US Health Care Policymaking: Ideological, Social and Cultural Differences and Major Influences

2012 ◽  
pp. 1-26
Author(s):  
Sunday E. Ubokudom
Keyword(s):  
Health Care ◽  
Cultural Differences

scholarly journals Information Security Cultural Differences among Health Care Facilities in Indonesia

Heliyon ◽  
2021 ◽  
pp. e07248
Author(s):  
Puspita Kencana Sari ◽  
Adhi Prasetio ◽  
Candiwan ◽  
Putu Wuri Handayani ◽  
Achmad Nizar Hidayanto ◽  
...  
Keyword(s):  
Health Care ◽  
Information Security ◽  
Cultural Differences ◽  
Health Care Facilities ◽  
Care Facilities

Communication, Negotiation, and Mediation: Dealing with Conflict in End-of-Life Decisions

2000 ◽  
Vol 16 (1_suppl) ◽  
pp. S17-S23 ◽  
Author(s):  
Kerry W. Bowman
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
Cultural Differences ◽  
End Of Life Care ◽  
Family Dynamics ◽  
Life Care ◽  
Health Care Teams ◽  
End Of Life Decisions

In recent years, it has become possible for the end of life to be a negotiated event, particularly in the intensive care unit. A multitude of often unidentified and poorly understood factors affect such negotiations. These include, family dynamics, ever-changing health care teams, inconsistent opinions about prognosis, and cultural differences between physicians, and patients and their families. When these factors converge, conflict may erupt. This article explores the nature, antecedents, and cost of such conflict. Arguments for the importance of balanced communication, negotiation, and mediation in end-of-life care are put forward.

Mentoring overseas nurses: Barriers to effective and non-discriminatory mentoring practices

2010 ◽  
Vol 17 (5) ◽  
pp. 603-613 ◽  
Author(s):  
Helen Allan
Keyword(s):  
Health Care ◽  
Cultural Differences ◽  
Culturally Diverse ◽  
Care Home ◽  
National Study ◽  
Ethical Practice ◽  
Mentoring Practices ◽  
Diverse Backgrounds ◽  
The Uk ◽  
Discriminatory Practice

In this article it is argued that there are barriers to effective and non-discriminatory practice when mentoring overseas nurses within the National Health Service (NHS) and the care home sector. These include a lack of awareness about how cultural differences affect mentoring and learning for overseas nurses during their period of supervised practice prior to registration with the UK Nursing and Midwifery Council. These barriers may demonstrate a lack of effective teaching of ethical practice in the context of cultural diversity in health care. This argument is supported by empirical data from a national study. Interviews were undertaken with 93 overseas nurses and 24 national and 13 local managers and mentors from six research sites involving UK health care employers in the NHS and independent sectors in different regions of the UK. The data collected showed that overseas nurses are discriminated against in their learning by poor mentoring practices; equally, from these data, it appears that mentors are ill-equipped by existing mentor preparation programmes to mentor overseas-trained nurses from culturally diverse backgrounds. Recommendations are made for improving mentoring programmes to address mentors’ ability to facilitate learning in a culturally diverse workplace and thereby improve overseas nurses’ experiences of their supervised practice.

scholarly journals Maternal Perceptions to Open-Ended Questions about Life with Down Syndrome in Korea

2016 ◽  
Author(s):  
Hyunkyung Choi ◽  
Marcia Van Riper
Keyword(s):  
Health Care ◽  
Down Syndrome ◽  
Content Analysis ◽  
Cultural Differences ◽  
Health Care Professionals ◽  
Community Level ◽  
Culturally Appropriate ◽  
Maternal Perceptions ◽  
Written Responses ◽  
Beliefs And Attitudes

In this study the authors explored maternal perceptions of life with Down Syndrome (DS) in Korea. Written responses to open-ended questions were collected as a part of a larger study and examined using content analysis. Most mothers commonly reported responses toward children with DS at both the societal and community level were negative. Many mothers acknowledged that even though there are ongoing challenges associated with being the mother of a child with DS, they have experienced unexpected joys as well. Increased awareness of cultural differences in beliefs and attitudes about children with DS and their care will help health care professionals develop culturally appropriate interventions.

