"It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden
BACKGROUND: Experiences from nations with population diversity show extensive evidence on the need for cultural and linguistic competence in health care. In Sweden, despite the increasing diversity, only few studies have focused on challenges in cross-cultural care. The aim of this study was to expl...
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Institutionen för kvinnors och barns hälsa
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ftuppsalauniv:oai:DiVA.org:uu-188604 2023-05-15T17:44:32+02:00 "It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden Nkulu Kalengayi, Faustine Kyungu Hurtig, Anna-Karin Ahlm, Clas Ahlberg, Beth Maina 2012 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-188604 https://doi.org/10.1186/1472-6963-12-433 eng eng Institutionen för kvinnors och barns hälsa Dept of Public Health and Clinical Medicine, Division of Epidemiology and Global Health, Umeå University, Sweden Dept of Clinical Microbiology, Division of Infectious Diseases, Umeå University, Sweden BMC Health Services Research, 2012, 12:1, s. 433- http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-188604 doi:10.1186/1472-6963-12-433 PMID 23194441 ISI:000314230200001 info:eu-repo/semantics/openAccess Medical and Health Sciences Medicin och hälsovetenskap Article in journal info:eu-repo/semantics/article text 2012 ftuppsalauniv https://doi.org/10.1186/1472-6963-12-433 2023-02-23T22:00:20Z BACKGROUND: Experiences from nations with population diversity show extensive evidence on the need for cultural and linguistic competence in health care. In Sweden, despite the increasing diversity, only few studies have focused on challenges in cross-cultural care. The aim of this study was to explore the perspectives and experiences of caregivers in caring for migrant patients in Northern Sweden in order to understand the challenges they face and generate knowledge that could inform clinical practice. METHODS: We used an interpretive description approach, combining semi-structured interviews with 10 caregivers purposively selected and participant observation of patient-provider interactions in caring encounters. The interviews were transcribed and analyzed using thematic analysis approach. Field notes were also used to orient data collection and confirm or challenge the analysis. RESULTS: We found complex and intertwined challenges as indicated in the three themes we present including: the sociocultural diversity, the language barrier and the challenges migrants face in navigating through the Swedish health care system. The caregivers described migrants as a heterogeneous group coming from different geographical areas but also having varied social, cultural and religious affiliations, migration history and status all which influenced the health care encounter, whether providing or receiving. Participants also described language as a major barrier to effective provision and use of health services. Meanwhile, they expressed concern over the use of interpreters in the triad communication and over the difficulties encountered by migrants in navigating through the Swedish health care system. CONCLUSIONS: The study illuminates complex challenges facing health care providers caring for migrant populations and highlights the need for multifaceted approaches to improve the delivery and receipt of care. The policy implications of these challenges are discussed in relation to the need to (a) adapt care to the individual ... Article in Journal/Newspaper Northern Sweden Uppsala University: Publications (DiVA) BMC Health Services Research 12 1 |
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Open Polar |
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Uppsala University: Publications (DiVA) |
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ftuppsalauniv |
language |
English |
topic |
Medical and Health Sciences Medicin och hälsovetenskap |
spellingShingle |
Medical and Health Sciences Medicin och hälsovetenskap Nkulu Kalengayi, Faustine Kyungu Hurtig, Anna-Karin Ahlm, Clas Ahlberg, Beth Maina "It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden |
topic_facet |
Medical and Health Sciences Medicin och hälsovetenskap |
description |
BACKGROUND: Experiences from nations with population diversity show extensive evidence on the need for cultural and linguistic competence in health care. In Sweden, despite the increasing diversity, only few studies have focused on challenges in cross-cultural care. The aim of this study was to explore the perspectives and experiences of caregivers in caring for migrant patients in Northern Sweden in order to understand the challenges they face and generate knowledge that could inform clinical practice. METHODS: We used an interpretive description approach, combining semi-structured interviews with 10 caregivers purposively selected and participant observation of patient-provider interactions in caring encounters. The interviews were transcribed and analyzed using thematic analysis approach. Field notes were also used to orient data collection and confirm or challenge the analysis. RESULTS: We found complex and intertwined challenges as indicated in the three themes we present including: the sociocultural diversity, the language barrier and the challenges migrants face in navigating through the Swedish health care system. The caregivers described migrants as a heterogeneous group coming from different geographical areas but also having varied social, cultural and religious affiliations, migration history and status all which influenced the health care encounter, whether providing or receiving. Participants also described language as a major barrier to effective provision and use of health services. Meanwhile, they expressed concern over the use of interpreters in the triad communication and over the difficulties encountered by migrants in navigating through the Swedish health care system. CONCLUSIONS: The study illuminates complex challenges facing health care providers caring for migrant populations and highlights the need for multifaceted approaches to improve the delivery and receipt of care. The policy implications of these challenges are discussed in relation to the need to (a) adapt care to the individual ... |
format |
Article in Journal/Newspaper |
author |
Nkulu Kalengayi, Faustine Kyungu Hurtig, Anna-Karin Ahlm, Clas Ahlberg, Beth Maina |
author_facet |
Nkulu Kalengayi, Faustine Kyungu Hurtig, Anna-Karin Ahlm, Clas Ahlberg, Beth Maina |
author_sort |
Nkulu Kalengayi, Faustine Kyungu |
title |
"It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden |
title_short |
"It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden |
title_full |
"It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden |
title_fullStr |
"It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden |
title_full_unstemmed |
"It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden |
title_sort |
"it is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in northern sweden |
publisher |
Institutionen för kvinnors och barns hälsa |
publishDate |
2012 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-188604 https://doi.org/10.1186/1472-6963-12-433 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMC Health Services Research, 2012, 12:1, s. 433- http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-188604 doi:10.1186/1472-6963-12-433 PMID 23194441 ISI:000314230200001 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/1472-6963-12-433 |
container_title |
BMC Health Services Research |
container_volume |
12 |
container_issue |
1 |
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