期刊
BMC MEDICAL EDUCATION
卷 21, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s12909-021-02745-1
关键词
cultural competence; cultural sensitivity; palliative care; cross-cultural training; communication
资金
- Swiss Academy of Medical Sciences [PC 12/17]
The study investigated the clinical challenges faced by Swiss palliative care professionals working with migrant patients and their relatives. Communication barriers related to patients' linguistic and cultural backgrounds were identified as the major difficulty. Professionals showed particular interest in communication techniques to address these issues independently, while demonstrating less interest in training on collaborating with other professionals and examining their own stereotypes.
BackgroundCultural and linguistic diversity in patients and their relatives represents a challenge for clinical practice in palliative care around the world. Cross-cultural training for palliative care professionals is still scarce, and research can help determine and support the implementation of appropriate training. In Switzerland, health policies address diversity and equity issues, and there is a need for educational research on cross-cultural training in palliative care. The aim of this study was to investigate the clinical challenges faced by Swiss palliative care professionals when working with migrant patients and their relatives. We also documented professionals' interests in cross-cultural training.MethodsA web survey of professionals working in specialized palliative care in the French- and Italian-speaking areas of Switzerland investigated clinical challenges with migrant populations and interests in various training opportunities.ResultsA total of 204 individuals responded to the survey, 48.5% of whom were nurses. The major difficulties they reported were communication impediments associated with patients' linguistic and/or cultural backgrounds. In relation to educational needs, they expressed a particular interest in communication techniques that would allow them to deal with these issues autonomously. The professionals expressed less interest in training on collaborating with other professionals and examining one's own stereotypes.ConclusionsPalliative care professionals' post-graduate and continuing education must address communication techniques for sensitive palliative and end-of-life topics in cross-cultural contexts. Beginning with their pre-graduate studies, health professionals should assimilate the importance of collaborating with other professionals in complex cross-cultural situations and learn to reflect on their stereotypes and pre-conceptions in clinical practice.
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