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Intercultural Communication between Long-Stay Immigrants and Catalan Primary Care Nurses: A Qualitative Approach to Rebalancing Power

Author

Listed:
  • Francesc Ramos-Roure

    (Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain
    Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
    Department of Medicine, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain)

  • Maria Feijoo-Cid

    (Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
    Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain)

  • Josep Maria Manresa-Dominguez

    (Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain
    Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
    Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain)

  • Jordi Segura-Bernal

    (Faculty of Psychology, Education Sciences and Sport, Ramon Llull University, 08022 Barcelona, Spain)

  • Rosa García-Sierra

    (Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain
    Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
    Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain)

  • Maria Isabel Fernández-Cano

    (Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
    Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain)

  • Pere Toran-Monserrat

    (Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain
    Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
    Department of Medicine, Faculty of Medicine, Universitat de Girona, 17071 Girona, Spain)

Abstract

There is a gap between the preferences of immigrant patients and their experiences with intercultural communication. This study aims to explore the experiences and perspectives of long-stay immigrants on intercultural communication in encounters with primary care (PC) nurses. Participants were selected by purposive sampling at the Maresme Primary Care Center. A focus group and five in-depth interviews with long-stay immigrants from eight countries were carried out. Data collection was guided by a script previously validated by a group of experts. We conducted a qualitative analysis following Charmaz’s approach, and data saturation was reached with 11 patients (one focus group and five interviews). Long-stay immigrants would like closer and more personalized communication exchanges with greater humanity, as well as polite and respectful manners as they perceive signs of an asymmetrical care relationship. Those who had negative communication experiences tried to justify some of the behaviors as a result of having free access to public health services. This is one of the few existing studies from the point of view of long-stay immigrants. Achieving effective intercultural communication requires a process of self-reflection, awareness-raising and commitment, both on a personal and institutional level, to eliminate the asymmetry in the nurse-patient relationship. Nurses should be trained in person-centered intercultural communication.

Suggested Citation

  • Francesc Ramos-Roure & Maria Feijoo-Cid & Josep Maria Manresa-Dominguez & Jordi Segura-Bernal & Rosa García-Sierra & Maria Isabel Fernández-Cano & Pere Toran-Monserrat, 2021. "Intercultural Communication between Long-Stay Immigrants and Catalan Primary Care Nurses: A Qualitative Approach to Rebalancing Power," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2851-:d:514926
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    References listed on IDEAS

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    1. Bishnu Bahadur Bajgain & Kalpana Thapa Bajgain & Sujan Badal & Fariba Aghajafari & Jeanette Jackson & Maria-Jose Santana, 2020. "Patient-Reported Experiences in Accessing Primary Healthcare among Immigrant Population in Canada: A Rapid Literature Review," IJERPH, MDPI, vol. 17(23), pages 1-20, November.
    2. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    3. Maryam Mozooni & David Brian Preen & Craig Edward Pennell, 2020. "The influence of acculturation on the risk of stillbirth in migrant women residing in Western Australia," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-16, April.
    4. Arora, Sanjana & Straiton, Melanie & Rechel, Bernd & Bergland, Astrid & Debesay, Jonas, 2019. "Ethnic boundary-making in health care: Experiences of older Pakistani immigrant women in Norway," Social Science & Medicine, Elsevier, vol. 239(C).
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    1. Andrea Rishworth & Tiffany Cao & Ashika Niraula & Kathi Wilson, 2022. "Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada," IJERPH, MDPI, vol. 19(21), pages 1-19, November.

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