Developing a model for culturally competent primary care nursing for asylum applicants and refugees in Scotland: a review of the literature

Author: Quickfall, Julia

Source: Diversity in Health and Social Care, Volume 1, Number 1, September 2004 , pp. 53-64(12)

Publisher: Radcliffe Publishing Ltd.

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Abstract:

This paper is the result of a literature review for a doctoral thesis. It presents a model consisting of five steps for culturally competent primary care nursing for asylum applicants and refugees in Scotland. In developing the model, the author has taken account of previous work on culturally competent care published by American and British authors. This work seems mainly focused on secondary care. The model presented here represents an attempt to address cultural competence in primary care settings and proposes a new component, institutional regard, which refers to the concept of equity as well as the need to address discrimination and racism in the NHS. The model has yet to be tested. The term 'asylum applicant' rather than 'asylum seeker' is used in this article to overcome the negative images presented in the media. Asylum applicants and refugees are known to be a highly disadvantaged multi-ethnic group, with reduced access to welfare support and difficulties of access to primary care services. The national policy framework is committed to the development of a culturally competent NHS in Scotland. The Scottish Refugee Integration Forum (SRIF) has developed an action plan to take forward health and social care issues for asylum applicants and refugees.

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Keywords: ASYLUM APPLICANT; CULTURAL COMPETENCE; REFUGEES AND PRIMARY HEALTHCARE

Document Type: Research article

Publication date: 2004-09-01

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