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Pushing boundaries-culture-sensitive care in oncology and palliative care: a qualitative study

2016; Wiley; Volume: 26; Issue: 6 Linguagem: Inglês

10.1002/pon.4217

1099-1611

Beate Schrank, Tamara Rumpold, Michaela Amering, Eva Katharina Masel, Herbert Watzke, Sophie Schur,

Cultural Competency in Health Care

Psycho-OncologyVolume 26, Issue 6 p. 763-769 PAPER Pushing boundaries—culture-sensitive care in oncology and palliative care: a qualitative study Beate Schrank, Beate Schrank Department of Psychiatry and Psychotherapy, University Hospital Tulln, Karl Landsteiner University of Health Sciences, Tulln, AustriaSearch for more papers by this authorTamara Rumpold, Tamara Rumpold Clinical Division of Palliative Care, Department of Internal Medicine I, Medical University of Vienna, Vienna, AustriaSearch for more papers by this authorMichaela Amering, Michaela Amering Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaSearch for more papers by this authorEva Katharina Masel, Eva Katharina Masel Clinical Division of Palliative Care, Department of Internal Medicine I, Medical University of Vienna, Vienna, AustriaSearch for more papers by this authorHerbert Watzke, Herbert Watzke Clinical Division of Palliative Care, Department of Internal Medicine I, Medical University of Vienna, Vienna, AustriaSearch for more papers by this authorSophie Schur, Corresponding Author Sophie Schur sophie.schur@meduniwien.ac.at Clinical Division of Palliative Care, Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria Correspondence Sophie Schur, Department for Internal Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. Email: sophie.schur@meduniwien.ac.atSearch for more papers by this author Beate Schrank, Beate Schrank Department of Psychiatry and Psychotherapy, University Hospital Tulln, Karl Landsteiner University of Health Sciences, Tulln, AustriaSearch for more papers by this authorTamara Rumpold, Tamara Rumpold Clinical Division of Palliative Care, Department of Internal Medicine I, Medical University of Vienna, Vienna, AustriaSearch for more papers by this authorMichaela Amering, Michaela Amering Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, AustriaSearch for more papers by this authorEva Katharina Masel, Eva Katharina Masel Clinical Division of Palliative Care, Department of Internal Medicine I, Medical University of Vienna, Vienna, AustriaSearch for more papers by this authorHerbert Watzke, Herbert Watzke Clinical Division of Palliative Care, Department of Internal Medicine I, Medical University of Vienna, Vienna, AustriaSearch for more papers by this authorSophie Schur, Corresponding Author Sophie Schur sophie.schur@meduniwien.ac.at Clinical Division of Palliative Care, Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria Correspondence Sophie Schur, Department for Internal Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. Email: sophie.schur@meduniwien.ac.atSearch for more papers by this author First published: 18 July 2016 https://doi.org/10.1002/pon.4217Citations: 26Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Objective In increasingly globalized societies, patient-centered cancer care requires culture-sensitive approaches in order to ensure patients well-being. While migrant patients' needs are frequently reported in the literature, staff members' perception of work with migrant patients, associated challenges, or individual work approaches are largely unknown. This study addresses this research gap through qualitative exploration of experiences of multicultural health care professionals in supportive oncology and palliative care, working with patients from different cultural backgrounds. This study aims to understand staff experience of the impact of culture on cancer care. Methods This study was conducted at the Medical University of Vienna, including staff from different settings of oncology and palliative care, in different professional positions, and with a range of individual migration backgrounds. Semistructured interviews were conducted with 21 staff members working with patients from different cultural backgrounds. Interviews explored views on the impact of culture on care were audio-taped, transcribed, and analyzed using a rigorous method of thematic analysis, enhanced with grounded theory techniques. Results Interviews revealed 4 key topics: culture-specific differences, assumed reasons for differences, consequences of multicultural care, and tools for culture-sensitive care. Strategies to better deal with migrant patients and their families were suggested to improve work satisfaction amongst staff. Conclusions This study identifies relevant staff challenges in work with migrant patients. Concrete suggestions for improvement include measures on an organizational level, team level, and personal tools. The suggested measures are applicable to improve work satisfaction and culture-sensitive care not only in cancer care but also in other areas of medicine. Citing Literature Supporting Information Filename Description pon4217-sup-0001-S1.docWord document, 81.5 KB Data S1. Supporting info item Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. Volume26, Issue6June 2017Pages 763-769 RelatedInformation