Making stroke services equitable for minority groups: the potential role of cultural competence
type: CreativeWork
description: Background: In stroke services, providers are challenged to address the needs of people from ethnic minorities. Aim: This thesis will explore the stroke service needs of people from ethnic minorities, and how stroke services can address them. Part 1; Methods: Two group interviews with South Asian participants were used to inform an interview schedule. Using this schedule, 23 individual interviews were performed with South Asian participants, some of whom had experienced a stroke and some who had not. Part 1; Findings: Participants who had not used stroke services held positive expectations about those services. Participants who had used stroke services were negative about their overall experience. Attitudes and behaviour of service providers were seen as poor, and that they lacked an understanding of culturally specific issues. Participants expressed a need to be treated as an individual, to feel cared for and respected, and suggested that staff receive training to address this. Further research was needed to explore the efficacy of training service providers to be culturally competent. Part 2; Methods: Online databases were systematically searched for interventions evaluating service provider cultural competence training, and papers on theoretical frameworks of cultural competence. Components of theoretical frameworks were compared and evaluated. The training literature was evaluated and synthesised using realist methods. A stakeholder group reviewed the findings and made recommendations for practice. Part 2; Findings: Three overarching components reflected these theoretical frameworks, which were; cultural awareness, knowledge and skills. The success of training interventions, underpinned by these components, varied by the type of outcome measured. Where intervention outcomes were based on service providers’ self-reports they were perceived to be effective; where outcomes were based on service-user ratings they were perceived to be moderately effective, and where …
abstract: Background: In stroke services, providers are challenged to address the needs of people from ethnic minorities. Aim: This thesis will explore the stroke service needs of people from ethnic minorities, and how stroke services can address them. Part 1; Methods: Two group interviews with South Asian participants were used to inform an interview schedule. Using this schedule, 23 individual interviews were performed with South Asian participants, some of whom had experienced a stroke and some who had not. Part 1; Findings: Participants who had not used stroke services held positive expectations about those services. Participants who had used stroke services were negative about their overall experience. Attitudes and behaviour of service providers were seen as poor, and that they lacked an understanding of culturally specific issues. Participants expressed a need to be treated as an individual, to feel cared for and respected, and suggested that staff receive training to address this. Further research was needed to explore the efficacy of training service providers to be culturally competent. Part 2; Methods: Online databases were systematically searched for interventions evaluating service provider cultural competence training, and papers on theoretical frameworks of cultural competence. Components of theoretical frameworks were compared and evaluated. The training literature was evaluated and synthesised using realist methods. A stakeholder group reviewed the findings and made recommendations for practice. Part 2; Findings: Three overarching components reflected these theoretical frameworks, which were; cultural awareness, knowledge and skills. The success of training interventions, underpinned by these components, varied by the type of outcome measured. Where intervention outcomes were based on service providers’ self-reports they were perceived to be effective; where outcomes were based on service-user ratings they were perceived to be moderately effective, and where …
author: Auton, Malcolm Frederick
language: en
keywords: B700 - Nursing
date published: 2013-01
date modified: 2026-07-24T01:35:38Z
provider: University of Central Lancashire
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Central Lancashire