Particularities of nursing care for members of The Church of Jesus Christ of Latter-day Saints This work deals with the issue of multicultural care because this topic is very relevant at present. It is probable for the staff of health-care facilities to meet members of minorities more and more frequently. To provide high-quality nursing care, the needs must be known and the cultural and the religious differences of members of other minorities must be respected. The nurse provides nursing care adapted to specific needs of minority members on the base of the ascertained data. This work is focused on the members of The Church of Jesus Christ of Latter-day Saints who are called "Mormons". The goal of the work was to find out the particularities of provision of nursing care to members of The Church of Jesus Christ of Latter-day Saints. Further to map the approach to health and the particularities of life style of the members of that Church. Interviews with the Church members were made in order to give a thorough picture of the relevant issue. The second part of the research investigation was focused on nurses. We ascertained whether the nurses knew the issue of multicultural nursing and whether they knew the particularities of provision of care to the members of The Church of Jesus Christ of Latter-day Saints. In order to obtain a base for solution of the above stated tasks, a questionnaire was elaborated. 94 respondents took part in the questionnaire inquiry. The research showed lack of the nurses{\crq} knowledge on the given issue. That results in the finding that it would be suitable to deepen the nurses' interest in the relevant issue. Special nursing care will be culturally adequate and better acceptable for the Church members. The nurses{\crq} training will lead to increasing quality of nursing care. The goal of this work was to unify the information on The Church of Jesus Christ of Latter-day Saints. The research showed that the Church members were satisfied with the care provided. In spite of that, more interest and respect to their religion by health care workers would be appropriate.

The issue of cross-cultural nursing is currently a hot topic, because the tourism, migration, etc. grow due to the borders opening. The professionals working as paramedical staff are required to provide effective and high-quality nursing care to all people, without exception. But who considers the fact that the caring professionals can be a different culture, religion or nationality? The presented diploma thesis is devoted to nurses belonging to minority groups, and it is aimed to the problem of communication between the patient and the nurse belonging to a minority group. Specifically, this is about foreign-born nurses, nurses of different religions, same-sex orientation and nurses with physical disabilities. The theoretical basis on which the thesis relies, is primarily a conceptual model of nursing of the Rising Sun by Madeleine Leininger in interaction with the model of culturally considerate care by J. N. Giger and R. E. Davidhizar. In the theoretical part, the concepts relating to the cross-cultural nursing and issues relating to minority groups in the Czech Republic are defined. The preliminary descriptive empirical matter of the thesis was to find out what problems do nurses belonging to minority groups have in relation to the profession of nurses. Research sample is made up of 16 nurses belonging to minority groups, including nurses with different sexual orientation, physically disabled nurses, nurses with ethnic differences and the nurses of different religions. For the empirical part of the thesis, the qualitative approach was selected as a research design, since, according to Strauss and Corbin (1999), this option is appropriate in situations in which the researcher seeks to uncover the experience with a certain phenomenon. The introduction of the research investigation was a pilot study, which used the case study technique for data capture, specifically, the method of the life stories of nurses with cultural, religious, sexual or health differences. For the selection of the respondents there was the snowball method used, as we live in an area where there is difficult to reach these people. A pilot study was a base for the research investigation undertaken by using semi-structured interviews with patients, doctors and nurses in charge of the hospital. The results obtained in this survey were compared with the results of a pilot study. The main research objective of the pilot study was defined due to the research problem, to explore the issues of communication within the nursing care between the patient and the nurse belonging to a minority group. Following this target, the main research question was established: What problems do the nurses belonging to a minority group have to face in nursing practice? Then it is followed up with next research question: What difficulties do the nurses belonging to a minority group find in communication with a patient? The results of the pilot study are divided into 4 groups according to the above division, which means the nurses with different nationality, religion, with a different sexual orientation and handicapped nurses. In each group the areas of contact and interaction at the workplace were monitored, it means cooperation with colleagues, and the fact of the contact with patients from the perspective of the nurses and their personal subjective satisfaction of the communication held within the nursing profession. Subsequently, in the context of the pilot study, the occurrence of features typical only for certain groups of nurses was found out. From this point of view, for a group of nurses of foreign nationalities, the results included communication barriers associated with another native language than Czech. The research sample of disabled nurses expands the results for specific care procedures that may be a barrier due to their health-related handicaps. The nurses describe their physical difference and its circumstances.

