Intercultural Communication between Long-Stay Immigrants and Catalan Primary Care Nurses: A Qualitative Approach to Rebalancing Power.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

Emigrants and Immigrants* ; Primary Care Nursing*; Communication ; Focus Groups ; Humans ; Nurse-Patient Relations

There is a gap between the preferences of immigrant patients and their experiences with intercultural communication. This study aims to explore the experiences and perspectives of long-stay immigrants on intercultural communication in encounters with primary care (PC) nurses. Participants were selected by purposive sampling at the Maresme Primary Care Center. A focus group and five in-depth interviews with long-stay immigrants from eight countries were carried out. Data collection was guided by a script previously validated by a group of experts. We conducted a qualitative analysis following Charmaz's approach, and data saturation was reached with 11 patients (one focus group and five interviews). Long-stay immigrants would like closer and more personalized communication exchanges with greater humanity, as well as polite and respectful manners as they perceive signs of an asymmetrical care relationship. Those who had negative communication experiences tried to justify some of the behaviors as a result of having free access to public health services. This is one of the few existing studies from the point of view of long-stay immigrants. Achieving effective intercultural communication requires a process of self-reflection, awareness-raising and commitment, both on a personal and institutional level, to eliminate the asymmetry in the nurse-patient relationship. Nurses should be trained in person-centered intercultural communication.

Patient Educ Couns. 2019 Jan;102(1):3-11. (PMID: 30201221)
Clin Teach. 2015 Jun;12(3):149-54. (PMID: 26009947)
Rev Esp Salud Publica. 2014 Nov-Dec;88(6):687-701. (PMID: 25418561)
Lancet. 2013 Apr 6;381(9873):1235-45. (PMID: 23541058)
Soc Sci Med. 2019 Oct;239:112555. (PMID: 31542649)
Aten Primaria. 2016 Mar;48(3):149-58. (PMID: 26388468)
Gac Sanit. 2020 May - Jun;34(3):261-267. (PMID: 30554737)
Annu Rev Public Health. 2016;37:219-36. (PMID: 26735431)
Patient Educ Couns. 2009 Sep;76(3):348-55. (PMID: 19647969)
BMC Fam Pract. 2015 May 06;16:55. (PMID: 25943553)
J Immigr Minor Health. 2018 Feb;20(1):214-230. (PMID: 27858278)
Health Commun. 2020 Mar 16;:1-11. (PMID: 32172595)
Aten Primaria. 2020 Apr;52(4):221-223. (PMID: 32245562)
BMC Med Ethics. 2017 Jan 19;18(1):2. (PMID: 28103849)
J Immigr Minor Health. 2016 Dec;18(6):1522-1540. (PMID: 26364053)
PLoS One. 2020 Apr 2;15(4):e0231106. (PMID: 32240255)
Patient Educ Couns. 2015 Apr;98(4):420-45. (PMID: 25535014)
J Nurs Scholarsh. 2019 Jan;51(1):58-67. (PMID: 30390377)
Eur J Public Health. 2014 Oct;24(5):712-20. (PMID: 24723691)
BMC Public Health. 2020 Mar 6;20(1):292. (PMID: 32138713)
Br Med Bull. 2017 Jan 1;121(1):5-18. (PMID: 28108435)
Qual Health Res. 2015 Dec;25(12):1662-74. (PMID: 25583958)
Ethn Health. 2014;19(2):178-97. (PMID: 23679137)
Nurs Ethics. 2018 May;25(3):313-323. (PMID: 27284017)
Scand J Caring Sci. 2017 Mar;31(1):54-62. (PMID: 26800093)
Enferm Clin. 2012 Jul-Aug;22(4):191-7. (PMID: 22840434)
Nurse Educ Today. 2017 Sep;56:29-34. (PMID: 28651100)
Rev Esp Salud Publica. 2014 Nov-Dec;88(6):675-85. (PMID: 25418560)
Patient Educ Couns. 2017 Sep;100(9):1622-1633. (PMID: 28392179)
West J Nurs Res. 2000 Mar;22(2):203-24. (PMID: 10743411)
BMC Fam Pract. 2013 May 04;14:54. (PMID: 23641671)
BMC Nurs. 2013 May 24;12:14. (PMID: 23705680)
Int J Environ Res Public Health. 2020 Nov 24;17(23):. (PMID: 33255379)
J Health Care Poor Underserved. 2014 Aug;25(3):1052-66. (PMID: 25130224)
Aten Primaria. 2012 Feb;44(2):82-8. (PMID: 21531483)
Global Health. 2018 Jun 15;14(1):57. (PMID: 29903036)
Gac Sanit. 2019 Jan - Feb;33(1):45-52. (PMID: 28947092)
Subst Use Misuse. 2016 Jun 6;51(7):870-81. (PMID: 27100322)
BMC Pregnancy Childbirth. 2018 Jun 7;18(1):217. (PMID: 29879940)
Healthcare (Basel). 2020 Dec 13;8(4):. (PMID: 33322209)
PLoS Med. 2006 Oct;3(10):e294. (PMID: 17076546)
Adm Policy Ment Health. 2015 Sep;42(5):533-44. (PMID: 24193818)
Qual Quant. 2018;52(4):1893-1907. (PMID: 29937585)
J Transcult Nurs. 2020 Nov;31(6):598-605. (PMID: 32013750)
Int J Nurs Stud. 2017 May;70:89-98. (PMID: 28236689)
Int J Med Educ. 2017 May 16;8:170-175. (PMID: 28535143)
Aust Fam Physician. 2014 May;43(5):320-4. (PMID: 24791777)
Sex Reprod Healthc. 2015 Jun;6(2):59-65. (PMID: 25998872)
Gac Sanit. 2021 Mar-Apr;35(2):145-152. (PMID: 32008864)
Int J Equity Health. 2019 Nov 14;18(1):174. (PMID: 31727076)
Health Soc Care Community. 2016 Nov;24(6):e117-e130. (PMID: 26499469)
West J Emerg Med. 2019 Oct 16;20(6):842-850. (PMID: 31738709)
Nurse Educ Today. 2017 Mar;50:1-7. (PMID: 27998806)
PLoS One. 2015 Oct 06;10(10):e0139577. (PMID: 26440647)
Disabil Rehabil. 2013 Jan;35(2):153-63. (PMID: 22616895)

Keywords: cultural safety; intercultural communication; intercultural competence; long-stay immigrant; nurse-patient relations; primary care

Date Created: 20210403 Date Completed: 20210426 Latest Revision: 20210426

20240628

PMC7999544

10.3390/ijerph18062851

33799637