• Cultural competence
• Health equity
• Healthcare disparities
• Healthcare education
• Racial bias

• Chinese immigrants
• Europe
• ageing
• everyday life
• older adults
• qualitative literature review

• Aged
• Female
• Humans
• Male
• Middle Aged
• Aging/psychology
• Aging/ethnology
• Emigrants and Immigrants/psychology
• Emigrants and Immigrants/statistics & numerical data
• Europe/ethnology
• Family/psychology
• Health Personnel/psychology
• Qualitative Research

• healthcare
• immigrant worker
• mistrust
• occupational health and safety
• rehabilitation
• therapeutic alliance

• Humans
• Trust/psychology
• Emigrants and Immigrants/psychology
• Quebec
• Return to Work/psychology
• Occupational Injuries/rehabilitation
• Occupational Injuries/psychology

• Acquired brain injury
• Care networks
• Collaboration
• Informal carers
• Intersectionality

• 023.011.009 Nederlandse Organisatie voor Wetenschappelijk Onderzoek

• Humans
• Deglutition Disorders/psychology
• Deglutition Disorders/therapy
• Deglutition Disorders/etiology
• Female
• Caregivers/psychology
• Caregiver Burden/psychology
• Social Support
• Adaptation, Psychological
• Cost of Illness
• Male
• Emotions
• Aged
• Middle Aged
• Parents/psychology
• Quality of Life

• Federally qualified health centers
• Healthcare workforce
• Leadership
• Qualitative content analysis
• Recruitment
• Retention

• Oklahoma
• Leadership
• Humans
• Personnel Selection
• Job Satisfaction
• Rural Health Services
• Organizational Culture
• Qualitative Research
• Personnel Turnover
• Interviews as Topic
• Female
• Health Workforce
• Male

• Capacity building
• Higher education
• Migrants
• Perspectives

• Autism identification
• Autism spectrum disorder (ASD)
• Differential item functioning (DIF)
• Racial disparities
• Social communication questionnaire (SCQ)

• Child
• Child, Preschool
• Female
• Humans
• Male
• Autism Spectrum Disorder/ethnology
• Autism Spectrum Disorder/diagnosis
• Autism Spectrum Disorder/psychology
• Black or African American/psychology
• Communication
• Social Behavior
• Surveys and Questionnaires
• White People/psychology

• U10DD000184 CDC HHS
• U01000752 CDC HHS
• U01000750 CDC HHS
• U10DD000182 CDC HHS
• U10DD000498 CDC HHS
• U10 DD000901 NCBDD CDC HHS
• U10 DD000184 NCBDD CDC HHS
• U01 DD000498 NCBDD CDC HHS
• U10DD000180 CDC HHS
• U10 DD000182 NCBDD CDC HHS
• U10DD000183 CDC HHS
• U10 DD000183 NCBDD CDC HHS
• U01000749 CDC HHS
• U10 DD000180 NCBDD CDC HHS
• U10 DD000181 NCBDD CDC HHS
• U01000748 CDC HHS
• U10DD000181 CDC HHS
• CC999999 Intramural CDC HHS
• U10DD000901 CDC HHS
• U01000746 CDC HHS
• U10DD000180 CDC HHS
• U10DD000181 CDC HHS
• U10DD000182 CDC HHS
• U10DD000183 CDC HHS
• U10DD000184 CDC HHS
• U10DD000498 CDC HHS
• U01000750 CDC HHS
• U01000748 CDC HHS
• U01000752 CDC HHS
• U01000746 CDC HHS
• U01000749 CDC HHS
• U10DD000901 CDC HHS
• 90DDUC0011 U.S. Department of Health and Human Services

• cultural awareness
• cultural competence
• heart failure
• migration

• Humans
• Quality of Life
• Heart Failure/diagnosis
• Heart Failure/epidemiology
• Heart Failure/therapy
• Heart Diseases

• Cultural diversity
• Palliative care
• Systematic review

• Humans
• Palliative Care/methods
• Qualitative Research
• Hospice and Palliative Care Nursing
• Communication
• Delivery of Health Care