Introdução: Para o ribeirinho amazônico as plantas medicinais representam muitas vezes o único recurso terapêutico disponível para o tratamento de suas doenças. Utilizam como base para produção do recurso natural, folhas, cascas e sementes, com o objetivo de alívio de problemas de saúde. O registro das plantas medicinais utilizadas de modo terapêutico por tais grupos humanos tem oferecido base para o desenvolvimento de estudos fitoquímicos e farmacológicos de novas drogas. Além disso, a análise de práticas de cuidado em ambientes culturalmente exóticos fortalecem a enfermagem transcultural, a medida que visa o intercâmbio dos saberes populares e científico. Como referencial teórico utilizou-se a etnobotânica e o modelo Sunrise de Leininger e Mc Farland. Objetivo geral: Analisar o uso terapêutico de plantas medicinais no contexto sociocultural ribeirinho da comunidade Nossa Senhora da Conceição do Boam, localizada no Médio Solimões, Coari Amazonas. Objetivos específicos: Conhecer os valores, crenças e aspectos da estrutura sociocultural que envolvem a utilização da fitoterapia popular no ambiente ribeirinho; identificar o itinerário terapêutico das famílias ribeirinhas; analisar o uso das plantas medicinais entre os ribeirinhos com notório saber em plantas medicinais; e analisar o uso terapêutico da planta de maior importância para a comunidade. Material e Método: Estudo etnobotânico realizado na comunidade ribeirinha Nossa Senhora da Conceição do Boam, localizada na cidade de Coari-Amazonas. Os participantes do estudo foram 19 informantes, gerais e especialistas pessoas de notório saber na terapeutica com plantas medicinais. A coleta de dados ocorreu entre os meses de janeiro de 2015 e maio de 2016 por meio da turnê-guiada, exsicata, entrevistas semi-estruturadas e estruturadas. A análise dos dados ocorreu de forma quanti-qualitativa através da análise temática e cálculos de Fator de Consenso Individual, Importância Relativa e Valor de Uso, para identificacao das plantas e doenças de maior relevância comunitária. Resultados: Os especialistas foram predominantemente do sexo feminino (88%), com idade média de 50 anos. Em termos de ocupação, a maioria deles eram agricultores (63,3%), com rendimento médio mensal abaixo do salário mínimo brasileiro por família e apenas 36,4% dos entrevistados eram alfabetizados. O itinerário terapêutico da comunidade inicia-se com a fitoterapia popular, em seguida o rezador, o agente comunitário de saúde local, e, finalmente, o médico. As razões que influenciavam a terapêutica com plantas medicinais eram: a fé, a segurança, o conhecimento sobre o preparo, o fácil acesso e a eficácia das plantas. Foi relatado o uso de 62 plantas medicinais, para o cuidado de doenças infecciosas e parasitárias, neoplasias, doenças hematológicas, nutricionais, dermatológicas, transtornos comportamentais, doenças do sistema nervoso, ouvido, dos aparelhos circulatório, respiratório, digestivo, osteomuscular, geniturinário; como anti-inflamatórios e anticoncepcional, totalizando 49 indicações terapêuticas. As doenças do sistema respiratório foram as mais relevantes na comunidade com maior quantitativo de plantas (n=30) e citações (n=162). A planta medicinal de maior importância e versatilidade foi a caatinga de mulata (S. Aeollanthus), uma erva com evidências de ação antimicrobiana, anticonvulsivante, sedativa, analgésica e anti-inflamatória, utilizada na comunidade para doenças pulmonares, intestinais, dermatológicas e hemorrágicas, em nove problemas de saúde diferentes. Conclusão: Nesta comunidade, a estrutura sociocultural ribeirinha, assim como seus valores e crenças envolvem a utilização de ervas medicinais como a primeira escolha terapêutica. A rica farmacopeia encontrada pode facilitar a descoberta de novas drogas. Além disso, por meio da Teoria do Cuidado Cultural foi constatada a possibilidade da preservação do cuidado com a espécie S. Aeollanthus. Todavia, para se tornar um prática baseada em