Cultural Capability in the Professional Care of Nurses for Medical Tourists in Iran: A Qualitative Study (original) (raw)

Safe acceptance in the nurses’ cultural care of medical tourists in Iran: a qualitative study

BMC Health Services Research

Background Medical tourism is traveling to another country to promote, restore and maintain health, recreation, and pleasure. There are different types of health tourism, including medical tourism, recovery tourism, and preventive tourism. This study aimed to explain safe acceptance in the nurses’ cultural care of medical tourists in Iran. Methods In this qualitative study, 18 semi-structured interviews were conducted with nurses, patients, and patients’ relatives, who had been selected by purposeful sampling in 2021–2022. The interviews were recorded, transcribed, and then analyzed by conventional content analysis. Results The statistical analysis revealed that the main theme of this study was safe acceptance which included the five categories of trust building, safety, maintaining comfort and peace, stress control, and identifying patients’ expectations. Conclusions The present study demonstrated that safe acceptance of cultural care was essential to medical tourism. Iranian nurse...

Transcultural Nursing Analysis in The Concept of Health Tourism : A Literature Review

Progresif Media Publikasi Ilmiah, 2023

Background: Health tourism is a topic that is starting to be looked at in various parts of the world. The increase in the expectations of health tourists for the quality of health services certainly also has an impact on increasingly quality nursing care services for various clients from abroad. Nurses are required to handle the increasing number of visitors and migrants from abroad due to this globalization. This certainly has an impact on cultural factors which are a very important component of nursing competence where nurses are increasingly required to be able to carry out appropriate and appropriate nursing care to clients of foreign nationals. This study aims to describe health tourism and transcultural nursing concepts from the perspective of nurses and to find out how they interpret them. Methods: This literature uses inclusion and exclusion criteria using article data sources obtained and reviewed from the Google Scholar, PubMed and Willley Library databases. Results: The score obtained on the nurse's cultural sensitivity scale is a low average, cultural sensitivity also has no correlation with gender, marital status, age, educational level, professional title and background of transcultural nursing training. The cultural competency scores were significantly higher due to work experience treating foreign patients. Conclusion: Lack of language knowledge and experience of foreign cultures is an obstacle for nurses in caring for foreign patients. Improving foreign language skills, skills and work experience treating foreign patients is absolutely necessary in the context of meeting the needs for health tourism services.

The status of cultural care among nurses working in different wards of teaching hospitals in Ardabil, Iran: A cross-sectional survey study

International Journal of Care Coordination, 2020

Introduction Culture is an important determinant in providing appropriate and coordinated health care for people from different ethnicities. The present study aimed to evaluate the status of cultural care among nurses working in teaching hospitals affiliated to Ardabil University of Medical Sciences. Methods In this descriptive-correlational study, 350 nurses completed the Persian version of Cultural Care Inventory (PCCI). This tool consists of 51 items and measures cultural care process in four domains including cultural preparation, cultural attitude, cultural awareness and cultural competence. Data were analyzed by IBM SPSS Statistics for Windows, version 22. Results The grand item mean of cultural care was 2.60 ± 0.621, which is considered poor. The grand item mean was 2.64 ± 0.78 in the subscale of cultural preparation, 3.45 ± 0.559 in cultural attitude, 2.81 ± 0.736 in cultural awareness and 2.58 ± 0.834 in cultural competence. Cultural competence was significantly related to ...

Exploring the cultural competency of Expatriate Nurses working in Saudi Arabia

Indian Journal of Science and Technology

Objective: The research was to undertake a descriptive survey of International nurses working in a different hospital in Saudi Arabia to explore cultural competency. Methods: A prospective cross-sectional survey design was utilized. The convenient sample included 736 expatriate nurses working in several healthcare settings in Saudi Arabia, on one occasion using a prevalidated self-assessment questionnaire. Findings: Current study reported that most nurses were Indians and Philippino Nurses with 51.5% and 42.1%, respectively. Expatriate nurses have shown a higher-level competence in a. Awareness and sensitivity b. Behavior c. Patient-centered communication. A significant statistical association was found between cultural competence and the selected demographic characteristics. Novelty: Care provider and care receiver's culture impacts the healthcare delivery system's contemporary philosophy. The institutional guidelines and the appropriate professional support would be the core context of generating culturally competent care to enhance quality care management.

Cultural Competence Perspectives From Nurses in Four Asian Countries: A Qualitative Descriptive Study

Journal of Health Science and Medical Research

Objective: This study aimed to describe the perception of cultural competence (CC) among nurses of four Asian countries. Material and Methods: A descriptive qualitative study was carried out, including fourteen nurses for in-depth interviews and 63 nurses for 8 focus group discussions being purposively selected from four Asian countries. Data were analyzed based on content analysis. Results: The participants defined CC as similar to cultural care, and described their CC in four main themes: (1) caring focus for patients with different cultures, (2) valuing holistic care/ patient-centered nursing, (3) preparing for living with God or Buddha, and (4) considering the social norms and patient rights. Assessment of the patient’s cultural background and myths contrary to medicine, along with having professional nursing knowledge, skills, and experience were the components of CC. Conclusion: The participants have addressed their CC in providing culturally, congruent care with a universal...