• communication
• nursing action
• patient safety
• security
• theory
• trauma-informed care
• trust

• Humans
• Diet
• Hispanic or Latino
• Inflammatory Bowel Diseases

• COVID-19
• focus-group interviews
• immigrants
• information sources
• pandemic
• qualitative
• trust

• Humans
• Racism/prevention & control
• Health Services Research
• Consensus
• Emergency Medicine/methods
• Evidence Gaps

• K12 AR084220 NIAMS NIH HHS
• K12 HD051958 NICHD NIH HHS
• R13 HS028770 AHRQ HHS

• Child
• Female
• Humans
• Child Health
• Community Health Workers/psychology
• Grounded Theory
• Qualitative Research
• Trust
• Poverty
• Health Inequities
• Health Disparate Minority and Vulnerable Populations
• Maternal Health
• Ethnic and Racial Minorities

The Hispanic community has a high demand for organ donation but a shortage of donors. Studies investigating factors that could promote or hinder organ donation have examined emotional video interventions. Factors acting as barriers to organ donation registration have been classified as: (1) Bodily integrity; (2) medical mistrust; (3) “ick”-feelings of disgust towards organ donation; and (4) “jinx”-fear that registration may result in one dying due to premeditated plans. We predict that by providing necessary information and education about the donation process via a short video, individuals will be more willing to register as organ donors.

To determine perceptions and attitudes regarding barriers and facilitators to organ donation intention among Hispanic residents in the New York metropolitan area.

This study was approved by the Institutional Review Board at Northwell Health. The approval reference number is No. 19-0009 (as presented in Supplementary material). Eligible participants included Hispanic New York City (NYC) residents, 18 years of age and above, who were recruited voluntarily through Cloud Research and participated in a larger randomized survey study of NYC residents. The survey an 85-item Redcap survey measured participant demographics, attitudes, and knowledge of organ donation as well as the intention to register as an organ donor. Attention checks were implemented throughout the survey, and responses were excluded for those who did fail. Participants were randomly assigned two-between subject conditions: To view a short video on organ donation and then proceed to complete the survey (i.e., video first) and view the same video at the end of the survey (video last). No intra-group activities were conducted. This study utilized an evidenced-based emotive educational intervention (video) which was previously utilized and was shown to increase organ donation registration rates at the Ohio Department of Motor Vehicles. Results were analyzed using Jamovi statistical software. Three hundred sixty-five Hispanic individuals were included in the analysis. Once consent was obtained and participants entered the survey (the survey sample is presented in Supplementary material), participants were asked to report on demographic variables and their general impression of organ donation after death. The video depicted stories regarding organ donation after death from various viewpoints, including from the loved ones of a deceased person who died waiting for a transplant; from the loved ones of a deceased person whose organs were donated upon death; and, from those who were currently waiting for a transplant.

Using a binomial logistic regression, the analysis provides information about the relationship between the effects of an emotive video and the intention to donate among Hispanic participants who were not already registered as donors. The willingness to go back and register was found to be significantly more probable for those who watched the emotive video before being asked about their organ donation opinions (odds ratio: 2.05, 95% confidence interval: 1.06-3.97). Motivations for participation in organ donation were also captured with many stating the importance of messages coming from “people like me” and a message that highlights “the welfare of those in need”. Overall, the findings suggest that using an emotive video that addresses organ donation barriers to prompt organ donation intentions can be effective among the Hispanic populous. Future studies should explore using targeted messaging that resonates with specific cultural groups, highlighting the welfare of others.

This study suggests that an emotive educational intervention is likely to be effective in improving organ donation registration intent among the Hispanic population residing in NYC.