evidência existe a necessidade de ensaios pré-clínios e clínicos em humanos. / Introduction: | Most of the times, the medicinal plants represent to the riparian the only therapeutic resource available to the treatment of their diseases. Sheets, shells and seeds are the basis to the production of these natural resources looking for the relief of health problems. Registration of the therapeutic use of the medicinal plants has been the basis for phytochemical and pharmacologic studies to the discover of new drugs. Besides that, the analysis of practices of caring in culturally exotic environments, strengthen the transcultural nursing in a way that deal with the exchange between the popular and the scientific knowledges. As a theoretical framework it was used the ethnobotany and the Sunrises model of Leininger and Mc Farland. General objective: Analyze the therapeutic use of the medicinal plants in the sociocultural context of the riparian in the community Nossa Senhora da Conceição do Boam, localized in the Médio Solimões, Coari - Amazonas. Specific objectives: Know the values, beliefs and aspects of the sociocultural structure involving the use of the traditional medicinal plants among the riparian; identify the therapeutic itinerary of these families; analyze the use of theses plants by the riparian with notorious knowledge in medicinal plants; and analyze the therapeutic use of the most important plant to that community. Material and method: Ethnobotanic study developed in the riparian community Nossa. Senhora da Conceição do Boam, localized in the city of Coari - Amazonas. The participants of the study were 19 general and specialist informants - the second one, people with notorious knowledge in using medicinal plants. The data collection occurred between January/2015 and May/2016 by guide-tours, excicata, semi-structured and structured interviews. Analysis was made by quanti-qualitative through the thematic analysis, calculus of Individual Consensus Factor, Relative Importance and Value of Using to identify the plants and the diseases of most relevance in the community. Results: The specialists were mainly female (88%), an average of 50 years old. Most of them were farmers (63,3%), with the average monthly income under the national minimum wage by family, and 36,4% of the interviewed were alphabetized. The communitys therapeutic itinerary starts with the traditional medicinal plants, following the prayer, the community health agent, and, finally, the doctor. The therapeutic with medicinal plants were influenced by faith, security, knowledge about its preparing, the easy access to the plants and their efficacy. It was related the use of 62 medicinal plants, to the caring of infectious and parasite diseases; neoplasia; hematological, neurological, nutritional and dermatological diseases, behavior disorders, other diseases of the ear, circulatory, respiratory, digestive, musculoskeletal and genitourinary systems; as anti-inflammatory and contraceptive, totalizing 49 therapeutic indications. The respiratory diseases were the most relevant in the community, with the highest quantitative of plants (n=30) and citations (n=162). The most important and versatile medicinal plant to the community was the catinga de mulata (S. Aeollanthus), an herb with evidences of antimicrobial, anti convulsive, sedative, analgesic and anti-inflammatory actions, used by the community to respiratory, intestinal, dermatological and hemorrhagic diseases, totalizing nine different health disorders. Conclusion: In this community, the riparian sociocultural structure, as their values and beliefs involves the using of medicinal herbs as their first therapeutic choice. The rich pharmacopoeia found can make easier the discovering of new drugs. Besides that, the Cultutal Care Teory enables the preservation of the caring with the species S. Aeollanthus, but randomized pre-clinic and clinic trials with humans are important to use it based on evidence.

Advances in technology have made globalization and internationalization a reality in the world. National borders are becoming more permeable and migration of goods, services, and health care workers takes place more readily. Higher Education Institutions (HEIs) have become competitors and vendors in the global knowledge economy and are expected to develop job seekers that are responsible and engaged global citizens and employees. Offering study abroad programmes is one of the ways that HEIs achieve this goal. It is estimated that in 2010, 4.7 million people studied abroad (OECD, 2012:360), and it is anticipated that this number will grow to 15 million by the year 2025 (Altbach & Knight, 2006:9). South Africa is emerging as a regional hub for study and research in sub-Saharan Africa (UNESCO: 2012b). Many organizations that train nurses are internationalizing their curriculum which effectively means that Schools of Nursing are seeking placement for students to study, gain insight into other cultures and practices, and to gain clinical experience in other countries. Students, the customers of the Higher Education Institutions, often pay large sums of money to undertake these study abroad programmes and therefore expect good quality learning experiences in return. The aim of this qualitative, contextual, exploratory, and descriptive study was to explore and describe the expectations and experiences of international nursing students and faculty members at a Higher Educational Institution in South Africa in order to develop standards that will enable HEIs to optimize the experiences of short-term study abroad nursing students. An in-depth contextual investigation was conducted on globalization and internationalization, as well as the higher education and health systems of three countries to understand the context of the study abroad programmes. Qualitative data was gathered from students and faculty members using focus groups and individual interviews to establish their expectations and experiences of the programme. Thematic synthesis was carried out on the contextual data and the qualitative data. Thereafter, thematic synthesis analysis was conducted using both sets of results to develop standards that can be used to optimize the experience of short-term study abroad nursing students at a HEI. A total of 35 standards were developed around the following main themes: the objectives of study abroad programmes should be stated clearly before arrival and include the expectations of the global, national, and local communities, the higher education institution and the staff and students; study abroad programmes should be managed in an ethical manner and in an enabling environment, as part of their strategic goals and plans of a HEI; students should be exposed to a variety of experiences and differences between the sending and hosting countries during their study abroad programmes; Standards to Facilitate Optimal Experiences of Short-term Study Abroad Nursing Students at a HEI; study abroad programmes should be evaluated at different intervals and levels to ensure quality of the programmes and to ensure that the objectives/outcomes are met. A limitation of the study was the sampling of the clinical mentors which did not include representatives from the overseas universities. It is recommended that the standards that were developed in this study be introduced and tested in HEIs and that more research be conducted on different levels and groups with regard to study abroad programmes in future.

Public health nurses are required to communicate important communicable disease and preventative health information to an increasing number of immigrants and refugees accessing the American public health system. They must also obtain information on a broad scope of topics about clients and/or their children. Little attention has been paid to the study of intercultural communication between public health nurses and their diverse clientele. The purpose of this study was to identify barriers affecting communication between public health nurses and their immigrant and refugee clients. The Developmental Model of Intercultural Sensitivity developed by Milton Bennett provided a conceptual framework for review and analysis of study results. Data were collected using semi-structured formal interviews with a network sample of 17 nurses. Analysis of the data indicated four major themes: (1) common use of a Western- European, ethnocentric communication style; (2) insufficient recognition of how the dominant culture's values, beliefs, and behaviors affect those from non-dominant cultures; (3) inadequate or irrelevant prior diversity training; and ( 4) lack of available and competent interpreters necessary for translation of information during interviews. These categories capture the essential barriers preventing effective communication with culturally diverse clients. From the perspective of the nurses, communication barriers due to cultural or language differences result in difficulty obtaining compliance with public health mandates such as childhood immunization and medication regimens, and limit understanding of preventative healthcare practices. The results of this study provide information and insight for the development of intercultural sensitivity training for public health nurses. A training program that demonstrates cultural training theory, methods, and suggested sequencing is included. An additional sample training outline follows that offers public health nurses culture specific information regarding Hmong refugees.