Qualified Nurses’ Perceptions of Cultural Competence and Experiences of Caring for Culturally Diverse Patients: A Qualitative Study in Four European Countries

Nursing Reports

Background: European nurses are expected to provide appropriate care for patients from diverse cultural backgrounds. However, there is limited knowledge and understanding of this process. The aim of this study was to analyse the perceptions of culture and experiences of caring for patients from diverse cultural backgrounds of a purposive sample of qualified nurses from four European countries, namely Belgium, Portugal, Spain and Turkey. Methods: A qualitative phenomenological approach was selected in order to understand complex phenomena through the participants’ lived experiences, meanings and perspectives. Individual interviews and focus groups took place with 28 staff nurses and 11 nurse managers from four European countries. The sociodemographic and cultural characteristics of the sample were described and analysed using descriptive statistics. Qualitative data were transcribed verbatim, translated into English and analysed following Braun and Clark’s phases for thematic analysi...

Cultural Issues in Medical Tourism

American Journal of Tourism Research, 2013

Medical tourism has become an emerging industry in recent years. Both developed and developing countries are involved in this field. For example, British patients seem to prefer India for medical tourism services. American medical tourists always fly to Mexico to receive medical care, in order to reduce culture shock. This means that medical services include the consideration of cultural familiar. The research objectives of this paper include (1) discussing the relevant research and literature concerning the relationship between culture and medical services; (2) analyzing the relationship between culture and medical tourism; and (3) proposing policy advice to the government for promoting medical tourism services, based on the discoveries of previous research. The research employs secondary data collected from the relevant literature. Our main contribution is the provision of a review of the impact of cultural competency on medical tourism services. Another contribution of this study is that its findings can serve as a reference for further empirical analysis. We find that cultural competence should be integrated into healthcare systems, medical organizations, and individuals. These findings show that countries providing medical tourism services should examine physician-patient communication methods and physicianvisitor culture, because each may lack sufficient cultural competence, as well as levels of cultural respect. It is recommended that healthcare providers arrange for such education for their employees; a small booklet or video demonstration can do wonders in this regard.

Hospital’s Challenges in Providing Healthcare Services to Medical Tourists: A Phenomenological Study at the National Level

Health Scope

Background: Hospitals play a crucial role in providing medical services to medical tourists and their satisfaction; however, they face many problems in this field. Objectives: This study aimed to explain hospitals’ challenges in providing healthcare services to medical tourists. Methods: In this qualitative-phenomenological study conducted in 2021, data were collected through semi-structured interviews, purposive sampling, and the participation of 21 key informants involved in hospitals and medical tourism industries in six large cities in Iran. They were then analyzed using the thematic analysis method with the MAXQDA-10 software. Results: Hospital challenges were included in 165 final codes. The six main ones were governance and leadership, financing, human resources, technology-equipment-medicine, information systems, and service delivery. Three categories of structure, process, and outcomes related to medical tourism were also identified. Conclusions: Improving the information a...

Challenges of Transcultural Caring Among Health Workers in Mashhad-Iran: A Qualitative Study

Global Journal of Health Science, 2015

Background: One of the consequences of migration is cultural diversity in various communities. This has created challenges for healthcare systems. Objectives: The aim of this study is to explore the health care staffs' experience of caring for Immigrants in Mashhad-Iran. Setting: This study is done in Tollab area (wherein most immigrants live) of Mashhad. Clinics and hospitals that immigrants had more referral were selected. Participants: Data were collected through in-depth interviews with medical and nursing staffs. 15 participants (7 Doctors and 8 Nurses) who worked in the more referred immigrants' clinics and hospitals were entered to the study. Design: This is a qualitative study with content analysis approach. Sampling method was purposive. The accuracy and consistency of data were confirmed. Interviews were conducted until no new data were emerged. Data were analyzed by using latent qualitative content analysis. Results: The data analysis consisted of four main categories; (1) communication barrier, (2) irregular follow-up, (3) lack of trust, (4) cultural-personal trait. Conclusion: Result revealed that health workers are confronting with some trans-cultural issues in caring of immigrants. Some of these issues are related to immigration status and some related to cultural difference between health workers and immigrants. These issues indicate that there is transcultural care challenges in care of immigrants among health workers. Due to the fact that Iran is the context of various cultures, it is necessary to consider the transcultural care in medical staffs. The study indicates that training and development in the area of cultural competence is necessary.

A descriptive study to assess the self reported level of Cultural Competence to care for a Transcultural population among Nurses in a tertiary care hospital

Journal of Medical Science And clinical Research, 2019

Background: The world today is becoming smaller and is no longer separated by differences in food, language or religion. Recent advances in work, technology and medicine has made people frequently travel round the globe. A nurse today has to be efficient in care of not only one kind of patients, but those from every corner of the world with different food habits, religion or ways of living. When a nurse provides care that includes knowledge, attitudes, and skills that support caring for people across different languages and cultures she is called Culturally Competent. Nurses serving in the Armed forces serve across the terrains of the country and even abroad. Giving culturally relevant care is an essential part of their functions, as they commonly care for patients who are of different cultural background than theirs. Transcultural nursing though being a distinct nursing speciality has today become the need of every nurse which focuses on global cultures and comparative cultural caring, health, and nursing phenomena. Objective of the study was to assess the self reported level of cultural competence to care for a transcultural population among nurses in a tertiary care hospital. Methods/Design: Quantitative non experimental study design was followed. A descriptive cross sectional study was conducted among selected nurses of a tertiary care hospital. 100 nurses were selected following convenient sampling. Tool had two sections with questions of sociodemographical variables and Nurse Cultural competence Scale (NCCS) regarding cultural competence among the nurses in the tertiary care hospital. Results: Cultural Knowledge among the nurses was 336, Cultural Awareness was 243, Cultural Sensitivity was 258, and Cultural Skill among the selected nurses was 325 out of a subtotal of 500. The results reveal that the selected nurses had adequate knowledge on Culture and skills required for effective care, but needed to improve on Cultural awareness and Sensitivity.