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Rosvall, A., Axelsson, M., Toth, E., Kumlien, C. & Annersten Gershater, M. (2024). Development and content validity testing of a colonoscopy-specific patient-reported experience measure: the Patient Experience Colonoscopy Scale (PECS). Journal of Patient-Reported Outcomes, 8(1), Article ID 32.
Öppna denna publikation i ny flik eller fönster >>Development and content validity testing of a colonoscopy-specific patient-reported experience measure: the Patient Experience Colonoscopy Scale (PECS)
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2024 (Engelska)Ingår i: Journal of Patient-Reported Outcomes, ISSN 2509-8020, Vol. 8, nr 1, artikel-id 32Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BackgroundIn endoscopic care, favourable patient experiences before, during and after a colonoscopy are essential for the patient's willingness to repeat the procedure. To ensure that significant experiences are measured, patients should be involved in creating the measurement instruments. Thus, the aim of the present study was to develop a colonoscopy-specific PREM by (1) operationalising patient experiences before, during and after a colonoscopy procedure and (2) evaluating its content validity.MethodsThe colonoscopy-specific PREM was developed in two stages: (1) operationalisation with item generation and (2) content validity testing. A previously developed conceptual model, based on a systematic literature review that illustrates patients' (n = 245) experiences of undergoing a colonoscopy, formed the theoretical basis. To assess the degree to which the PREM reflected patients' experiences before, during and after a colonoscopy procedure, content validity was tested-through face validity with healthcare professionals (n = 4) and cognitive interviews with patients (n = 14) having experienced a colonoscopy. Content validity index (CVI) was calculated to investigate the relevance of the items.ResultsThe Patient Experience Colonoscopy Scale (PECS) is a colonoscopy-specific PREM consisting of five different constructs: health motivation, discomfort, information, a caring relationship and understanding. Each construct was defined and generated into a pool of items (n = 77). After face-validity assessment with healthcare professionals, a draft 52-item version of the PECS was ready for content validity testing by the patients. During cognitive interviews the patients contributed valuable insights that led to rewording and removal of items. Results from the CVI suggest that the PECS and its content are relevant (I-CVI range 0.5-1, S-CVI/Ave = 0.86). The final PECS consists of 30 items representing a colonoscopy-specific PREM.ConclusionThe PECS is a new 30-item PREM instrument designed for adult elective colonoscopy patients after they have undergone the procedure. Each item in the PECS derives from a conceptual model based on a systematic literature review. Patients and healthcare professionals were involved in developing the PECS, which measures colonoscopy-specific patient experiences before, during and after the procedure. The content validity testing positively contributed to the development of the PECS. Psychometric properties need to be evaluated further.

Ort, förlag, år, upplaga, sidor
Springer Nature, 2024
Nyckelord
Cognitive interviews, Colonoscopy, Content validity, Content validity index, Face validity, Instrument, Patient-reported experience measure, Patient experience, Quality improvement, Questionnaire
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-66544 (URN)10.1186/s41687-024-00710-2 (DOI)001186761100002 ()38498225 (PubMedID)2-s2.0-85188084927 (Scopus ID)
Tillgänglig från: 2024-03-28 Skapad: 2024-03-28 Senast uppdaterad: 2024-03-28Bibliografiskt granskad
Lampridou, S., Saghdaoui, L. B., Bicknell, C., Kumlien, C. & Lear, R. (2024). Health Related Quality of Life Following Intervention for Thoracoabdominal Aortic Aneurysm: a Systematic Review and Narrative Synthesis. Annals of Vascular Surgery, 101, 105-119, Article ID S0890-5096(23)00860-9.
Öppna denna publikation i ny flik eller fönster >>Health Related Quality of Life Following Intervention for Thoracoabdominal Aortic Aneurysm: a Systematic Review and Narrative Synthesis
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2024 (Engelska)Ingår i: Annals of Vascular Surgery, ISSN 0890-5096, E-ISSN 1615-5947, Vol. 101, s. 105-119, artikel-id S0890-5096(23)00860-9Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Thoracoabdominal aortic aneurysms (TAAA) pose significant risks of morbidity and mortality. Considering the evolving techniques for TAAA intervention and the growing interest in quality of life (QoL) outcomes for decision-making, we aimed to evaluate the impact of patient and perioperative characteristics on short-, medium-, and long-term post-operative QoL in TAAA repair patients.