Bakgrund: Globaliseringen i samhället ökar och i dagsläget är strax över två miljoner av Sveriges befolkning utrikesfödda. Sjuksköterskans krav på kulturell kompetens ökar då mötet med människor från olika kulturer förekommer i större utsträckning än tidigare. Kulturell kompetens är viktigt för att tillhandahålla en individanpassad omvårdnad. En sjuksköterska ska visa respekt för en människas kultur och vara medveten om att uttryck för respekt och omsorg skiljer sig mellan personer och kulturer. Syfte: Att beskriva sjuksköterskans erfarenheter av att ge transkulturell omvårdnad. Metod: En litteraturstudie med deskriptiv design. Resultatet sammanställdes med hjälp av elva vetenskapliga artiklar med kvalitativ ansats. Huvudresultat: Resultatet av litteraturstudien påvisade att kulturell kompetens hos sjuksköterskor hade stor betydelse för kvalitén på omvårdnaden. Sjuksköterskor upplevde transkulturell omvårdnad som utmanande men även lärorikt, då de ansåg att den kulturella kompetensen och förståelsen för andra kulturer ökade i samband med att de vårdade patienter från andra kulturer. Sjuksköterskor upplevde att patientsäkerheten blev lidande eftersom det många gånger förekom språkförbistringar och svårigheter att kommunicera med patienter och närstående. Resultatet visade att det fanns en stor efterfrågan hos sjuksköterskor beträffande utbildning inom transkulturell omvårdnad för att utöka deras kulturella kompetens. Slutsats: Möten med människor från olika kulturer blir en större del av sjuksköterskeprofessionen på grund av den ökade globaliseringen. Sjuksköterskans centrala roll i omvårdnaden gör att detta ställer högre krav på den kulturella kompetensen hos sjuksköterskan för att kunna tillgodose en individanpassad vård utifrån kulturella önskemål. / Background: Globalization in society is increasing and at present, just over two million of Sweden's population are foreign-born. The nurse's requirements for cultural competence increase as encounters with people from different cultures occur to a greater extent than before. Cultural competence is important for providing individualized care. A nurse must show respect for a person's culture and be aware that expressions of respect and care differ between people and cultures. Aim: To describe the nurse's experiences of providing transcultural care. Method: A literature study with descriptive design. The results were compiled with the help of eleven scientific articles with a qualitative approach. Main result: The results of the literature study showed that cultural competence in nurses is of great importance for the quality of nursing. Nurses experienced transcultural nursing as challenging but also instructive as they felt that the cultural competence and understanding of other cultures increased in connection with the care of patients from other cultures. Nurses experienced that patient safety suffered because there were often language confusions and difficulties in communicating with patients and relatives. The results showed that there was a great demand among nurses regarding training in transcultural nursing to expand their cultural competence. Conclusion: Meetings with people from different cultures are becoming a bigger part of the nursing profession due to the increasing globalization. The nurse's central role in nursing means that this places higher demands on the nurse's cultural competence in order to be able to satisfy an individualized care based on cultural wishes.

Background: Due to a high influx of refugees in the last decades, which will most likely continue to increase, a need for the healthcare to be involved in taking care of these refugees has been established. People on the run has often lived under difficult circumstances for a long period of time which leaves them exposed which in turn can lead to vulnerable situations. According to the code of ethics it is therefore important that the nurses therefore treat all people with respect and dignity, regardless of their cultural origin or background, in order for everyone to receive the care they are entitled to. Aim: The aim of this study was to describe nurses experiences encountering refugees within the healthcare system. Method: 11 scientific articles, ten articles was qualitative and one was a mixed method, was the base of this literature study. Results: The main findings of this study showed that nurses do find it challenging to deal with people from different backgrounds and the cultural variances that comes with it. This is not made easier by the constant time pressure they are being under. Difficulties when it comes to working with interpreters was also seen as a subject that determined the nurses experiences. The relationship between the nurse and the refugee was seen as important but could complemented by guidelines that doesn´t correspond with the code of ethics. Discussion: Based on these results it was apparent that nurse´s did not have enough competence when it comes to handling cultural differences when meeting with refugees which displayed a need for an expanded education with main focus being on culture and the nurse´s approach. As communication and culture was fundamental throughout the result it was discussed with the support of Madeleine Leininger's transcultural nursing theory.

