BACKGROUND We aimed to explore the background of refugees emigrating to Sweden and their situation in the new country with special focus on their contacts with the Swedish healthcare system. MATERIAL AND METHODS Our study has a qualitative design. Data was collected between January and October 2013 during face-to-face interviews using open-ended questions. A qualitative content analysis was c...

Lesbian, gay, bisexual, and transgender (LGBT) people experience distinct health disparities and are one of the largest underserved populations in any nursing setting. Transgender health has been the subject of relatively little health research, particularly within the nursing community. Studies investigating nursing’s knowledge and attitudes towards LGBT persons suggest a gap that can affect t...

The perception of pain and behaviors associated with pain are influenced by the sociocultural contexts of the individuals experiencing pain. This article provides an overview of the literature on these cultural influences. With the increase in global migration, nurses need to develop increased sensitivity to the influence of culture on pain perceptions and behaviors. In the provision of home he...

Finding ways to deliver high-quality health care to an increasingly diverse population is a major challenge for the American health care system. The persistence of racial and ethnic disparities in health care access, quality, and outcomes has prompted considerable interest in increasing the cultural competence of health care, both as an end in its own right and as a potential means to reduce di...

With a large and increasing culturally and linguistically diverse (CALD) population, the Australian health care system faces challenges in the provision of accessible culturally competent health care. Communities at higher risk of chronic disease include CALD communities. Overseas, multicultural health workers (MHWs) have been increasingly integrated in the delivery of culturally relevant prima...

OBJECTIVE The goal of this paper is to define cultural competence and present a practical framework to address crosscultural challenges that emerge in the clinical encounter, with a particular focus on the issue of nonadherence. DATA SOURCE English-language literature, both primary and reports from various agencies, and the author's personal experiences in clinical practice. STUDY SELECTION...

BACKGROUND AND OBJECTIVES The United States is becoming increasingly diverse. Health disparities continue with little improvement despite national policies and standards. Medical institutions are modifying their curricula; however, little is known about faculty attitudes and comfort in addressing cultural issues. The purpose of this study was to determine faculty attitudes, self-perceived level...

OBJECTIVE Our aim is to provide health care professionals in Canada with the knowledge and tools to provide culturally safe care to First Nations, Inuit, and Métis women and through them, to their families, in order to improve the health of First Nations, Inuit, and Métis. EVIDENCE Published literature was retrieved through searches of PubMed, CINAHL, Sociological Abstracts, and The Cochrane ...

Provision of “culturally competent” medical care is one of the strategies advocated for reducing or eliminating racial and ethnic health disparities. This report identifies five domains of culturally competent care that can best be assessed through patients’ perspectives: 1) patient–provider communication; 2) respect for patient preferences and shared decision-making; 3) experiences leading to ...

to obtain, process, and understand basic health information and services needed to make appropriate health decisions” [2]. While written patient information readability has been used in health student teaching, there is minimal literature focusing on health literacy understanding and experiences among medical students [3]. A pilot project was undertaken at Harvard Medical School to evaluate hea...