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1.
Z Psychosom Med Psychother ; 66(1): 20-31, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32066348

RESUMEN

Objectives: Intercultural opening of the health care system is supposed to optimize health services for migrants. It is part of the National Integration Plan and promoted by medical societies in Germany. This study examines its state of implementation at hospitals and rehabilitation centres for psychosomatic medicine and psychotherapy in Bavaria. Methods: A written survey was conducted using a modified version of the questionnaire for the implementation of intercultural opening in the mental health care system IKÖ-P (Penka et al. 2012a). Results: Altogether 18 institutions responded. Migrants were underrepresented among patients and employees excluding physicians. Specialized psychotherapeutic interventions for migrants were rarely available, but frequently used when offered. Conclusions: Intercultural opening was poorly implemented in a structural level. Due to the low response-rate of 21.7 % the survey is not representative. Participation of institutions interested in intercultural opening could have led to biased results. To provide adequate psychosomatic medical care for migrants, intercultural opening should be further developed.


Asunto(s)
Competencia Cultural/organización & administración , Hospitales , Trastornos Psicofisiológicos/terapia , Medicina Psicosomática/organización & administración , Psicoterapia/organización & administración , Centros de Rehabilitación/organización & administración , Alemania , Humanos , Trastornos Psicofisiológicos/etnología , Migrantes/psicología
2.
Nurs Educ Perspect ; 41(1): 63-64, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31860495

RESUMEN

Undergraduate didactic nursing leadership courses lack experiential opportunities to address working with culturally diverse populations. The authors used Bafa Bafa©, a cross-cultural low-fidelity simulation, to further develop critical thinking and emotional intelligence skills in prelicensure nursing students. This article describes the authors' experiences of integrating this innovative teaching strategy in the classroom to increase cultural awareness. The students' discovery of unexpected feelings, thoughts, and perceptions has the potential to extend beyond the simulated experience when coupled with faculty reinforcement of engaging in self-reflective practice as a professional nurse.


Asunto(s)
Bachillerato en Enfermería , Entrenamiento Simulado , Estudiantes de Enfermería , Competencia Cultural , Inteligencia Emocional , Humanos , Liderazgo , Estudiantes de Enfermería/psicología
3.
Epidemiol Psychiatr Sci ; 29: e80, 2019 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-31839026

RESUMEN

AIMS: No instrument has been developed to explicitly assess the professional culture of mental health workers interacting with severely mentally ill people in publicly or privately run mental health care services. Because of theoretical and methodological concerns, we designed a self-administered questionnaire to assess the professional culture of mental health services workers. The study aims to validate this tool, named the Mental Health Professional Culture Inventory (MHPCI). The MHPCI adopts the notion of 'professional culture' as a hybrid construct between the individual and the organisational level that could be directly associated with the professional practices of mental health workers. METHODS: The MHPCI takes into consideration a multidimensional definition of professional culture and a discrete number of psychometrically derived dimensions related to meaningful professional behaviour. The questionnaire was created and developed by a conjoint Italian-Canadian research team with the purpose of obtaining a fully cross-cultural questionnaire and was pretested in a pilot study. Subsequently, a validation survey was conducted in northern Italy and in Canada (Montreal area, Quebec). Data analysis was conducted in different steps designed to maximise the cross-cultural adaptation of the questionnaire through a recursive procedure consisting of performing a principal component analysis (PCA) on the Italian sample (N = 221) and then testing the resulting factorial model on the Canadian sample (N = 237). Reliability was also assessed with a test-retest design. RESULTS: Four dimensions emerged in the PCA and were verified in the confirmatory factor analysis: family involvement, users' sexuality, therapeutic framework and management of aggression risk. All the scales displayed good internal consistency and reliability. CONCLUSIONS: This study suggests the MHPCI could be a valid and reliable instrument to measure the professional behaviour of mental health services workers. The content of the four scales is consistent with the literature on psychosocial rehabilitation, suggesting that the instrument could be used to evaluate staff behaviour regarding four crucial dimensions of mental health care.


