scholarly journals Commentary on Application of the Cultural Competence Model in the Experience of Care in Nursing Professionals Primary Care

2017 ◽  
Vol 03 (03) ◽  
Author(s):  
Maria Dolores Gil Estevan ◽  
Maria del Carmen Solano Ruiz
Keyword(s):  
Primary Care ◽  
Cultural Competence ◽  
Competence Model ◽  
Experience Of Care ◽  
Nursing Professionals

scholarly journals Nursing as a Sustainability Factor of the Health System during the COVID-19 Pandemic: A Qualitative Study

2020 ◽  
Vol 12 (19) ◽  
pp. 8099
Author(s):  
María Jesús Rojas-Ocaña ◽  
Miriam Araujo-Hernández ◽  
Rocío Romero-Castillo ◽  
Silvia San Román-Mata ◽  
E. Begoña García-Navarro
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Phenomenological Approach ◽  
Total Sample ◽  
Case Managers ◽  
Service Users ◽  
Health Crisis ◽  
Key Informants ◽  
Specialized Care ◽  
Nursing Professionals

Earlier this year, Spain took center stage in the emerging health crisis due to the SARS-CoV-2 pandemic. On 14 March 2020, a state of alarm was declared to manage this health crisis. The contribution of nursing professionals to sustainability of the system during this health crisis has been vital, not only in specialized care but, in a more understated way, in primary care. The objective of the present study was to describe the perceptions and lived experiences of primary care nurses during the COVID-19 health emergency. A qualitative study taking a phenomenological approach was carried out, triangulating data collected through non-participant observations, eight in-depth interviews, and two discussion groups with community nurses and case managers. A total sample of 20 key informants was obtained during the month of May, 2020. The key informants expressed strong positive perceptions of the recognition received from service users and satisfaction when acknowledging that they have been an important source of emotional support. Informants identify the importance of their work in sustaining the system, particularly outlining team cohesion and communication, whilst also evaluating the empowering position in which service users and society itself has put them.

Improving mental healthcare in multi-cultural communities

2019 ◽  
Vol 30 (5) ◽  
pp. 238-243
Author(s):  
Ashley Morgan
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cultural Competence ◽  
Health Inequalities ◽  
Mental Health Problems ◽  
Mental Healthcare ◽  
Practice Nurses ◽  
Communication Problems ◽  
Diverse Patient Population ◽  
Patient Groups

Patients from marginalised or minority communities often experience health inequalities. Ashley Morgan explains how practice nurses are best placed to use their cultural competency skills to relieve these failings in primary care Patients from marginalised or minority populations presenting with mental health problems in primary care often struggle to access appropriate and timely support. Communication problems, confusion among primary care professionals and inconsistent definitions of cultural competence contribute to prevailing health inequalities among these patient groups. Training to increase the cultural competence of the nursing workforce goes some way to reducing barriers to effective and appropriate care, although evidence suggests that training alone may be insufficient. This article explores the rationale for cultural competence and encourages practice nurses to develop a sense of cultural curiosity in order to engage with the mental health of their diverse patient population.

scholarly journals Does the Primary Care Experience Influence the Cancer Diagnostic Process?

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Sylvie Provost ◽  
Raynald Pineault ◽  
Pierre Tousignant ◽  
Danièle Roberge ◽  
Dominique Tremblay ◽  
...  
Keyword(s):  
Primary Care ◽  
Metastatic Cancer ◽  
Diagnostic Process ◽  
Process Time ◽  
Care Experience ◽  
Usual Source ◽  
Point Of Entry ◽  
Experience Of Care ◽  
Time To Diagnosis ◽  
The Impact

Objective. To analyze the impact of patients’ experience of care at their usual source of primary care on their choice of point of entry into cancer investigation process, time to diagnosis, and presence of metastatic cancer at time of diagnosis. Method. A questionnaire was administered to 438 patients with cancer (breast, lung, and colorectal) between 2011 and 2013 in four oncology clinics of Quebec (Canada). Multiple regression analyses (logistic and Cox models) were conducted. Results. Among patients with symptoms leading to investigation of cancer (n=307), 47% used their usual source of primary care as the point of entry for investigation. Greater comprehensiveness of care was associated with the decision to use this source as point of entry (OR = 1.25; CI 90% = 1.06–1.46), as well as with shorter times between first symptoms and investigation (HR = 1.11; p=0.05), while greater accessibility was associated with shorter times between investigation and diagnosis (HR = 1.13; p<0.01).  Conclusion. Experience of care at the usual source of primary care has a slight influence on the choice of point of entry for cancer investigation and on time to diagnosis. This influence appears to be more related to patients’ perceptions of the accessibility and comprehensiveness of their usual source of primary care.

