Does cultural and linguistic diversity affect health-related outcomes for people with stroke at discharge from hospital?
MetadataShow full item record
Purpose: Primary purpose to determine if cultural and linguistic diversity affects health-related outcomes in people with stroke at discharge from hospital and secondary purpose to explore whether interpreter use alters these outcomes. Method: Systematic search of: Cochrane, PEDro, CINAHL, Medline, Pubmed, Embase, PsycINFO and Ageline databases. Publications were classified into whether they examined the impact of diversity in culture, or language or culture and language combined. Quality of evidence available was summarized using Best Evidence Synthesis. Results: Eleven studies met inclusion criteria and were reviewed. Best Evidence Synthesis indicated conflicting evidence about the impact of culture alone and language barriers alone on health-related outcomes. There was strong evidence that hospital length of stay does not differ between groups when the combined impact of culture and language was investigated. Conflicting evidence was found for other outcomes including admission, discharge and change in FIM scores, and post-hospital discharge living arrangements. It is unknown if interpreter use alters health-related outcomes, because this was infrequently reported. Conclusion: The current limited research suggests that cultural and linguistic diversity does not appear to impact on health-related outcomes at discharge from hospital for people who have had a stroke, however further research is needed to address identified gaps.Implications for RehabilitationThe different language, culture and beliefs about health demonstrated by patients with stroke from minority groups in North America do not appear to significantly impact on their health-related outcomes during their admission to hospital.It is not known whether interpreter use influences outcomes in stroke rehabilitation because there is insufficient high quality research in this area.Clinicians in countries with different health systems and different cultural and linguistic groups within their communities need to view the results with caution as further investigation is required outside North America to ensure optimal and equitable care for these groups.In the absence of clear outcomes from high quality research, clinicians should ensure patients and their families have an optimal understanding of the health condition, the rehabilitation process and the service system, irrespective of language or cultural differences.
Showing items related by title, author, creator and subject.
Exploring different models of stroke unit care and outcome : the Stroke Rehabilitation Outcome (SRO) studyDennis, Diane (2013)Introduction: Stroke is a significant cardiovascular event requiring sub-acute rehabilitation, best provided in a stroke unit (SU). These units include dedicated neurological SUs usually catering only for patients with ...
A phenomenological study of the health-care related spiritual needs of multicultural Western AustraliansHawley, Georgina (2002)This study was designed to identify the spiritual needs of multicultural Australians with a health problem, in order to understand the educational implications for health care professionals. The rationale for the research ...
Shields, L.; Zhou, Huaqiong; Pratt, J.; Taylor, M.; Hunter, J.; Pascoe, E. (2012)Background: This is an update of the Cochrane systematic review of family-centred care published in 2007 (Shields 2007). Family-centred care (FCC) is a widely used model in paediatrics, is thought to be the best way to ...