scholarly journals ntersectionality: The Role of the Athletic Trainer in Providing Culturally Competent Patient-Centered Care

2021 ◽  
Vol 4 (1) ◽  
2021 ◽  
pp. 108482232110278
Author(s):  
Mary Curry Narayan ◽  
Robert Kevin Mallinson

Introduction. Home health patients, who are members of minority and vulnerable groups, suffer disparate outcomes. Patient-centered care (PCC) and culturally-competent care (CCC) aim to facilitate high-quality, equitable care. How home health nurses incorporate PCC and CCC principles into their assessment and care-planning practices has not been -investigated. This study answers the question, “ What is the process by which home health nurses develop their culture-sensitive/patient-centered assessment and care planning skills?” Methods. Home health nurses (n= 20) were recruited into this grounded theory study from agencies around the United States via flyers, websites, and contacts. We conducted in-depth recorded interviews using a semi-structured interview guide to ask questions about nurses’ assessment and care-planning practices, their understanding of CCC and PCC principles, and facilitators/barriers to CCC and PCC practice. Results. Participants primarily gained their CCC and PCC assessment and care-planning skills through a “seat of your pants,” trial-and-error process, with little educational or agency assistance. They combined caring, diverse patient experiences, and critical, creative self-reflection on their experiences to gradually learn helpful, though not optimal, CCC and PCC strategies. However, they reported numerous barriers that discouraged or distressed them in their quest to deliver culturally-competent and patient-centered care. Only a few nurses demonstrated the resilience to overcome these challenges creatively and happily. Conclusion. If we accept that patient-centered care and culturally competent care are key elements of high-quality, equitable care, this grounded theory may help home healthcare clinicians, administrators, educators, and policy-makers identify impact points for enhancing CS/PC practices.


Author(s):  
Salma Shickh ◽  
◽  
Sara A. Rafferty ◽  
Marc Clausen ◽  
Rita Kodida ◽  
...  

2011 ◽  
Vol 17 (4) ◽  
pp. 211-218 ◽  
Author(s):  
Claire F. Snyder ◽  
Albert W. Wu ◽  
Robert S. Miller ◽  
Roxanne E. Jensen ◽  
Elissa T. Bantug ◽  
...  

2015 ◽  
Vol 133 ◽  
pp. 45-52 ◽  
Author(s):  
Elisa Giulia Liberati ◽  
Mara Gorli ◽  
Lorenzo Moja ◽  
Laura Galuppo ◽  
Silvio Ripamonti ◽  
...  

2015 ◽  
Vol 40 (3) ◽  
pp. 245-248 ◽  
Author(s):  
Dorothea Iannuzzi ◽  
Kimberly Kopecky ◽  
Sarabeth Broder-Fingert ◽  
Susan L. Connors

Sign in / Sign up

Export Citation Format

Share Document