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Batista R, Reaume M, Roberts R, Seale E, Rhodes E, Sucha E, Pugliese M, Kendall CE, Bjerre LM, Bouchard L, Prud'homme D, Manuel DG, Tanuseputro P. Prevalence and patterns of multimorbidity among linguistic groups of patients receiving home care in Ontario: a retrospective cohort study. BMC Geriatr 2023; 23:725. [PMID: 37946126 PMCID: PMC10634019 DOI: 10.1186/s12877-023-04267-5] [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: 02/26/2023] [Accepted: 08/30/2023] [Indexed: 11/12/2023] Open
Abstract
BACKGROUND Prior studies have demonstrated the negative impact of language barriers on access, quality, and safety of healthcare, which can lead to health disparities in linguistic minorities. As the population ages, those with multiple chronic diseases will require increasing levels of home care and long-term services. This study described the levels of multimorbidity among recipients of home care in Ontario, Canada by linguistic group. METHODS Population-based retrospective cohort of 510,685 adults receiving home care between April 1, 2010, to March 31, 2018, in Ontario, Canada. We estimated and compared prevalence and characteristics of multimorbidity (2 or more chronic diseases) across linguistic groups (Francophones, Anglophones, Allophones). The most common combinations and clustering of chronic diseases were examined. Logistic regression models were used to explore the main predictors of 'severe' multimorbidity (defined as the presence of five or more chronic diseases). RESULTS The proportion of home care recipients with multimorbidity and severe multimorbidity was 92% and 44%, respectively. The prevalence of multimorbidity was slightly higher among Allophones (93.6%) than among Anglophones (91.8%) and Francophones (92.4%). However, Francophones had higher rates of cardiovascular and respiratory disease (64.9%) when compared to Anglophones (60.2%) and Allophones (61.5%), while Anglophones had higher rates of cancer (34.2%) when compared to Francophones (25.2%) and Allophones (24.3%). Relative to Anglophones, Allophones were more likely to have severe multimorbidity (adjusted OR = 1.04, [95% CI: 1.02-1.06]). CONCLUSIONS The prevalence of multimorbidity among Ontarians receiving home care services is high; especially for whose primary language is a language other than English or French (i.e., Allophones). Understanding differences in the prevalence and characteristics of multimorbidity across linguistic groups will help tailor healthcare services to the unique needs of patients living in minority linguistic situations.
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Affiliation(s)
- Ricardo Batista
- Institut du Savoir Montfort, Hôpital Montfort, 202-745A Ch. Montréal Road, Ottawa, ON, K1K 0T1, Canada
- Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Michael Reaume
- Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada
| | | | - Emily Seale
- Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada
| | - Emily Rhodes
- Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | | | | | - Claire E Kendall
- Institut du Savoir Montfort, Hôpital Montfort, 202-745A Ch. Montréal Road, Ottawa, ON, K1K 0T1, Canada
- Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Bruyère Research Institute, Ottawa, ON, Canada
- Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Lise M Bjerre
- Institut du Savoir Montfort, Hôpital Montfort, 202-745A Ch. Montréal Road, Ottawa, ON, K1K 0T1, Canada
- Bruyère Research Institute, Ottawa, ON, Canada
- Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Louise Bouchard
- Institut du Savoir Montfort, Hôpital Montfort, 202-745A Ch. Montréal Road, Ottawa, ON, K1K 0T1, Canada
- School of Social and Anthropological Studies, University of Ottawa, Ottawa, ON, Canada
| | - Denis Prud'homme
- Institut du Savoir Montfort, Hôpital Montfort, 202-745A Ch. Montréal Road, Ottawa, ON, K1K 0T1, Canada
- Université de Moncton, Nouveau-Brunswick, Canada
| | - Douglas G Manuel
- Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Bruyère Research Institute, Ottawa, ON, Canada
- Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Peter Tanuseputro
- Ottawa Hospital Research Institute, Ottawa, ON, Canada.
- ICES uOttawa, Ottawa, ON, Canada.
- Bruyère Research Institute, Ottawa, ON, Canada.
- Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
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Tee S, Üzar-Özçetin YS, Trenoweth S. Achieving culturally competent mental health care: A mixed-methods study drawing on the perspectives of UK nursing students. Perspect Psychiatr Care 2022; 58:1267-1280. [PMID: 34378792 DOI: 10.1111/ppc.12926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 07/13/2021] [Accepted: 07/21/2021] [Indexed: 11/28/2022] Open
Abstract
PURPOSE This study aimed to examine the degree of cross-cultural competency among UK mental health student nurses, and the care delivery challenges arising from their internalized cultural assumptions. DESIGN AND METHODS This study adopted a mixed-methods design. Participants were final-year nursing students in the United Kingdom. FINDINGS The results revealed participants had a moderate level of cultural awareness and competency but highlighted many challenges to providing cross-cultural care arising from the meanings, enablers, and values they attributed to culturally competent mental health care. PRACTICE IMPLICATIONS As cultural competency is considered an essential characteristic of effective nursing care, greater attention should be paid to how student nurses assimilate cultural awareness to develop confidence in their day-to-day practice.
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Affiliation(s)
- Stephen Tee
- The Business School, Faculty of Health and Social Sciences, Bournemouth University, Dorset, UK
| | | | - Steve Trenoweth
- BU iWell Research Centre, Faculty of Health and Social Sciences, Bournemouth University, Dorset, UK
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Tong L, Tong T, Noji A, Kitaike T, Wang X. Nurses' experiences of providing transcultural nursing care to minority patients in Yunnan province: A descriptive qualitative study. Nurs Health Sci 2022; 24:661-669. [PMID: 35633139 DOI: 10.1111/nhs.12959] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Revised: 05/10/2022] [Accepted: 05/23/2022] [Indexed: 10/18/2022]
Abstract
Cultural competency is essential for providing transcultural nursing care. This qualitative study explores nurses' experiences of providing transcultural nursing care to patients from ethnic minority in Yunnan province, China, with the aim of supplementing and enriching previous quantitative research. Yunnan is home to 25 ethnic minorities with the highest proportion (33.1%) of people from ethnic minorities in China. A descriptive qualitative method was used to describe the experiences of 12 nurses. Data were collected in October 2020 through semistructured interviews and analyzed using conventional content analysis methods. Three themes were generated, including limitations of resources to provide transcultural nursing care, challenges in providing transcultural nursing care, and concerns about the quality of nursing care. The results suggest that there is scope for improving cultural competence of nurses in Yunnan through education that would enable them to provide high-quality transcultural nursing care. Training topics could include transcultural knowledge, cultural sensitivity, minority languages, and immersive multicultural experiences. Other suggested improvements include a resource room for transcultural care, the accommodation of religious and dietary needs, and dedicated staff who lead transcultural care in hospitals.
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Affiliation(s)
- Ling Tong
- Graduate School of Nursing, Chiba University, Chiba, Japan
| | - Tong Tong
- Faculty of Nursing, ChiangMai University, ChiangMai, Thailand
| | - Ariko Noji
- Graduate School of Nursing, Chiba University, Chiba, Japan
| | | | - Xingli Wang
- The Second Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Kunming, China
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Üzar Özçetin YS, Sarıoğlu G. The relationship between resilience, moral sensitivity, and cultural competence among nurses. PSYCHOL HEALTH MED 2021; 27:1672-1681. [PMID: 33870817 DOI: 10.1080/13548506.2021.1916955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This study aimed to examine the relationships between resilience, moral sensitivity, and cultural competence among nurses. A descriptive correlational design was employed. The study comprises 120 nurses. The resilience total scores and most of its domain scores were significantly and positively associated with the cultural competency total and domain scores. Additionally, the resilience total scores and some of its domain scores were significantly in relation to the moral sensitivity total and domain scores. Resilience total and domain scores were significantly and positively related to the moral sensitivity total and domain scores. The emergent correlations underscore the role that resilience plays in nurses' moral sensitivity and cultural competence. The emergent correlations underscore the role that resilience plays in nurses' moral sensitivity and cultural competence. The present findings suggest that nurse managers should develop delivery models that nurture resilience in nurses.
