EXPLORING LINGUISTIC AND CULTURAL COMPETENCY WITHIN MULTI-DISCIPLINARY TEAMS PROVIDING HEALTHCARE TO IMMIGRANTS IN VÄXJÖ, SWEDEN

K PETERSSON, George Kernohan

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Multi-disciplinary teams (MDT) in primary care clinics working with immigrant health are exposed to various cultures and languages which require continual trans-cultural awareness and knowledge in order to meet the healthcare needs of the various groups that predominate in their regions. In a five year period, Sweden’s population had increased by 242,000 people; 77% were immigrants (Migrationsverket, 2009). Among the 102,280 immigrants arriving to Sweden in 2009, 168 countries of citizenship were represented (Statistiska Centralbyrån (SCB), 2010a). According to the SCB, (2010b) the largest immigrant group consisted of returning Swedish citizens, followed by Iraqis, Somalis and Poles. When SCB (2010b) compared statistics to 2008 it was noted that immigration of Somali citizens increased by 70%, while immigration of Iraqi and Polish citizens fell by 29% and 26%, respectively. Immigration populations fluctuate yearly and cultural variations affect whole communities in varies ways. Of the 102,280 new immigrants who arrived in Sweden in 2009, 7,380 were placed in the county of Kronobergsland and 4,824 to the city of Växjö (SCB, 2010a) where this survey was based. Providing culturally appropriate and thus competent care is imperative in upholding healthcare outcomes within this influx of immigrants. The MDT knowledge and skills in providing health care for different cultural groups should be updated on an on-going basis. As well as evaluating the MDT, it is important to assess how well health care providers’ systems, programs, and resources meet the needs of the communities they service. This paper takes a qualitative survey approach to better understand what educational needs exist in the areas of linguistic and cultural competency, starting with a literature overview before the methods are described. Following the results, the discussion, limitations and conclusions are presented according to a framework which is guided by literature.
LanguageEnglish
Title of host publicationLet's Learn Together, Let's Work Together
EditorsK Markey, P White, L O'Connor
Place of PublicationNewcastle Upon Tyne
Pages135-150
Publication statusPublished - 1 Oct 2012

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Sweden
immigrant
linguistics
immigration
citizen
health care
Group
community service
Pole
citizenship
statistics
language
health
resources
community
literature

