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Scientific article
English

Is the Front Line Prepared for the Changing Faces of Patients? Predictors of Cross-Cultural Preparedness Among Clinical Nurses and Resident Physicians in Lausanne, Switzerland

Published inTeaching and Learning in Medicine, vol. 27, no. 4, p. 379-386
Publication date2015
Abstract

PHENOMENON: Assuring quality medical care for all persons requires that healthcare providers understand how sociocultural factors affect a patient's health beliefs/behaviors. Switzerland's changing demographics highlight the importance of provider cross-cultural preparedness for all patients-especially those at risk for social/health precarity. We evaluated healthcare provider cross-cultural preparedness for commonly encountered vulnerable patient profiles. Approach: A survey on cross-cultural care was mailed to Lausanne University hospital's "front-line healthcare providers": clinical nurses and resident physicians at our institution. Preparedness items asked "How prepared do you feel to care for … ?" (referring to example patient profiles) on an ascending 5-point Likert scale. We examined proportions of "4 - well/5 - very well prepared" and the mean composite score for preparedness. We used linear regression to examine the adjusted effect of demographics, work context, cultural-competence training, and cross-cultural care problem awareness, on preparedness.

Keywords
  • Culturally Competent Care
  • Female
  • Humans
  • Male
  • Medical Staff, Hospital
  • Nurse-Patient Relations
  • Nursing Staff, Hospital
  • Physician-Patient Relations
  • Professional Competence
  • Quality Assurance, Health Care
  • Surveys and Questionnaires
  • Switzerland
Citation (ISO format)
CASILLAS, Alejandra et al. Is the Front Line Prepared for the Changing Faces of Patients? Predictors of Cross-Cultural Preparedness Among Clinical Nurses and Resident Physicians in Lausanne, Switzerland. In: Teaching and Learning in Medicine, 2015, vol. 27, n° 4, p. 379–386. doi: 10.1080/10401334.2015.1077127
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Article (Published version)
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ISSN of the journal1040-1334
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