• Community engagement and health
• Health equity
• Diversity and inclusion
• Health policy
• Kidney donation
• Minority health and disparities
• Organ transplant

• demographics
• phase 2 trial
• proton therapy
• race

• UL1 TR001427 NCATS NIH HHS

• Anxiety
• cultural responsiveness
• culturally diverse populations
• depression
• digital health

• Chinese older immigrants
• health care utilization
• health insurance
• moderation analysis
• trust in physicians

• Humans
• United States
• Aged
• Trust
• East Asian People
• Insurance, Health
• Patient Acceptance of Health Care
• Emigrants and Immigrants
• Physicians

• Denmark
• Foucault
• ethnic minority patients
• forms of problematisations
• health communication
• health inequality
• nursing
• power relations

• care
• culture
• mental health
• nurse
• nursing

• COVID-19
• Youth Advisory Board
• antiracist practice
• community based participatory research
• health equity
• photovoice

• Adolescent
• Awareness
• COVID-19
• Community-Based Participatory Research/methods
• Health Inequities
• Humans
• Narration

• UL1 TR001430 NCATS NIH HHS

Long‐term follow‐up is necessary to understand the impact of perinatal interventions. Exploring parents' motives and experiences in consenting to their children taking part in longitudinal studies and understanding what outcomes are important to families may enhance participation and mitigate the loss to follow‐up. As existing evidence is largely based on investigators' perspectives using Western samples, the present pilot study explored parents' perspectives in a multicultural New Zealand context.

Data were generated using semi‐structured interviews with parents whose children had participated in a longitudinal study after neonatal recruitment. Parents' experiences of being part of the study were analysed thematically using an inductive approach.

Parents (n = 16) were generally happy with the outcomes measured. Additionally, parents were interested in lifelong goals such as the impact of parental diabetes. We identified three themes: (1) Facilitators: Research participation was aided by motives and parent and research characteristics such as wishing to help others and straightforward recruitment; (2) Barriers: A hesitancy to participate was due to technical and clinical research aspects, participation burden and cultural barriers, such as complex wording, time commitment and nonindigenous research and (3) Benefits: Children and parents experienced advantages such as the opportunity for education.

Parents reported positive experiences and described the unexpected benefit of increasing families' health knowledge through participation. Improvements for current follow‐up studies were identified. Different ethnicities reported different experiences and perspectives, which warrants ongoing research, particularly with indigenous research participants.

No active partnership with parents of patients took place.

• consumer engagement
• enabling factors
• indigenous
• long-term research
• paediatric trial
• participant experience
• research interests

The global mobility of medical student and trainee populations has drawn researchers' attention to consider internationalization in medical education. Recently, researchers have focused on cultural diversity, predominately drawing on Hofstede's cross-cultural analysis of cultural dimensions from general population data to explain their findings. However, to date no research has been specifically undertaken to examine cultural dimensions within a medical student or trainee population. This is problematic as within-country differences between gender and professional groups have been identified within these dimensions. We address this gap by drawing on the theoretical concept of national context effects: specifically Hofstede's six-dimensional perspective. In doing so we examine medical students' and trainees' country profiles across dimensions, country-by-gender clustering, and differences between our data and Hofstede's general population data.

We undertook a cross-cultural online questionnaire study (eight languages) containing Hofstede's 2013 Values Survey. Our questionnaire was live between 1st March to 19th Aug 2018, and December 2018 to mitigate country holiday periods. We recruited undergraduate medical students and trainees with at least 6-months' clinical training using school-specific methods including emails, announcements, and snowballing.

We received 2,529 responses. Sixteen countries were retained for analyses (n = 2,307, 91%): Australia, Chile, China, Hong Kong, India, Indonesia, Ireland, Israel, Japan, Malaysia, New Zealand, Pakistan, South Africa, South Korea, Sri-Lanka, Taiwan. Power distance and masculinity are homogenous across countries. Uncertainty avoidance shows the greatest diversity. We identified four country clusters. Masculinity and uncertainty are uncorrelated with Hofstede's general population data.

Our medical student and trainee data provides medical education researchers with more appropriate cultural dimension profiles than those from general population data. Country cluster profiles stimulate useful hypotheses for further research, especially as patterning between clusters cuts across traditional Eastern-Western divides with national culture being stronger than gendered influences. The Uncertainty dimension with its complex pattern across clusters is a particularly fruitful avenue for further investigation.