METHODS: A systematic search was conducted in CINAHL, APA PsycINFO, EMBASE, Medline and Cochrane to identify primary research studies evaluating QoL post TAAA surgery, published in English or Swedish between 01 January 2012 and 26 September 2022. A narrative synthesis was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The quality of evidence was assessed using the Critical Appraisal Skills Programme and Joanna Briggs Institute checklists.

RESULTS: Eight studies of low or moderate quality with 455 patients were included. Preoperative QoL in TAAA patients was lower compared to the general population. While there is an initial short-term improvement in post-operative QoL, patients fail to reach baseline levels even after seven years, with physical activity and functioning domains being particularly affected. Experiencing post-operative complications, including paraplegia and cardiovascular events, negatively impacts post-operative QoL. Patients with uncomplicated postoperative status had improved QoL. Prolonged hospital stay negatively affects physical functioning.

CONCLUSIONS: Individuals with TAAA are likely to have lower baseline QoL compared to the general population. Following TAAA repair, post-operative QoL may remain lower than baseline levels, persisting over the long-term. Comorbidities, post-operative complications, and hospitalisation duration appear to exert adverse effects on post-operative QoL.

Ort, förlag, år, upplaga, sidor
Elsevier, 2024
Nationell ämneskategori
Kardiologi
Identifikatorer
urn:nbn:se:mau:diva-64861 (URN)10.1016/j.avsg.2023.10.032 (DOI)001170594700001 ()38160705 (PubMedID)2-s2.0-85183110300 (Scopus ID)
Tillgänglig från: 2024-01-08 Skapad: 2024-01-08 Senast uppdaterad: 2024-03-28Bibliografiskt granskad
Axelsson, M., Bahtsevani, C., Neziraj, M., Persson, K. & Kumlien, C. (2023). A registry study of oral health problems and preventive interventions among older persons receiving municipal healthcare - PROSENIOR. Nursing Open, 10(2), 525-534
Öppna denna publikation i ny flik eller fönster >>A registry study of oral health problems and preventive interventions among older persons receiving municipal healthcare - PROSENIOR
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2023 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 2, s. 525-534Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: The aim was to identify planned and completed preventive interventions among older persons with oral health problems receiving municipal health care. A further aim was to determine the correspondence between oral health problems and planned preventive interventions among older persons with oral health problems receiving municipal health care. Design: Cross-sectional register study. Methods: Oral health data from the Swedish national quality registry, Senior Alert, were extracted for 4,024 older persons (>= 65 years) receiving municipal health care in a county in Southern Sweden. Data were statistically analysed. Results: A large majority of older persons (97.4%) with assessed oral health problems had at least one planned preventive intervention, and approximately three quarters of the planned interventions were completed. There seemed to be a mismatch between type of oral health problems and preventive interventions as not all older persons had a planned preventive intervention related to their specific oral health problem.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2023
Nyckelord
nursing, oral health, prevention, risk assessment, Senior Alert
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-55110 (URN)10.1002/nop2.1318 (DOI)000851512000001 ()36631732 (PubMedID)2-s2.0-85135862891 (Scopus ID)
Tillgänglig från: 2022-09-23 Skapad: 2022-09-23 Senast uppdaterad: 2024-02-05Bibliografiskt granskad
Telborn, L., Kumlien, C., Graneli, C., Axelsson, I. & Stenström, P. (2023). Diet and bowel function in children with Hirschsprung's disease: development and content validation of a patient-reported questionnaire. BMC Nutrition, 9(1), Article ID 78.
Öppna denna publikation i ny flik eller fönster >>Diet and bowel function in children with Hirschsprung's disease: development and content validation of a patient-reported questionnaire
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2023 (Engelska)Ingår i: BMC Nutrition, E-ISSN 2055-0928, Vol. 9, nr 1, artikel-id 78Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BackgroundAlthough dietary adjustments are recommended frequently for bowel symptoms, evidence of diet's impact on bowel function is lacking. The aim was to develop a patient-reported outcome instrument, for children with and without Hirschsprung's disease (HD), to explore experiences of dietary effects on bowel function.MethodsChildren with and without HD and their parents participated. Questionnaire items regarding the impact of diet on bowel function originated from focus group discussions. Specific food items, reported in the literature or in focus groups to cause bowel functional effects, were listed requesting each item's effect size and effect type. Content validity was tested within two separate semistructured interviews. A pilot test was performed. Assessing comprehension, relevance and wording clarity structurally, revisions were made accordingly. Children's bowel function was assessed through the validated Rintala Bowel Function Score.ResultsA total of 13 children with and without HD, median age 7 (range 2-15) years, and 18 parents participated in the validation. Each question's relevance had been ranked highly early in the validation process but most questions needed refining for improving clarity and comprehension. Wordings regarding bowel symptoms and emotions connected to food in particular were perceived to be sensitive and complex. Specifically wording regarding some bowel symptoms (gases, pain) and parental stress emotions (guilt, ambivalence) were, consistent with participants' opinions, subjected to multiple step revisions. Following the validation process, which included two semistructure interviews with different participants and then a pilot test with a third cohort, a full track overview of changes and rewording made in all steps of the validation process was presented. The final questionnaire then comprised 13 questions assessing foods' significance for bowel function, emotions, social impact and 90 specific food items' possible effects and effect sizes on bowel function.ConclusionsThe Diet and Bowel Function questionnaire, enabling answering by children, was developed and the content validated qualitatively. This report presents insights into the whole validation process, declaring reasons for the selected question- and answering options, and their wordings. The Diet and Bowel Function questionnaire can be used as a survey questionnaire to enhance understanding of dietary effects on bowel function in children, and its results can be supportive in improving dietary-treatment programs.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2023
Nyckelord
Children, Diet, Gastrointestinal tract, Hirschsprung's disease, Patient-reported outcome
Nationell ämneskategori
Gastroenterologi
Identifikatorer
urn:nbn:se:mau:diva-61919 (URN)10.1186/s40795-023-00737-6 (DOI)001022378100001 ()37381045 (PubMedID)2-s2.0-85163614393 (Scopus ID)
Tillgänglig från: 2023-08-16 Skapad: 2023-08-16 Senast uppdaterad: 2023-08-21Bibliografiskt granskad
Jakobsson, J. & Kumlien, C. (2023). Everyday challenges following hospital discharge. A multi-method study identifying and describing areas of concern for patients during the first month after colorectal cancer surgery. Nursing Open, 10(4), 2172-2181
Öppna denna publikation i ny flik eller fönster >>Everyday challenges following hospital discharge. A multi-method study identifying and describing areas of concern for patients during the first month after colorectal cancer surgery
2023 (Engelska)Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 4, s. 2172-2181Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: Identify and describe areas of concern focusing on day-to-day variations during the first month after surgery for patients recovering from colorectal cancer surgery.