Ethics in Transcultural Psychiatry

2017 ◽  
Vol 41 (S1) ◽  
pp. S51-S51
Author(s):  
M. Schouler-Ocak
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Cultural Competence ◽  
Mental Health Care ◽  
Cultural Differences ◽  
Minority Groups ◽  
Transcultural Psychiatry ◽  
Culturally Competent ◽  
Cultural Backgrounds ◽  
Competing Interest

Global migration and the increasing number of minority groups, including immigrants, asylum seekers, refugees and ethnic minorities, mean that increasingly, psychiatrists and patients may come from different cultural backgrounds. Therefore, cultural differences between patients and clinicians have become a matter of growing importance to mental health care as western societies have become increasingly diverse. This talk will attempt to illustrate how attention to these cultural differences enriches the discussion of ethics in mental health care. This talk will also attempt to underline that cultural competence is able to enhance the ethical treatment of mental health of patients from different cultural backgrounds. Consequently, to be culturally competent, a clinician must be sensitive, knowledgeable, and empathetic about cultural differences. Therefore, cultural competence is a concrete, practical expression of bioethics ideals. According to Hoop et al. in 2008, it is a practical, concrete demonstration of the ethical principles of respect for persons, beneficence (doing good), nonmaleficence (not doing harm), and justice (treating people fairly), the cornerstones of ethical codes for the health professions.In this talk the complex relationship between culture, values, and ethics in mental health care will be analyzed and discussed.Disclosure of interestThe author declares that he has no competing interest.

scholarly journals Perspectives of Nurses and Doulas on the Use of Information and Communication Technology in Intercultural Pediatric Care: Qualitative Pilot Study

10.2196/16545 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e16545 ◽  
Author(s):  
Nataliya Berbyuk Lindström ◽  
Rocío Rodríguez Pozo
Keyword(s):  
Health Care ◽  
Cultural Differences ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Health Care Professionals ◽  
Pediatric Care ◽  
Pediatric Nurses ◽  
Advantages And Disadvantages ◽  
Language Problems ◽  
Information And Communication

Background Sweden is rapidly becoming an increasingly multicultural and digitalized society. Encounters between pediatric nurses and migrant mothers, who are often primary caregivers, are impeded by language problems and cultural differences. To support mothers, doulas, who are women having the same linguistic and cultural backgrounds, serve as cultural bridges in interactions with health care professionals. In addition, information and communication technology (ICT) can potentially be used to manage interactions owing to its accessibility. Objective The objective of this study was to investigate the role of ICT in managing communicative challenges related to language problems and cultural differences in encounters with migrant mothers from the perspectives of Swedish pediatric nurses and doulas. Methods Deep semistructured interviews with five pediatric nurses and four doulas from a migrant-dense urban area in western Sweden were audio recorded, transcribed, and analyzed using thematic content analysis. Results The results showed that ICT contributes to mitigating communicative challenges in interactions by providing opportunities for nurses and migrant mothers to receive distance interpreting via telephones and to themselves interpret using language translation apps. Using images and films from the internet is especially beneficial while discussing complex and culturally sensitive issues to complement or substitute verbal messages. These findings suggest that ICT helps enable migrant mothers to play a more active role in interactions with health care professionals. This has important implications for their involvement in other areas, such as child care, language learning, and integration in Sweden. Conclusions The findings of this study suggest that ICT can be a bridging tool between health care professionals and migrants. The advantages and disadvantages of translation tools should be discussed to ensure that quality communication occurs in health care interactions and that health information is accessible. This study also suggests the development of targeted multimodal digital support, including pictorial and video resources, for pediatric care services.

scholarly journals Correlation between Depression and Anxiety in Patients with Chronic Non-Malignant Pain

2021 ◽  
Vol 5 (1) ◽  
pp. 83-94
Author(s):  
Irena Kovačević ◽  
Sanja Ledinski Fičko ◽  
Boris Ilić ◽  
Adriano Friganović ◽  
Štefanija Ozimec Vulinec ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Chronic Pain ◽  
Primary Health Care ◽  
Cultural Differences ◽  
Ethnic Groups ◽  
Depression And Anxiety ◽  
Primary Health ◽  
Primary Care Patients ◽  
Detection Of Depression

