Challenges of healthcare professionals in providing care to South Asian ethnic minority patients in Hong Kong: A qualitative study

2019 ◽  
Vol 28 (2) ◽  
pp. 591-601
Author(s):  
Nimisha Vandan ◽  
Janet Yuen‐Ha Wong ◽  
Jay Jung‐Jae Lee ◽  
Paul Siu‐Fai Yip ◽  
Daniel Yee‐Tak Fong
BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e051052
Author(s):  
Janet Yuen Ha Wong ◽  
Judy Wai Chu Ho ◽  
Antoinette Marie Lee ◽  
Daniel Yee Tak Fong ◽  
Natural Chu ◽  
...  

ObjectivesThis is a qualitative study which aims to understand the lived experience of dietary changes among Chinese survivors of colorectal cancer who participated in a dietary intervention.SettingThe surgical and oncological departments of four public hospitals in Hong Kong.ParticipantsFifty-five Chinese colorectal cancer survivors who were aged 18 years or above and had received potentially curative treatment in the surgical and oncological departments in Hong Kong were examined. Participants’ mean age was 64 years, with 29 (53%) males.InterventionA 12-month dietary intervention delivered via face-to-face motivational interviews, fortnightly motivational phone calls, monthly electronic pamphlets, quarterly newsletters and quarterly group meeting.Outcome measureWe adopted the qualitative approach to capture participants’ perspectives and to apply the understanding pragmatically in everyday life. Content analysis was conducted.ResultsWe identified themes of motives to changes of dietary practices including (1) individual commitment to dietary change; (2) adaptive strategies in interpersonal contexts and (3) working with healthcare professionals during the journey.ConclusionsThe findings demonstrated how Chinese custom and culture posing unique challenges to colorectal cancer survivors and the need of having dietary advice from healthcare professionals. Participants were motivated to change their eating habits by support from family, friends and healthcare professionals. Our findings could help healthcare professionals provide specific dietary advice and guidance to Chinese colorectal cancer survivors.Trial registration numberNCT01708824.


2019 ◽  
Vol 41 (3) ◽  
pp. 284-305
Author(s):  
Catalina Sau Man Ng ◽  
Wenyu Chai ◽  
Hung Kit Fok ◽  
Sing Pui Chan ◽  
Ho Cheong Lam ◽  
...  

2019 ◽  
Vol 11 (2) ◽  
pp. 253-283
Author(s):  
Mark Shiu-kee Shum ◽  
Dan Shi ◽  
Xian-han Huang ◽  
Chung-pui Tai ◽  
Wan-shan Yung

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e050666
Author(s):  
Jeeva Reeba John ◽  
Gwenetta Curry ◽  
Sarah Cunningham-Burley

ObjectiveTo explore the experiences of pregnancy, childbirth, antenatal and postnatal care in women belonging to ethnic minorities and to identify any specific challenges that these women faced during the SARS-CoV-2 pandemic.DesignThis was a qualitative study using semistructured interviews of pregnant women or those who were 6 weeks postnatal from Black, Asian and minority ethnic backgrounds. The study included 16 women in a predominantly urban Scottish health board area.ResultsThe finding are presented in four themes: ‘communication’, ‘interactions with healthcare professionals’, ‘racism’ and ‘the pandemic effect’. Each theme had relevant subthemes. ‘Communication’ encompassed respect, accent bias, language barrier and cultural dissonance; ‘interactions with healthcare professionals’: continuity of care, empathy, informed decision making and dissonance with other healthcare systems; ‘racism’ was deemed to be institutional, interpersonal or internalised; and ‘the pandemic effect’ consisted of isolation, psychological impact and barriers to access of care.ConclusionsThis study provides insight into the specific challenges faced by ethnic minority women in pregnancy, which intersect with the unique problems posed by the ongoing SARS-CoV-2 pandemic to potentially widen existing ethnic disparities in maternal outcomes and experiences of maternity care.


2018 ◽  
Vol 13 (1-2) ◽  
pp. 1-19
Author(s):  
Linda Tsung ◽  
Eva Yi Hung Lau
Keyword(s):  

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