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Distrust and patients in intercultural healthcare: A qualitative interview study.
Nurs Ethics. 2018 May; 25(3):313-323.NE

Abstract

BACKGROUND

The importance of trust between patients and healthcare personnel is emphasised in nurses' and physicians' ethical codes. Trust is crucial for an effective healthcare personnel-patient relationship and thus for treatment and treatment outcomes. Cultural and linguistic differences may make building a trusting and positive relationship with ethnic minority patients particularly challenging. Although there is a great deal of research on cultural competence, there is a conspicuous lack of focus on the concepts of trust and distrust concerning ethnic minority patients, particularly in relation to the concept of 'othering'.

AIM

To study which factors help build trust or create distrust in encounters between healthcare professionals and hospitalised ethnic minority patients, as well as study the dynamic complexities inherent within the process of 'othering'.

RESEARCH DESIGN

Qualitative design, in-depth interviews and hermeneutic analysis. Participants and research context: The interviewees were 10 immigrant patients (six women and four men - eight Asians, two Africans - ages 32-85 years) recruited from a south-eastern Norwegian hospital. Ethical considerations: Study approval was obtained from the hospital's Privacy Ombudsman for Research and the hospital's leadership. Participation was voluntary and participants signed an informed consent form.

CONCLUSION

Distrust and othering may be caused by differences in belief systems, values, perceptions, expectations, and style of expression and behaviour. Othering is a reciprocal phenomenon in minority ethnic patient-healthcare personnel encounters, and it influences trust building negatively. Besides demonstrating general professional skill and competence, healthcare personnel require cultural competence to create trust.

Authors+Show Affiliations

Lovisenberg Diaconal Hospital, Norway; Oslo and Akershus University College of Applied Sciences, Norway.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27284017

Citation

Alpers, Lise-Merete. "Distrust and Patients in Intercultural Healthcare: a Qualitative Interview Study." Nursing Ethics, vol. 25, no. 3, 2018, pp. 313-323.
Alpers LM. Distrust and patients in intercultural healthcare: A qualitative interview study. Nurs Ethics. 2018;25(3):313-323.
Alpers, L. M. (2018). Distrust and patients in intercultural healthcare: A qualitative interview study. Nursing Ethics, 25(3), 313-323. https://doi.org/10.1177/0969733016652449
Alpers LM. Distrust and Patients in Intercultural Healthcare: a Qualitative Interview Study. Nurs Ethics. 2018;25(3):313-323. PubMed PMID: 27284017.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Distrust and patients in intercultural healthcare: A qualitative interview study. A1 - Alpers,Lise-Merete, Y1 - 2016/06/09/ PY - 2016/6/11/pubmed PY - 2018/6/27/medline PY - 2016/6/11/entrez KW - Communication KW - distrust KW - ethnic minority patients KW - expression of feelings KW - othering KW - trust SP - 313 EP - 323 JF - Nursing ethics JO - Nurs Ethics VL - 25 IS - 3 N2 - BACKGROUND: The importance of trust between patients and healthcare personnel is emphasised in nurses' and physicians' ethical codes. Trust is crucial for an effective healthcare personnel-patient relationship and thus for treatment and treatment outcomes. Cultural and linguistic differences may make building a trusting and positive relationship with ethnic minority patients particularly challenging. Although there is a great deal of research on cultural competence, there is a conspicuous lack of focus on the concepts of trust and distrust concerning ethnic minority patients, particularly in relation to the concept of 'othering'. AIM: To study which factors help build trust or create distrust in encounters between healthcare professionals and hospitalised ethnic minority patients, as well as study the dynamic complexities inherent within the process of 'othering'. RESEARCH DESIGN: Qualitative design, in-depth interviews and hermeneutic analysis. Participants and research context: The interviewees were 10 immigrant patients (six women and four men - eight Asians, two Africans - ages 32-85 years) recruited from a south-eastern Norwegian hospital. Ethical considerations: Study approval was obtained from the hospital's Privacy Ombudsman for Research and the hospital's leadership. Participation was voluntary and participants signed an informed consent form. CONCLUSION: Distrust and othering may be caused by differences in belief systems, values, perceptions, expectations, and style of expression and behaviour. Othering is a reciprocal phenomenon in minority ethnic patient-healthcare personnel encounters, and it influences trust building negatively. Besides demonstrating general professional skill and competence, healthcare personnel require cultural competence to create trust. SN - 1477-0989 UR - https://www.unboundmedicine.com/medline/citation/27284017/Distrust_and_patients_in_intercultural_healthcare:_A_qualitative_interview_study_ L2 - https://journals.sagepub.com/doi/10.1177/0969733016652449?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -