Indigenous Australians experience many challenges when seeking healthcare from mainstream healthcare settings. In this regard, cultural barrier has been identified as a problem that most Aboriginal people face when seeking health care services.
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Criteria |
Article 1 |
Article 2 |
Article 3 |
Article 4 |
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Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article |
Author(s): Toby Freeman, Tahnia Edwards, Fran Baum, Angela Lawless, Gwyn Jolley, Sara Javanparast, and Theresa Francis Journal: Australian and New Zealand Journal of Public Health Link: doi: 10.1111/1753-6405.12231 |
Author(s): Elizabeth F., Rix, Lesley Barclay, Janelle Stirling, Allison Tong, and Shawn Wilson. Journal: Hemodialysis International Link: doi: 10.1111/hdi.12201 |
Author(s): Renata FI Meuter, Cindy Gallois, Norman S. Segalowitz, Andrew G. Ryder, and Julia Hocking Journal: BMC health services research Link: doi: 10.1186/s12913-015-1024-8 |
Author(s): Khalid M. Almutairi Journal: Saudi Medical Journal Link: doi: 10.15537/smj.2015.4.10133 |
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Article Title and Year Published |
Title: Cultural respect strategies in Australian Aboriginal primary health care services: beyond education and training of practitioners Year: 2014 |
Title: The perspectives of Aboriginal patients and their healthcare providers on improving the quality of hemodialysis services: A qualitative study Year: 2015 |
Title: Overcoming language barriers in healthcare: A protocol for investigating safe and effective communication when patients or clinicians use a second language Year: 2015 |
Title: Culture and language differences as a barrier to the provision of quality care by the health workforce in Saudi Arabia Year: 2015 |
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Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study |
Aim: To asses cultural respect techniques, patient experience and inhibitor of cultural respect. |
Aim: To elucidate and explore the viewpoint of Indigenous Australians’ and healthcare staff’s experience of renal service. |
Aim: To investigate miscommunication as well as language barriers that are likely to occur in hospitals between physicians and patients. |
Purpose: To establish, assess and summarize problems associated with language and culture differences among healthcare providers in Saudi Arabia. |
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Design (Quantitative, Qualitative, or other) |
Qualitative |
Qualitative |
Qualitative and quantitative |
Qualitative |
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Setting/Sample |
-6 PHC services -21 clients in PHC |
-18 Aboriginal patients -29 healthcare providers |
80 interactions between physicians and patients |
12 secondary studies |
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Methods: Intervention/Instruments |
Interviews |
Interviews |
-Questionnaire -Video recording |
Systematic review |
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Analysis |
Thematic analysis |
Thematic analysis |
-Content analysis – Discursis analysis |
Content analysis |
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Key Findings |
Strategies for cultural respect are: -Social perception of health -Focusing on the social determinants of health -Hiring Aboriginal workers -Barriers to cultural respect are: -communication difficulties -Racism and discrimination -External programs |
Crisis can be avoided by: -Adaptable family-focused care -Engaging a patient early -Addressing the fear of services -Focus on culture when delivering services |
-Cultural barriers influence communications between patients and healthcare providers. |
-Lack of knowledge of culture resulted in culture shock and culture incompetence -Language differences affected the provision of clear instructions in healthcare settings. |
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Recommendations |
The Aboriginal workforce should be supported to enhance cultural respect the health system |
-Service redesigning is required to address Aboriginal needs -Healthcare providers should improve the relationship with patients |
There is a need to develop appropriate techniques to address the aspect of cultural differences because it might affect the quality of healthcare. |
The government should offer educational programs about culture and language. |
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Explanation of How the Article Supports Your Identified Barrier or Issue in Health Care |
This article will help me to determine the barriers to culturally competent care and possible solutions. |
This article is helpful because it focuses on two main themes including cultural competence and cultural awareness training. |
This source is good for the topic because it confirms that cultural difference influences the quality of healthcare. |
Although this study is done outside Australia, it offers information on the effects and how other countries in the world are dealing with the issue of cultural and language differences in healthcare settings. |
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Criteria |
Article 1 |
Article 2 |
Article 3 |
Article 4 |
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Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article |
Author(s): Jessica Conway, George Tsourtos, and Sharon Lawn Journal: BMC health services research Link: doi: 10.1186/s12913-017-2265-5 |
Author(s): Shaouli Shahid, Angela Durey, Dawn Bessarab, Samar M. Aoun, and Sandra C. Thompson Journal: BMC health services research Link: doi: 10.1186/1472-6963-13-460 |
Author(s): Pippa Waterworth, Melanie Pescud, Rebecca Braham, James Dimmock, and Michael Rosenberg Journal: PloS one Link: https://doi.org/10.1371/journal.pone.0142323 |
Author(s): Anton Clifford, Janya McCalman, Roxanne Bainbridge, and Komla Tsey Journal: International Journal for Quality in Health Care Link: https://doi.org/10.1093/intqhc/mzv010 |
