Foreign-born providers make up over a quarter of the physician workforce nationally. Patients in south central Pennsylvania are primarily white with limited interaction with foreigners which can produce barriers to communication and trust. This study proposes practical steps for building positive relationships between patients and their foreign-born providers. Ethnographic methods were used to interview and survey patients and providers about the relationships between foreign-born providers and patients, primarily in the Summit Health system. The results of the study provide a framework of how trust is built between patients and providers in general, suggest additional actions for foreign-born providers, and propose ways patients can do their part to achieve a positive relationship with their provider. While much of the literature on cultural competence is in the context of patients who are from minority ethnicities, this study adds to the body of research by also considering the providers as part of minority groups.

This thesis will present an exploration of how healthcare interpreters utilize intercultural communication skills as they interact with cultural differences in their work. I will review the literature on healthcare interpreting, including provision laws, standards, codes of ethics, paradigms, and roles. I will focus on intercultural communication literature in order to demonstrate possible ways that it can be applied to the healthcare interpreting field. In order to better understand how intercultural communication is being used in healthcare interpreting, I will conduct interviews with healthcare interpreters who have had intercultural training. In conclusion, elements of a training framework will be introduced that could be developed in order to train advanced interpreters who are interested in using an intercultural approach in their work.

Indiana University-Purdue University Indianapolis (IUPUI)

Research objectives: This study examined research, media, and public opinion related to maternal health in order to understand some of the social and structural factors that influence the passage of comprehensive maternal health policies in the United States. This study also examined the messaging of race and racism in media and health communication. Research objectives were: 1.) To summarize the perinatal care experiences of Black birthing people through a scoping review of the literature, 2.) To explore media depictions of maternal mortality in terms of the groups, causes, and solutions discussed in coverage, and 3.) To test the effects of two different approaches to communicating maternal health on public beliefs about the causes of racial health disparities and public support for structural policies. Methods: The review of the literature followed a scoping review protocol and developed tailored search strings to retrieve relevant articles in three databases. The review protocol included developing selection criteria, screening articles retrieved from three databases, charting the data, and identifying themes across articles using an ecological health model as a conceptual guide. For the second paper – a content analysis of news media coverage of maternal mortality – relevant news articles were retrieved using NexisUni, an online database of newspaper articles. A codebook was developed deductively using previous research and grey literature on maternal health, and articles were subsequently coded for the presence or absence of codes that assessed how articles framed causes, solutions, and social groups in their coverage of maternal mortality in the United States. The third paper tested the effects of articles that communicated the maternal health issues faced by Black birthing people using a web-based survey experiment. Participants in this study were recruited using Qualtrics’ panel services, and were randomly assigned to read either a narrative or nonnarrative article communicating the relationship between race and adverse maternal health outcomes. Participants were then asked to respond to the questions that assessed their agreement with structural causes for racial health disparities and their support for policies to improve maternal health. Findings: The scoping review found that Black birthing people described factors at the interpersonal, organizational, community, and policy level in their accounts of their perinatal care experiences. This included their interactions with their providers, the dominant models of care in healthcare settings, institutional representation, and the limitations of care covered through existing Medicaid policies. The content analysis of media found that newspaper coverage of maternal health reflected the factors described in research. Media predominantly focused on structural causes and solutions for maternal health (e.g., access to services and care, social determinants of health, structural racism) and described racial disparities in maternal mortality. The final study built on the findings of the media analysis by testing the effects of news articles that described the role of social and structural factors on the maternal health outcomes of Black birthing people. Data from the experiment showed that participants who read a narrative article about the issue had greater support for structural policies than participants who read a nonnarrative article. The difference in agreement with structural causes for racial health disparities between participants in the narrative and nonnarrative groups was not statistically significant. Additionally, data showed significant differences in treatment effects and policy support across groups distinguished by race and gender.

Wenhong Wang. / "December 2003." / Description based on full citation and abstract (viewed May 20, 2006) / Thesis (Ph.D.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (p. 125-143). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.