Introduction. Two-thirds of primary care patients with depression also have somatic symptoms present, making detection of depression more difficult. Primary health care is the first level of screening for depression, and early detection is key to treatment success. Anxiety also has a high comorbidity rate with chronic pain conditions. Generalized anxiety disorder (GAD) is common among patients with “medically unexplained” chronic pain and chronic physical illness and is also a predictor of chronic musculoskeletal pain after trauma. Belonging to different ethnic groups and ignorance of these differences by primary care physicians can be an obstacle to good health care, especially early recognition of depressive symptoms. Aim. The aim of this proposed, systematic work was to draw conclusions from empirical research dealing with the processes involved in the examination of depression, anxiety, and chronic non malignant pain. The research question for this review paper was to examine the correlation of depression and anxiety with chronic non-malignant pain. The aim was to examine the role of primary health care in recognizing, preventing, and treating depression and anxiety in patients with chronic non-malignant pain, and whether there is a difference in the correlation between depression, anxiety, and chronic non-malignant pain according to ethnicity. Methods. Methods for identifying the study were derived from the Medline database (via PubMed). The analysis included all scientific papers in English, regardless of methodology, published since 2011. The papers dealt with the correlation between depression, anxiety, and chronic non-malignant pain, and included the population of primary care patients over 18 years of age who suffer from chronic nonmalignant pain and at the same time have symptoms of depression and anxiety present or are members of ethnic groups. 403 articles were found, original and review papers, of which, after a detailed reading, 10 were selected that meet the inclusion criteria for the purposes of this review. Results. Depression and anxiety are significantly more present in people with chronic pain (23%), compared to those who do not have chronic pain (12%). The most common is chronic musculoskeletal pain, with one-third of patients having depression. Depression and anxiety are significantly associated with the intensity and duration of pain. Chronic pain and depression also differ according to ethnic groups, with cultural differences and language barriers being a barrier to early detection of depression. Conclusion. Depression is the most common mental health disorder associated with chronic pain. It is extremely important to treat both depression and pain, in order to prevent the development of severe depression and chronic pain at an early stage. The integrated program at the level of primary health care is expected to have positive effects on both the physical and mental condition of patients. Cultural differences and ethnicity, which can significantly reduce the detection of depressive symptoms at the primary health care level, should certainly be taken into account.

scholarly journals Perspectives of Nurses and Doulas on the Use of Information and Communication Technology in Intercultural Pediatric Care: Qualitative Pilot Study (Preprint)

2019 ◽  
Author(s):  
Nataliya Berbyuk Lindström ◽  
Rocío Rodríguez Pozo
Keyword(s):  
Health Care ◽  
Cultural Differences ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Health Care Professionals ◽  
Pediatric Care ◽  
Pediatric Nurses ◽  
Advantages And Disadvantages ◽  
Language Problems ◽  
Information And Communication

BACKGROUND Sweden is rapidly becoming an increasingly multicultural and digitalized society. Encounters between pediatric nurses and migrant mothers, who are often primary caregivers, are impeded by language problems and cultural differences. To support mothers, doulas, who are women having the same linguistic and cultural backgrounds, serve as cultural bridges in interactions with health care professionals. In addition, information and communication technology (ICT) can potentially be used to manage interactions owing to its accessibility. OBJECTIVE The objective of this study was to investigate the role of ICT in managing communicative challenges related to language problems and cultural differences in encounters with migrant mothers from the perspectives of Swedish pediatric nurses and doulas. METHODS Deep semistructured interviews with five pediatric nurses and four doulas from a migrant-dense urban area in western Sweden were audio recorded, transcribed, and analyzed using thematic content analysis. RESULTS The results showed that ICT contributes to mitigating communicative challenges in interactions by providing opportunities for nurses and migrant mothers to receive distance interpreting via telephones and to themselves interpret using language translation apps. Using images and films from the internet is especially beneficial while discussing complex and culturally sensitive issues to complement or substitute verbal messages. These findings suggest that ICT helps enable migrant mothers to play a more active role in interactions with health care professionals. This has important implications for their involvement in other areas, such as child care, language learning, and integration in Sweden. CONCLUSIONS The findings of this study suggest that ICT can be a bridging tool between health care professionals and migrants. The advantages and disadvantages of translation tools should be discussed to ensure that quality communication occurs in health care interactions and that health information is accessible. This study also suggests the development of targeted multimodal digital support, including pictorial and video resources, for pediatric care services.

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