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PETERSSON, K., & Kernohan, G. (2012). EXPLORING LINGUISTIC AND CULTURAL COMPETENCY WITHIN MULTI-DISCIPLINARY TEAMS PROVIDING HEALTHCARE TO IMMIGRANTS IN VÄXJÖ, SWEDEN. In K. Markey, P. White, & L. O'Connor (Eds.), Let's Learn Together, Let's Work Together (pp. 135-150). Newcastle Upon Tyne.
PETERSSON, K ; Kernohan, George. / EXPLORING LINGUISTIC AND CULTURAL COMPETENCY WITHIN MULTI-DISCIPLINARY TEAMS PROVIDING HEALTHCARE TO IMMIGRANTS IN VÄXJÖ, SWEDEN. Let's Learn Together, Let's Work Together. editor / K Markey ; P White ; L O'Connor. Newcastle Upon Tyne, 2012. pp. 135-150
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title = "EXPLORING LINGUISTIC AND CULTURAL COMPETENCY WITHIN MULTI-DISCIPLINARY TEAMS PROVIDING HEALTHCARE TO IMMIGRANTS IN V{\"A}XJ{\"O}, SWEDEN",
abstract = "Multi-disciplinary teams (MDT) in primary care clinics working with immigrant health are exposed to various cultures and languages which require continual trans-cultural awareness and knowledge in order to meet the healthcare needs of the various groups that predominate in their regions. In a five year period, Sweden’s population had increased by 242,000 people; 77{\%} were immigrants (Migrationsverket, 2009). Among the 102,280 immigrants arriving to Sweden in 2009, 168 countries of citizenship were represented (Statistiska Centralbyr{\aa}n (SCB), 2010a). According to the SCB, (2010b) the largest immigrant group consisted of returning Swedish citizens, followed by Iraqis, Somalis and Poles. When SCB (2010b) compared statistics to 2008 it was noted that immigration of Somali citizens increased by 70{\%}, while immigration of Iraqi and Polish citizens fell by 29{\%} and 26{\%}, respectively. Immigration populations fluctuate yearly and cultural variations affect whole communities in varies ways. Of the 102,280 new immigrants who arrived in Sweden in 2009, 7,380 were placed in the county of Kronobergsland and 4,824 to the city of V{\"a}xj{\"o} (SCB, 2010a) where this survey was based. Providing culturally appropriate and thus competent care is imperative in upholding healthcare outcomes within this influx of immigrants. The MDT knowledge and skills in providing health care for different cultural groups should be updated on an on-going basis. As well as evaluating the MDT, it is important to assess how well health care providers’ systems, programs, and resources meet the needs of the communities they service. This paper takes a qualitative survey approach to better understand what educational needs exist in the areas of linguistic and cultural competency, starting with a literature overview before the methods are described. Following the results, the discussion, limitations and conclusions are presented according to a framework which is guided by literature.",
author = "K PETERSSON and George Kernohan",
note = "Reference text: American Institutes for Research (AIR), (2004). Cultural competency and nursing: A review of current concepts, policies, and practices. Report prepared for the Office of Minority Health. Washington, DC: Author. U.S. Department of Health and Human Services. (Retrieved 15 January 2010) from: www.thinkculturalhealth.org/CCNM/Documents/CCNMEnvironmentalScanFINAL2004.pdf Beach, M. C., Saha S., & Cooper, L. (2006). The role and relationship of cultural competence and patient-centeredness in health care quality. The Common Wealth Fund. (Retrieved 01 November 2010) from: www.commonwealthfund.org/usr_doc/Beach_rolerelationshipcultcomppatient-cent_960.pdf Betancourt, J. (2003). Cross-cultural medical education: Conceptual approaches and frameworks for evaluation. Academic Medicine 78(6): 560-569. Betancourt, J., Green, A. & Carrillo, J. (2002). Cultural competence in health care: emerging frameworks and practical approaches. Field report. The Commonwealth Fund. (Retrieved 25 September 2010) from: www.azdhs.gov/bhs/cchc.pdf Bj{\"o}rk, J. & G{\"a}rdeborn, E. (2009). Transkulturella m{\"o}ten i prim{\"a}rv{\aa}rden. Master essay: Institutionen f{\"o}r Folkh{\"a}lo-och V{\aa}rdvetenskap. (Retrieved 13 March 2010) from: http://uu.diva-portal.org/smash/record.jsf?pid=diva2:222902 Boyatzis, R. (1998). Transforming qualitative information: Thematic analysis and code development. Sage Publications: California. California Family Health Council (CHFC) (2007) FamilyPACT Linguistic and cultural competency Toolkit. California Family Health Department. (Retrieved 