title: [Taking care of foreign users: what training is needed for the healthcare workers at the Municipal Health and Science Agency of Torino?].
abstract: BACKGROUND
  Immigration is growing and immigrants' presence is important also in the health care system, thereby services reorientation and a multicultural approach are needed.
  
  
  OBJECTIVE
  To explore health care professionals' training needs of Turin Azienda Città della Salute e della Scienza in taking care of foreign users.
  
  
  METHODS
  An ad hoc 4-sections questionnaire was built: (1) Knowledge, attitudes and perceptions; (2) Lived and Training; (3) Improvement in cultural competence; (4) Socio-demographic data. Questions were dichotomous (yes/no), closed and short open. Doctors, nurses, speech therapists and support staff of the "Head and Neck" Department were involved.
  
  
  RESULTS
  One hundred seventy-six operators answered (75%). Less than 20% (n=34) knew the normative concerning immigrants' health services use; tubercolosis, venereal diseases and AIDS were believed to be the most frequent diseases in foreign users. Female sex (p=0.008) and allied health care profile (trend p=0051) were significantly associated to consider clients' values important, while a previous training was associated to the need of improving their knowledge (p=0.0002). The most important training needs were: meaning of illness and care, perception of prevention, hygiene and self-care practices and perception of care. Among the most effective strategies: lecture and discussion, group work and filmography.
  
  
  CONCLUSIONS
  The analysis shows the main needing education areas and the training strategies which operators considered more effective.
authors.affiliation: MSc, RN Università degli Studi di Verona. Email.: silviago87@libero.it.
authors.forename: Silvia
authors.initials: S
authors.lastname: Gonella
authors.affiliation: Nursing Science Researcher, Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino. Email: lorenza.garrino@unito.it.
authors.forename: Lorenza
authors.initials: L
authors.lastname: Garrino
authors.affiliation: Referente Direzione Aziendale Professioni Sanitarie (DAPS) Azienda Città della Salute e della Scienza di Torino. Email. obaldan@cittadellasalute.to.it.
authors.forename: Ornellla
authors.initials: O
authors.lastname: Baldan
authors.affiliation: Associate Professor of Nursing Science, Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino. E-mail: valerio.dimonte@unito.it.
authors.forename: Valerio
authors.initials: V
authors.lastname: Dimonte
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D054521:Cultural Competency; D004496:Education, Continuing; D004509:Education, Nursing, Continuing; D054242:Emigrants and Immigrants; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D012189:Retrospective Studies; D011795:Surveys and Questionnaires