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      Multicultural Aspects of Palliative Care (Original Research)

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      Clinical Social Work and Health Intervention

      Journal of Clinical Social Work and Health Intervention

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          Aim: This paper deals with terminal care from the aspect of multiculturality. Our aim was to assess the satisfaction of the culture-specific needs of dying patients by Nurses in selected health care institutions. Methodology: In the research, we used a quantitative method for data collection and processing. We constructed and used a questionnaire, which was voluntary and anonymous. Sample: The target group of the research consisted of 175 Nurses working in health care institutions in Slovakia, Germany and Sweden. Results: We processed the collected data quantitatively, and are presenting them in their absolute and relative frequency. We processed the results of the research statistically by the Chi-square goodness of fit test, the Mann-Whitney U test, and the Shapiro-Wilk test of normality. We arranged the results into tables and charts. Conclusion: The contribution of the paper is to call attention to the subject matter and make the provision of nursing care to patients of different cultures more efficient.

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          Women's narratives on quality in prenatal care: a multicultural perspective.

          Although significant progress has been made to increase prenatal care access, national organizations concerned with health equity emphasize that eliminating disparities will require greater attention to quality of care, assessed from both the biomedical and patient perspectives. In this study, we examined narratives about pregnancy experiences from low-income primiparous African American, Mexican American, Puerto Rican, and White women who participated in focus groups conducted in 1996. We reanalyzed transcripts from these discussions, extracting passages in which women talked about the content and quality of their prenatal care experiences. Data were mapped to four domains reflecting patient-centeredness markers identified in the 2005 U.S. National Healthcare Disparities Report (NHDR). These markers include the extent to which the women perceived that their provider listened carefully, explained things, showed respect, and spent enough time with them. The narratives provided by the study participants suggest a critical and intuitive understanding of the NHDR patient-centeredness markers and some shared understanding across cultural groups. Implications for improving quality and its measurement in prenatal care are discussed.
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            Cultural competence among Swedish child health nurses after specific training: A randomized trial.

            An urgent need to improve Swedish primary child health-care nurses' cultural competence was revealed by previous research among nurses working in, and immigrant parents visiting, primary child health-care services. The aim of this study was to evaluate the extent to which specific training affected how nurses rated their own cultural competence, difficulties, and concerns and to study how the nurses evaluated the training. Conducted as a randomized controlled trial, the effects on a study sample of 51 nurses were assessed by questionnaires in a pre- and post-study design. The findings indicated that the 3 days of training were appreciated by the nurses and had some effects on their cultural competence, difficulties, and concerns. The training might have had positive effects on the nurses' working conditions as they rated it to have an impact on their ability to cope with the demands of their work activities in the health services. These effects are presumed to contribute to an improved quality of the health services, with a reduction in the risk for health-care disparities among children of immigrant parents.

              Author and article information

              Clinical Social Work and Health Intervention
              Journal of Clinical Social Work and Health Intervention
              December 28 2017
              December 28 2017
              : 8
              : 4
              : 35-43
              © 2017

              This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported License. To view a copy of this license, visit

              Psychology, Social & Behavioral Sciences


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