Health care of immigrant patients in Italy: the perspective of health professionals

2021 ◽  
Vol 70 (2) ◽  
pp. 183-194
Author(s):  
Claudia Spinosa ◽  
Laura Angioletti ◽  
Michela Balconi

Within a multicultural society, healthcare professionals (HPs) need to implement specific care pathways to meet the needs of patients with different cultural backgrounds who regularly present themselves in healthcare facilities in Italy. This study intends to examine the experiences and representations lived by HPs who deal with the care and management of foreign immigrant patients living in Italy, with chronic diseases. For this goal, a survey was conducted on a sample of 54 HPs recruited in hospital and outpatient facilities. The survey was analyzed with a quantitative analysis method. The results underlined that it is necessary to provide specific training paths to work with chronic immigrant patients, standardizing the training of medical staff both in hospitals and clinics, and providing for other types of professionals specialized in relations with foreign patients, to respond to all requests from foreign users, and not just healthcare ones. This study proposes a new survey model aimed at obtaining in-depth information on the representation of HPs towards the health and well-being of chronic immigrant patients, to provide concrete answers to the needs of the foreign population, providing for the collaboration of several specialised professionals.

Author(s):  
Jane Wilcock ◽  
Jill Manthorpe ◽  
Jo Moriarty ◽  
Steve Iliffe

Little is known of the experiences of directly employed care workers communicating with healthcare providers about the situations of their employers. We report findings from 30 in-depth semi-structured interviews with directly employed care workers in England undertaken in 2018–19. Findings relate to role content, communication with healthcare professionals and their own well-being. Directly employed care workers need to be flexible about the tasks they perform and the changing needs of those whom they support. Having to take on health liaison roles can be problematic, and the impact of care work on directly employed workers’ own health and well-being needs further investigation.


2019 ◽  
Author(s):  
Sandrine Mathias ◽  
Patrick Daigle ◽  
Kelsey Needham Dancause ◽  
Tegwen Gadais

Background: Education and health professionals from a range of disciplines seek alternatives to promote well-being through nature. Shinrin Yoku, originating from Japan, means “forest baths” or “taking in the forest atmosphere” and provides the opportunity to reconnect with nature and its benefits, with great potential in Canada. This brief review aims to highlight the potential for the use of Shinrin Yoku in the Canadian context of education and healthcare. Methods: We conducted a narrative literature review including a search of four French and English databases (Google Scholar, Pubmed, Scopus, Cairn) from 1985 to 2017. Then, we classified 26 articles according to three main categories that emerged from the first reading of the abstracts. Results: Benefits of Shinrin Yoku have been classified into physiological, psychological, and environmental categories. We synthesize key benefits of Shinrin Yoku and highlight opportunities to use this alternative intervention by educators and health professionals in Canada. Conclusion: A growing body of research suggests that Shinrin Yoku can have benefits on many aspects of an individual's health and well-being. Given the resources already available in Canada, Shinrin Yoku could be integrated into existing programs and interventions, and could provide another option to educators and healthcare professionals seeking low-risk educational and intervention alternatives for their students and patients.


2019 ◽  
Vol 13 (1) ◽  
pp. 30-47
Author(s):  
Peggy Chi ◽  
Jennifer Gutberg ◽  
Whitney Berta

Objectives: To identify how the natural environment (NE) in healthcare has been conceptualized. Background: The NE appears to afford significant therapeutic benefits. A clear concept of the NE in healthcare affords a shared understanding from which to advance science to facilitate comparisons across contexts. In this article, the various meanings of the NE were brought together into one framework by which to map its themes and their relationships. Method: A scoping review was conducted using database searches in MEDLINE, EMBASE, PsycINFO, CINAHL, and Cochrane for articles published up to July 2018. The bibliography of the included articles were manually searched for published books. Results: This review includes 137 peer-reviewed articles and research-based books from 27 countries. A conceptual framework was developed to identify five themes that conceptualize the NE in healthcare: (1) definitions of the NE in healthcare, (2) processes of the NE in healthcare, (3) usages of the NE in healthcare, (4) opinions about the NE in healthcare, and (5) NE’s impacts on health and work outcomes in healthcare. These themes are filtered by the NE’s physical and programmatic designs; changes in one affect the others. Definitions of the NE are described as human-made space, located in the indoors and outdoors, containing elements of nature and designed with the purpose to positively influence humans. Processes are described as the participatory approach in NE's development and its therapeutic goals. Usages are categorized into nature contact, frequency of usage, and accessibility. Opinions are accounted for by perceptions, preference, and satisfaction. Outcomes are related to physical health, mental health and well-being and work. Conclusions: This framework contributes to the conceptual discussion and emphasizes NE’s complementarity to the biomedical healthcare system.


