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Learning Objective 1: Identify and examine themes of a nursing care model derived from focus groups with Hispanic lay health promoter participants.
Learning Objective 2: Apply a model that supports culturally well-informed nurse-patient interactions to further the health care of Hispanic patients and their families.
Nursing students and nurses report frustration when delivering nursing care because of language barriers and lack of understanding of Hispanic culture. Yet, little recent research exists informing culturally aware nursing practice when caring for Hispanic patients and families.
A qualitative, grounded theory framework guided the inquiry to reveal themes derived from the HLHPs’ healthcare experiences. Using a purposive sampling technique, HLHPs participated in focus groups and described their experiences with nursing care in acute and community care settings. Using translated and transcribed interviews, researchers identified themes using nVIVO, and developed a model of care.
The model, emerging from these data, contains three themes: “Connectedness,” “Up to You,” “At the Mercy of the System,” that inform culturally aware patient care for Hispanic patients. Connectedness, the central phenomenon of the study, describes specific nursing actions and contains subthemes explaining positive and negative influences on the nurse’s ability to establish connectedness. “Up to You” and “At the Mercy Of” are themes elucidating factors that influence connectedness. “Up to You” contains descriptions of the ways participants took control of their own healthcare and their family’s. “At the Mercy of the System” describes the feelings of vulnerability and powerlessness participants experienced when negotiating the American healthcare system.
These findings suggest that Hispanic participants describe the importance of patient-centered nursing care and support the need for culturally well-informed nurse-patient interactions to create an environment in which nurses can work collaboratively with patients to best meet their health needs.
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