Asunto(s)
Actitud del Personal de Salud/etnología , Competencia Cultural , Asistencia Sanitaria Culturalmente Competente , Personal de Salud/psicología , Servicios de Salud Mental/normas , Encuestas y Cuestionarios/normas , Adulto , Canadá , Comparación Transcultural , Humanos , Italia , Salud Mental , Persona de Mediana Edad , Cultura Organizacional , Psicometría , Reproducibilidad de los Resultados
4.
RECIIS (Online) ; 13(4): 736-753, out.-dez. 2019. ilus
Artículo en Portugués | LILACS | ID: biblio-1047532

RESUMEN

Este artigo, de caráter interdisciplinar, tem como objetivo articular questões da diversidade sociocultural com o direito à comunicação e à saúde e a estratégias de reconhecimentos identitários. Para isso, propomos uma análise de conteúdo, de abordagem qualitativa, da comunicação produzida pela Equipe de Base Warmis ­ Convergências das Culturas sobre o caso que ficou conhecido como Projeto pró-cesárea no SUS ou PL 435/2019, comparando-a ainda com matérias veiculadas sobre o tema na mídia tradicional comercial e em notas e comunicados oficiais de instituições formais de classe profissional envolvidas com a questão. Como recurso teórico-metodológico, utilizamos os conceitos de interculturalismo e comunicação intercultural. Entre os principais resultados, destacamos que processos comunicacionais, quando entendidos não somente a partir de seu alcance instrumental, mas, em seu sentido de vinculação sociocultural, interação simbólica e produção subjetiva, podem ter caráter mobilizador coletivo e de reconhecimento identitário visando, muitas vezes, a transformação da realidade social, ainda que essa signifique uma coexistência sociocultural capaz de ser negociada.


This interdisciplinary article aims to articulate issues of sociocultural diversity with the right to communication and health and identity recognition strategies. For this, we propose a qualitative content analysis about the communication produced by the Warmis Base Team ­ Convergences of Cultures on the case known as the Pro-cesarean project in SUS or PL 435/2019, comparing it with articles published about the theme in the traditional commercial media and in formal professional class institutions official notes involved with the case. As a theoretical-methodological resource, we use the interculturalism concept and intercultural communication. Among the main results, we highlight that communicational processes, when understood not only from their instrumental reach, but, in their sense of sociocultural attachment, symbolic interaction and subjective production, can have collective mobilizing character and identity recognition, often aiming at the transformation of social reality, even if it means a sociocultural coexistence able of being negotiated.


Este artículo, interdisciplinario, tiene como objetivo articular temas de diversidad sociocultural con el derecho a la comunicación y a la salud y estrategias de reconocimiento de identidad. Para esto, proponemos un análisis de contenido cualitativo de la comunicación producida por el Equipo Base de Warmis ­ Convergencias de las Culturas en el caso conocido como el Proyecto pro cesárea en SUS o PL 435/2019, comparándolos con artículos publicados sobre el tema en los medios comerciales tradicionales y con notas oficiales de instituciones formales de clase profesional involucradas en el tema. Como recurso teórico-metodológico, utilizamos los conceptos de interculturalidad y comunicación intercultural. Entre los principales resultados, destacamos que los procesos comunicacionales, cuando se entienden no solo desde su alcance instrumental, sino que, en su sentido de apego sociocultural, interacción simbólica y producción subjetiva, pueden tener un carácter movilizador colectivo y reconocimiento de identidad, con el objetivo de la transformación de la realidad social, aunque esa signifique una convivencia sociocultural capaz de ser negociada.


