4b6a5efe9b4258dd4d114b4c6ddedbd6 pmc_33799637.pdf b977a384595eb859c715f8964165af5ed5911a26 pmc_33799637.pdf 4694270dcfabbc6dcf8c34b5e06171339d1499f936fd8beb2d7ed11fc8487edd pmc_33799637.pdf Title: Intercultural Communication between Long-Stay Immigrants and Catalan Primary Care Nurses: A Qualitative Approach to Rebalancing Power Subject: 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. Keywords: intercultural competence; intercultural communication; long-stay immigrant; nurse-patient relations; primary care; cultural safety Author: Francesc Ramos-Roure, Maria Feijoo-Cid, Josep Maria Manresa-Dominguez, Jordi Segura-Bernal, Rosa García-Sierra, Maria Isabel Fernández-Cano and Pere Toran-Monserrat Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Thu Mar 11 11:00:44 2021 CET ModDate: Thu Mar 11 11:40:48 2021 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 18 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 418373 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- EHSHKA+VnURWPalladioL Type 1 Custom yes yes no 10 0 MAHRDW+URWPalladioL-Ital Type 1 Custom yes yes no 15 0 KCUDYN+URWPalladioL-Bold Type 1 Custom yes yes no 20 0 CWDTAO+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 SSNIUI+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 36 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 39 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 61 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 65 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 69 0 VPSNSA+VnURWPalladioL-Italic Type 1 Custom yes yes no 124 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-10-02 03:25:50 CEST RepresentationInformation: pmc_33799637.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2023-03-31 12:09:21 CEST Size: 418373 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 402 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Children: Item: Title: Intercultural Competence in Healthcare Destination: subsection.1.1 Item: Title: Immigrant Acculturation Destination: subsection.1.2 Item: Title: Research Gap Destination: subsection.1.3 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Study Design Destination: subsection.2.1 Item: Title: Study Setting Destination: subsection.2.2 Item: Title: Ethical Considerations Destination: subsection.2.3 Item: Title: Participants and Sampling Destination: subsection.2.4 Item: Title: Data Collection Destination: subsection.2.5 Item: Title: Data Analysis Destination: subsection.2.6 Item: Title: Rigor Destination: subsection.2.7 Item: Title: Results Destination: section.3 Children: Item: Title: Downplaying the Importance of Culture Destination: subsection.3.1 Item: Title: Communication with More Humanity and Respect Destination: subsection.3.2 Item: Title: Communication as a Tool Destination: subsection.3.3 Item: Title: Power Imbalance in Communication Destination: subsection.3.4 Item: Title: Defending the Nurses and Avoiding Conflict Destination: subsection.3.5 Item: Title: Discussion Destination: section.4 Children: Item: Title: The Effect of Acculturation Destination: subsection.4.1 Item: Title: Humanity in Communication Destination: subsection.4.2 Item: Title: Rebalancing the Care Relationship Destination: subsection.4.3 Item: Title: Health Communication and Gender Destination: subsection.4.4 Item: Title: Limitations Destination: subsection.4.5 Item: Title: Implications Destination: subsection.4.6 Children: Item: Title: Public Health Implications Destination: subsubsection.4.6.1 Item: Title: Practical Implications Destination: subsubsection.4.6.2 Item: Title: Implications for Research Destination: subsubsection.4.6.3 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.5 Info: Title: Intercultural Communication between Long-Stay Immigrants and Catalan Primary Care Nurses: A Qualitative Approach to Rebalancing Power Author: Francesc Ramos-Roure, Maria Feijoo-Cid, Josep Maria Manresa-Dominguez, Jordi Segura-Bernal, Rosa García-Sierra, Maria Isabel Fernández-Cano and Pere Toran-Monserrat Subject: 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. 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