Subject
Oncology Nursing; Netherlands; Neoplasms/th [Therapy]; Communication Barriers; Humans; Qualitative Research; Pediatrics; Palliative Care; Attitude of Health Personnel; Disclosure; Cultural Competency; Oncologists; Culturally Competent Care; Emigrants and Immigrants; Nurses Pediatric; Morocco/eh [Ethnology]; Turkey/eh [Ethnology]
Description
In order to gain more insight on the influence of ethnic diversity in paediatric cancer care, the perspectives of care providers were explored. Semi-structured interviews were conducted among 12 paediatric oncologists and 13 nurses of two different paediatric oncology wards and were analysed using a framework method. We found that care providers described the contact with Turkish and Moroccan parents as more difficult. They offered two reasons for this: (1) language barriers between care provider and parents hindered the exchange of information; (2) cultural barriers between care provider and parents about sharing the diagnosis and palliative perspective hindered communication. Care providers reported different solutions to deal with these barriers, such as using an interpreter and improving their cultural knowledge about their patients. They, however, were not using interpreters sufficiently and were unaware of the importance of eliciting parents' perspectives. Communication techniques to overcome dilemmas between parents and care providers were not used and care providers were unaware of stereotypes and prejudice. Care providers should be offered insight in cultural barriers they are unaware of. Training in cultural competence might be a possibility to overcome manifest barriers.Copyright � 2017 John Wiley & Sons Ltd.