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Interkulturella medlarens betydelse för att skapa en personcentrerad vård / Intercultural mediators' role in the creation of person-centered careFranklin, Elizabeth January 2017 (has links)
Background: The number of people seeking asylum in Sweden reached a record level by 2015. Inequalities in the healthcare of migrants can lead to poor health outcomes and an unsatisfactory health meeting. Language translation is considered the minimum that should be offered to ensure the care recipients access to a good, safe and satisfactory care. Culture also has an impact on the recipient's experience of healthcare and consists of much that is unconscious and constantly changing in interaction with the individual's lived experience. Efforts to bridge the gap between migrant healthcare recipients and healthcare providers whom usually belong to a majority population, include the application of culturally competent care and strategies for "culture brokering". These methods do not however consider the lack of insight into the care recipient's cultural frame of reference. An Intercultural Mediator (IM) is themselves a migrant who, based on common denominators such as language, gender and shared experience of being immigrant can act as an intermediary or bridge builder during the healthcare meeting. Mediation can be used to highlight the care recipient's lifeworld story and promote a person-centered care that is not precluded by pre-defined opinions and stereotypes concerning the impact of culture, but instead addresses the person's vulnerability, resources and personal abilities. Aim: The aim of this study is to investigate IM's specific role and how the IM can contribute to a more person-centered care in the context of the healthcare meeting of short duration within in-patient settings. Method: The study is based on ethnography conducted through participatory observation, informal dialogue at a healthcare clinic and hospital in Malta. Results: The results are based on four categories describing IM's role in the creation of person-centered care for migrant care recipients; Being a fellow human, creating a bridge between care recipients and care providers, being a part of the team and balancing power situations and creating cultural awareness. Conclusions: An IM is an important addition to healthcare agencies. IM utilizes the dyadic conversation preceding the healthcare meeting to establish trust and prepare the care recipient for the encounter. During the triadic meeting with the care recipient and caregiver, the IM interprets and ensures that the participants understand each other. The IM's presence creates space for the migrant care recipient to express his needs based on his everyday reality and cultural reference frame. In highlighting the care recipient's story, the IM is able to contribute to a more person-centered healthcare meeting, which may result in a better outcome. However, the lack of organisation of mediation services, lack of cultural awareness amongst care providers as well as exclusion from the healthcare practitioners' community of practice may hinder the effectiveness and stability of mediation services.
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The public influence of the private collector: a hand in historyKritzinger, Nicola 13 January 2014 (has links)
Thesis (M.A.)--University of the Witwatersrand, Faculty of Humanities, History of Arts, 2013 / This
report
examines
the
collecting
practices
of
the
private
collector
of
South
African
art,
situated
in
South
Africa,
and
considers
the
way
in
which
the
act
of
collecting
influences
both
the
contemporary
market
and
the
construction
of
the
art
historical
canon.
The
report
questions
the
contribution
made
to
the
South
African
art
world
by
collecting
practices
and
considers
what
is
involved
in
the
collecting
of
fine
art.
I
discuss
the
collector
in
relation
to
Sylvester
Ogbechie’s
(2010)
notion
of
cultural
brokerage;
I
examine
notions
of
both
public
and
private
through
the
writings
of
Michael
Warner
(2002);
and
I
consider
what
makes
into
one
a
collector,
with
reference
to
Thomas
G.
Tanselle’s
(1998)
text
A
Rationale
of
Collecting,
while
engaging
several
other
sources.
The
report
continues
with
a
comparison
between
international
collectors,
with
a
focus
on
the
ways
in
which
they
contribute
to
what
becomes
and
remains
relevant,
as
well
as
discussing
some
local
collectors.
I
conclude
with
an
examination
of
the
way
in
which
auction
houses
have
played
a
seminal
role
in
the
establishment
of
the
canon
in
South
Africa,
and
the
role
of
the
collector
in
relation
to
this
system.
In
summary,
this
paper
examines
the
ways
in
which
the
private
collector
of
South
African
art
has
a
great
influence
on
what
is
perceived
as
relevant
to
the
canon,
to
culture
and
to
art
history.
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