10 August 2010) from: http://www.familypact.org/en/Providers/CulturalCompetency.aspxon Campinha-Bacote, J. (2003). Many faces: Addressing diversity in health care. Online Journal of Issues in Nursing 8(1) Manuscript 2. Carrillo, J. E., Green, A. & Betancourt, J. (1999). Cross- cultural primary care: A patient-based approach. Ann Intern Med. 130:829-834. Chevannes, M. (2002). Issues and innovations in nursing education. Issues in educating health professionals to meet the diverse needs of patients and other service users from ethnic minority groups. Journal of Advanced Nursing 39(3):290–298. Douglas, M., Pierce, J., Rosenkoetter, M., Clark Callister, L., Hattar-Pollara, M., Lauderdale, J., Miller, J., Milstead, J., Nardi, D. & Pacquiao, D. (2009). Standards of practice for culturally competent nursing care: A request for comments. Journal of Transcultural Nursing 20; 257. Engebretson, J., Mahoney, J. & Carlson, E. (2008). Cultural competence in the era of evidence-based practice. Journal of Professional Nursing 24:172–8. Fatahi, N. (2010). Cross-cultural encounters through interpreter: Experiences of patients, interpreters and healthcare professionals. Doctoral dissertation. Institute of Clinical Sciences at Sahlgrenska Academy. Geson Hylte Tryck: G{\"o}teborg, Sweden. (Retrieved 10 November) from: http://gupea.ub.gu.se/handle/2077/22221 Gerrish, K. (1998). Preparing nurses to care for minority ethnic communities. International Nursing Review 45: 115-127. Goode, T., Dunne, M.C. & Bronheim, S. (2006). The evidence base for cultural and linguistic competency in health care. National Center for Cultural Competence Center for Child and Human Development, Georgetown University. Commonwealth Fund Publication No. 962. (Retrieved 3 February 2010) from: www.commonwealthfund.org/usr_doc/Goode_evidencebasecultlinguisticcomp_962.pdf Jirwe, M. (2008). Cultural competence in nursing. Doctoral dissertation. Karolinska Institutet, Department of Neurobiology, Care Sciences and Society. {\AA}tta.45 Tryckeri AB: Stockholm. (Retrieved 25 September 2009) from: http://diss.kib.ki.se/2008/978-91-7409-153-3/thesis.pdf Kumas-Tan, Z., Beagan, B., Loppie, C., MacLeod, A. & Frank, B. (2007). Measures of cultural competence: Examining hidden assumptions. Academic Medicine 82(6). Leininger, M. M. (1985). Qualitative research methods in nursing. Grune & Stratton: Orlando. In Mashaba, T.G. & Brink, H.I. (1994) Nursing education: An international perspective. Zebra Publications: South Africa Nunez, A. (2000). Transforming cultural competence into cross-cultural efficacy in women's health education. Academic Medicine 75(11): 1071-1080 Migrationsverket (2009). Statistik-2009.(Retrieved 25September 2010): www.migrationsverket.se Office of Family Planning (OFP) (2009). Assessment of strategies for providing culturally competent care in Title X family planning clinics: Final report. Altarun Institute. U.S. Department of Health and Human Services: Office of Population Affairs. (Retrieved 27 August 2010) from: http://www.hhs.gov/opa/pdf/304b-assessment-of-strategies.pdf Papadopoulos, I., Tilki, M., & Ayling, S. (2008). Cultural competence in action for CAMHS: Development of a cultural competence assessment tool and training programme. Contemporary Nurse 28(1):129-140. Socialstyrelsen (2010). Interkulturellt Socialt Arbete. Artikelnr. 2010-6-9.( Retrieved 2 November 2011 from): http://www.socialstyrelsen.se/ Lists/Artikelkatalog/Attachments/18063/2010-6-9.pdf Statistiska Centralbyr{\aa}n (SCB), (2010a). Population Statistics: 2009 corrected 2010. (Retrieved 2 November 2010) from: http://www.scb.se/Pages/TableAndChart____287610.aspx —. (2010b). Immigrants and many newborns account for larger Swedish population (corrected 2010-03-26). (Retrieved 2 November 2010) from: http://www.scb.se/Pages/PressRelease____287539.aspx Sverige Kommun and Landstinget( SKL) (2009). H{\"a}lsofr{\"a}mjande och f{\"o}rebyggande i v{\aa}rdval 2009. (Retrieved 2 November 2011 from): http://www.skl.se/web/Halsoframjande_i_vardval.aspx Thorne, S. (2000). Data analysis in qualitative research. Evidence based nursing 3: 68-70.",
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PETERSSON, K & Kernohan, G 2012, EXPLORING LINGUISTIC AND CULTURAL COMPETENCY WITHIN MULTI-DISCIPLINARY TEAMS PROVIDING HEALTHCARE TO IMMIGRANTS IN VÄXJÖ, SWEDEN. in K Markey, P White & L O'Connor (eds), Let's Learn Together, Let's Work Together. Newcastle Upon Tyne, pp. 135-150.