Asunto(s)
Humanos , Participación de la Comunidad , Diversidad Cultural , Discurso , Estudios Interdisciplinarios , Comunicación en Salud , Medios de Comunicación Sociales , Política Pública , Violencia , Sistema Único de Salud , Cesárea/estadística & datos numéricos , Salud de la Mujer , Parto Humanizado , Parto , Violaciones de los Derechos Humanos , Emigración e Inmigración , Competencia Cultural
5.
Movimento (Porto Alegre) ; 25(1): e25025, jan.- dez. 2019.
Artículo en Español | LILACS | ID: biblio-1047998

RESUMEN

Este artigo apresenta uma classificação dos perfis pedagógicos dos professores de Educação Física de escolas multiculturais a partir de suas próprias percepções, de sua intervenção pedagógica e de sua trajetória profissional. Foi realizado um estudo de casos múltiplos com 12 professores que trabalham em escolas públicas de Barcelona, com mais de 50% de estudantes imigrantes. As técnicas de investigação utilizadas foram entrevistas semiestruturadas e observações não participantes, juntamente com a Análise de Conteúdo correspondente. Os dados recolhidos a partir da ótica intercultural permitiram estabelecer três perfis docentes: o "sensível inclusivo", o "assimilador romântico" e o "queimado-preconceituoso". Essa classificação permite reconhecer a diversidade de posturas existentes nesse coletivo profissional e analisar as necessidades formativas e de suporte mais oportunas em cada caso


Este trabajo presenta una tipificación de los perfiles pedagógicos del profesorado de Educación Física en escuelas multiculturales a partir de sus percepciones, su intervención pedagógica y su trayectoria profesional. Para ello, se ha realizado un estudio de casos múltiple, con doce docentes de escuelas públicas de Barcelona con más del 50% de alumnado inmigrante. Las técnicas de investigación han sido la entrevista semiestructurada y la observación no participante, junto con el correspondiente análisis de contenido. Los datos recogidos, analizados desde la óptica intercultural, han permitido establecer tres perfiles docentes: el "sensible-inclusor", el "romántico-asimilador" y el "quemado-prejuicioso". Esta tipificación permite reconocer la diversidad de posturas existentes entre el colectivo profesional y analizar las necesidades formativas y de apoyo más oportunas en cada caso


This paper presents a categorization of pedagogical profiles of Physical Education teachers in multicultural schools, based on their perceptions, pedagogical interventions and professional histories. A multiple case study was conducted with twelve teachers from public schools in Barcelona where over 50% of students were immigrants. The study used semi-structured interviews and non-participant observation, and then conducted the corresponding content analysis. The data collected were analysed from the cross-cultural point of view, and three teacher profiles were established: "sensitiveinclusive"; "romantic-assimilator"; and "stressed out-prejudiced". This classification allowed us to recognize the diversity of attitudes among these professionals and to analyze the most appropriate training and support needs for each case


Asunto(s)
Humanos , Masculino , Femenino , Educación y Entrenamiento Físico , Educación Primaria y Secundaria , Competencia Cultural , Emigrantes e Inmigrantes , Propensión (Educación) , Docentes , Sociedad Receptora de Migrantes
6.
BMC Complement Altern Med ; 19(1): 335, 2019 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-31775730

RESUMEN

BACKGROUND: Concerns have been raised regarding the efficacy and safety resulting from the potential interactions of herbs with Western medications due to the use of both herbs and Western medicine by the general public. Information obtained from the web must be critically evaluated prior to its use in making decisions. DESCRIPTION: This study aimed to construct an herb-drug interaction (HDI) website (https://drug-herb-interaction.netlify.com) with a critically reviewed database. Node.js was used to store the database by running JavaScript. Vue.js is a front-end framework used for web interface development. A total of 135 sets of information related to the interactions of ginseng, ginkgo and dong quai with Western medicine from the literature identified in Medline were collected, followed by critical reviews to prepare nineteen items of information for each HDI monograph. A total of 80 sets of validated HDIs met all criteria and were further assessed at the individual reliability level (likely, possible, and unevaluable) and labeled with the "interaction" item. This query system of the website can be operated in both the Chinese and English languages to obtain all monographs on HDIs in the database, including bilingual interaction data. The database of HDI monographs can be updated by simply uploading a new version of the information Excel file. The designed "smart search" module, in addition to the "single search", is convenient for requesting multiple searches. Among the "likely" interactions (n = 26), 50% show negative HDIs. Ten of these can increase the effect of the Western drug, and the others (n = 3) imply that the HDI can be beneficial. CONCLUSIONS: The current study provides a website platform and 80 sets of validated bilingual HDIs involving ginseng, ginkgo and dong quai in an online database. A search of HDI monographs related to these three herbs can be performed with this bilingual, easy-to-use query website, which is feasible for professionals and the general public. The identified reliability level for each HDI may assist readers' decisions regarding whether taking Western medications concomitant with one of three herbal medicinal foods is safe or whether caution is required due to potentially serious outcomes.