DESIGN: A multi-method design was applied using diaries and interviews.

METHOD: Data was collected using semi-structured diaries kept 1 month after surgery by seven patients recovering from colorectal cancer surgery. Also, face-to-face interviews were conducted 1 month after surgery. Data from the diaries constituted a framework for the following directed content analysis of interviews.

FINDINGS: Low levels of pain were experienced but caused reduced mobility and tiredness. Practical matters in daily living were restricted, while social life could be hampered by a frequent need to defecate. Appetite and consequently the ability to eat and drink was the most prominent concern, due to changes in taste and ability to tolerate food. Worries were mainly related to changes in bowel movements. No Patient or Public Contribution.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2023
Nyckelord
colorectal cancer, concern, diary, interview, multi-method, postoperative recovery, self-care ability
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-56166 (URN)10.1002/nop2.1465 (DOI)000882936200001 ()36373481 (PubMedID)2-s2.0-85142146734 (Scopus ID)
Tillgänglig från: 2022-11-22 Skapad: 2022-11-22 Senast uppdaterad: 2023-08-25Bibliografiskt granskad
Striberger, R., Zarrouk, M., Kumlien, C. & Axelsson, M. (2023). Illness perception, health literacy, self-efficacy, adherence and quality of life in patients with intermittent claudication - a longitudinal cohort study. BMC Nursing, 22(1), Article ID 167.
Öppna denna publikation i ny flik eller fönster >>Illness perception, health literacy, self-efficacy, adherence and quality of life in patients with intermittent claudication - a longitudinal cohort study
2023 (Engelska)Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, nr 1, artikel-id 167Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Patients with intermittent claudication need lifelong treatment with secondary prevention to prevent cardiovascular events and progression of atherosclerotic disease. Illness perception, health literacy, self-efficacy, adherence to medication treatment, and quality of life are factors influencing patients' self-management. Knowledge of these factors could be important when planning for secondary prevention in patients with intermittent claudication.