• culture
• gender
• internationalization
• medical students
• medical trainees
• uncertainty

• Belgium
• Communication Barriers
• Cultural Competency/education
• Cultural Competency/psychology
• Cultural Diversity
• Delivery of Health Care/ethics
• Female
• Humans
• Learning
• Male
• Portugal
• Prejudice/prevention & control
• Prejudice/psychology
• Qualitative Research
• Social Perception/psychology
• Spain
• Students, Nursing/psychology
• Transcultural Nursing/education
• Transcultural Nursing/organization & administration
• Turkey
• Young Adult

• Erasmus+

• cultural competency
• delivery of health care
• minority groups
• peripartum period
• systematic review

• ethnicity
• health communication
• mistrust
• perceived discrimination
• racial disparity
• serious illnesses

In the neonatal intensive care unit, immigrant parents may experience even greater anxiety than other parents, particularly if they and the nurses do not share a common language.

To explore the complex issues of trust and the nurse–mother relationship in neonatal intensive care units when they do not share a common language.

This study has a qualitative design. Individual semi-structured in-depth interviews and two focus group interviews were conducted with eight immigrant mothers and eight neonatal intensive care unit nurses, respectively. Data analysis was based on Braun and Clarke’s thematic analytic method.

Approval was obtained from the hospital’s Scientific Committee and the Data Protection Officer. Interviewees were informed in their native language about confidentiality and they signed an informed consent form.

Trust was a focus for mothers and nurses alike. The mothers held that they were satisfied that their infants received the very best care. They seemed to find the nurses’ care and compassion unexpected and said they felt empowered by learning how to care for their infant. The nurses discussed the mother’s vulnerability, dependency on their actions, attitudes and behaviour.

Lack of a common language created a challenge. Both parties depended on non-verbal communication and eye contact. The nurses found that being compassionate, competent and knowledgeable were important trust-building factors. The mothers were relieved to find that they were welcome, could feel safe and their infants were well cared for.

The parents of an infant admitted to the neonatal intensive care unit have no choice but to trust the treatment and care their infant receives. Maternal vulnerability challenges the nurse’s awareness of the asymmetric distribution of power and ability to establish a trusting relationship with the mother. This is particularly important when mother and nurse do not share a verbal language. The nurses worked purposefully to gain trust.

• Clinical ethics
• empirical approaches
• ethics and children in care
• existentialist
• neonatal care
• qualitative research

• United States
• awareness
• genetic counseling profession
• genetic counselors
• representative survey

• Medicaid enrollees
• access to care
• clinician–patient relationship
• cultural competence
• patient-centered communication
• patient–provider concordance
• payer status
• shared decision-making

• Bone graft material
• Patients perceptions
• Patients’ preference
• qualitative research

• advance care planning
• advance directives
• discrimination
• disparity
• hospice care
• mistrust
• non-Hispanic blacks
• palliative care
• religion and religiosity

• Adult
• Advance Care Planning
• Black or African American
• Cross-Sectional Studies
• Hospice Care
• Humans
• Palliative Care
• Terminal Care
• United States

• R25 MD007610 NIMHD NIH HHS
• U54 MD008149 NIMHD NIH HHS
• National Institute on Minority Health and Health Disparities

• Inclusionary Othering
• Othering
• anticolonial
• philosophical construct
• resistance

Efforts to build research capacity and capability in low and middle income countries (LMIC) has progressed over the last three decades, yet it confronts many challenges including issues with communicating or even negotiating across different cultures. Implementing global research requires a broader understanding of community engagement and participatory research approaches. There is a considerable amount of guidance available on community engagement in clinical trials, especially for studies for HIV/AIDS, even culturally specific codes for recruiting vulnerable populations such as the San or Maori people. However, the same cannot be said for implementing research in global health. In an effort to build on this work, the Pakistan Institute of Living and Learning and University College London in the UK sought to better understand differences in beliefs, values and norms of local communities in Pakistan. In particular, they have sought to help researchers from high income countries (HIC) understand how their values are perceived and understood by the local indigenous researchers in Pakistan. To achieve this end, a group discussion was organised with indigenous researchers at Pakistan Institute of Living and Learning. The discussion will ultimately help inform the development of a cultural protocol for researchers from HIC engaging with communities in LMIC. This discussion revealed five common themes; (1) religious principles and rules, (2) differing concepts of and moral emphasis on autonomy and privacy, (3) importance of respect and trust; (4) cultural differences (etiquette); (5) custom and tradition (gift giving and hospitality). Based on the above themes, we present a preliminary cultural analysis to raise awareness and to prepare researchers from HIC conducting cross cultural research in Pakistan. This is likely to be particularly relevant in collectivistic cultures where social interconnectedness, family and community is valued above individual autonomy and the self is not considered central to moral thinking. In certain cultures, HIC ideas of individual autonomy, the notion of informed consent may be regarded as a collective family decision. In addition, there may still be acceptance of traditional professional roles such as ‘doctor knows best’, while respect and privacy may have very different meanings.

