Affiliation:
1. MassGeneral for Children Harvard Medical School and Department of Pediatrics Boston Massachusetts USA
2. MassGeneral Hospital for Children Boston Massachusetts USA
3. Family and Community Medicine and Center for Educator Development, Advancement, and Research Saint Louis University School of Medicine Saint Louis USA
Abstract
AbstractBackgroundClinicians must learn to care for patients from different cultures. They must also work in teams for optimal outcomes. Few studies have analysed the intersection of cross‐cultural care and interprofessional education. We completed a needs assessment to determine what paediatric residents and nurses view as essential cross‐cultural components.MethodsWe led a sequential mixed‐methods study of residents and nurses at an urban tertiary care centre. We administered the ‘Residency Training in Cross Cultural Care’ instrument. Survey results informed focus group interview guide development. Thematic analysis of qualitative data was conducted following the five stages to qualitative research framework.FindingsThirty‐five residents (70%) and 46 nurses (66%) completed the survey. Five residents and six nurses attended a focus group. Five themes resulted: 1) lack of clinician diversity and cross‐cultural training, 2) effective cross‐cultural care not always delivered, 3) multiple challenges for delivery of effective cross‐cultural care, 4) call to action for enhanced cross‐cultural education and 5) different cross‐cultural educational needs between nurses and residents.DiscussionResidents and nurses conveyed that meaningful cross‐cultural care education is imperative, lacking, and must offer skills to improve patient care. They call for a robust cross‐cultural curriculum that is up to date and teaches about intersectionality.ConclusionWe have used this data to implement interprofessional interventions to meet their unique learning needs and enhance upstander skills by using facilitated discussions of techniques, case studies and role plays. Ultimately, teaching all clinicians to care for patients of other cultures may lead to more equitable care.
Funder
Massachusetts General Hospital
Subject
Review and Exam Preparation,General Medicine
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