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- DOI 10.18231/j.jds.45902.1759121197
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CrossMark
Culturally sensitive communication in geriatric health and oral health care: A concept analysis
- Author Details:
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Ramya R Iyer *
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Rajesh Sethuraman
Ramya R Iyer *
Rajesh Sethuraman
Introduction: With the growing elderly population, and increased oral health care needs, there is a need to improve geriatric health and oral health care through culturally sensitive communication and care.
Objectives: To explore the concept of culturally sensitive communication in geriatric health and oral health care.
Materials and Methods: A concept analysis was undertaken using Rodger’s evolutionary method of analysis. The concept including clinical practice implications were explored by a step-by-step approach. A systematic literature search was undertaken to identify papers published between Jan1987 to June 2024. A total of 1072 scientific papers were retrieved as per the search terms used on PubMed and Google Scholar databases. Based on the inclusion and exclusion criteria, 46 relevant research papers were included in the analysis.
Results: The concepts of cultural sensitivity, cultural consciousness, cultural intelligence, cultural competence and appropriate health communication in the context of geriatric care were defined and described in the process of synthesis. Aspects of cultural capabilities namely, respectful communication, understanding patients’ cultural backgrounds, empathetic counselling & decision making and provision of personalized care were extracted. According to this analysis, the challenges to culturally sensitive oral health communication between providers and the elderly patients were patients’ age- related sensory and cognitive problems, poor health literacy, lack of trained geriatric health and oral health care providers, economic and psycho-social factors.
Conclusions: This concept analysis provides insights into the benefits and challenges in geriatric patient communication in health/ oral health care and scope for improvements, relevant to clinical practice and teaching.
References
- World Health Organization. Ageing and Health. Oct 1, 2024. Available from URL: https://www.who.int/news-room/fact- sheets/detail/ageing-and-health.
- Campinha-Bacote J. The Process of Cultural Competence in the Delivery of Healthcare Services: A model of care. J Transcult. Nurs. 2002;13(3):181–4.
- Partnership for Health in Aging 2010. Available from URL: https://aptageriatrics.org/pdfs/PHA-Multidisc-Competencies.pdf.
- Rodgers BL. Concept analysis. An evolutionary view, chapter 6. In Concept Development in Nursing: Foundation Techniques, and Applications, 2nd edn (BL Rodgers, KA Knafl eds), W-B Saunders Company, Philadelphia, 2000:77–102.
- Majumdar B, Browne G, Roberts J, Carpio B. Effects of cultural sensitivity training on health care provider attitudes and patient outcomes. J Nurs Scholarship. 2004;36(2):161–6.
- Tucker CM, Herman KC, Pedersen TR, Higley B, Montrichard M, Ivery P. Cultural sensitivity in physician-patient relationships: perspectives of an ethnically diverse sample of low-income primary care patients. Med Care. 2003;41(7):859–70. doi:
- 1097/00005650-200307000-00010. Erratum in: Med Care. 2003;41(12):1330.
- Majda A, Bodys-Cupak IE, Zalewska-Puchała J, Barzykowski K. Cultural Competence and Cultural Intelligence of Healthcare Professionals Providing Emergency Medical Services. Int J Environ Res Public Health. 2021;18(21):11547.
- Capell J, Dean E, Veenstra G. The relationship between cultural competence and ethnocentrism of health care professionals. J Transcult Nurs. 2008;19(2):121–5.
- Carrillo JE, Green AR, Betancourt JR, Cross-cultural primary care: a patient-based approach. Ann Intern Med. 1999;130(10):829–34.
- Kaspar, H, Reddy, S. Spaces of connectivity: The formation of medical travel destinations in Delhi National Capital Region (India). Asia Pacific Viewpoint. 2017;58(2);228–41.
- Nisbett RE, Borgida E Attribution and the psychology of prediction. J Personality Soc Psychol. 1975;32(5);932–43.
- Omar R, Tashkandi E, Abduljabbar T, Abdullah MA, Akeel RF. Sentiments expressed in relation to tooth loss: a qualitative study among edentulous Saudis. Int J Prosthodont. 2003;16(5):515–20.
- Xiao LD, Shen J, Paterson J. Cross-cultural comparison of attitudes and preferences for care of the elderly among Australian and Chinese nursing students. J Transcult Nurs. 2013;24(4):408-16.
- Prayoonwong T, Wiwatkhunupakan T, Lasuka D, Srisilapanan P. Development of a community-based oral healthcare model for Thai dependent older people. Gerodontology. 2016;33(4):545–53.
- Butler RN. Age-ism: Another form of bigotry. Gerontologist. 1969;9(4 Part 1):243–6.
- Vargas ME, Carrillo A, Giasson HL Chopik WJ. Cultural variation in age perceptions and developmental transitions. Front Soc Psychol. 2024;1:1283643. doi: 10.3389/frsps.2023.1283643
[Google Scholar] - Kite ME, Stockdale GD, Whitley-Jr BE, Johnson BT. Attitudes toward younger and older adults: An updated meta‐analytic review. J Soc Issues. 2005;61(2);241–66.
- Dogra N, Carter-Pokras O. Stakeholder views regarding cultural diversity teaching outcomes: a qualitative study. BMC Med Educ. 2005;5:37. doi:10.1186/1472-6920-5-37
[Google Scholar] - Cui Y, He Y, Xu X, Zhou L, Nutakor JA, Zhao L. Cultural capital, the digital divide, and the health of older adults: a moderated mediation effect test. BMC Public Health 2024;24. https://doi.org/10.1186/s12889-024-17831-4
[Google Scholar] - Larson R, Mangrio E, Persson K. Interpersonal Communication in Transcultural Nursing Care in India: A Descriptive Qualitative Study. J Transcultural Nurs. 2021;32(4):310–17.
- Chary AN, Cameron-Comasco L, Shankar KN, Samuels-Kalow ME. Diversity, Equity, and Inclusion: Considerations in the Geriatric Emergency Department Patient. Clin Geriatr Med. 2023;39(4):673–86.
- Brooks LA, Manias E, Bloomer MJ. Culturally sensitive communication in healthcare: A concept analysis. Collegian 2019; 26(3):383–91.
- Walker LO, Avant KC. Strategies for Theory Construction in Nursing. USA: Pearson/Prentice Hall; 2005.
- Hutchinson C, Cleland J, Walker R, Ratcliffe J. What Quality-of- Life Dimensions Are Most Important to Older Adults from Culturally and Linguistically Diverse Backgrounds Receiving Aged Care Services? An Exploratory Study. Geriatrics (Basel). 2022;7(6):144.
- Ihle-Hansen H, Pedersen R, Westbye SF, Sævareid TJL, Brøderud L, Larsen MH, et al. Patient preferences in geriatric wards, a survey of health care professionals' practice, experience and attitudes. Eur Geriatr Med. 2024;15(1):153–8.