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2017
Nesterko, Yuriy; Kaiser, Marie; Glaesmer, Heide (2017): Kultursensible Aspekte während der Diagnostik von psychischen Belastungen bei Flüchtlingen – Zwei kommentierte Fallberichte. In: Psychotherapie, Psychosomatik, medizinische Psychologie 67 (3-04), S. 109-118. DOI: 10.1055/s-0042-107802

DOI: http://www.ncbi.nlm.nih.gov/pubmed/27706544

Abstract: High levels of mental disorders, especially PTSD, are commonly known among groups of people forced to leave their homeland as a consequence of war-related experiences (e. g. armed conflict, torture or persecution). Depending on the cultural background the perceptions of illnesses vary, different symptom presentation and thereupon different coping strategies respectively expectations towards health care services exist. To minimize the danger of misdiagnosis by different experts working with refugees in the host countries, a culture-sensitive diagnostic approach is needed from the beginning. This article describes important aspects of culture-sensitive diagnostics by means of 2 commented case reports. Special focus is set on the aspect of linguistic and in a broader sense cultural comprehension between therapist, client and if necessary language mediator.

Keywords: Adult, Communication Barriers, Culturally Competent Care, Culture, culture sensitive, Disziplin, Female, Germany, Humans, Kultur, Kulturtheorie, Life Change Events, Linguistik, Male, Mental Disorders/diagnosis/ethnology/psychology, Observablen/Kriterien für sozial angemessenes Verhalten und dessen Bewertung, Pathologie, Physician-Patient Relations, PREJUDICE, Psychologie, Refugees/psychology, Social Identification, Somatoform Disorders/diagnosis/ethnology/psychology, Stress Disorders, Post-Traumatic/diagnosis/ethnology/psychology, Suicidal Ideation, Translating
Schrank, Beate; Rumpold, Tamara; Amering, Michaela; Masel, Eva Katharina; Watzke, Herbert; Schur, Sophie (2017): Pushing boundaries-culture-sensitive care in oncology and palliative care. A qualitative study. In: Psycho-oncology 26 (6), S. 763-769. DOI: 10.1002/pon.4217

DOI: http://www.ncbi.nlm.nih.gov/pubmed/27429221

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.

Keywords: Adult, Attitude of Health Personnel, Culturally Competent Care, Culture, culture specific, Female, Gesellschaftsprofit, Health Personnel/psychology/statistics & numerical data, Humans, Interaktion, Job Satisfaction, Kultur, kulturspezifisch, Male, Medical Oncology, Medizin, Middle Aged, Neoplasms/ethnology/therapy, Observablen/Kriterien für sozial angemessenes Verhalten und dessen Bewertung, Palliative Care, Pflege, Qualitative research, Umgangsformen, Young Adult

2017

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