Asunto(s)
Bases de Datos Farmacéuticas , Interacciones de Hierba-Droga , Multilingüismo , Interfaz Usuario-Computador , Competencia Cultural , Medicamentos Herbarios Chinos , Ginkgo biloba , Humanos , Internet , Panax , Reproducibilidad de los Resultados
7.
Nurs Clin North Am ; 54(4): 609-623, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31703785

RESUMEN

The impact of culture on health has gained considerable importance in care delivery. This review discusses the complex interaction of culture and social determinants, and the combined impact of these on emotional well-being. Examples of this interaction are presented and recommendations for change within nursing to improve care are discussed.


Asunto(s)
Competencia Cultural/psicología , Salud Mental , Enfermería Psiquiátrica , Humanos , Determinantes Sociales de la Salud
8.
Recurso Educacional Abierto en Español | CVSP - Argentina | ID: oer-3857

RESUMEN

Bajo la organización de la Escuela de Salud Pública y Ambiente de la Facultad de Ciencias Médicas de la Universidad Nacional de Córdoba y el Campus Virtual de Salud Pública Nodo Argentina, se realizó la Conferencia Interculturalidad y Salud: "la mirada del otro" en la Secretaría de Graduados de la Facultad de Ciencias Médicas de Córdoba. En este marco se encontraban presentes la coordinadora del CVSP nodo argentina, Dra. María Cristina Cometto quien dio inicio a la conferencia, gran cantidad de docentes, estudiantes, profesionales y público en general. El encuentro se realizó de manera presencial y remoto el día martes 8 de octubre y estuvo a cargo de la Dra. Silvia Costa Abós, Profesora Titular de Enfermería, Facultad de Medicina y Ciencias de la Salud de la Universidad de Barcelona. El nutrido número de asistentes que colmó el Salón Rojo y los participantes online se mostraron muy interesados en la conferencia, aportando al concluir la misma, sus puntos de vista y formulando interrogantes a la Dra. Abós generándose así un enriquecedor intercambio.


Asunto(s)
Competencia Cultural , Antropología , Estudios Poblacionales en Salud Pública , Asistencia Sanitaria Culturalmente Competente , Políticas Públicas de Salud
10.
Lima; Perú. Ministerio de Salud; 20191000. 60 p. tab, graf.
Monografía en Español | LILACS, LIPECS | ID: biblio-1023642

RESUMEN

La norma contiene la finalidad y justificación técnica, ámbito de aplicación, base legal y disposiciones generales y específicas para la atención integral de salud de adolescentes.