Author(s):  
Carrie Heeter ◽  
Marcel Allbritton ◽  
Chase Bossart

Healthcare professionals and research scientists generally recognize the potential value of mind–body practices grounded in ancient wisdom, but often have limited direct experience with such practices. Meditation participant self-reports provide a window into subjective experiences of three Viniyoga meditations and how and why those meditations could contribute to health and well-being outcomes. Each of the meditations in this analysis had a unique structure and used a different aspect of the ocean as a meditation object. Yoga philosophy and yoga anatomy models of the human system are used to help explain participants’ experiences and associated personal benefits and insights. Four aspects of the individual that can influence what happens for them in meditation are illustrated with tangible examples: (1) What is happening in generally in someone’s life; (2) the state of their system (mind, body, breath) around the time of the meditation; (3) reactions to the meditation steps and instructions; and (4) their prior experiences with the object of meditation. Summaries of the practices, and why and for whom each meditation might be beneficial are discussed. The authors’ perspectives are grounded in Viniyoga and yoga therapy.


Author(s):  
Stephen R. Kellert

This chapter discusses a hypothesized inherent human need to affiliate with nature (‘biophilia’), its continuing importance to human health and well-being, and how to meet this need in modern society through design of the built environment, with particular focus on healthcare facilities. The theory of biophilia is introduced, its evolutionary origins, effects on human health and well-being, and impediments to its functional development in modern society, particularly the prevailing paradigm of design of the built environment. The chapter describes the notion of ‘biophilic design’, the attempt to address biophilia in the modern built environment. Principles and practices of biophilic design are delineated. The chapter concludes with a brief description of examples of biophilia and biophilic design in existing healthcare facilities.


2017 ◽  
Vol 24 (1) ◽  
pp. 145-162 ◽  
Author(s):  
Ann-Louise Holten ◽  
Anne Bøllingtoft ◽  
Isabella Gomes Carneiro ◽  
Vilhelm Borg

AbstractThis study investigates the universality of transformational leadership with respect to employee perceptions and three outcomes: job satisfaction, self-rated health, and well-being. We do so among employees of different national and cultural backgrounds, yet within a shared national and sectorial setting. Our study has a repeated measures design based on survey data from 2,947 employees (2,836 natives Danes and 111 immigrants) in the Danish elder care sector. While we find no difference between native Danes and immigrants in their perception of transformational leadership, we find that transformational leadership is not a universal predictor of outcomes. Although transformational leadership predicts change in none of the outcomes for immigrants, it does predict change in job satisfaction and well-being for native Danes. Based on our findings, we suggest applying a combination of universalistic and contingency paradigms when leading composite employee groups.


BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e053189
Author(s):  
Keir EJ Philip ◽  
Lucy L Cartwright ◽  
Debra Westlake ◽  
Grace Nyakoojo ◽  
Ivan Kimuli ◽  
...  

IntroductionMusic and dance are increasingly used as adjunctive arts-in-health interventions in high-income settings, with a growing body of research suggesting biopsychosocial benefits. Such low-cost, low-resource interventions may have application in low-resource settings such as Uganda. However, research on perceptions of patients and healthcare professionals regarding such approaches is lacking.MethodsWe delivered sample sessions of music and dance for chronic respiratory disease (CRD) to patients and healthcare professionals. Seven participants took part in one singing and dance sample session. One patient completed only the dance session. We then conducted an exploratory qualitative study using thematic analysis of semistructured interviews with healthcare professionals and patients regarding (1) the role of music and dance in Ugandan life and (2) the perceived acceptability and feasibility of using music and dance in CRD management in Uganda.ResultsWe interviewed 19 participants, made up of 11 patients with long-term respiratory conditions and 8 healthcare professionals, who were selected by purposeful convenience sampling. Four key themes were identified from interview analysis: music and dance (1) were central components of daily life; (2) had an established role supporting health and well-being; and (3) had strong therapeutic potential in respiratory disease management. The fourth theme was (4) the importance of modulating demographic considerations of culture, religion and age.ConclusionMusic and dance are central to life in Uganda, with established roles supporting health and well-being. These roles could be built on in the development of music and dance interventions as adjuncts to established components of CRD disease management like pulmonary rehabilitation. Through consideration of key contextual factors and codevelopment and adaptation of interventions, such approaches are likely to be well received.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S605-S606
Author(s):  
Renee J Flores

Abstract Despite benefits to overall health and well-being, healthcare professionals’ knowledge and research is limited in regards to older women’s sexuality and intimacy desires. There are barriers that impede fulfilling these desires and lack of understanding hinders ways to address this issue, which negatively affects the well-being of older women. A sexuality and intimacy survey of 29 women between the ages of 60-86 revealed that the majority were having sex at least once a month and expressed the desire to increase the frequency of sexual encounters. These data suggests that later-life sexuality and intimacy encounters are important for some women. Recognizing these desires could prompt responses that could greatly influence the quality of life in older women. A broader public health discussion needs to occur in order to promote awareness and optimize overall well-being.


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