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Pharmacists’ experience of Asthma management in culturally and linguistically diverse (CALD) patients
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
2019 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Background: In Australia, one of the world’s significantly multicultural nations, asthma is one of the most common chronic conditions. A significant level of health disparities has been observed in many countries with culturally and linguistically diverse (CALD) demography. Previous studies have identified that language and culture affects health care provision, this is why culturally competent care is crucial when managing chronic conditions in diverse populations. Objective: The purpose of this study was to explore Australian community pharmacists’ experience and perspective about providing care for CALD people with asthma. Methods: A qualitative method was employed conducting semi-structured interviews in two metropolitan cities – Sydney and Melbourne. Community pharmacists were interviewed using an interview guide. Participants were recruited purposively from suburbs of relative diversity in these two cities. Verbatim transcripts of interviews were then thematically analysed. Results: Thirty-two interviews resulted in five emergent themes 1) Pharmacists’ attitudes towards CALD patients and Cultural Competence; 2) Barriers and facilitators; 3) Clinical issues; 4) Cultural barriers; 5) Workarounds. It was evident that language and to a smaller extent cultural barriers were experienced regularly by pharmacists managing CALD patients; pharmacists had mostly adapted with a range of methods to workaround these barriers. Although pharmacists had a positive attitude, there seemed to be a need for enhanced cultural competence skills; reflections from pharmacist supported the need for further training and pharmacy specific resources. Conclusions: There is a significant gap in cultural awareness among Australian pharmacists. Future direction suggests obligatory training in cultural competence for health professionals in order to be able to provide cultural proficient care.

Place, publisher, year, edition, pages
2019. , p. 29
Keywords [en]
community pharmacy, asthma management, asthma, cultural competence, cultural awareness, language barriers, cultural barriers, health disparities, culturally and linguistically diverse, low English proficiency
National Category
Pharmaceutical Sciences
Identifiers
URN: urn:nbn:se:uu:diva-390707OAI: oai:DiVA.org:uu-390707DiVA, id: diva2:1343224
Subject / course
Pharmacotherapy
Educational program
Master of Science Programme in Pharmacy
Supervisors
Examiners
Available from: 2019-08-21 Created: 2019-08-15 Last updated: 2019-08-21Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association
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  • Other style
More styles
Language
  • de-DE
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Output format
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