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Core components in the care of immigrants with psychoses: A Delphi survey of patients, families, and health-care staff
Department of Psychiatry, Ryhov County Hospital, Jönköping.
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-1588-135X
Department of Psychology, The University of Gothenburg, Gothenburg, Sweden.
School of Health and Caring Sciences, Linnaeus University, Växjö.
2011 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 20, no 3, 174-184 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to identify core components in the care of immigrants with psychosis in Sweden. Experts (n = 43) from different perspectives (immigrants, families, and health-care staff) were assembled and used to score the importance of statements regarding components in the care for a person with psychosis in three questionnaire rounds. After each round, the opinions were consolidated and compared to identify whether consensus was reached. Consensus was reached about the importance of being treated on equal terms, regardless of country of birth. Staff interest and respect, shown in different ways of understanding, was valued. Consensus could not be reached on approximately half of the statements, of which four tended to be ranked towards unimportant. Those included that staff should have specific cultural knowledge or that the patient should be allowed to decide whether to be cared for by male or female staff. Nor was it regarded as important to identify a persons religious or ethnic background. The results illustrate the importance of fundamental psychiatric nursing, which should enable nurses to identify and meet the basic needs of all patients, regardless of country of origin. Areas for which consensus was not reached illustrate a future challenge for health-care staff to identify situations when cultural clashes could appear. Staff should have strategies to accomplish cultural negotiations to build an effective treatment alliance with the patient, as well as the family, to meet individual needs.

Place, publisher, year, edition, pages
Blackwell Publishing, 2011. Vol. 20, no 3, 174-184 p.
Keyword [en]
Delphi technique, immigrant, psychotic illness, psychiatric nursing, Sweden
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-68023DOI: 10.1111/j.1447-0349.2010.00720.xISI: 000289629800004OAI: diva2:415224
Available from: 2011-05-06 Created: 2011-05-06 Last updated: 2013-12-04Bibliographically approved

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