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Mixed messages: Residents' experiences learning cross-cultural care

Title
Mixed messages: Residents' experiences learning cross-cultural care
Authors
Park E.R.Betancourt J.R.Kim M.K.Maina A.W.Blumenthal D.Weissman J.S.
Ewha Authors
강민아
SCOPUS Author ID
강민아scopus
Issue Date
2005
Journal Title
Academic Medicine
ISSN
1040-2446JCR Link
Citation
vol. 80, no. 9, pp. 874 - 880
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Purpose: An Institute of Medicine report issued in 2002 cited cross-cultural training as a mechanism to address racial and ethnic disparities in health care, but little is known about residents' training and capabilities to provide quality care to diverse populations. This article explores a select group of residents' perceptions of their preparedness to deliver quality care to diverse populations. Method: Seven focus groups and ten individual interviews were conducted with 68 residents in locations nationwide. Qualitative analysis of focus-group and individual interview transcripts was performed to assess residents' perceptions of (1) preparedness to deliver care to diverse patients; (2) educational climate; and (3) training experiences. Results: Most residents in this study noted the importance of cross-cultural care yet reported little formal training in this area. Residents wanted more formal training yet expressed concern that culture-specific training could lead to stereotyping. Most residents had developed ad hoc, informal skills to care for diverse patients. Although residents perceived institutional endorsement, they sensed it was a low priority due to lack of time and resources. Conclusions: Residents in this study reported receiving mixed messages about cross-cultural care. They were told it is important, yet they received little formal training and did not have time to treat diverse patients in a culturally sensitive manner. As a result, many developed coping behaviors rather than skills based on formally taught best practices. Training environments need to increase training to enhance residents' preparedness to deliver high-quality cross-cultural care if the medical profession is to achieve the goals set by the Institute of Medicine.
DOI
10.1097/00001888-200509000-00019
Appears in Collections:
사회과학대학 > 행정학전공 > Journal papers
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