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Title: | Perspectives of oncology nurses and oncologists regarding barriers to working with patients from a minority background: Systemic issues and working with interpreters. | Authors: | Hale S.;Watts K.J.;Meiser B.;Zilliacus E.;Kaur R.;Taouk M.;Girgis A.;Butow P.;Kissane D.W. ;Perry A.;Goldstein D.;Aranda S.K. | Institution: | (Watts, Meiser, Zilliacus, Kaur, Taouk, Girgis, Goldstein) Prince of Wales Clinical School, University of New South Wales, Sydney, Australia (Girgis) Centre for Oncology Education and Research Translation, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of New South Wales, Sydney, Australia (Butow) Psycho-Oncology Co-operative Research Group, Centre for Medical Psychology and Evidence-based Decision-Making, University of Sydney, Sydney, Australia (Kissane) Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia (Hale) Faculty of Arts and Social Sciences, University of New South Wales, Sydney, Australia (Perry) Multicultural Health Service, South Eastern Sydney Local Health District, Sydney, Australia (Aranda) School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia (Aranda) Cancer Council Australia, Sydney, Australia (Goldstein) Department of Medical Oncology, Prince of Wales Hospital, Sydney, NSW, Australia | Issue Date: | 24-Sep-2018 | Copyright year: | 2018 | Place of publication: | United Kingdom | Publication information: | European journal of cancer care. 27 (2) (pp e12758), 2018. Date of Publication: 01 Mar 2018. | Abstract: | This study aimed to ascertain the systemic barriers encountered by oncology health professionals (HPs) working with patients from ethnic minorities to guide the development of a communication skills training programme. Twelve medical and five radiation oncologists and 21 oncology nurses were invited to participate in this qualitative study. Participants were interviewed individually or in a focus group about their experiences working with people from minority backgrounds. All interviews were transcribed verbatim and analysed thematically. HPs encountered language and communication barriers in their interactions with patients and their families, which were perceived to impact negatively on the quality and amount of information and support provided. There was a shortage of, and poor processes for engaging, interpreters and some HPs were concerned about the accuracy of interpretation. HPs expressed a need for training in cultural awareness and communication skills with a preference for face-to-face delivery. A lack of funding, a culture of "learning on the job", and time constraints were systemic barriers to training. Oncologists and oncology nurses encounter complex challenges in clinical interactions with minority patients and their families, including difficulties working with interpreters. Formal training programmes targeted to the development of culturally competent communication skills are required.Copyright © 2017 John Wiley & Sons Ltd. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/ecc.12758 | ORCID: | Meiser B.; ORCID: http://orcid.org/0000-0002-5086-0784 | Link to associated publication: | Click here for full text options | PubMed URL: | 28892208 [http://www.ncbi.nlm.nih.gov/pubmed/?term=28892208] | ISSN: | 1365-2354 (electronic) | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/38232 | Type: | Article | Subjects: | ethnic group female health care delivery *health personnel attitude human *communication barrier *cultural competence oncologist *oncology nursing professional-patient relationship *psychology qualitative research translating (language) standards adult cancer center male middle aged minority group neoplasm/th [Therapy] minority group adult cancer center *communication barrier *cultural competence ethnic group female health care delivery *health personnel attitude human male middle aged translating (language) qualitative research *psychology professional-patient relationship *oncology nursing oncologist neoplasm / therapy |
Type of Clinical Study or Trial: | Qualitative study |
Appears in Collections: | Articles |
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