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Factors Influencing Nurse-to-Parent Communication in Culturally Sensitive Pediatric Care: A Qualitative Study.

Factors Influencing Nurse-to-Parent Communication in Culturally Sensitive Pediatric Care: A Qualitative Study.
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Valizadeh L, Zamanzadeh V, Ghahramanian A, Aghajari P, Foronda C,


Valizadeh L, Zamanzadeh V, Ghahramanian A, Aghajari P, Foronda C, (click to view)

Valizadeh L, Zamanzadeh V, Ghahramanian A, Aghajari P, Foronda C,

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Contemporary nurse 2017 11 23() 1-27 doi 10.1080/10376178.2017.1409644
Abstract
BACKGROUND
Cultural sensitivity is one attributes of cultural competence. As a result of immigration in the world and/or health tourism, nurses face the diversity cultural clients every day. Cultural sensitivity and effective communication are the important component of nursing care in delivering quality healthcare to diverse patients, but a few evidence exists about nurse-to-parent communication in culturally sensitive pediatric care.

OBJECTIVE
The aim of this study was to explore factors that influence nurse-to-parent communication in the provision of culturally sensitive pediatric care.

DESIGN
This study employed a qualitative content analysis.

METHOD
The participants included 25 nurses and 9 parents from pediatric wards of hospitals located in Northwest and Central of Iran. Semi-structured interviews were conducted. Data were analyzed using Graneheim and Lundman’s method (2004) of content analysis.

RESULTS
Factors that influenced the nurse-to-parent communication in pediatric culturally sensitive care were 1-organizational factors (inefficient policies and professional factors) and 2-human factors (nurse-related factors and unique characteristics of the family). Sub-categories included: lack of definitive policies for delivering cultural healthcare, insufficient cultural healthcare education, professional status of nursing in society, time, individual characteristics, cultural knowledge, cultural differences, and family’s health literacy.

CONCLUSION
The Iranian healthcare system requires a paradigm shift regarding the provision of culturally sensitive care. Improved education efforts and health care policy reform regarding cultural sensitivity is necessary to better support improved communication and nursing care to children and families in Iran. Impact statement: Policies for delivering cultural healthcare, nurses’ cultural knowledge and family’s health-literacy are effective in culturally-sensitive nurse-to-parent communication and child care.

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