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Article Title and Year Published |
Title: The barriers and facilitators that indigenous health workers experience in their workplace and communities in providing self-management support: a multiple case study. Year: 2017 |
Title: Identifying barriers and improving communication between cancer service providers and Aboriginal patients and their families: the perspective of service providers Year: 2013 |
Title: Factors influencing the health behaviour of indigenous Australians: Perspectives from support people. Year: 2015 |
Title: Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada, and the USA: a systematic review Year: 2015 |
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Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study |
Aim: To examine indigenous health workers (IHWs) views of the efficacy and suitability of the Flinders Closing the Gap Program (FCTGP). |
Purpose: To report cancer service providers’ (CSPs) viewpoint regarding the elements inhibiting communication and provide techniques for appropriate communication with Aboriginal patients. |
Aim: To interview persons who offer support to aboriginal populations to get an understating of their perceptions on aspects affecting health behaviors among aboriginal populations. |
Purpose: To discuss the attributes and review the quality of interventions created to enhance cultural competence in health care for indigenous persons in different countries including the U.S., New Zealand, Canada, and Australia. |
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Design (Quantitative, Qualitative, or other) |
Qualitative |
Qualitative |
Qualitative |
Qualitative |
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Setting/Sample |
5 IHWs |
62 indigenous and non-indigenous (CSPs) |
29 people |
-16 review studies |
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Methods: Intervention/Instruments |
Interviews |
Interviews |
Interview |
Systematic review |
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Analysis |
Thematic analysis |
Thematic analysis |
Thematic analysis |
Content analysis |
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Key Findings |
-Barriers to the provision of FCTGP included negative experience within most mainstream health services. |
-CSPs do not have knowledge about the needs of indigenous people with cancer -Indigenous people with cancer do not have knowledge of western medicine. |
– The main factors that were identified include social networks, culture, racism, psychological distress, and history. |
The interventions that have developed in the countries are the employment of indigenous staff, the introduction of culturally competent programs and training programs for staff. |
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Recommendations |
Improve support for IHWs to foster the provision of FCTGP. |
-More aboriginal staff should be recruited to bridge the gap in cultural differences |
Indigenous people can form community coalitions to enhance health behavior, which will reduce health inequalities and empower the community. |
Researchers should pay attention to the effectiveness of the existing methods to address cultural competence in healthcare. |
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Explanation of How the Article Supports Your Identified Barrier or Issue in Health Care |
The article is helpful because it involves indigenous healthcare providers who explain the problems that patients experience in mainstream healthcare services mainly due to cultural differences. |
The article is suitable because it investigates the effects of cultural differences for a single illness and offers a practical solution. |
Even though this article has identified many factors that affect health behaviors among indigenous populations, it has highlighted culture as aim important element, which is the focus on the topic under study. |
This article supports the selected health issue because it presents a review of multiple strategies to address the issue. |
References
Almutairi, K. M. (2015). Culture and language differences as a barrier to provision of quality care by the health workforce in Saudi Arabia. Saudi Medical Journal, 36(4), 425.
Clifford, A., McCalman, J., Bainbridge, R., & Tsey, K. (2015). Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review. International Journal for Quality in Health Care, 27(2), 89-98.
Conway, J., Tsourtos, G., & Lawn, S. (2017). The barriers and facilitators that indigenous health workers experience in their workplace and communities in providing self-management support: a multiple case study. BMC health services research, 17(1), 319.
Freeman, T., Edwards, T., Baum, F., Lawless, A., Jolley, G., Javanparast, S., & Francis, T. (2014). Cultural respect strategies in Australian Aboriginal primary health care services: beyond education and training of practitioners. Australian and New Zealand Journal of Public Health, 38(4), 355-361.
Meuter, R. F., Gallois, C., Segalowitz, N. S., Ryder, A. G., & Hocking, J. (2015). Overcoming language barriers in healthcare: A protocol for investigating safe and effective communication when patients or clinicians use a second language. BMC health services research, 15(1), 371.
Rix, E. F., Barclay, L., Stirling, J., Tong, A., & Wilson, S. (2015). The perspectives of A boriginal patients and their health care providers on improving the quality of hemodialysis services: A qualitative study. Hemodialysis International, 19(1), 80-89.
Shahid, S., Durey, A., Bessarab, D., Aoun, S. M., & Thompson, S. C. (2013). Identifying barriers and improving communication between cancer service providers and Aboriginal patients and their families: the perspective of service providers. BMC health services research, 13(1), 460.
Waterworth, P., Pescud, M., Braham, R., Dimmock, J., & Rosenberg, M. (2015). Factors influencing the health behaviour of indigenous Australians: Perspectives from support people. PloS one, 10(11), e0142323.
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