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PubMed1996

Breaking the rules.

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Contract Services↗
PubMed1994

Greenlanders in hospital; lack of language understanding is not always a hindrance to intercultural communication. Comparison of interviews of Greenlandic patients and their Danish therapists with respect to concepts of communication, patient satisfaction, disease, and health.

In four hospitals in Greenland, 50 Greenlandic patients and their Danish therapists have been interviewed about the same topics. The interviews were semistructured with open ended questions on the following subjects: Language difficulties, perception of diagnosis, patients satisfaction and points of criticism, perception of disease and treatment, and experience of health in general. In spite of language difficulties and insufficient communication, patient satisfaction occurred in most of the consultations. There was a tendency towards the elder patients being more satisfied than the younger. It does not seem to be a necessity to achieve a good treatment-result that the patients and the therapists speak the same language and share the same concepts of health and disease. Where the foreign health service can be limited so that it is not viewed as a menace to culturally related concept of disease, the consultations give rise to the best patient-satisfaction.

Attitude to Health↗
PubMed1998

Adolescents' perceptions of physicians, nurses, parents and friends: help or hindrance in compliance with diabetes self-care?

Although compliance with self-care amongst adolescents with diabetes is known to be problematic, this issue has rarely been examined from the perspective of young diabetics themselves. The purpose of the study was to explore how adolescents with diabetes perceived the actions of physicians, nurses, parents and friends in relation to compliance with self-care. Fifty-one young diabetics aged from 13 to 17 responded to a questionnaire concerning compliance and were interviewed on the topic of compliance. Interview data were analysed by content analysis. The categories obtained were quantified and the relationship between compliance and the actions of physicians, nurses, parents and friends analysed by cross-tabulation. Interviews with 51 adolescents showed that the actions of physicians, nurses and parents described as motivating were associated with better compliance. Good compliance was also more evident when parental actions were perceived as accepting. Young diabetics whose friends offered silent support, or who viewed friends as irrelevant, were more likely to report good compliance. In contrast, physicians' actions described as routine/negligent, disciplined control by parents, and domination by friends were linked with poor compliance.

Adolescent↗