Request for HIV serology in primary care: A survey of medical and nursing professionals

2019 ◽  
Vol 29 (4) ◽  
pp. 239-244
Author(s):  
Myrian Pichiule-Castañeda ◽  
M. Felicitas Domínguez-Berjón ◽  
María D. Esteban-Vasallo ◽  
Carmen García-Riolobos ◽  
M. Carmen Álvarez-Castillo ◽  
...  
Keyword(s):  
Primary Care ◽  
Nursing Professionals

scholarly journals Provider and clinic cultural competence in a primary care setting

2008 ◽  
Vol 66 (5) ◽  
pp. 1204-1216 ◽  
Author(s):  
Kathryn A. Paez ◽  
Jerilyn K. Allen ◽  
Kathryn A. Carson ◽  
Lisa A. Cooper
Keyword(s):  
Primary Care ◽  
Cultural Competence ◽  
Care Setting ◽  
Primary Care Setting

scholarly journals Black women in nursing history: the cultural competence in Maria Barbosa Fernandes´ trajectory

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Fernanda Batista Oliveira Santos ◽  
Ana Renata Moura Rabelo ◽  
Bruna Dias França ◽  
Fernanda Alves dos Santos Carregal ◽  
Rita de Cassia Marques ◽  
...  
Keyword(s):  
Black Women ◽  
Cultural Competence ◽  
Professional Practice ◽  
Social Study ◽  
Nursing School ◽  
Careful Attention ◽  
Competence Model ◽  
Nursing History ◽  
Culturally Sensitive Care ◽  
Value Diversity

ABSTRACT Objectives: to know the professional trajectory of the black nurse Maria Barbosa Fernandes and to analyze elements of her professional practice based on the cultural competence model of CampinhaBacote. Methods: historical-social study with an analysis of the findings in light of the Cultural Competence model. Results: Maria Barbosa was the first black woman to earn a nursing degree at the Escola de Enfermagem Carlos Chagas (Carlos Chagas Nursing School) (1935-1938), and the documentation about her history allowed us to infer the experience of discrimination and invisibility. However, her professional trajectory was marked by careful attention to the singularities and the sociocultural reality of individuals, with an emphasis on acting in vulnerable scenarios. Final Considerations: the pairing of the theme of black women in nursing with the reference of Cultural Competence consists of an invitation to value diversity in the profession and seek to move towards care committed to overcoming inequalities, through inclusive practices and culturally sensitive care.

scholarly journals Interventions for Improving Outcomes in Patients With Multimorbidity in Primary Care and Community Setting: A Systematic Review

2021 ◽  
Author(s):  
Susan Smith ◽  
Emma Wallace ◽  
Barbara Clyne ◽  
Fiona Boland ◽  
Martin Fortin
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Coordination ◽  
Health Behaviours ◽  
Self Management ◽  
Management Support ◽  
Medicines Management ◽  
Experience Of Care ◽  
Patient Health ◽  
Improve Patient

Abstract BackgroundMultimorbidity, defined as the co-existence of two or more chronic conditions, presents significant challenges to patients, healthcare providers and health systems. Despite this, there is ongoing uncertainty about the most effective ways to manage patients with multimorbidity. This review aimed to determine the effectiveness of interventions designed to improve outcomes in people with multimorbidity in primary care and community settings, compared to usual care.MethodsWe searched eight databases and two trials registers up to 9th September 2019. Two review authors independently screened and selected studies, extracted data, evaluated study quality and judged the certainty of the evidence (GRADE). Interventions were grouped by their predominant focus into care-coordination/self-management support, self-management support and medicines management. Main outcomes were health related quality of life (HRQoL) and mental health. Meta-analyses were conducted, where possible, but the synthesis was predominantly narrative.ResultsWe included 16 RCTs with 4,753 participants, the majority being older adults with at least three conditions. There were eight care-coordination/self-management support studies, four self-management support studies and four medicines management studies. There was little or no evidence of an effect on primary outcomes of HRQoL (MD 0.03, 95% CI -0.01 to 0.07, I2 = 39%) and mental health or on secondary outcomes with a small number of studies reporting that care coordination may improve patient experience of care and self-management support may improve patient health behaviours. Overall the certainty of the evidence was graded as low due to significant variation in study participants and interventions. Conclusions There are remaining uncertainties about the effectiveness of interventions for people with multimorbidity, despite the growing number of RCTs conducted in this area. Our findings suggest that future research should consider patient experience of care, optimising medicines management and targeted patient health behaviours such as exercise.

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