Aim: to compare illness perception, health literacy, self-efficacy, adherence to treatment, and quality of life in in patients with intermittent claudication.

Methods: A longitudinal cohort study was conducted with 128 participants recruited from vascular units in southern Sweden. Data were collected through medical records and questionnaires regarding illness perception, health literacy, self-efficacy, adherence to treatment, and quality of life.

Results: In the subscales in illness perception, patients with sufficient health literacy reported less consequences and lower emotional representations of the intermittent claudication. They also reported higher self-efficacy and higher quality of life than patients with insufficient health literacy. In comparison between men and women in illness perception, women reported higher illness coherence and emotional representations associated with intermittent claudication compared to men. A multiple regression showed that both consequences and adherence were negative predictors of quality of life. When examining changes over time, a significant increase in quality of life was seen between baseline and 12 months, but there were no significant differences in self-efficacy.

Conclusion: Illness perception differs in relation to level of health literacy and between men and women. Further, the level of health literacy seems to be of importance for patients' self-efficacy and quality of life. This illuminates the need for new strategies for improving health literacy, illness perception, and self-efficacy over time. For example, more tailored information regarding secondary prevention could be provided to strengthen self-management to further improve quality of life in patients with intermittent claudication.

Ort, förlag, år, upplaga, sidor
BioMed Central (BMC), 2023
Nyckelord
Illness perception, Self-efficacy, Health literacy, Adherence to treatment, Quality of life, Intermittent claudication, Secondary prevention
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-60868 (URN)10.1186/s12912-023-01329-2 (DOI)000989168100002 ()37198627 (PubMedID)2-s2.0-85160051442 (Scopus ID)
Tillgänglig från: 2023-06-16 Skapad: 2023-06-16 Senast uppdaterad: 2023-06-26Bibliografiskt granskad
Lindsjö, C., Sjögren Forss, K., Kumlien, C., Kottorp, A. & Rämgård, M. (2023). Migrant women's engagement in health-promotive activities through a women's health collaboration. Frontiers In Public Health, 11, Article ID 1106972.
Öppna denna publikation i ny flik eller fönster >>Migrant women's engagement in health-promotive activities through a women's health collaboration
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2023 (Engelska)Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, artikel-id 1106972Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: Social determinants of health impact health, and migrants are exposed to an inequitable distribution of resources that may impact their health negatively, leading to health inequality and social injustice. Migrant women are difficult to engage in health-promotional activities because of language barriers, socioeconomic circumstances, and other social determinants. Based on the framework of Paulo Freire, a community health promotion program was established in a community-academic partnership with a community-based participatory research approach.

Aim: The aim of this study was to describe how a collaborative women's health initiative contributed to migrant women's engagement in health promotion activities.

Materials and methods: This study was part of a larger program, carried out in a disadvantaged city area in Sweden. It had a qualitative design with a participatory approach, following up on actions taken to promote health. Health-promotional activities were developed in collaboration with a women's health group, facilitated by a lay health promoter. The study population was formed by 17 mainly Middle Eastern migrant women. Data was collected using the story-dialog method and the material was analyzed using thematic analysis.

Result: Three important contributors to engagement in health promotion were identified at an early stage of the analysis process, namely, the group forming a social network, the local facilitator from the community, and the use of social places close to home. Later in the analysis process, a connection was made between these contributors and the rationale behind their importance, that is, how they motivated and supported the women and how the dialog was conducted. This therefore became the designated themes and were connected to all contributors, forming three main themes and nine sub-themes.

Conclusion: The key implication was that the women made use of their health knowledge and put it into practice. Thus, a progression from functional health literacy to a level of critical health literacy may be said to have occurred.