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Affiliation(s)
| | - Gizem Sarıoğlu
- Faculty of Nursing, Psychiatric Nursing Department, Hacettepe University, Ankara, Turkey.,Hatay Antakya State Hospital, Turkey
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Karakuş Z, Özer Z, Gözüm S, Öncel S. Determining the Organizational Cultural Competence of Hospitals Located in the Coastal Strip of the City of Antalya. Florence Nightingale Hemsire Derg 2021; 29:30-39. [PMID: 34263221 PMCID: PMC8137728 DOI: 10.5152/fnjn.2021.19042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 02/18/2020] [Indexed: 11/23/2022] Open
Abstract
AIM This study aimed to determine the organizational cultural competence of hospitals located in the coastal strip of Antalya city in Turkey. METHOD The sample of this descriptive study included 31 hospitals. Data were collected with a questionnaire developed by the researchers under the guidance of 2 guides related to organizational cultural competency standards. The questionnaire included 3 sections and 47 questions and was answered by an authorized person to provide information on behalf of the hospital. RESULTS Among the hospitals participating in the study, 61.3% were private hospitals, 67.7% had international patient departments, 96.8% had quality departments, and 29% reported that they had a budget allocated for providing culturally appropriate care. Most of the hospitals reported that they served multi-menu option to the patients (64.5%) and provided with interpreter assistance free of cost (90.3%). Most of the hospitals stated that they provided end-of-life care for patients who died in their hospitals according to the wishes of the family members (96.8%). CONCLUSION Hospitals seek to adopt a culturally sensitive approach in healthcare services, but their cultural competence has scope for improvement, as they do not have strategic action plans or sufficient budgets yet.
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Affiliation(s)
- Zeynep Karakuş
- Department of Internal Medicine, Akdeniz University Nursing Faculty of Nursing, Antalya, Turkey
| | - Zeynep Özer
- Department of Internal Medicine, Akdeniz University Nursing Faculty of Nursing, Antalya, Turkey
| | - Sebahat Gözüm
- Department of Community Health Nursing, Akdeniz University Faculty of Nursing, Antalya, Turkey
| | - Selma Öncel
- Department of Community Health Nursing, Akdeniz University Faculty of Nursing, Antalya, Turkey
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The Challenge of Cross-Cultural Care Encounters: Perspective of Imported Nurses in Lhasa, Tibet. BIOMED RESEARCH INTERNATIONAL 2020; 2020:3159178. [PMID: 32351990 PMCID: PMC7171642 DOI: 10.1155/2020/3159178] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 01/27/2020] [Accepted: 03/24/2020] [Indexed: 11/18/2022]
Abstract
Aims The purpose of this study was to describe the challenge of cross-cultural care encounters from perspective of imported nurses in Lhasa, Tibet, as well as investigate the relationship of cross-cultural care encounters and its influencing factors. Methods A cross-sectional survey was designed among 300 imported nurses and 255 patients selected from four comprehensive hospitals (including two Grade III Class A hospitals and two Grade III Class B hospitals) in Lhasa. The average number, standard deviations, constituent ratios, T-tests, rank-sum tests, one-way ANOVAs, multiple stepwise regression analyses, and Pearson correlation analysis were used to analyze cross-cultural care encounters and its influencing factors. P < 0.05 was considered statistically significant. Results The cross-cultural care encounter of nurses was 61.73 ± 11.86, mainly relating to age, technical titles, Tibetan language ability, and participation in humanistic training. Age, gender, educational level, technical titles, Tibetan language ability, years working in Tibet, and participation in language and humanities training were the influencing factors (P < 0.05). The average total score of culturally competent care of imported nurses in Lhasa was 218 ± 31.09. Cross-cultural care encounters of nurses were positively correlated with culturally competent care (r = 0.126, P < 0.01) and the needs of patients' cultural care (r = 0.183). Conclusion The scores of culturally competent care and cross-cultural care encounter of imported nurses were at a high level, and their culturally competent care was in the second stage of "conscious and incapable" status. The cross-cultural care encounter of nurses is positively related to culturally competent care and the needs of patients' cultural care. Abilities of language communication, understanding of Tibetan culture, and enhancement of the cultural ability needed optimization.
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