Perspectives of oncology nurses and oncologists regarding barriers to working with patients from a minority background: Systemic issues and working with interpreters

K. J. Watts, B. Meiser, E. Zilliacus, R. Kaur, M. Taouk, A. Girgis, P. Butow, D. W. Kissane, S. Hale, A. Perry, S. K. Aranda, D. Goldstein

Research output: Contribution to journalArticleResearchpeer-review

Abstract

This study aimed to ascertain the systemic barriers encountered by oncology health professionals (HPs) working with patients from ethnic minorities to guide the development of a communication skills training programme. Twelve medical and five radiation oncologists and 21 oncology nurses were invited to participate in this qualitative study. Participants were interviewed individually or in a focus group about their experiences working with people from minority backgrounds. All interviews were transcribed verbatim and analysed thematically. HPs encountered language and communication barriers in their interactions with patients and their families, which were perceived to impact negatively on the quality and amount of information and support provided. There was a shortage of, and poor processes for engaging, interpreters and some HPs were concerned about the accuracy of interpretation. HPs expressed a need for training in cultural awareness and communication skills with a preference for face-to-face delivery. A lack of funding, a culture of "learning on the job", and time constraints were systemic barriers to training. Oncologists and oncology nurses encounter complex challenges in clinical interactions with minority patients and their families, including difficulties working with interpreters. Formal training programmes targeted to the development of culturally competent communication skills are required.

Original languageEnglish
Article numbere12758
Number of pages9
JournalEuropean Journal of Cancer Care
Volume27
Issue number2
DOIs
Publication statusPublished - Mar 2018

Keywords

  • Communication skills
  • Cultural competence
  • Health professionals
  • Minority patients
  • Oncology

Cite this

Watts, K. J. ; Meiser, B. ; Zilliacus, E. ; Kaur, R. ; Taouk, M. ; Girgis, A. ; Butow, P. ; Kissane, D. W. ; Hale, S. ; Perry, A. ; Aranda, S. K. ; Goldstein, D. / Perspectives of oncology nurses and oncologists regarding barriers to working with patients from a minority background : Systemic issues and working with interpreters. In: European Journal of Cancer Care. 2018 ; Vol. 27, No. 2.
@article{b8ed9cc9897e4c61a0918f6caf569f93,
title = "Perspectives of oncology nurses and oncologists regarding barriers to working with patients from a minority background: Systemic issues and working with interpreters",
abstract = "This study aimed to ascertain the systemic barriers encountered by oncology health professionals (HPs) working with patients from ethnic minorities to guide the development of a communication skills training programme. Twelve medical and five radiation oncologists and 21 oncology nurses were invited to participate in this qualitative study. Participants were interviewed individually or in a focus group about their experiences working with people from minority backgrounds. All interviews were transcribed verbatim and analysed thematically. HPs encountered language and communication barriers in their interactions with patients and their families, which were perceived to impact negatively on the quality and amount of information and support provided. There was a shortage of, and poor processes for engaging, interpreters and some HPs were concerned about the accuracy of interpretation. HPs expressed a need for training in cultural awareness and communication skills with a preference for face-to-face delivery. A lack of funding, a culture of {"}learning on the job{"}, and time constraints were systemic barriers to training. Oncologists and oncology nurses encounter complex challenges in clinical interactions with minority patients and their families, including difficulties working with interpreters. Formal training programmes targeted to the development of culturally competent communication skills are required.",
keywords = "Communication skills, Cultural competence, Health professionals, Minority patients, Oncology",
author = "Watts, {K. J.} and B. Meiser and E. Zilliacus and R. Kaur and M. Taouk and A. Girgis and P. Butow and Kissane, {D. W.} and S. Hale and A. Perry and Aranda, {S. K.} and D. Goldstein",
year = "2018",
month = "3",
doi = "10.1111/ecc.12758",
language = "English",
volume = "27",
journal = "European Journal of Cancer Care",
issn = "0961-5423",
publisher = "Wiley-Blackwell",
number = "2",

}

Perspectives of oncology nurses and oncologists regarding barriers to working with patients from a minority background : Systemic issues and working with interpreters. / Watts, K. J.; Meiser, B.; Zilliacus, E.; Kaur, R.; Taouk, M.; Girgis, A.; Butow, P.; Kissane, D. W.; Hale, S.; Perry, A.; Aranda, S. K.; Goldstein, D.

In: European Journal of Cancer Care, Vol. 27, No. 2, e12758, 03.2018.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Perspectives of oncology nurses and oncologists regarding barriers to working with patients from a minority background

T2 - Systemic issues and working with interpreters

AU - Watts, K. J.

AU - Meiser, B.

AU - Zilliacus, E.

AU - Kaur, R.

AU - Taouk, M.

AU - Girgis, A.

AU - Butow, P.

AU - Kissane, D. W.

AU - Hale, S.

AU - Perry, A.

AU - Aranda, S. K.

AU - Goldstein, D.

PY - 2018/3

Y1 - 2018/3

N2 - This study aimed to ascertain the systemic barriers encountered by oncology health professionals (HPs) working with patients from ethnic minorities to guide the development of a communication skills training programme. Twelve medical and five radiation oncologists and 21 oncology nurses were invited to participate in this qualitative study. Participants were interviewed individually or in a focus group about their experiences working with people from minority backgrounds. All interviews were transcribed verbatim and analysed thematically. HPs encountered language and communication barriers in their interactions with patients and their families, which were perceived to impact negatively on the quality and amount of information and support provided. There was a shortage of, and poor processes for engaging, interpreters and some HPs were concerned about the accuracy of interpretation. HPs expressed a need for training in cultural awareness and communication skills with a preference for face-to-face delivery. A lack of funding, a culture of "learning on the job", and time constraints were systemic barriers to training. Oncologists and oncology nurses encounter complex challenges in clinical interactions with minority patients and their families, including difficulties working with interpreters. Formal training programmes targeted to the development of culturally competent communication skills are required.

AB - This study aimed to ascertain the systemic barriers encountered by oncology health professionals (HPs) working with patients from ethnic minorities to guide the development of a communication skills training programme. Twelve medical and five radiation oncologists and 21 oncology nurses were invited to participate in this qualitative study. Participants were interviewed individually or in a focus group about their experiences working with people from minority backgrounds. All interviews were transcribed verbatim and analysed thematically. HPs encountered language and communication barriers in their interactions with patients and their families, which were perceived to impact negatively on the quality and amount of information and support provided. There was a shortage of, and poor processes for engaging, interpreters and some HPs were concerned about the accuracy of interpretation. HPs expressed a need for training in cultural awareness and communication skills with a preference for face-to-face delivery. A lack of funding, a culture of "learning on the job", and time constraints were systemic barriers to training. Oncologists and oncology nurses encounter complex challenges in clinical interactions with minority patients and their families, including difficulties working with interpreters. Formal training programmes targeted to the development of culturally competent communication skills are required.

KW - Communication skills

KW - Cultural competence

KW - Health professionals

KW - Minority patients

KW - Oncology

UR - http://www.scopus.com/inward/record.url?scp=85029325748&partnerID=8YFLogxK

U2 - 10.1111/ecc.12758

DO - 10.1111/ecc.12758

M3 - Article

VL - 27

JO - European Journal of Cancer Care

JF - European Journal of Cancer Care

SN - 0961-5423

IS - 2

M1 - e12758

ER -