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Towards culturally competent paediatric oncology care. A qualitative study from the perspective of care providers
Author(s) -
Suurmond J.,
Lieveld A.,
Wetering M.,
Schoutenvan Meeteren A.Y.N.
Publication year - 2017
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.12680
Subject(s) - medicine , interpreter , turkish , cultural competence , nursing , cultural diversity , language barrier , qualitative research , ethnic group , perspective (graphical) , palliative care , competence (human resources) , family medicine , psychology , social psychology , pedagogy , philosophy , linguistics , social science , artificial intelligence , sociology , computer science , anthropology , programming language
In order to gain more insight on the influence of ethnic diversity in paediatric cancer care, the perspectives of care providers were explored. Semi‐structured interviews were conducted among 12 paediatric oncologists and 13 nurses of two different paediatric oncology wards and were analysed using a framework method. We found that care providers described the contact with Turkish and Moroccan parents as more difficult. They offered two reasons for this: (1) language barriers between care provider and parents hindered the exchange of information; (2) cultural barriers between care provider and parents about sharing the diagnosis and palliative perspective hindered communication. Care providers reported different solutions to deal with these barriers, such as using an interpreter and improving their cultural knowledge about their patients. They, however, were not using interpreters sufficiently and were unaware of the importance of eliciting parents’ perspectives. Communication techniques to overcome dilemmas between parents and care providers were not used and care providers were unaware of stereotypes and prejudice. Care providers should be offered insight in cultural barriers they are unaware of. Training in cultural competence might be a possibility to overcome manifest barriers.