Journal article
Clinicians' Experiences in Care Delivery to Culturally and Linguistically Diverse Patients in the Emergency Department: A Social Ecological Perspective
Journal of advanced nursing, Vol.First online
14/11/2025
PMID: 41239770
Appears in Recent Faculty of Health Publications
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Abstract
Aims: To explore the influence of broader cultural and social factors on clinicians' care delivery to patients from culturally and linguistically diverse backgrounds in the emergency department.
Design: A qualitative exploratory study.
Methods: A social ecological perspective drawn from a Social Ecological Model was used to guide the study. Clinicians from two public hospital emergency departments in Southeast Queensland, Australia were recruited with purposive and snowballing sampling strategies. Semi-structured interviews were undertaken between October 2022 and September 2023. Data were analysed using a content analysis approach.
Results: Seventeen clinicians participated in the interviews: nine nurses and eight doctors. Nine participants were born in a country outside of Australia. Three main themes were generated from the interview data: (i) cultural and religious diversity and challenges in care delivery; (ii) social interactions and communication in clinical care; and (iii) perception about care delivery, services and supports.
Conclusion: Findings from this study offer insight into clinicians' experiences and perspectives regarding the influence of cultural and religious diversity as well as cross-cultural communication and prejudice in care delivery. Social interactions and communication in clinical care were found to facilitate care delivery process and navigate challenges. Cultural competency training and multicultural services and resources can help support clinicians in providing culturally appropriate care in the emergency department.
Implications for the Profession and Patient Care: The findings of this study may help inform the development of practical guidelines and strategies to support clinicians in care delivery. Appropriate training regarding cultural competency is essential to promote culturally appropriate care. Developing a tailored multicultural service and targeted resources in the emergency department is recommended in clinical practice.
Reporting Method: The consolidated criteria for reporting qualitative research checklist was used.
Patient and Public Involvement: A health consumer representative was involved to provide advice on the study conceptualization and data interpretation.
Details
- Title
- Clinicians' Experiences in Care Delivery to Culturally and Linguistically Diverse Patients in the Emergency Department: A Social Ecological Perspective
- Creators
- Ya-Ling Huang - Griffith University (Australia, Gold Coast)Chun-Chih Lin - Chang Gung University of Science and TechnologyDinesh Palipana Oam - Gold Coast Hospital and Health Service (Gold Coast, Queensland)Shahina Braganza - Gold Coast Hospital and Health Service (Gold Coast, Queensland)Robert Lee - Gold Coast Hospital and Health Service (Gold Coast, Queensland)Julia Crilly Oam - Griffith University (Australia, Gold Coast)
- Publication Details
- Journal of advanced nursing, Vol.First online
- Publisher
- Wiley
- Grant note
- The Cultural and Linguistic Diversity in the Emergency Department (CALD ED) research program is co-funded by the Emergency MedicineFoundation (EMLE-209R36-2021-HUANG) and Gold Coast Health Collaborative Research Grant Scheme (RGS2021- 043-DrYa-LingHuang). Weacknowledge the Emergency Medicine Foundation for funding towards this qualitative arm of the CALD ED study.
- Identifiers
- 991013329926202368
- Copyright
- © 2025 John Wiley & Sons Ltd.
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Journal article