Abstract
Objective
In increasingly globalized societies patient-centred cancer care requires culture-sensitive approaches in order to ensure patients wellbeing. While migrant patients' needs are frequently reported in the literature, staff members' perception of work with migrant patients, associated challenges or individual work approaches are largely unknown. This study addresses this research gap through qualitative exploration of experiences of multi-cultural healthcare professionals in supportive oncology and palliative care, working with patients from different cultural backgrounds. This study aims to understand staff experience of the impact of culture on cancer care.
Methods
This study was conducted at the Medical University Vienna, including staff from different settings of oncology and palliative care, in different professional positions and with a range of individual migration backgrounds. Semi-structured interviews were conducted with 21 staff members working with patients from different cultural backgrounds. Interviews explored views on the impact of culture on care, were audio-taped, transcribed and analysed using a rigorous method of thematic analysis, enhanced with grounded theory techniques.
Results
Interviews revealed four key topics: culture-specific differences, assumed reasons for differences, consequences of multi-cultural care, and tools for culture-sensitive care. Strategies to better deal with migrant patients and their families were suggested to improve work satisfaction amongst staff.
Conclusions
This study identifies relevant staff challenges in work with migrant patients. Concrete suggestions for improvement include measures on an organizational level, team level, and personal tools. The suggested measures are applicable to improve work satisfaction and culture-sensitive care not only cancer care, but also in other areas of medicine.
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