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Talking in triads: communication with T urkish and M oroccan immigrants in the palliative phase of cancer
Author(s) -
Graaff Fuusje M,
Francke Anneke L,
Muijsenbergh Maria ETC,
Geest Sjaak
Publication year - 2012
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/j.1365-2702.2012.04289.x
Subject(s) - palliative care , perception , nursing , qualitative research , health care , immigration , psychology , medicine , relevance (law) , family medicine , sociology , social science , archaeology , neuroscience , political science , law , economics , history , economic growth
Aims and objectives To gain insight into the factors that influence communication between health professionals and T urkish and M oroccan immigrants in the palliative phase of cancer. Background In palliative care, communication is crucial. The question, however, is whether D utch healthcare providers, on the one hand, and T urkish and M oroccan patients and their family members, on the other, agree on what is constituted by good communication. Design A descriptive qualitative method is used. Methods Data of semi‐structured interviews with 83 persons (six patients, 30 relatives and 47 professional care providers) were analysed to determine perceptual communication differences about care and treatment during the palliative phase of 33 cases. Results As many patients with a T urkish or M oroccan background speak little D utch, conversations often take place in triads, which makes it difficult for the actors to understand and resolve communication problems arising from diverging perceptions of ‘good communication’. Conclusion Miscommunication around palliative care cannot solely be explained by the different cultural backgrounds of patients and their care providers. The multilingual communication triangle of patient – family – care provider often also complicates the bridging of differences in care perceptions. Relevance to clinical practice Professional care providers should develop adequate strategies to handle triads, explore their own conventions and those of patients and relatives.