The aim of this study is to discover the relationship between health, media and gender, more specifically HIV and AIDS prevention, women’s magazines and women as readers. This research has been conducted within a Master’s dissertation at the Centre for Communication, Culture, Media & Society (CCMS) at the University of KwaZulu-Natal in 2012 and the primary emphasis is on media reception and the way in which women make sense of women’s magazines messages, particularly of HIV and AIDS messages. Therefore, the study’s focus is on media consumption, influences of women’s magazines and personal interpretation of embedded messages. The aim is to identify the role of women’s magazines as part of mass media within a particular field of communication rather than to identify the magazines’ impact on gender roles. My study will discover the reception of health messages on HIV and AIDS surrounded by controversial messages on femininity and gender stereotypes. The main research questions are: i) How, why and when are recipients using women’s magazines? ii) How are recipients perceiving and interpreting HIV and AIDS messages in women’s magazines, and specifically within the context of contradictory messages on sex, femininity and gender roles? iii) And, if and how are health messages in women’s magazines influencing recipients and their interaction with others? The interpretive qualitative research paradigm is applied and the method of qualitative interviews is used for collecting the data. The uses and gratification theory, social learning/social cognitive theory, the concept of entertainment education (EE), and the women-centred sense-making approach are consulted. As an overall result, the analysis reflects a positive picture and interpretation of women’s magazines by the participants, but it also shows the dual character of women’s magazines. Contradictions and critique on content were expressed, positive and negative features were identified, female stereotypes and at the same time the enjoyment of reading was noted, and with regards to health messages, the overall reception was predominantly positive and various content elements seemed to be relevant for the participants. In conclusion, the decisive factors for health messages on HIV and AIDS in women’s magazines, identified in my study are: motivation as an important stage, according to social learning/social cognitive theory in order 7 to enable behaviour modelling; relatedness, originally identified as a third human need within the self-determination theory, which helps to strengthen intrinsic motivation; the dual character of women’s magazines as an on-going conflict between the pleasure of reading a magazine and the consciousness of reprehensible stereotypes and female roles; the sense of female community and finally the role of readers as female opinion leaders. These results present women’s magazines as a multifaceted medium and might influence future research and programmes for health communication on HIV and AIDS prevention. Key words: Women, health, HIV and AIDS, women’s magazines, print media, reception analysis, HIV and AIDS communication, development communication, media usage, media consumption, health messages, relatedness, duality. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2013.

The purpose of this hermeneutic phenomenological study was to understand the essence of the lived experience of women after having an abnormal prenatal ultrasound. One hundred years ago, health disciplines had limited therapies for prenatal and neonatal disorders. During this period, the eugenics movement influenced leaders to involuntarily sterilize individuals who were sought to be "unfit" to prevent disorders in offspring. ... One of these contemporary reproductive genetic technologies is the use of ultrasound and serum bio-medical markers for detection of congenital, chromosome, and genetic disorders. When ultrasounds reveal abnormal findings, the perceived perfect pregnancy vanishes and gives way to feelings of shock, disbelief, fear, guilt, loss, and threats to self and their unborn baby. Twelve women who had an abnormal ultrasound were interviewed within the context of their cultural values and beliefs. The method of van Manen's hermeneutic phenomenology illuminated the meaning for these women in their life worlds. ... They endured this experience through their own coping mechanisms, but often felt uncertainty and emotional turmoil until the birth. The women also sought comfort through their cultural values, beliefs, and traditions. In coping with the risks found on this abnormal ultrasound, women often selected silence or blocking perceived threats. With these coping methods, they were alone in their suffering. ... Health providers, in not recognizing these women's misunderstandings and emotional fears, abandoned them in their psychosocial and cultural needs. The significance reveals that nurses and health providers need to infuse human caring ways of being, knowing, and doing within advanced technological environments. / by Jeanne Chatham Gottlieb. / Thesis (Ph.D.)--Florida Atlantic University, 2013. / Includes bibliography. / Mode of access: World Wide Web. / System requirements: Adobe Reader.

The purpose of this study was to describe the sources of infant care informational support systems that mothers residing in the Western North Carolina Appalachian region use and prefer in the postpartum period. In addition, the study explored the associations of the sources for informational social support on infant care with personal factors (age, socioeconomic status, parity, race, ethnicity, residence, marital status, education, access to Internet, access to cellular phone, prior attendance in childbirth classes, and other adult infant care assistance in the home) of the mothers. / Includes bibliography. / Thesis (M.A.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection

