Intercultural Communication between Long-Stay Immigrants and Catalan Primary Care Nurses: A Qualitative Approach to Rebalancing Power

Francesc Ramos-Roure, Maria Feijoo-Cid, Josep Maria Manresa-Dominguez, Jordi Segura-Bernal, Rosa García-Sierra, Maria Isabel Fernández-Cano and Pere Toran-Monserrat
Additional contact information
Francesc Ramos-Roure: Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain
Maria Feijoo-Cid: Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
Josep Maria Manresa-Dominguez: Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain
Jordi Segura-Bernal: Faculty of Psychology, Education Sciences and Sport, Ramon Llull University, 08022 Barcelona, Spain
Rosa García-Sierra: Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain
Maria Isabel Fernández-Cano: Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
Pere Toran-Monserrat: Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain

IJERPH, 2021, vol. 18, issue 6, 1-18

Abstract: There is a gap between the preferences of immigrant patients and their experiences with intercultural communication. This study aims to explore the experiences and perspectives of long-stay immigrants on intercultural communication in encounters with primary care (PC) nurses. Participants were selected by purposive sampling at the Maresme Primary Care Center. A focus group and five in-depth interviews with long-stay immigrants from eight countries were carried out. Data collection was guided by a script previously validated by a group of experts. We conducted a qualitative analysis following Charmaz’s approach, and data saturation was reached with 11 patients (one focus group and five interviews). Long-stay immigrants would like closer and more personalized communication exchanges with greater humanity, as well as polite and respectful manners as they perceive signs of an asymmetrical care relationship. Those who had negative communication experiences tried to justify some of the behaviors as a result of having free access to public health services. This is one of the few existing studies from the point of view of long-stay immigrants. Achieving effective intercultural communication requires a process of self-reflection, awareness-raising and commitment, both on a personal and institutional level, to eliminate the asymmetry in the nurse-patient relationship. Nurses should be trained in person-centered intercultural communication.

Keywords: intercultural competence; intercultural communication; long-stay immigrant; nurse-patient relations; primary care; cultural safety (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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