Asunto(s)
Adolescente , Atención Integral de Salud , Normas Técnicas , Competencia Cultural
11.
Aust N Z J Public Health ; 43(6): 563-569, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31535420

RESUMEN

OBJECTIVE: To identify behavioural barriers of service provision within general practice that may be impacting the vaccination coverage rates of Aboriginal children in Perth, Western Australia (WA). METHODS: A purposive developed survey was distributed to 316 general practices across Perth and three key informant interviews were conducted using a mixed-methods approach. RESULTS: Of the surveyed participants (n=101), 67.4% were unaware of the low vaccination coverage in Aboriginal children; 64.8% had not received cultural sensitivity training in their workplace and 46.8% reported having inadequate time to follow up overdue child vaccinations. Opportunistic vaccination was not routinely performed by 30.8% of participants. Key themes identified in the interviews were awareness, inclusion and cultural safety. CONCLUSION: Inadequate awareness of the current rates, in association with a lack of cultural safety training, follow-up and opportunistic practice, may be preventing greater vaccination uptake in Aboriginal children in Perth. Cultural safety is a critical component of the acceptability and accessibility of services; lack of awareness may restrict the development of strategies designed to equitably address low coverage. IMPLICATIONS: The findings of this study provide an opportunity to raise awareness among clinicians in general practice and inform future strategies to equitably deliver targeted vaccination services to Aboriginal children.


Asunto(s)
Competencia Cultural , Prestación de Atención de Salud/métodos , Enfermeras de Familia/psicología , Medicina General/organización & administración , Servicios de Salud del Indígena/organización & administración , Médicos/psicología , Cobertura de Vacunación/estadística & datos numéricos , Adulto , Niño , Salud del Niño , Brotes de Enfermedades/prevención & control , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Masculino , Persona de Mediana Edad , Grupo de Ascendencia Oceánica , Vacunación , Cobertura de Vacunación/tendencias , Vacunas/administración & dosificación , Australia Occidental
12.
Fortschr Neurol Psychiatr ; 87(9): 504-510, 2019 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-31519026

RESUMEN

BACKGROUND: Neuropsychological dementia diagnosis of migrants are limited regarding the testing of cognitive abilities as well as the recording of everyday activities (Activities of Daily Living, ADL) such as linguistic, educational, lifestyle and cultural-religious factors have not been taken into account in psychometric instruments. AIM OF THE STUDY: We aimed to develop a culturally sensitive ADL scale, which is suitable for both German people and Turkish migrants that takes into consideration gender, cultural-religious and lifestyle aspects. A further aim was to determine the quality criteria for the newly proposed ADL scale. METHODS: After the initial phase, including qualitative interviews (N = 15) with cognitively unimpaired German participants and Turkish migrants, a first version of the ADL instrument was developed. This version was then completed by cognitively unimpaired Germans (n = 197) and Turkish participants (n = 53) and the shortened ADL scale was generated based on an item analysis. It consisted of the three subscales 'cognition', 'Basic Activities of Daily Living (BADL)' and 'Instrumental Activities of Daily Living (IADL)'. For Turkish participants, questions about Islamic prayers were added. Montreal Cognitive Assessment (MoCA) and Geriatric Depression Scale (GDS) were applied to rule out cognitive impairment and depression. The 'Bayer-ADL' was used to measure the validity of the scale. RESULTS: The everyday life of Germans and Turkish migrants differs in aspects of religious practice and in terms of sociocultural activities, which are taken into account in the CC-ADL. The reliability of the new ADL scale in terms of internal consistency (Cronbach's alpha) were regarding 'cognition' α = .43 for Germans and α = .80 for Turkish migrants; 'BADL' α = .55 for Germans and α = -.04 for Turkish migrants; 'IADL' α = .91 for Germans and α = .83 for Turkish migrants and α = .73 for Turkish migrants under the 'prayer items'. The correlation of the ADL total score with the Bayer ADL for Germans was ρ = .347 (p < .00) and for the Turkish sample ρ = .520 (p < .01). CONCLUSION: The development of a final version of the CC-ADL scale requires further data from healthy participants and patients (Mild Cognitive Impairment and dementia).


