Is the Front Line Prepared for the Changing Faces of Patients? Predictors of Cross-Cultural Preparedness Among Clinical Nurses and Resident Physicians in Lausanne, Switzerland.

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State: Public
Version: author
Serval ID
serval:BIB_3BDCD35F8273
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Is the Front Line Prepared for the Changing Faces of Patients? Predictors of Cross-Cultural Preparedness Among Clinical Nurses and Resident Physicians in Lausanne, Switzerland.
Journal
Teaching and Learning In Medicine
Author(s)
Casillas A., Paroz S., Green A.R., Wolff H., Weber O., Faucherre F., Ninane F., Bodenmann P.
ISSN
1532-8015 (Electronic)
ISSN-L
1040-1334
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
27
Number
4
Pages
379-386
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
UNLABELLED: PHENOMENON: Assuring quality medical care for all persons requires that healthcare providers understand how sociocultural factors affect a patient's health beliefs/behaviors. Switzerland's changing demographics highlight the importance of provider cross-cultural preparedness for all patients-especially those at risk for social/health precarity. We evaluated healthcare provider cross-cultural preparedness for commonly encountered vulnerable patient profiles.
APPROACH: A survey on cross-cultural care was mailed to Lausanne University hospital's "front-line healthcare providers": clinical nurses and resident physicians at our institution. Preparedness items asked "How prepared do you feel to care for ... ?" (referring to example patient profiles) on an ascending 5-point Likert scale. We examined proportions of "4 - well/5 - very well prepared" and the mean composite score for preparedness. We used linear regression to examine the adjusted effect of demographics, work context, cultural-competence training, and cross-cultural care problem awareness, on preparedness.
FINDINGS: Of 885 questionnaires, 368 (41.2%) were returned: 124 (33.6%) physicians and 244 (66.4%) nurses. Mean preparedness composite was 3.30 (SD = 0.70), with the lowest proportion of healthcare providers feeling prepared for patients "whose religious beliefs affect treatment" (22%). After adjustment, working in a sensitized department (β = 0.21, p = .01), training on the history/culture of a specific group (β = 0.25, p = .03), and awareness regarding (a) a lack of practical experience caring for diverse populations (β = 0.25, p = .004) and (b) inadequate cross-cultural training (β = 0.18, p = .04) were associated with higher preparedness. Speaking French as a dominant language and physician role (vs. nurse) were negatively associated with preparedness (β = -0.26, p = .01; β = -0.22, p = .01). INSIGHTS: The state of cross-cultural care preparedness among Lausanne's front-line healthcare providers leaves room for improvement. Our study points toward institutional strategies to improve preparedness: notably, making sure departments are sensitized to cross-cultural care resources and increasing provider diversity to reflect the changing Swiss demographic.
Keywords
Culturally Competent Care, Female, Humans, Male, Medical Staff, Hospital, Nurse-Patient Relations, Nursing Staff, Hospital, Physician-Patient Relations, Professional Competence, Quality Assurance, Health Care, Surveys and Questionnaires, Switzerland
Pubmed
Web of science
Create date
02/11/2015 14:44
Last modification date
20/08/2019 13:32
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