Evidence map›Paper›PMID 41239770›Full record

ArticleJournal of advanced nursing2026

Clinicians' Experiences in Care Delivery to Culturally and Linguistically Diverse Patients in the Emergency Department: A Social Ecological Perspective.

Ya-Ling Huang, Chun-Chih Lin, Dinesh Palipana Oam, Shahina Braganza, Robert Lee, Julia Crilly Oam

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Ya-Ling HuangSchool of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.ORCID https://orcid.org/0000-0001-6156-4721
Chun-Chih LinDepartment of Nursing, Chang Gung University of Science and Technology, Puzi, Chiayi County, Taiwan.ORCID https://orcid.org/0000-0001-7548-7720
Dinesh Palipana OamDepartment of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia.
Shahina BraganzaDepartment of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia.
Robert LeeConsumer Advisory Group, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia.
Julia Crilly OamSchool of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.

Funding

Emergency Medicine Foundation EMLE-209R36-2021-HUANGGold Coast Health Collaborative Research Grant Scheme RGS2021-043-DrYa-LingHuang
6 · The paper itself

Abstract

aimsTo explore the influence of broader cultural and social factors on clinicians' care delivery to patients from culturally and linguistically diverse backgrounds in the emergency department.

designA qualitative exploratory study.

methodsA social ecological perspective drawn from a Social Ecological Model was used to guide the study. Clinicians from two public hospital emergency departments in Southeast Queensland, Australia were recruited with purposive and snowballing sampling strategies. Semi-structured interviews were undertaken between October 2022 and September 2023. Data were analysed using a content analysis approach.

resultsSeventeen clinicians participated in the interviews: nine nurses and eight doctors. Nine participants were born in a country outside of Australia. Three main themes were generated from the interview data: (i) cultural and religious diversity and challenges in care delivery; (ii) social interactions and communication in clinical care; and (iii) perception about care delivery, services and supports.

conclusionFindings from this study offer insight into clinicians' experiences and perspectives regarding the influence of cultural and religious diversity as well as cross-cultural communication and prejudice in care delivery. Social interactions and communication in clinical care were found to facilitate care delivery process and navigate challenges. Cultural competency training and multicultural services and resources can help support clinicians in providing culturally appropriate care in the emergency department. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: The findings of this study may help inform the development of practical guidelines and strategies to support clinicians in care delivery. Appropriate training regarding cultural competency is essential to promote culturally appropriate care. Developing a tailored multicultural service and targeted resources in the emergency department is recommended in clinical practice. REPORTING

methodThe consolidated criteria for reporting qualitative research checklist was used. PATIENT AND PUBLIC INVOLVEMENT: A health consumer representative was involved to provide advice on the study conceptualization and data interpretation.

Indexed as

Attitude of Health PersonnelCultural CompetencyCultural DiversityDelivery of Health CareEmergency Service, HospitalAdultCulturally Competent CareFemaleHumansMaleMiddle AgedQualitative ResearchQueenslandcultural and linguistic diversityemergency departmentmulticultural health

Identifiers

PMID41239770
PMCPMC13356360

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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.