Asunto(s)
Actividades Cotidianas , Competencia Cultural , Demencia/diagnóstico , Demencia/psicología , Emigrantes e Inmigrantes/psicología , Disfunción Cognitiva/diagnóstico , Disfunción Cognitiva/psicología , Femenino , Alemania , Humanos , Estilo de Vida/etnología , Masculino , Pruebas Neuropsicológicas , Religión y Psicología , Reproducibilidad de los Resultados , Turquia/etnología
13.
Psychiatr Danub ; 31(Suppl 3): 406-410, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31488761

RESUMEN

BACKGROUND: Bariatric surgery or reconstructive body contouring surgery performed after weight loss, has the potential to have a major impact one's body image, health-related quality of life (HRQOL) and mental wellbeing. Many researches show interest in measuring this impact using generic instruments that unfortunately are not specifically oriented toward bariatric or surgery patients. The BODY-Q is a new patient-reported outcome (PRO) instrument designed to measure patient perceptions of weight loss and/or body contouring. In this article, we describe the methods used to translate and culturally adapt the French version of the BODY-Q. MATERIAL AND METHOD: We followed the recommendation for translation process established by the International Society for Pharmacoeconomics and Outcome Research (ISPOR) and the World Health Organisation (WHO). This process included two forward translations, one backward translation, a review by a panel of expert and cognitive debriefing interviews with patient. Our aim was to ensure a conceptual and culturally valid translation. RESULTS: This translation process led to a conceptually and culturally equivalent French version of the Body-Q. Backward translation comparison to the English original version led to the identification of 16 differences necessitating re-translation. The expert panel offered support to identify inadequate expressions and proposed changes to the translations. The cognitive debriefing interviews with 15 patients contributed to minor changes in the translation. CONCLUSIONS: This thorough method of translation and cultural adaptation allowed us to develop a conceptually and culturally valid French translation of the BODY-Q.


Asunto(s)
Contorneado Corporal/psicología , Lingüística , Medición de Resultados Informados por el Paciente , Traducciones , Imagen Corporal/psicología , Competencia Cultural , Francia , Humanos , Calidad de Vida , Reproducibilidad de los Resultados , Pérdida de Peso
14.
Metas enferm ; 22(7): 49-55, sept. 2019. tab
Artículo en Español | IBECS | ID: ibc-184099

RESUMEN

Objetivo: analizar las costumbres y prácticas ancestrales en el cuidado de la mujer tseltal embarazada de tres comunidades de Chilón (Chiapas, México). Método: estudio cualitativo, etnográfico, descriptivo. Esta investigación se realizó en el sureste de México, en el estado de Chiapas, con un grupo de mujeres embarazadas tseltales, pertenecientes a tres comunidades de la región (Tulijá, Tseltal y Chol). Son comunidades indígenas en donde aún se rigen por usos y costumbres, por ello la figura de las matronas fue fundamental, ya que a través del consentimiento y aprobación de ellas como líderes de las comunidades se logró el acercamiento a las mujeres embarazadas. La técnica utilizada para la recogida de información fue la entrevista semiestructurada. El análisis del discurso permitió señalar conceptos y asignar códigos para generar categorías y subcategorías. Resultados: se reclutaron siete mujeres embarazadas entre las 20 y 38 semanas de gestación. Edad entre 17-42 años. El 100% pertenecía a la etnia tseltal. En el análisis del discurso emergieron dos categorías: "Creencias y prácticas durante el embarazo" y "La matrona, mujer sabia en el cuidado de la embarazada". Conclusiones: las mujeres gestantes tseltales tienen sus propias prácticas ancestrales de cuidado, no solo cuidan el cuerpo físico, sino tratan de guardar un equilibrio con la naturaleza, las emociones y el espíritu. El cuidado se basa en prácticas preventivas. De acuerdo a su cosmovisión, el estudio de estos saberes y prácticas integradas en la mujer embarazada tseltal, sensibiliza sobre la actuación enfermera para mejorar las competencias culturales


