty-six articles were included in the review. Findings highlighted characteristics of care that affected the dignity of these individuals. Researchers found that care was task-centered, depersonalized, and lacked a genuine connection. Individuals with ADRD experienced embarrassment, lack of freedom, and powerlessness, which contributed to feelings of being devalued, and threatened their dignity. Studies testing interventions to enhance dignity were either inconclusive, lacked rigor, or had no lasting effect. Conclusion: The dignity of individuals with ADRD may be violated during healthcare interactions. More research is needed to objectively measure the dignity of these individuals and examine the effectiveness of interventions aimed at promoting dignity.
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Affiliation(s)
- Maral R Torossian
- College of Nursing, 14707University of Massachusetts Amherst, Amherst, MA, USA
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Rytterström P, Rydenlund K, Ranheim A. The meaning of significant encounters in forensic care. Scand J Caring Sci 2020; 35:753-760. [PMID: 32691434 DOI: 10.1111/scs.12889] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 05/19/2020] [Accepted: 06/21/2020] [Indexed: 01/10/2023]
Abstract
BACKGROUND Research in forensic psychiatric care focusing on person-oriented care is ambiguous about matters of quality. The encounters between a healthcare professional (HCP) and patient could influence how connections and relations emerge between the caregiver and the patient. OBJECTIVES To better understand caring aspects, this study explores significant encounters in forensic psychiatric care from the perspective of HCPs. METHOD This study is based on 34 written narratives from HCPs from two forensic psychiatric hospitals in Sweden. The narratives concern significant encounters with a patient. These narratives were analysed according to methodologies developed by phenomenological and reflective lifeworld research. FINDINGS The essence of a significant encounter is a temporal extended phenomenon that both precedes as well as is a consequence of the actual encounter as it occurs. The encounter is unforeseeable and being open to an encounter also means to be vulnerable as it is not predetermined how someone will respond. The significant encounter is an act of sharing, and HCPs may come to understand more about their patients as well as about themselves. Moreover, these encounters seem to create repercussions and hope for the future care. CONCLUSIONS The everyday activities of forensic psychiatric care are not trivial activities. Rather, they are important aspects of health care as these everyday encounters can deepen the relationship between the HCPs and their patients and help both the HCPs and their patients develop a sense of hope for the future.
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Affiliation(s)
- Patrik Rytterström
- Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden
| | - Kenneth Rydenlund
- Research & Development Unit, Vadstena Forensic Hospital, Vadstena, Sweden
| | - Albertine Ranheim
- Division of Nursing, Department of neurobiology, Care Sciences and Society, Karolinska Institute, Solna, Sweden
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Xiao LD, Ullah S, Morey W, Jeffers L, De Bellis A, Willis E, Harrington A, Gillham D. Evaluation of a nurse-led education program to improve cross-cultural care for older people in aged care. NURSE EDUCATION TODAY 2020; 87:104356. [PMID: 32058884 DOI: 10.1016/j.nedt.2020.104356] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 12/02/2019] [Accepted: 01/27/2020] [Indexed: 06/10/2023]
Abstract
BACKGROUND Cultural diversity is significant in aged care facilities. Registered nurses play a leading role in the care setting. Nurse-led education interventions to improve the cultural competence of aged care workers are in high demand. AIM The aims of the study were to evaluate the effect of a nurse-led cross-cultural care program on cultural competence of Australian and overseas-born care workers. DESIGN A pre- and post-evaluation design and a sub-group analysis. SETTINGS AND PARTICIPANTS This study was undertaken in four large-sized aged care facilities in Australia. Direct care workers were invited to participate in the study. METHODS The intervention lasted 12 months. Data were collected at baseline, 6 months and 12 months using the Clinical Cultural Competency Questionnaire and site champion reports. One-way ANOVA was applied to determine the changes of outcomes over time for the whole group. A mixed effect linear regression model was applied in the sub-group analyses to compare the differences of outcomes between the Australian-born and overseas-born groups. RESULTS One hundred and thirteen staff participated in the study including Australian-born (n = 62) and overseas-born (n = 51). Registered nurses were trained as site champions to lead the program. The results showed a statistically significant increase in participants' scores in Knowledge (p = .000), Skills (p = .000), Comfort Level (p = .000), Importance of awareness (p = .01) and Self-Awareness (p = .000) in a 12-month follow-up. The increased scores in the Skills (p = .02) and Comfort Level (p = .001) were higher in the Australian-born group compared to the overseas-born group. The results also showed a statistically significant increase in participants' overall satisfaction scores with the program at 12 months (p = .009). The overseas-born group demonstrated a higher score in Desire to Learn More (p = .016) and Impact of the Program on Practice (p = .014) compared to the Australian-born group. CONCLUSION A nurse-led cross-cultural care program can improve aged care workers' cultural competence.
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Affiliation(s)
- Lily Dongxia Xiao
- College of Nursing and Health Sciences, Flinders University, Australia.
| | - Shahid Ullah
- South Australian Health and Medical Research Institute, Australia.
| | - Wendy Morey
- Workforce Development and Governance, Resthaven Inc., Australia.
| | - Lesley Jeffers
- Aged Care Management Australia, Aged Care Research and Development National Office, Australia.
| | - Anita De Bellis
- College of Nursing and Health Sciences, Flinders University, Australia.
| | - Eileen Willis
- College of Nursing and Health Sciences, Flinders University, Australia.
| | - Ann Harrington
- College of Nursing and Health Sciences, Flinders University, Australia.
| | - David Gillham
- College of Nursing and Health Sciences, Flinders University, Australia.
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Rosendahl S, Mattsson K, Yuwanich N. Cross-cultural perspectives on gerontology in nursing education - a qualitative study of nurse educators' experiences. GERONTOLOGY & GERIATRICS EDUCATION 2020; 41:109-120. [PMID: 31319778 DOI: 10.1080/02701960.2019.1645014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This study focuses on nurse educators' perspectives on teaching gerontology within nursing curricula in two cultures. An increasing aging multi-cultural population with large caring needs requires not only informal elder care provided by family members, but also professional nursing staff trained in gerontology. The aim of this study was to explore how Swedish and Thai nurse educators describe the role of teaching gerontology within nursing educations in Sweden and Thailand. Method: Qualitative open-ended interviews with 13 Swedish and Thai nurse educators were conducted and analyzed with qualitative content analysis. Findings: There is a lack of gerontological nursing competence in faculty, as well as bureaucracy impeding necessary changes of curricula, together with difficulties in highlighting positive and cultural aspects of aging. Conclusions: Pedagogical strategies need to be developed by nurse educators specialized in cross-cultural gerontology to improve current and future nursing educations in both countries.
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Affiliation(s)
- Sirpa Rosendahl
- School of Health and Education, University of Skövde, Skövde, Sweden
| | - Karin Mattsson
- Department of Health Care Sciences, Ersta Sköndal Community College, Stockholm, Sweden
- Department of Neurobiology, Care Sciences and Society (NVS) H1, Karolinska Institutet, Huddinge, Sweden
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