Bakgrund: I takt med den ökade migrationen ökar även kraven på hälso- och sjukvården. När individer med annan kulturell bakgrund uppsöker hälso- och sjukvård behöver den anpassas efter individen bakom kulturen vilket inte alltid sker på ett optimalt sätt när det saknas rätt kompetens hos sjuksköterskan.Syfte: Syftet är att belysa sjuksköterskors erfarenheter av omvårdnad av etniska minoriteter.Metod: Denna studie är en litteraturöversikt som baseras på 15 vetenskapliga artiklar från databaserna CINAHL, PsycInfo och PubMed. Artiklarna kommer från Finland, Iran, Irland, Japan, Kina, Norge, Singapore, Storbritannien, Sverige, USA, Taiwan, Turkiet och Österrike och är publicerade mellan år 2010 - 2020.Resultat: Resultatet visar att sjuksköterskan behöver en ökad kulturell kompetens för att utöva en jämställd omvårdnad oavsett vad patienten har för kulturell bakgrund. Analysen genererade tre olika teman, utmaningar i kommunikationen, bristen på kulturell kompetens samt kulturella skillnader skapar olika förväntningar på vårdmötet.Slutsats: Resultatet visar att kulturskillnader mellan sjuksköterskan och patienter från etniska minoriteter resulterar i ett komplext möte då resultatet tyder på att den kulturella kompetensen saknas eller kan utvecklas. Detta innebär att transkulturell utbildning inom professionen är nödvändig. De samlade resultaten tyder på att kunskap inom området påvisats bidra till sjuksköterskans professionella utveckling. Detta ökar chansen till att patienter från etniska minoriteter kan få en mer personcentrerad och kulturanpassad omvårdnad. / Background: In step with the increased migration, the demands on health care are also increasing. When people with other cultural backgrounds seek health care, the care needs to be adapted to the person behind the culture, which does not always happen in an optimal way when the nurse lacks the right skills.Aim: The aim is to shed light on registered nurse's experiences of caring for patients from ethnic minority groups.Method: This study is a literature review based on 15 scientific articles from the CINAHL, PsycInfo and PubMed databases. The articles come from Austria, China, Finland, Iran, Ireland, Japan, Norway, Singapore, Sweden, Turkey, UK and USA. The articles were published between the years 2010 and 2020.Results: The results show that the registered nurse needs increased cultural competence to practice equal care, regardless of the patient's cultural background. The analysis generated four different main themes, challenges in communication, lack of cultural competence and cultural differences create different expectations of the care meeting.Conclusion: The results show that cultural differences between the registered nurse and patients from ethnic minorities result in a complex meeting as the evidence indicates that the cultural competence is lacking or can be developed. The overall results indicate that knowledge in the field has been shown to contribute to the nurse's professional development and that patients from ethnic minorities can receive more person-centered and culturally adapted nursing.

In the last decades, research in the field of diversity management has placed a focus on inclusion. It is argued that a diverse and inclusive workplace can lead to productivity and creativity, thus economic growth. However, in order to effectively manage diversity, it is important to recognize the differences in individuals as a focus on sameness can create an exclusionary environment where employees conform to the mainstream culture. This, according to more recent research in the topic, remains a diversity challenge. Further, diversity management has placed an increased awareness on the importance of creating an inclusive environment. Therefore, this thesis aims to understand what may hinder ethnic minorities within an MNC to feel included for effective diversity management to be achieved. Consequently, a qualitative and case study design has been implemented with Boston Consulting Group (BCG) as a case company. It allowed for an in-depth company view and analysis of the thoughts and feelings of inclusion among the employees at BCG. The findings indicate that a lack of recognition of diversity and the fact that employees with a different ethnic background assimilate to the dominant office culture hinders inclusion. Therefore, the case company does not achieve effective diversity management.

Purpose - The purpose of this paper is to examine race, gender and language concordance in terms of importance to primary care. Design/methodology/approach - The 2003 Medical Expenditure Panel Survey Household Component (MEPS) was used. Four distinguishing primary care attributes and selected measures were operationalized primarily from a sample subset that identified a usual source of care (USC): accessibility to USC; interface between primary care and specialist services; treatment decisions; and preventive services received from the USC. Bivariate and multivariate results are reported. Findings - Adjusting for covariates, the following items remained statistically significant: race -choosing primary care physician as USC, USC having office hours, and going to USC for new health problems; gender - choosing primary care physician as USC and USC having office hours; and language - lack of difficulty contacting the USC after hours. However, these items appear to be isolated cases rather than indicators that concordance plays a key role in determining primary care quality. Language barriers/communication issues are the only areas where improvement appears warranted, Research limitations/implications - While the study has strong accessibility and interpersonal relationship measures, service coordination and comprehensiveness indicators are limited. The analyses' cross-sectional nature also poses a problem in drawing causal relationships and conclusive findings. Finally, sample size limitations preclude stratified analyses across racial/ethnic groups, an important consideration as the relationships between concordance and quality may vary across groups. Practical implications - This study indicates that more research is needed in this area to determine future resource allocation and policy direction. Originality/value - The unique contribution of the study is to suggest that race and gender concordance may not accurately predict primary health care quality.