Syfte: Syftet med studien var att skapa djupare förståelse kring sjuksköterskors upplevelse av mellanmänsklig kommunikation med patienter med annan kulturell bakgrund. Bakgrund: Kommunikation spelar en viktig roll i kulturen och är en stor del av relationen mellan individer. Kommmunikation är en grundbult i sjuksköterskans arbete och är av högsta vikt för att kunna erbjuda en patientcentrerad och säker vård. Transkulturell medvetenhet är essentiellt för god vård, speciellt som världen blir alltmer mångkulturell. Såväl sjukvårdsturism som utökade globala samarbeten inom Hälso- och sjukvården ökar kraven på kulturell kompetens bland sjuksköterskor. Indien är ett föregångarland inom sjukvårdsturism och människor från olika kulturell bakgrund reser dit för sjukvård. Metod: Semistrukturerade intervjuer genomfördes med 12 sjuksköterskor mellan 23 och 53 år från två indiska sjukhus. Sjuksköterskorna möter ofta patienter med olika kulturell bakgrund. En tematisk innehållsanalys utfördes på det insamlade materialet. Resultat: Två tematiska inriktningar framkom från materialet; ett tema med fokus på praktiska verktyg och tekniker för att arbeta med patienter med annan kulturell bakgrund och det andra temat handlar om att bibehålla vårdkvaliteten. Utökade språkkunskaper och kommunikationsverktyg skulle underlätta sjuksköterskans arbete. Kulturell medvetenhet leder till ett ökat självförtroende hos sjuksköterskan och hjälper denna förutse eventuella behov hos patienten. Slutsats: Transkulturell medvetenhet och kommunikationsverktyg bidrar till en säkrare och mer effektiv vård. Sjuksköterskeutbildningen behöver lägga mer fokus på kulturell mångfald inom hälso- och sjukvård. Mer forskning krävs inom detta område då vården globaliseras allt mer. / Aim: The aim of the study was to gain a deeper understanding of interpersonal communication as experienced by nurses working in culturally diverse hospitals in India. Background: Communication is an important part of culture and a base in any interpersonal relationship. Communication is a foundation in the nursing occupation in order to give patient centered care which is safe and effective. Transcultural awareness in nursing is an important factor in order to give good care, especially as the world is becoming more multicultural. Medical tourism along with the expanding network of global interactions in healthcare ads to the necessity of developing culturally competent nursing care. India in one of the forerunners in medical tourism and cares for patients from many different cultural backgrounds. Method: Semi-structured interviews were conducted on a sample of 12 nurses between the age of 23 and 53, working with diverse patients at two different hospitals in India. A thematic content analysis was performed. Results: The developed themes focus on specific tools and techniques for working with culturally diverse patients and how to sustain the quality of care in diverse hospital settings. Language resources and tool which aid in communication would alleviate the nurses work. Cultural knowledge helps the nurses gain confidence and foresee possible needs of the patient. Conclusion: Highlighting transcultural interpersonal communication techniques within nursing leads to a safer and more productive practice of nursing care. Nursing education needs to prioritize cultural diversity in health care. More research needs to be conducted on the subject of interpersonal communication in culturally diverse hospital settings since healthcare is a continuously growing globalized organization.

Bakgrund: Invandringen till Sverige har ökat kraftigt under de senaste 20 åren vilket har gjort att mångkulturen har blivit mer märkbar. Det ökade antalet immigranter i Sverige resulterar i att det blivit vanligare att sjuksköterskor och patienter med olika kulturell bakgrund integrerar i vårdmöten. En god och välfungerande kommunikation är avgörande för att kunna etablera en god vård och omvårdnadsrelation mellan sjuksköterska och patient, vilket vidare är nödvändigt för att kunna tillhandahålla en god och patientsäkervård. Det ingår i sjuksköterskans ansvar att skapa en välfungerande kommunikation, tillhandahålla en patientsäker vård samt tillämpa mångkulturell omvårdnad i sitt yrkesutövande.Syfte: Syftet med litteraturöversikten var att beskriva aspekter som påverkar kommunikationen mellan sjuksköterska och patient ur ett mångkulturellt perspektiv.Metod: Studien har genomförts som en litteraturöversikt som baserades på femton vetenskapliga studier med elva kvalitativa artiklar och fyra kvantitativa artiklar.Resultat: Resultatet presenteras i tre huvudteman: Personliga aspekter (kulturell kompetens, sjuksköterskans attityd, etiskt förhållningssätt och patientens förväntningar); Språkliga aspekter (språkliga barriärer och icke verbala språkbarriärer); Organisatoriska aspekter (utveckling av kulturell kompetens, tidsbrist och tolktjänstbrist).Slutsats: Aspekterna som påverkar kommunikationen inom det mångkulturella vårdmötet mellan sjuksköterska och patient består av personliga aspekter, språkliga aspekter och organisatoriska aspekter. Lättillgängliga tolktjänster, mer tid till varje patient, kulturella utbildningar, sjuksköterskans kulturella kompetens, attityd och etiskt förhållningssätt kan bidra till att övervinna de kommunikationsbarriärer som kan uppstå i mångkulturella vårdmöten. / Background: Immigration has dramatically increased the last 20 years, which has made multiculturalism in Sweden more visible. This means that it is becoming more common that nurses and patients who have different cultural backgrounds meet in healthcare meetings. Good communication is crucial to establishing a good nurse-patient care relationship. Good communication is also important to be able to provide good and safe care to patients. It is part of the nurse's responsibility to build a well-functioning communication, to provide safe care and transcultural care within her professional practice.Purpose: The purpose of this literature review was to describe the aspects that affects communication between nurse and patient from a multicultural perspective.Method: The method chosen in this study is a literature review, which included fifteen scientific studies which studies focused on the selected subject of this literature review.Result: Findings in this literature review har emerge in three main themes including: Personal aspects (cultural competence, patient's expectations, nurse's attitude, and ethical approach). Linguistic aspects (language barriers and non-verbal language barriers). Organizational aspects (improving of cultural competence, lack of time and lack of interpreting services).Conclusion: Aspects that affect the communication within the multicultural care meeting between nurse and patient consist of personal aspects, linguistic aspects and organizational. Easily accessible interpreting services, more time for each patient, cultural training, nurse's cultural competence, attitude and ethical approach are important components for the nurse to be able to overcome the communication barriers that arise in the care meeting.

Bakgrund: Sverige är mångkulturellt. En kultur är något som utvecklats över tid och påverkar alla aspekter i det dagliga livet. Döden väcker många gånger existentiella frågor och i ett mångkulturellt land som Sverige förekommer flertalet olika traditioner och livsåskådningar. Detta ställer höga krav på att sjuksköterskan är lyhörd och har kunskap om olika kulturella bakgrunder. Forskning tyder på att mer kunskap och utbildning i transkulturell omvårdnad behövs för att kunna ge en individuellt anpassad palliativ vård. Syfte: Syftet var att studera sjuksköterskors erfarenheter av att möta patienter från annan kulturell bakgrund inom palliativ vård. Metod: Studien genomfördes som en litteraturöversikt med induktiv ansats baserad på 15 vetenskapliga artiklar, hämtade från CINAHL och PubMed. Artiklarnas kvalitet granskades enligt Sophiahemmets tolkning av Caldwell´s ramverk. Utifrån utvalda artiklar gjordes en tematisk analys med inspiration av Braun och Clark. Resultat: Resultatet visade att sjuksköterskorna många gånger ansåg familjens delaktighet var större hos personer med transkulturell bakgrund och att det var viktigt att involvera flera familjemedlemmar i vården. Det var ofta speciellt framträdande i läkemedelsbehandling med opioider. Sjuksköterskorna ansåg sig behöva ökad kulturell medvetenhet i form av formell och informell kunskap och utbildning för att kunna bemöta svårt sjuka personer med annan kulturell bakgrund inom palliativ vård. Kommunikationen kunde vara begränsad genom språksvårigheter, språkbarriärer eller genom att sjuksköterskorna och patienterna med familjer inte hade samma syn på vad som skulle pratas om kring döden. Genom relation med patienten och dennes närstående skapades respekt för kulturella olikheter. En ökad kunskap och förståelse kring traditioner och ritualer i samband med döden underlättade för sjuksköterskorna i arbetet. Slutsats: För att sjuksköterskan ska kunna tillgodose behoven hos svårt sjuka personer med palliativa vårdbehov och annan kulturell bakgrund behövs ökad kulturell medvetenhet, utbildning och kunskap. Att kunna samtala och förstå varandra utan språkbarriärer är viktigt.