Ort, förlag, år, upplaga, sidor
Frontiers Media S.A., 2023
Nyckelord
health equality, community-based participatory research, health literacy, health promotion, migrant women, social support, story-dialog method, lay health promoter
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:mau:diva-61929 (URN)10.3389/fpubh.2023.1106972 (DOI)001016086800001 ()37397757 (PubMedID)2-s2.0-85164209706 (Scopus ID)
Tillgänglig från: 2023-08-16 Skapad: 2023-08-16 Senast uppdaterad: 2023-08-21Bibliografiskt granskad
Neziraj, M., Axelsson, M., Kumlien, C., Hellman, P. & Andersson, M. (2023). The STAIR OF KNOWLEDGE-a codesigned intervention to prevent pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes in Sweden: development of a complex intervention. BMJ Open, 13(8), Article ID e072453.
Öppna denna publikation i ny flik eller fönster >>The STAIR OF KNOWLEDGE-a codesigned intervention to prevent pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes in Sweden: development of a complex intervention
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2023 (Engelska)Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 13, nr 8, artikel-id e072453Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVES: To describe the development of a codesigned complex intervention intended to prevent the risks of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes.

DESIGN: : Nursing homes in the municipality in southern Sweden.

PARTICIPANTS: End users (n=16) in nursing homes (n=4) codesigned the intervention together with the research group in workshops (n=4) in March-April 2022. Additionally, stakeholders (n=17) who were considered to play an important role in developing the intervention participated throughout this process. Data were analysed using reflexive thematic analysis.

RESULTS: Four workshops were conducted with end users (n=16) and 13 meetings with stakeholders (n=12) were held during the development process. The intervention aims to bridge the evidence-practice gap regarding the preventive care process of the risks of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes. The intervention is aimed at end users, lasts for 3 weeks and is divided into two parts. First, end users obtain knowledge on their own by following written instructions. Second, they meet, interact and discuss the knowledge acquired during part 1.

CONCLUSION: The intervention is robustly developed and thoroughly described. The study highlights the extensive process that is necessary for developing tailored complex interventions. The description of the entire development process may enhance the replicability of this intervention. The intervention needs to be tested and evaluated in an upcoming feasibility study.

TRIAL REGISTRATION NUMBER: NCT05308862.

Ort, förlag, år, upplaga, sidor
BMJ Publishing Group Ltd, 2023
Nyckelord
Aging, Nursing Care, PREVENTIVE MEDICINE
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-62077 (URN)10.1136/bmjopen-2023-072453 (DOI)001046594600007 ()37562934 (PubMedID)2-s2.0-85167737537 (Scopus ID)
Tillgänglig från: 2023-08-23 Skapad: 2023-08-23 Senast uppdaterad: 2023-09-18Bibliografiskt granskad
Striberger, R., Axelsson, M., Kumlien, C. & Zarrouk, M. (2022). Health literacy in patients with intermittent claudication in relation to clinical characteristics, demographics, self-efficacy and quality of life: A cross-sectional study. Journal of Vascular Nursing, 40(3), 121-127
Öppna denna publikation i ny flik eller fönster >>Health literacy in patients with intermittent claudication in relation to clinical characteristics, demographics, self-efficacy and quality of life: A cross-sectional study
2022 (Engelska)Ingår i: Journal of Vascular Nursing, ISSN 1062-0303, E-ISSN 1532-6578, Vol. 40, nr 3, s. 121-127Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Intermittent claudication requires treatment with secondary prevention to reduce disease progression and the risk of cardiovascular events and to improve quality of life. Health literacy and self-efficacy are important preconditions for the health behaviour changes necessary for adhering to secondary prevention.

Aim: Evaluate health literacy in patients with intermittent claudication regarding clinical characteristics, demographics, self-efficacy and quality of life.

Methods: A cross-sectional study evaluating health literacy, self-efficacy and quality of life using questionnaires. Patients with intermittent claudication from vascular units in the south of Sweden were included.

Results: In total, 158 patients were included, of which, 52.5% reported “inadequate” (0-8 points) or “problematic” (9-12 points) health literacy with no differences between men and women. A significant higher proportion of patients living alone reported “inadequate” or “problematic” health literacy than “sufficient” (13-16 points) health literacy. Patients with “sufficient” health literacy reported significantly higher self-efficacy and quality of life and were more physically active than patients with “inadequate” or “problematic” health literacy. Also, patients with a university degree reported a significantly higher ability to “access” (seek, find and obtain) and “understand” (comprehend the accessed) information relevant to health.

