abstract: 'This study aimed to ascertain the systemic barriers encountered by

  oncology health professionals (HPs) working with patients from ethnic

  minorities to guide the development of a communication skills training

  programme. Twelve medical and five radiation oncologists and 21 oncology

  nurses were invited to participate in this qualitative study.

  Participants were interviewed individually or in a focus group about

  their experiences working with people from minority backgrounds. All

  interviews were transcribed verbatim and analysed thematically. HPs

  encountered language and communication barriers in their interactions

  with patients and their families, which were perceived to impact

  negatively on the quality and amount of information and support

  provided. There was a shortage of, and poor processes for engaging,

  interpreters and some HPs were concerned about the accuracy of

  interpretation. HPs expressed a need for training in cultural awareness

  and communication skills with a preference for face-to-face delivery. A

  lack of funding, a culture of learning on the job, and time constraints

  were systemic barriers to training. Oncologists and oncology nurses

  encounter complex challenges in clinical interactions with minority

  patients and their families, including difficulties working with

  interpreters. Formal training programmes targeted to the development of

  culturally competent communication skills are required.'
affiliation: 'Meiser, B (Corresponding Author), Univ New South Wales, Prince Wales
  Clin Sch, Lowy Canc Res Bldg C25, Sydney, NSW, Australia.

  Watts, K. J.; Meiser, B.; Zilliacus, E.; Kaur, R.; Taouk, M.; Goldstein, D., Univ
  New South Wales, Prince Wales Clin Sch, Lowy Canc Res Bldg C25, Sydney, NSW, Australia.

  Girgis, A., Univ New South Wales, Prince Wales Clin Sch, Psychooncol Res Grp, Sydney,
  NSW, Australia.

  Girgis, A., Univ New South Wales, South Western Sydney Clin Sch, Ctr Oncol Educ
  \& Res Translat, Ingham Inst Appl Med Res,Psychooncol Res Grp, Sydney, NSW, Australia.

  Butow, P., Univ Sydney, Psychooncol Cooperat Res Grp, Ctr Med Psychol \& Evidence
  Based Decis Making, Sydney, NSW, Australia.

  Kissane, D. W., Monash Univ, Dept Psychiat, Monash Hlth, Sch Clin Sci,Psychiat,
  Clayton, Vic, Australia.

  Hale, S., Univ New South Wales, Fac Arts \& Social Sci, Interpreting \& Translat,
  Sydney, NSW, Australia.

  Perry, A., South Eastern Sydney Local Hlth Dist, Multicultural Hlth Serv, Sydney,
  NSW, Australia.

  Aranda, S. K., Univ Melbourne, Sch Hlth Sci, Melbourne, Vic, Australia.

  Aranda, S. K., Canc Council Australia, Sydney, NSW, Australia.

  Goldstein, D., Prince Wales Hosp, Dept Med Oncol, Sydney, NSW, Australia.'
article-number: e12758
author: Watts, K. J. and Meiser, B. and Zilliacus, E. and Kaur, R. and Taouk, M. and
  Girgis, A. and Butow, P. and Kissane, D. W. and Hale, S. and Perry, A. and Aranda,
  S. K. and Goldstein, D.
author-email: b.meiser@unsw.edu.au
author_list:
- family: Watts
  given: K. J.
- family: Meiser
  given: B.
- family: Zilliacus
  given: E.
- family: Kaur
  given: R.
- family: Taouk
  given: M.
- family: Girgis
  given: A.
- family: Butow
  given: P.
- family: Kissane
  given: D. W.
- family: Hale
  given: S.
- family: Perry
  given: A.
- family: Aranda
  given: S. K.
- family: Goldstein
  given: D.
da: '2023-09-28'
doi: 10.1111/ecc.12758
eissn: 1365-2354
files: []
issn: 0961-5423
journal: EUROPEAN JOURNAL OF CANCER CARE
keywords: 'communication skills; cultural competence; health professionals;

  minority patients; oncology'
keywords-plus: 'COMMUNICATION-SKILLS; HEALTH-CARE; CULTURAL COMPETENCE; LANGUAGE

  BARRIERS; CANCER-DIAGNOSIS; KNOWLEDGE; IMPACT; DOCTOR; WOMEN'
language: English
month: MAR
number: '2'
number-of-cited-references: '40'
orcid-numbers: 'Hale, Sandra B/0000-0003-4291-4022

  Butow, Phyllis/0000-0003-3562-6954

  Aranda, Sanchia/0000-0003-4170-9799

  Kissane, David/0000-0002-5930-4573

  Meiser, Bettina/0000-0002-5086-0784'
papis_id: 4a9649af77b8ea54a1afeb2ade24a4d3
ref: Watts2018perspectivesoncology
researcherid-numbers: 'Hale, Sandra B/J-6535-2012

  Meiser, Bettina/AAG-5480-2021

  Butow, Phyllis/JDV-8766-2023

  goldstein, david/J-6711-2012

  '
times-cited: '15'
title: 'Perspectives of oncology nurses and oncologists regarding barriers to working
  with patients from a minority background: Systemic issues and working with interpreters'
type: Article
unique-id: WOS:000428321300023
usage-count-last-180-days: '0'
usage-count-since-2013: '11'
volume: '27'
web-of-science-categories: Oncology; Health Care Sciences \& Services; Nursing; Rehabilitation
year: '2018'