• Bioethics
• Community engagement
• Cultural protocol
• Global health
• Low and middle income countries (LMIC)
• Researchers from high income countries (HIC)

• Emotion Work
• Ethos of Conflict
• Ethos of Health Care
• Healthcare Personnel
• Minority
• Paediatrics
• Resilience

• cultural safety
• intercultural communication
• intercultural competence
• long-stay immigrant
• nurse-patient relations
• primary care

• canine
• client
• demographics
• human animal interactions
• veterinarian
• veterinary care

• African Americans
• Blacks
• Hispanics
• discrimination
• disparities in health & health care
• ethnic groups
• ethnicity
• low-income population
• medically uninsured
• minority groups
• mistrust
• race
• structural competency
• vulnerable populations

• Adult
• Black or African American/psychology
• Aged
• Aged, 80 and over
• Attitude to Health/ethnology
• California
• Cross-Sectional Studies
• Family Practice
• Female
• Health Services Accessibility
• Hispanic or Latino/psychology
• Humans
• Insurance Coverage/statistics & numerical data
• Male
• Middle Aged
• Prejudice
• Primary Health Care
• Racism/psychology
• Socioeconomic Factors
• Trust

• R25 MD007610 NIMHD NIH HHS
• U54 MD007598 NIMHD NIH HHS
• U54 MD008149 NIMHD NIH HHS

Continuing professional development (CPD) is an essential component of professional practice for registered health practitioners to maintain and enhance knowledge, skills and abilities. There are many topics that practitioners may pursue relevant to their practice environment, and, in recent years, providing culturally safe and respectful practice is an emerging area of need. Unfortunately, many health professionals, whilst willing to offer cultural safe healthcare, may be uncertain of how to enact that practice. The World Health Organisation recognises attainment of the highest possible standard of health as a basic human right, and cultural safety is increasingly becoming an expectation of health professionals. To address this need and the insufficiency of support in the literature, the authors have presented a discussion paper on various aspects of cultural safety and the underlying constructs, such as cultures, that support it. The discussion takes into account core constructs that signpost the path to cultural safety and recognises the role and accountability of all levels of the healthcare system, not merely the practitioner. Finally, we propose a model program for a cultural humility CPD activity incorporating pre-work, online modules, interactive workshop, reflection on professional practice and a post-workshop evaluation.

• continuing professional development
• cultural humility
• cultural safety

• healthcare quality improvement
• patient-centred care
• qualitative research
• quality improvement
• quality improvement methodologies

• Apnea
• Brain Death
• Humans
• Informed Consent
• Morals
• Trust

• community-based participatory research
• disparities
• program engagement
• self-management and control
• evaluation

• Adult
• Community Health Services
• Diabetes Mellitus/psychology
• Female
• Focus Groups
• Health Personnel/psychology
• Humans
• Male
• Mentoring
• Middle Aged
• Patient Acceptance of Health Care/psychology
• Patient Participation/psychology
• Qualitative Research
• Self-Management/psychology
• Virginia
• Vulnerable Populations/psychology

• P2C HD041028 NICHD NIH HHS
• P30 DK092926 NIDDK NIH HHS
• T32 AG000221 NIA NIH HHS

• content analysis
• cultural competence
• ethics
• health professionals
• hermeneutics
• student healthcare

• Acculturative stress
• Disability
• Discrimination
• Migration
• Treatment