Evidence map›Paper›PMID 32045075›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Cultural competency in dietetic diabetes care-A qualitative study of the dietician's perspective.

Mirjam Jager, Andrea den Boeft, Susanne Leij-Halfwerk, Rob van der Sande, Maria van den Muijsenbergh

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. The therapeutic relationship between a client and dietitian: A systematic integrative review of empirical literature.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2022
    Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Exploring the obesity concerns of British Pakistani women living in deprived inner-city areas: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  12. Article
  13. Article
  14. Do Diabetes Mellitus Differences Exist within Generations? Three Generations of Moluccans in the Netherlands.International journal of environmental research and public health · 2021
    Article
  15. Cultural competency in dietetic diabetes care-A qualitative study of the dietician's perspective.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mirjam JagerNutrition and Dietetics, HAN University of Applied Sciences, Nijmegen, The Netherlands.ORCID 0000-0002-7901-0513
Andrea den BoeftInternal Medicine and Dermatology, Department of Dietetics, University Medical Centre Utrecht, Utrecht, The Netherlands.
Susanne Leij-HalfwerkNutrition and Dietetics, HAN University of Applied Sciences, Nijmegen, The Netherlands.ORCID 0000-0002-3526-1169
Rob van der SandePrimary and Community Care, HAN University of Applied Sciences, Nijmegen, The Netherlands.ORCID 0000-0003-1410-900X
Maria van den MuijsenberghDepartment of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0002-4994-4008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiabetes type 2 is more prevalent in ethnic minorities in the Netherlands, and outcomes of health care in general are worse compared to other Dutch patients. The purpose of this study is to explore the experiences of dieticians and the knowledge, skills and attitudes they consider to be important for effective dietetic care in migrant patients.

methodsSemi-structured interviews were held with 12 dieticians, of various ages, ethnic backgrounds and experience. The interview guide was based on Seeleman's cultural competence model and the Dutch dietetic consultation model. Interviews were transcribed, coded and thematically analysed, revealing 7 main themes.

resultsDieticians were uncertain whether their care fulfilled their migrant patients' needs. They experienced language differences as a major barrier for retrieving information and tailoring advice to the patient's needs. Furthermore, dieticians feel they lack cultural knowledge. An open and respectful attitude was considered important for effective care. The communication barrier hindered building a trusting relationship; however, few dieticians mentioned a need for communication training. They expressed a need for cultural competence training, specifically to acquire cultural knowledge.

conclusionDieticians struggle with providing dietetic care for migrant diabetes patients due to communication barriers and difficulty in building a trusting relationship. They are conscious of their lack of cultural knowledge, and acknowledge the need for an open and respectful attitude and essential communication skills in order to collect and convey information. They seem unaware of the impact of low (health) literacy. Cultural competence training is needed for effective dietetic care for migrants.

Indexed as

Diabetes MellitusDieteticsNutritionistsCommunication BarriersCultural CompetencyHumansQualitative Researchcultural competencediabetes mellitusdietetic caredieticiansethnic minoritiesmigrants

Identifiers

PMID32045075
PMCPMC7321725

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.