Objective: to analyze the ancient customs and practices regarding the care of tseltal pregnant women, from three Chilon communities (Chiapas, Mexico). Method: a qualitative, ethnographic, descriptive study. This research was conducted in South East Mexico, in the state of Chiapas, with a group of pregnant tseltal women, from three communities in the Tulija, Tseltal and Chol regions. These are native communities still ruled by uses and practices; therefore, the profile of midwives was essential, because an approach to pregnant women was possible through their consent and approval as community leaders. The technique used for collecting information was semi-structured interviews. Discourse analysis allowed to highlight concepts and assign codes in order to generate categories and subcategories. Results: seven pregnant women were recruited, within the 17-to-42 age range and on their 20th to 38th week of pregnancy; 100% of them belonged to the tseltal ethnic group. Two categories emerged within the discourse analysis: "Beliefs and practices during pregnancy", and "The midwife, a wise woman in pregnancy care". Conclusions: pregnant tseltal women have their own ancient practices of care: they won't only look after the physical body, but also try to keep in balance with nature, emotions and spirit. Care is based upon preventive practices. According to their worldview, the study of this knowledge and practices integrated in the pregnant tseltal woman creates awareness about the action of the nursing staff in order to improve cultural skills


Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Cultura , Embarazo/etnología , Enfermeras Obstetrices , Competencia Cultural , México , Mujeres Embarazadas , Análisis Cualitativo , Partería/ética , Enfermería Transcultural , Grupos Étnicos , Naturaleza
15.
J Grad Med Educ ; 11(4 Suppl): 91-99, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31428264

RESUMEN

Background: While resident participation in global health (GH) rotations has grown, little is known about trainee perceptions of the personal value of these international clinical experiences and their importance to the objectives of GH training. Objective: We sought to better understand the clinical scenarios experienced during international rotations that residents perceived as most meaningful and the frequency of these experiences across scenarios and participating residents. Methods: Using the conceptual framework of Schön's reflection on action, we asked University of Minnesota GH track pediatric and internal medicine-pediatric residents to describe 10 clinical scenarios they found interesting or impactful during their 2016-2017 GH elective. We conducted a qualitative analysis of the deidentified resident narratives and mapped themes to the Accreditation Council for Graduate Medical Education (ACGME) competencies. Results: All eligible residents (n = 13) participated, yielding 129 unique clinical scenarios from 7 countries. We identified 5 thematic groups: (1) addressing challenges in making diagnoses in resource-limited settings; (2) dealing with patient outcomes different from those expected in the United States; (3) encountering and managing diseases in a different clinical context; (4) encountering and managing diseases in a different cultural context; and (5) reflecting on learning and self-growth. Of the 129 unique clinical scenarios, 30% (n = 39) had not been previously experienced by participants. Across the 5 themes, all ACGME core competencies were addressed. Conclusions: Residents identified meaningful scenarios of their GH experiences that are relevant to the educational and clinical objectives of GH training.


Asunto(s)
Competencia Clínica/normas , Salud Global , Medicina Interna/educación , Internacionalidad , Internado y Residencia , Aprendizaje , Pediatría/educación , Acreditación/normas , Adulto , Competencia Cultural , Femenino , Recursos en Salud/provisión & distribución , Humanos , Masculino , Narración , Estados Unidos
16.
Nurs Educ Perspect ; 40(5): 278-282, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31436690

RESUMEN

AIM: This qualitative descriptive study aimed to evaluate the role of a short-term interprofessional study abroad program in Kenya on beginning awareness of cultural humility. BACKGROUND: Students in the health care professions, including nursing, must learn to work effectively with diverse patient populations and provide culturally safe care. METHOD: Course assignments of 21 students were thematically analyzed to discover how students applied concepts of cultural attunement to learn cultural humility while interacting with people in rural and urban Kenya. RESULTS: Student narrations acknowledged all aspects of cultural attunement during the experience: the pain of oppression; acted with reverence; reported coming from a place of not knowing; engaged in acts of humility; engaged in mutuality; and reported attaining harmony, cooperation, and accord. CONCLUSION: Findings suggest a short-term community-focused study abroad experience can be a valuable tool for beginning stages of becoming culturally humble and providing culturally safe health care.


