Peter Zeh1, Ann-Marie Cannaby2, Harbinder K Sandhu3, Jane Warwick4, Jackie A Sturt5. 1. Faculty of Health and Life Sciences, Coventry University, Coventry, CV1 5RW, UK; Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK; University Hospitals Coventry & Warwickshire NHS Trust, Coventry, CV2 2DX, UK. Electronic address: ac5432@coventry.ac.uk. 2. School of Nursing and Midwifery, Birmingham City University, Birmingham B15 3TN, UK; The Royal Wolverhampton Trust, Wolverhampton WV10 0QP, UK. Electronic address: Ann-Marie.Cannaby@bcu.ac.uk. 3. Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK. Electronic address: Harbinder.K.Sandhu@warwick.ac.uk. 4. Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK. Electronic address: J.Warwick@warwick.ac.uk. 5. Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College, London, SE1 8WA, UK. Electronic address: jackie.sturt@kcl.ac.uk.
Abstract
AIMS: To explore General Practice teams cultural-competence, in particular, ethnicity, linguistic skillset and cultural awareness. The practice teams' access to diabetes-training, and overall perception of cultural-competence were also assessed. METHODS: A cross-sectional single-city-survey with one in three people with diabetes from an ethnic minority group, using 35 semi-structured questions was completed. Self-reported data analysed using descriptive statistics, interpreted with reference to the Culturally-Competent-Assessment-Tool. RESULTS: Thirty-four (52%) of all 66 practices in Coventry responded between November 2011 and January 2012. KEY FINDINGS: (1) One in five practice staff was from a minority group in contrast with one in ten of Coventry's population, (2) 164 practice staff (32%) spoke a second language relevant to the practice's minority population, (3) 56% of practices were highly culturally-competent at providing diabetes services for minority populations, (4) 94% of practices reported the ethnicity of their populations, and (5) the most frequently stated barriers to culturally-competent service delivery were language and knowledge of nutritional habits. CONCLUSIONS: Culturally-competent diabetes care is widespread across the city. Language barriers are being addressed, cultural knowledge of diabetes-related-nutrition requires further improvement. Further studies should investigate if structured cultural-competence training for diabetes service providers produces positive effects in diabetes-related outcome-measures in minority populations.
AIMS: To explore General Practice teams cultural-competence, in particular, ethnicity, linguistic skillset and cultural awareness. The practice teams' access to diabetes-training, and overall perception of cultural-competence were also assessed. METHODS: A cross-sectional single-city-survey with one in three people with diabetes from an ethnic minority group, using 35 semi-structured questions was completed. Self-reported data analysed using descriptive statistics, interpreted with reference to the Culturally-Competent-Assessment-Tool. RESULTS: Thirty-four (52%) of all 66 practices in Coventry responded between November 2011 and January 2012. KEY FINDINGS: (1) One in five practice staff was from a minority group in contrast with one in ten of Coventry's population, (2) 164 practice staff (32%) spoke a second language relevant to the practice's minority population, (3) 56% of practices were highly culturally-competent at providing diabetes services for minority populations, (4) 94% of practices reported the ethnicity of their populations, and (5) the most frequently stated barriers to culturally-competent service delivery were language and knowledge of nutritional habits. CONCLUSIONS: Culturally-competent diabetes care is widespread across the city. Language barriers are being addressed, cultural knowledge of diabetes-related-nutrition requires further improvement. Further studies should investigate if structured cultural-competence training for diabetes service providers produces positive effects in diabetes-related outcome-measures in minority populations.
Keywords:
Cultural awareness; Cultural competences; Diabetes care; Diabetes knowledge; Ethnic minority groups; General practice; Linguistic competences; Primary care
Authors: Tasneem Patel; Kanayo Umeh; Helen Poole; Ishfaq Vaja; Lisa Newson Journal: Int J Environ Res Public Health Date: 2021-03-05 Impact factor: 3.390