Despite advances in health, science, and technology, U.S. healthcare lags in providing access to care and quality care to racial and ethnic minorities. Cultural competence has been noted as a strategy to improve access and quality. The purpose of this project was to assess public health nurses' cultural competence before and after participating in cultural competence informational modules. Two conceptual models were used in this project for theoretical guidance: Leininger's cultural care diversity and universality theory and Campinha-Bacote's process of cultural competence. To assess the nurses' cultural competence, the Cultural Competence Self-Assessment Checklist questionnaire was e-mailed to 57 public health nurses at a local health department. Survey participants remained anonymous. Data were collected on demographics. A paired t test was conducted to compare the statistical significance of the results. A quantitative software tool was used to analyze the data. Study results showed a confidence interval of 95% at p = 0.15, indicating that cultural competence informational modules made a significant difference between the pretest and the posttest of the Cultural Competence Self-Assessment Checklist. Thus, cultural competence informational modules make a difference in public health nurses' awareness, knowledge, and skills, which can enhance their ability to provide culturally competent care to racial and ethnic minorities. The implications of this project for social change include supporting health care professionals' ability to promote and implement cultural competence practices for all populations to decrease health disparities

Migration is on the rise as Haitians seek economic and educational opportunities for their progeny in the U.S. Though migration to a new country often introduces a new set of immigration and acculturation-related stressors that can lead to mental health problems, Haitians remain underrepresented in clinical mental health settings. Previous studies with ethnic minority populations have enumerated several barriers to seeking mental health services. However, research on barriers to help-seeking is sorely lacking for specific migrant groups, including Haitians. Thus, this study examined barriers to seeking help for mental health problems among Haitians. Participants were recruited using purposive and snowball sampling methods. Specifically, recruitment flyers were used to recruit participants meeting specific inclusion criteria, and these participants identified other participants who qualified for this study. Data were collected via four focus groups from 26 Haitian adults, ranging from 18 to 52 years old. A semi-structured focus group protocol developed from research literature was used to conduct these focus groups. Qualitative data analysis was used to organize focus group data into themes. Three major themes emerged: (a) beliefs related to seeking mental health services, (b) cultural values and help-seeking, and (c) education and awareness of services and help-seeking. More specifically, participants noted that Haitian’s beliefs (e.g., religious/spiritual beliefs and beliefs about therapy, therapists, social consequences, and trustworthiness of institutions), cultural values (e.g., minimization of mental health problems, accepting problems as part of life), and education and awareness of mental health and mental health services contribute to Haitians’ likelihood to seek services. In addition, participants noted that these factors likely vary for first and second generation Haitian Americans, which further influences likelihood to seek services. These results suggest that both Haitians (first and second generation) and mental health professionals must take an active role to address barriers to help-seeking related to Haitians’ beliefs, cultural values, and education and awareness of mental health services, and subsequently, enhance treatment engagement.

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Historically, racial and ethnic minority (REM) communities have faced reduced access to resources for mental and emotional health issues. While research has placed a greater emphasis on REM experiences, there is still a need to further understand the unique contextual factors surrounding mental health challenges among these marginalized groups. Research on Obsessive Compulsive Disorder (OCD) among REM communities is one area in need of further evaluation. Therefore, this study is a content analysis of literature analyzing the current research focused on the intersection of REM communities and OCD experiences. The purpose of the study is to analyze OCD research among REM communities in the United States in order to support researchers and clinicians with the tools and direction needed to provide greater representation, more effective treatment, and higher quality of life for these underserved populations. Across a 21 year-span analyzed (2000-20), 47 articles were found with a focus on OCD among REM populations, with African Americans having the largest proportion of focus (27 articles, 57.4%). 8 of the 47 articles (22%) utilized ethnic identity measures, and none of the articles assessed acculturation. 11 of the articles included clinical samples, and 28 of 47 (60%) articles were funded. Utilization of OCD measures, common research topics, and implications for clinical work and future research are also examined and discussed.

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No description available.