title: Obstacles to transcultural caring relationships: experiences of health care staff in pediatric oncology.
abstract: 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.
authors.affiliation: Childhood Cancer Research Unit, Department of Woman and Child Health, Karolinska Institutet [corrected] Stockholm, Sweden. pernilla.pergert@ki.se
authors.forename: Pernilla
authors.initials: P
authors.lastname: Pergert
authors.forename: Solvig
authors.initials: S
authors.lastname: Ekblad
authors.forename: Karin
authors.initials: K
authors.lastname: Enskär
authors.forename: Olle
authors.initials: O
authors.lastname: Björk
mesh_terms: D002648:Child; D003144:Communication Barriers; D018864:Cultural Diversity; D054242:Emigrants and Immigrants; D004645:Empathy; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000628:therapy*; D010348:Patient Care Team; D011368:Professional-Family Relations; D012068:Religion and Medicine; D013548:Sweden