Conclusion: The majority of patients with intermittent claudication have “inadequate” or “problematic” health literacy. Also, an “inadequate” or “problematic” health literacy level is more common among patients living alone, and education level appears to be more important when “accessing” and “understanding” information relevant to health. This illuminates the importance of not only the patients’ health literacy but also demographics when planning for secondary prevention.

Ort, förlag, år, upplaga, sidor
Elsevier, 2022
Nationell ämneskategori
Omvårdnad
Forskningsämne
Vårdvetenskap
Identifikatorer
urn:nbn:se:mau:diva-55883 (URN)10.1016/j.jvn.2022.09.001 (DOI)000904080500001 ()36414366 (PubMedID)2-s2.0-85140248394 (Scopus ID)
Tillgänglig från: 2022-11-10 Skapad: 2022-11-10 Senast uppdaterad: 2024-02-05Bibliografiskt granskad
Lie Ken Jie, C., Finn, Y. F., Bish, M., Carlson, E., Kumlien, C., Chan, E. A. & Leung, D. Y. (2022). Mechanisms Driving Postgraduate Health and Social Science Students' Cultural Competence: An Integrated Systematic Review. Academic Medicine, 97(11), 1707-1721
Öppna denna publikation i ny flik eller fönster >>Mechanisms Driving Postgraduate Health and Social Science Students' Cultural Competence: An Integrated Systematic Review
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2022 (Engelska)Ingår i: Academic Medicine, ISSN 1040-2446, E-ISSN 1938-808X, Vol. 97, nr 11, s. 1707-1721Artikel, forskningsöversikt (Refereegranskat) Published
Abstract [en]

PURPOSE: The COVID-19 pandemic revealed a global urgency to address health care provision disparities, which have largely been influenced by systematic racism in federal and state policies. The World Health Organization recommends educational institutions train clinicians in cultural competence (CC); however, the mechanisms and interacting social structures that influence individuals to achieve CC have received little attention. This review investigates how postgraduate health and social science education approaches CC and how it accomplishes (or not) its goals.

METHOD: The authors used critical realism and Whittemore and Knafl's methods to conduct a systematic integrated review. Seven databases (MEDLINE, CINAHL, PsycINFO, Scopus, PubMed, Web of Science, and ERIC) were searched from 2000 to 2020 for original research studies. Inclusion criteria were: the use of the term "cultural competence" and/or any one of Campinha-Bacote's 5 CC factors, being about postgraduate health and/or social science students, and being about a postgraduate curriculum or a component of it. Thematic analysis was used to reveal the mechanisms and interacting social structures underlying CC.

RESULTS: Thirty-two studies were included and 2 approaches to CC (themes) were identified. The first theme was professionalized pedagogy, which had 2 subthemes: othering and labeling. The second theme was becoming culturally competent, which had 2 subthemes: a safe CC teaching environment and social interactions that cultivate reflexivity.

CONCLUSIONS: CC conceptualizations in postgraduate health and social science education tend to view cultural differences as a problem and CC skills as a way to mitigate differences to enhance patient care. However, this generates a focus on the other, rather than a focus on the self. Future research should explore the extent to which insight, cognitive flexibility, and reflexivity, taught in safe teaching environments, are associated with increasing students' cultural safety, cultural humility, and CC.

Ort, förlag, år, upplaga, sidor
Lippincott Williams & Wilkins, 2022
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:mau:diva-51281 (URN)10.1097/ACM.0000000000004714 (DOI)000872418100037 ()35476677 (PubMedID)2-s2.0-85140856449 (Scopus ID)
Tillgänglig från: 2022-05-04 Skapad: 2022-05-04 Senast uppdaterad: 2024-02-05Bibliografiskt granskad
Projekt
Lära i samarbete i det globala klassrummet: Peer Learning som en pedagogisk modell i sjuksköterskeprogrammet; Malmö högskola, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV) (Upphörd 2017-12-31)Blivande och nyblivna fäders/partners hälsa och livsstil; Malmö universitetLära i samarbete i det globala klassrummet: En vidgad horisont; Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV)Studenters beredskap och kompetens för interprofessionellt lärande och personlighetens betydelse samt patienters och närståendes erfarenheter av att delta i interprofessionellt lärande; Malmö universitet
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-1437-5060

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