EXPLORING LINGUISTIC AND CULTURAL COMPETENCY WITHIN MULTI-DISCIPLINARY TEAMS PROVIDING HEALTHCARE TO IMMIGRANTS IN VÄXJÖ, SWEDEN. / PETERSSON, K; Kernohan, George.

Let's Learn Together, Let's Work Together. ed. / K Markey; P White; L O'Connor. Newcastle Upon Tyne, 2012. p. 135-150.

Research output: Chapter in Book/Report/Conference proceedingChapter

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T1 - EXPLORING LINGUISTIC AND CULTURAL COMPETENCY WITHIN MULTI-DISCIPLINARY TEAMS PROVIDING HEALTHCARE TO IMMIGRANTS IN VÄXJÖ, SWEDEN

AU - PETERSSON, K

AU - Kernohan, George

N1 - Reference text: American Institutes for Research (AIR), (2004). Cultural competency and nursing: A review of current concepts, policies, and practices. Report prepared for the Office of Minority Health. Washington, DC: Author. U.S. Department of Health and Human Services. (Retrieved 15 January 2010) from: www.thinkculturalhealth.org/CCNM/Documents/CCNMEnvironmentalScanFINAL2004.pdf Beach, M. C., Saha S., & Cooper, L. (2006). The role and relationship of cultural competence and patient-centeredness in health care quality. The Common Wealth Fund. (Retrieved 01 November 2010) from: www.commonwealthfund.org/usr_doc/Beach_rolerelationshipcultcomppatient-cent_960.pdf Betancourt, J. (2003). Cross-cultural medical education: Conceptual approaches and frameworks for evaluation. Academic Medicine 78(6): 560-569. Betancourt, J., Green, A. & Carrillo, J. (2002). Cultural competence in health care: emerging frameworks and practical approaches. Field report. The Commonwealth Fund. (Retrieved 25 September 2010) from: www.azdhs.gov/bhs/cchc.pdf Björk, J. & Gärdeborn, E. (2009). Transkulturella möten i primärvården. Master essay: Institutionen för Folkhälo-och Vårdvetenskap. (Retrieved 13 March 2010) from: http://uu.diva-portal.org/smash/record.jsf?pid=diva2:222902 Boyatzis, R. (1998). Transforming qualitative information: Thematic analysis and code development. Sage Publications: California. California Family Health Council (CHFC) (2007) FamilyPACT Linguistic and cultural competency Toolkit. California Family Health Department. (Retrieved 10 August 2010) from: http://www.familypact.org/en/Providers/CulturalCompetency.aspxon Campinha-Bacote, J. (2003). Many faces: Addressing diversity in health care. Online Journal of Issues in Nursing 8(1) Manuscript 2. Carrillo, J. E., Green, A. & Betancourt, J. (1999). Cross- cultural primary care: A patient-based approach. Ann Intern Med. 130:829-834. Chevannes, M. (2002). Issues and innovations in nursing education. Issues in educating health professionals to meet the diverse needs of patients and other service users from ethnic minority groups. Journal of Advanced Nursing 39(3):290–298. Douglas, M., Pierce, J., Rosenkoetter, M., Clark Callister, L., Hattar-Pollara, M., Lauderdale, J., Miller, J., Milstead, J., Nardi, D. & Pacquiao, D. (2009). Standards of practice for culturally competent nursing care: A request for comments. Journal of Transcultural Nursing 20; 257. Engebretson, J., Mahoney, J. & Carlson, E. (2008). Cultural competence in the era of evidence-based practice. Journal of Professional Nursing 24:172–8. Fatahi, N. (2010). Cross-cultural encounters through interpreter: Experiences of patients, interpreters and healthcare professionals. Doctoral dissertation. Institute of Clinical Sciences at Sahlgrenska Academy. Geson Hylte Tryck: Göteborg, Sweden. (Retrieved 10 November) from: http://gupea.ub.gu.se/handle/2077/22221 Gerrish, K. (1998). Preparing nurses to care for minority ethnic communities. International Nursing Review 45: 115-127. Goode, T., Dunne, M.C. & Bronheim, S. (2006). The evidence base for cultural and linguistic competency in health care. National Center for Cultural Competence Center for Child and Human Development, Georgetown University. Commonwealth Fund Publication No. 962. (Retrieved 3 February 2010) from: www.commonwealthfund.org/usr_doc/Goode_evidencebasecultlinguisticcomp_962.pdf Jirwe, M. (2008). Cultural competence in nursing. Doctoral dissertation. Karolinska Institutet, Department of Neurobiology, Care Sciences and Society. Åtta.45 Tryckeri AB: Stockholm. (Retrieved 25 September 2009) from: http://diss.kib.ki.se/2008/978-91-7409-153-3/thesis.pdf Kumas-Tan, Z., Beagan, B., Loppie, C., MacLeod, A. & Frank, B. (2007). Measures of cultural competence: Examining hidden assumptions. Academic Medicine 82(6). Leininger, M. M. (1985). Qualitative research methods in nursing. Grune & Stratton: Orlando. In Mashaba, T.G. & Brink, H.I. (1994) Nursing education: An international perspective. Zebra Publications: South Africa Nunez, A. (2000). Transforming cultural competence into cross-cultural efficacy in women's health education. Academic Medicine 75(11): 1071-1080 Migrationsverket (2009). Statistik-2009.(Retrieved 25September 2010): www.migrationsverket.se Office of Family Planning (OFP) (2009). Assessment of strategies for providing culturally competent care in Title X family planning clinics: Final report. Altarun Institute. U.S. Department of Health and Human Services: Office of Population Affairs. (Retrieved 27 August 2010) from: http://www.hhs.gov/opa/pdf/304b-assessment-of-strategies.pdf Papadopoulos, I., Tilki, M., & Ayling, S. (2008). Cultural competence in action for CAMHS: Development of a cultural competence assessment tool and training programme. Contemporary Nurse 28(1):129-140. Socialstyrelsen (2010). Interkulturellt Socialt Arbete. Artikelnr. 2010-6-9.( Retrieved 2 November 2011 from): http://www.socialstyrelsen.se/ Lists/Artikelkatalog/Attachments/18063/2010-6-9.pdf Statistiska Centralbyrån (SCB), (2010a). Population Statistics: 2009 corrected 2010. (Retrieved 2 November 2010) from: http://www.scb.se/Pages/TableAndChart____287610.aspx —. (2010b). Immigrants and many newborns account for larger Swedish population (corrected 2010-03-26). (Retrieved 2 November 2010) from: http://www.scb.se/Pages/PressRelease____287539.aspx Sverige Kommun and Landstinget( SKL) (2009). Hälsofrämjande och förebyggande i vårdval 2009. (Retrieved 2 November 2011 from): http://www.skl.se/web/Halsoframjande_i_vardval.aspx Thorne, S. (2000). Data analysis in qualitative research. Evidence based nursing 3: 68-70.

