Experience of Immigrant Care and the Need for Cultural-Competence Training Among Public Healthcare Providers

2.50
Hdl Handle:
http://hdl.handle.net/10755/622181
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Experience of Immigrant Care and the Need for Cultural-Competence Training Among Public Healthcare Providers
Other Titles:
Cultural Awareness in Public Health
Author(s):
Chae, Duckhee; Lee, Jin-A; Kim, Hyun-Lye; Keiko, Asami
Lead Author STTI Affiliation:
Alpha Lambda
Author Details:
Duckhee Chae, PhD, RN, Professional Experience: 2014-present, Assistant Professor, Chonnam National University College of Nursing, Gwangju, South Korea 2010-2013, Research Specialist, Yonsei University College of Nursing, Seoul, South Korea 2008-2009, Occupational Health Nurse, General Electric Security, Newark, CA, USA 1992-2007, Chief Occupational Health Nurse, Asiana Airlines, Seoul, South Korea 1991-1992, Staff Nurse, Yonsei University Hospital, Seoul, South Korea Author or coauthor of 4 publications relating to occupational health nursing activities. Author Summary: She has had more than 15 years of occupational health nursing experience. She currently teaches community health nursing, and conducts research on cultural competence of health care workers and health promotion for workers.
Abstract:

Purpose: As the number of foreigners residing in Korea increased by five times during last two decades, Korean public health care providers are facing the diversity of race, ethnicity, and culture of clients. This study was to explore the experiences of public health care providers in providing health care service for immigrants living in Korea and to clarify educational needs for culturally competent care.

Methods: A qualitative description research design was used with five focus groups of 25 public health care providers from five community health centers in G city, South Korea. Focus group interviews were conducted at a time and place convenient to the participants using semi-structured interview guidelines. Audio-recorded interviews ranged 70 to 90 minutes and were immediately transcribed by the researcherThe data were analyzed using conventional qualitative analysis techniques.

Results: All participants were female and ranging in age from 22 years to 54 years. Most participants were public health nurses (76.9%), followed by dietitian (11.5%) and social workers (11.5%). The majority of immigrant clients were young married immigrant women who were situated in multi-layered vulnerability, and unequal power relationship between the couple. They also lacked of awareness of health behaviors. Public health care providers experienced difficulty in identification, enrollment, and retention of immigrants in health care programs, approach towards the most vulnerable group of immigrants, communication, building therapeutic relationships, inconsistency of the service program, and lack of systematic support. Most public health care providers had no prior cultural competence training. They needed to have cultural competence training as an essential continuing education course. They preferred eLearning course which consists of 6~8 sessions which lasts 20-30 minute each.

Conclusion: Public health care providers primarily provided maternal and child healthcare service to vulnerable young married immigrant women. They were situated in multiple challenges because of the vulnerability of the clients and the lack of preparedness for culturally competent care. It is suggested to develop cultural competence training through eLearning that reflects the situation experienced by public health care providers along with systematic support.

Keywords:
Cultural Competency; Immigrants; Public Health Care Providers
Repository Posting Date:
25-Jul-2017
Date of Publication:
25-Jul-2017
Other Identifiers:
INRC17O01
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleExperience of Immigrant Care and the Need for Cultural-Competence Training Among Public Healthcare Providersen_US
dc.title.alternativeCultural Awareness in Public Healthen
dc.contributor.authorChae, Duckheeen
dc.contributor.authorLee, Jin-Aen
dc.contributor.authorKim, Hyun-Lyeen
dc.contributor.authorKeiko, Asamien
dc.contributor.departmentAlpha Lambdaen
dc.author.detailsDuckhee Chae, PhD, RN, Professional Experience: 2014-present, Assistant Professor, Chonnam National University College of Nursing, Gwangju, South Korea 2010-2013, Research Specialist, Yonsei University College of Nursing, Seoul, South Korea 2008-2009, Occupational Health Nurse, General Electric Security, Newark, CA, USA 1992-2007, Chief Occupational Health Nurse, Asiana Airlines, Seoul, South Korea 1991-1992, Staff Nurse, Yonsei University Hospital, Seoul, South Korea Author or coauthor of 4 publications relating to occupational health nursing activities. Author Summary: She has had more than 15 years of occupational health nursing experience. She currently teaches community health nursing, and conducts research on cultural competence of health care workers and health promotion for workers.en
dc.identifier.urihttp://hdl.handle.net/10755/622181-
dc.description.abstract<p><span lang="EN-US">Purpose: As the number of foreigners residing in Korea increased by five times during last two decades, Korean public health care providers are facing the diversity of race, ethnicity, and culture of clients. This study was to explore the experiences of public health care providers in providing health care service for immigrants living in Korea and to clarify educational needs for culturally competent care.</span></p> <p><span lang="EN-US">Methods: A qualitative description research design was used with five focus groups of 25 public health care providers from five community health centers in G city, South Korea. Focus group interviews were conducted at a time and place convenient to the participants using semi-structured interview guidelines. Audio-recorded interviews ranged 70 to 90 minutes and <span lang="EN">were immediately transcribed by the researcher</span><span lang="EN-US">. </span><span lang="EN-US">The data were analyzed using conventional qualitative analysis techniques.</span></span></p> <p><span lang="EN-US">Results: All participants were female and ranging in age from 22 years to 54 years. Most participants were public health nurses (76.9%), followed by dietitian (11.5%) and social workers (11.5%). The majority of immigrant clients were young married immigrant women who were situated in multi-layered vulnerability, and unequal power relationship between the couple. They also lacked of awareness of health behaviors. Public health care providers experienced difficulty in identification, enrollment, and retention of immigrants in health care programs, approach towards the most vulnerable group of immigrants, communication, building therapeutic relationships, inconsistency of the service program, and lack of systematic support. Most public health care providers had no prior cultural competence training. They needed to have cultural competence training as an essential continuing education course. They preferred eLearning course which consists of 6~8 sessions which lasts 20-30 minute each.</span></p> <p><span lang="EN-US">Conclusion: Public health care providers primarily provided maternal and child healthcare service to vulnerable young married immigrant women. They were situated in multiple challenges because of the </span><span lang="EN">vulnerability of the clients and the lack of preparedness for culturally competent care.</span><span lang="EN"> </span><span lang="EN-US">It is suggested to develop cultural competence training through eLearning that reflects the situation experienced by public health care providers along with systematic support.</span></p>en
dc.subjectCultural Competencyen
dc.subjectImmigrantsen
dc.subjectPublic Health Care Providersen
dc.date.available2017-07-25T21:39:16Z-
dc.date.issued2017-07-25-
dc.date.accessioned2017-07-25T21:39:16Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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