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Abstract The background to this essay has been curiosity and interest from my side regarding equality care is conducted in health care. The purpose was to study how care addresses people of different ethnicity in terms of psychosocial support and what interpretations are made about the care of the psychosocial support of foreigners. The aim was also to see how care can create the conditions for a good response to equal treatment. The study is qualitative in which five professionals who have the interview as tools have been interviewed. The informants have different undergraduate education but common to them is that they all treat mental ill health with the help of the conversation. I have leaned against previous research that includes the concepts of mental ill health, intercultural meetings, cultural differences, communication and knowledge. With the help of previous research and theoretical starting points, the empirical material has been analyzed. The result showed that health care considers the language to be the biggest cultural difference and the biggest challenge in terms of the encounter with people suffering from some form of mental illness. Shades of their thoughts and feelings are difficult to express when not speaking the same language. The informants also consider that knowledge about other cultures, norms and values is too small and that more is required. In order to get such equal treatment as possible, we need to be able to meet people from other cultures where they are in their norms and values regarding mental health. One must also be able to provide care from an intercultural perspective, which means that as a therapist, one has to be aware of the specific conditions that exist in the meeting with those seeking care. Key words: mental ill health, intercultural meetings, cultural differences, communication, knowledge, standards.

SAMMANFATTNING Introduktion: Statistiska centrabyrån (SBC) prognostiserar en växande andel utlandsfödda bland Sveriges befolkning. Detta medför en ökad kulturell mångfald i det svenska samhället och därmed fler tvärkulturella möten inom vården. Denna studie sökte att utforska primärvårdssjuksköterskors upplevelser av möten med patienter från utomskandinaviska kulturer, vilka svårigheter de kan stöta på samt vilka aspekter de upplever som viktiga vid vårdandet av dessa patienter. Metod: En kvalitativ intervjustudie med deskriptiv design. Åtta primärvårdssjuksköterskor som arbetar på olika vårdcentraler i Stockholmsområdet och som har erfarenhet av kontakt med patienter från andra kulturer än den skandinaviska intervjuades med en semi-strukturerad intervjuguide. Innehållsanalys enligt Graneheim & Lundman användes för att analysera data. Resultat: Primärvårdssjuksköterskor upplever dessa möten som spännande, utmanande och lärorika. Kulturell samt etisk kompetens är nödvändigt för arbetet inom detta område och behov av formell utbildning identifierades.  Slutsats: Den växande kulturella mångfalden i Sverige medför fler tvärkulturella möten inom vården. Primärvårssjuksköterskors upplevda svårigheter, deras negativa och positiva upplevelser vid dessa möten samt deras synsätt på utbildning inom området stärker betydelsen av att besitta tillräcklig kulturell kompetens för vårdandet av dessa patienter. Detta innefattar bland annat sjuksköterskans lärande om de olika kulturerna som finns representerade i samhället där sjuksköterskan tjänstgör och en anpassning av omvårdnaden utifrån patientens behov. Således är det angeläget för sjuksköterskor att genom formell utbildning införskaffa sig denna kompetens. / ABSTRACT Introduction: The statistics centers Agency (SBC) forecasts a growing proportion of people born in foreign countries among the Swedish population. This results in increased cultural diversity in Swedish society and thus more cross-cultural encounters in health care. This study sought to explore primary care nurses’ experiences of encounters with patients from non-Scandinavian cultures, the difficulties they may encounter and what aspects they consider to be important in the care of these patients. Method: A qualitative interview study with descriptive design. Eight primary care nurses who work in various primary health care centers in the Stockholm area and have experience of contact with patients from other cultures than the Scandinavian were interviewed with a semi-structured interview guide. Content Analysis according Graneheim & Lundman was used for data analysis. Results: Primary care nurses perceive these meetings as exciting, challenging and educational. Cultural competence is necessary for work in this area and a need for formal education was identified. Conclusion: The growing cultural diversity in Sweden entails more cross-cultural encounters in health care. Primary care nurses’ perceived difficulties, their negative and positive experiences from these meetings and their approaches to education in the field strengthen the importance of possessing sufficient cultural competence for the care of these patients. This includes the nurse’s learning about the different cultures that are present in the community in which he or she serves and an adaptation of the nursing care based on the patient’s needs. Thus, it is of significance that nurses seek to acquire this competence through formal education.