Asunto(s)
Competencia Cultural/educación , Intercambio Educacional Internacional , Estudiantes del Área de la Salud/psicología , Estudiantes de Enfermería/psicología , Humanos , Kenia , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería
17.
Stud Health Technol Inform ; 264: 1371-1372, 2019 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-31438150

RESUMEN

We developed a mobile learning system that provides cultural competency training courses for nurses at a university hospital in South Korea using the system development life cycle. The contents and functions of the system were identified from the literature review, expert's recommendations, and the users' requirements. An algorithm, database, and user interface were designed. The system was implemented using the Newin Touchclass authoring tool. We evaluated and modified the system based on heuristics evaluation.


Asunto(s)
Competencia Cultural , Aprendizaje , Humanos , República de Corea
18.
Pediatrics ; 144(3)2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31427460

RESUMEN

Children in immigrant families (CIF), who represent 1 in 4 children in the United States, represent a growing and ever more diverse US demographic that pediatric medical providers nationwide will increasingly encounter in clinical care. Immigrant children are those born outside the United States to non-US citizen parents, and CIF are defined as those who are either foreign born or have at least 1 parent who is foreign born. Some families immigrate for economic or educational reasons, and others come fleeing persecution and seeking safe haven. Some US-born children with a foreign-born parent may share vulnerabilities with children who themselves are foreign born, particularly regarding access to care and other social determinants of health. Therefore, the larger umbrella term of CIF is used in this statement. CIF, like all children, have diverse experiences that interact with their biopsychosocial development. CIF may face inequities that can threaten their health and well-being, and CIF also offer strengths and embody resilience that can surpass challenges experienced before and during integration. This policy statement describes the evolving population of CIF in the United States, briefly introduces core competencies to enhance care within a framework of cultural humility and safety, and discusses barriers and opportunities at the practice and systems levels. Practice-level recommendations describe how pediatricians can promote health equity for CIF through careful attention to core competencies in clinical care, thoughtful community engagement, and system-level support. Advocacy and policy recommendations offer ways pediatricians can advocate for policies that promote health equity for CIF.


Asunto(s)
Servicios de Salud del Niño/organización & administración , Emigrantes e Inmigrantes , Niño , Enfermedades Transmisibles/diagnóstico , Enfermedades Transmisibles/terapia , Características Culturales , Competencia Cultural , Emigrantes e Inmigrantes/legislación & jurisprudencia , Emigrantes e Inmigrantes/psicología , Política de Salud , Accesibilidad a los Servicios de Salud , Disparidades en Atención de Salud , Humanos , Tamizaje Masivo , Salud Mental , Estado Nutricional , Salud Bucal , Resiliencia Psicológica , Estados Unidos , Poblaciones Vulnerables/psicología
19.
Prim Care ; 46(3): 373-386, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31375187

RESUMEN

Patients with serious illness and their family caregivers face numerous ongoing psychological and social concerns and stressors throughout the disease trajectory. Common challenges relate to the need to manage the disease by making complex and often difficult medical decisions. In addition, the presence of psychological and psychiatric distress, including depression and anxiety, may significantly add to the overall symptom burden for the patient and family caregivers. These challenges negatively impact mood, cognitive function, interpersonal relationships, and medical decision making. If not recognized and adequately addressed, they can seriously undermine coping and resilience, eroding psychological well-being and quality of life.


Asunto(s)
Adaptación Psicológica , Aflicción , Enfermedad Crítica/psicología , Familia/psicología , Atención Primaria de Salud/organización & administración , Afecto , Ansiedad/epidemiología , Ansiedad/terapia , Competencia Cultural , Depresión/epidemiología , Depresión/terapia , Humanos , Relaciones Interpersonales , Relaciones Médico-Paciente , Calidad de Vida , Apoyo Social , Estrés Psicológico/epidemiología , Estrés Psicológico/terapia
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