The pandemic of HIV/AIDS has been felt by nations throughout the world. It is a well-known fact that the AIDS epidemic is catastrophic in sub Saharan Africa, which heads the list of the most affected regions. As the epidemic imposes a strain on the already limited resources, a better understanding of the disease is continuously being sought out. This understanding is enhanced with better information dissemination. The present research aims to assist the information requirements of HIV/AIDS researchers in the country through a bibliometric study. The present study comprised an investigation of the patterns of authorship and publications of academic institutions in the sciences, medical institutions and affiliated organizations in South Africa, focusing on HIV/AIDS literature for the two decade period, 1982-2002. Published literature in the sciences and medicine from three internationally recognised databases were used for the assessment. They were: AIDSearch, lSI Science Citation Index Expanded and MEDLINE (OVID). A total of 2 281 documents formed the basis for the assessment. The results of the study are presented, as are their consequences for researchers and policy makers. Some recommendations are provided for the developers and designers of databases. The results of the study demonstrate exponential growth in the literature as might be expected. Because of the multidisciplinary nature of the disease, research is scattered in a variety of discipline-based journals. Researchers publish mainly in journals and the South African Medical Journal is the most productive in the field of HIV/AIDS. Collaboration in research on the subject is evident. The results also demonstrate that South African researchers are fast becoming internationally recognized in the field of HIV/AIDS research. The Medical Research Council emerged as the leader in South Africa's research efforts on HIV/AIDS. Of the academic institutions, the University of the Witwatersrand is the most productive institution, followed by the University of Natal. / Thesis (M.I.S.)-University of KwaZulu-Natal, Pietermaritzburg, 2003.

Doctors and nurses in most developing countries lack access to adequate health information, that is, the lifeblood for the delivery of quality health care services. This problem is further compounded by the fact that correct techniques and equipment are not applied to provide access to reliable health information. Based on previous literature, it is assumed that information should be managed in the same way capital, labour and human resources are managed so that healthcare providers and medical professionals should be able to have relevant information to assist then in their daily activities, to help them to learn, to diagnose and to save lives. Relevance and reliability are paramount in meeting health information needs. A number of studies have shown that the application of information and communication technologies (ICTs) in the management of health information is a prerequisite to wider accessibility and availability of relevant health information. Health information management is the continuum of processes in managing health-related information. It is composed of the use of technologies (computers, hardware, software and telecommunication), personnel (trained information specialists), and the allocation of financial resources to achieve the major goals of the organisation such as a hospital. The aim is to collect, process, store, retrieve and disseminate adequate health information to the right person, in the right form, at the right time. This study investigated the application of ICTs in the management of health information by medical professionals in six selected government hospitals in Yaounde, Cameroon. The basis of the study was that through the effective application of ICTs in the management of health information, relevant and timely information would be made available to medical professionals. It was the researcher's view that unless we understand the importance of information in the development of the health system, and apply the use of ICTs in its management, the delivery of health care services will constantly remain poor. Data was collected from six government hospitals in Yaounde through a self-administered questionnaire given to nurses and medical doctors. The data collected from 141 medical professionals [doctors and nurses] were presented, using descriptive statistics in the form of frequency distribution and percentage. The findings of the study revealed that medical professionals are dissatisfied with the major method of information exchange activities, that is, face-to-face interaction with colleagues. In addition, the study found that health information is captured, processed and stored manually. This is very detrimental to medical professionals, because relevant information is not always available when needed. The study found that the barriers to adequate information exchange activities were lack of information support services, irregular distribution of information and poor co-operation and collaboration among medical professionals. The study also revealed the non-availability of ICTs and Internet resources and lack of basic computer skills. Consequently, there is low utilisation of ICTs by medical professionals and limited information needs are being satisfied. Medical professionals unanimously favoured the application of Internet services or an electronic health information resource to supplement the current method of managing and accessing health information. Lack of training on the use of computers and Internet resources were the main factors that hinder the use of ICTs by medical professionals. The study concluded by calling on directors of hospitals, medical professionals and the Ministry of Health Officials to provide ICTs and Internet resources to medical professionals and provide them with basic computing skills and training. It further called for the recognition of information as an important resource for national development and called for formulation of a national information policy. With an information policy, information needs would be clearly defined and the provision of information services throughout the country would be regulated. In addition, medical professionals must create a free-flow of information and constant communication outlet to exchange and disseminate local health information. The high demand for basic training on the use of ICTs could be provided through in-service training or refresher courses. / Thesis (M.I.S.)-University of Natal, Pietermaritzburg, 2003.