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Obstacles to Transcultural Caring Relationships: Experiences of Health Care Staff in Pediatric Oncology

Childhood Cancer Care Unit, Astrid Lindgren Children's Hospital, Karolinska University Hospital/Solna, Stockholm, Sweden. Stockholm, Sweden, pernilla.pergert{at}ki.se

Solvig Ekblad, PhD

Department of Clinical Neuroscience, Psychiatry/HS, Karolinska Institutet, Stockholm, Sweden

Karin Enskär, RN, PhD

Department of Nursing Science, School of Health Sciences, Jönköping University

Olle Björk, MD, PhD

Swedish Children's Cancer Foundation (Barncancerfonden)

This qualitative study explores the caring situation of families with an immigrant background within the context of pediatric oncology care from the perspective of health care staff. Five focus group interviews and 5 complementary individual interviews were conducted after purposive and theoretical sampling, respectively. Grounded theory methodology revealed that obstacles to transcultural caring relationships are a main concern of the health care staff. These obstacles are divided into 4 main categories: linguistic, cultural and religious, social, and organizational. When health care staff fail to recognize obstacles to transcultural caring relationships, the result is inequity in care of families with an immigrant background. Equity in care for all does not mean identical treatment but, rather, care adjusted to the needs of the individual family regardless of background.

Key Words: Key words: grounded theory • transcultural caring relationships • communication • pediatric oncology

Journal of Pediatric Oncology Nursing, Vol. 24, No. 6, 314-328 (2007)
DOI: 10.1177/1043454207308066


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