Experiences of Nurses Caring for Patients from Culturally and Linguistically Diverse Backgrounds: A Phenomenological Study

Experiences of Nurses Caring for Patients from Culturally and Linguistically Diverse Backgrounds: A Phenomenological Study

Author: 
Angela Montaque
Program of study: 
D.H.A.
Abstract: 
The qualitative hermeneutic phenomenological study explored the lived experiences and perceptions of eight registered nurses caring for patients from culturally and linguistically diverse (CALD) backgrounds practicing at various health care organizations in MiamiDade County, Florida where 65% of the population is Hispanic, who primarily speak Spanish. The study used semi structured interviews with open-ended questions and video recordings to explore the perceptions of the registered nurses. The modified van Kaam method advocated by Moustakas and the NVivo 10 software were used to analyze the data. Three research questions generated six primary themes during the data analysis. The five primary themes were based on the primary nodes elicited from the word frequency analysis imported from NVivo 10. The twelve sub-themes, and their linkage with the primary themes, were established from the interview questions. The sub- themes were (a) patient perception and expectation, (b) patient dissatisfaction with non-Hispanic staff, (c) nurse-patient relationship, (d) nurse frustration, (e) perceived outcome (f) nurse perception of disparity, (g) language barrier (h) perception of barrier, (i) language line, (j) family as interpreter, (k) language classes, and (l) cultural education and training. Findings provided a framework for health care organizations, nurse leaders, and registered to provide safe and effective care for patients from CALD backgrounds.
Dedication: 
This work could have not been accomplished without the support of my husband, Weston Montaque, and my children, Michael, Tristan, and Justin. My faith in God has also been a vital source of inspiration, and the very help I needed when giving up was at the door. Through this project, I have been reminded that as long as I keep my faith and trust in God, there is nothing that I cannot overcome, because although He may place more on me that I believe I can bear, He also provides the support and means to always see my way through.
Acknowledgements: 
I would like to acknowledge the individuals who prayed for me, encouraged me, and urged me to hold on and look to the end result. I want to acknowledge my spouse, Weston, and my children, Michael, Tristan, and Justin. I would also like to acknowledge my friends Paulette Thompson, Marie P. Lafontant, and Sandra Eliason, whose encouragement, many times brought comfort in times of distress. I especially want to acknowledge my committee chairperson, Dr. Vernesia Wilson and my committee members Dr. Belen Burkhalter and Dr. Karen Armstrong.