PY - 2012/10/1

Y1 - 2012/10/1

N2 - Multi-disciplinary teams (MDT) in primary care clinics working with immigrant health are exposed to various cultures and languages which require continual trans-cultural awareness and knowledge in order to meet the healthcare needs of the various groups that predominate in their regions. In a five year period, Sweden’s population had increased by 242,000 people; 77% were immigrants (Migrationsverket, 2009). Among the 102,280 immigrants arriving to Sweden in 2009, 168 countries of citizenship were represented (Statistiska Centralbyrån (SCB), 2010a). According to the SCB, (2010b) the largest immigrant group consisted of returning Swedish citizens, followed by Iraqis, Somalis and Poles. When SCB (2010b) compared statistics to 2008 it was noted that immigration of Somali citizens increased by 70%, while immigration of Iraqi and Polish citizens fell by 29% and 26%, respectively. Immigration populations fluctuate yearly and cultural variations affect whole communities in varies ways. Of the 102,280 new immigrants who arrived in Sweden in 2009, 7,380 were placed in the county of Kronobergsland and 4,824 to the city of Växjö (SCB, 2010a) where this survey was based. Providing culturally appropriate and thus competent care is imperative in upholding healthcare outcomes within this influx of immigrants. The MDT knowledge and skills in providing health care for different cultural groups should be updated on an on-going basis. As well as evaluating the MDT, it is important to assess how well health care providers’ systems, programs, and resources meet the needs of the communities they service. This paper takes a qualitative survey approach to better understand what educational needs exist in the areas of linguistic and cultural competency, starting with a literature overview before the methods are described. Following the results, the discussion, limitations and conclusions are presented according to a framework which is guided by literature.

AB - Multi-disciplinary teams (MDT) in primary care clinics working with immigrant health are exposed to various cultures and languages which require continual trans-cultural awareness and knowledge in order to meet the healthcare needs of the various groups that predominate in their regions. In a five year period, Sweden’s population had increased by 242,000 people; 77% were immigrants (Migrationsverket, 2009). Among the 102,280 immigrants arriving to Sweden in 2009, 168 countries of citizenship were represented (Statistiska Centralbyrån (SCB), 2010a). According to the SCB, (2010b) the largest immigrant group consisted of returning Swedish citizens, followed by Iraqis, Somalis and Poles. When SCB (2010b) compared statistics to 2008 it was noted that immigration of Somali citizens increased by 70%, while immigration of Iraqi and Polish citizens fell by 29% and 26%, respectively. Immigration populations fluctuate yearly and cultural variations affect whole communities in varies ways. Of the 102,280 new immigrants who arrived in Sweden in 2009, 7,380 were placed in the county of Kronobergsland and 4,824 to the city of Växjö (SCB, 2010a) where this survey was based. Providing culturally appropriate and thus competent care is imperative in upholding healthcare outcomes within this influx of immigrants. The MDT knowledge and skills in providing health care for different cultural groups should be updated on an on-going basis. As well as evaluating the MDT, it is important to assess how well health care providers’ systems, programs, and resources meet the needs of the communities they service. This paper takes a qualitative survey approach to better understand what educational needs exist in the areas of linguistic and cultural competency, starting with a literature overview before the methods are described. Following the results, the discussion, limitations and conclusions are presented according to a framework which is guided by literature.

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PETERSSON K, Kernohan G. EXPLORING LINGUISTIC AND CULTURAL COMPETENCY WITHIN MULTI-DISCIPLINARY TEAMS PROVIDING HEALTHCARE TO IMMIGRANTS IN VÄXJÖ, SWEDEN. In Markey K, White P, O'Connor L, editors, Let's Learn Together, Let's Work Together. Newcastle Upon Tyne. 2012. p. 135-150