Department of Public Health Science, Norwegian University of Life Sciences, Postboks 5003, 1433, Ås, Norway.
Center for Evidence-Based Public Health: A Joanna Briggs Institute Affiliated Group, Ås, Norway.
BMC Health Serv Res. 2023 Nov 21;23(1):1281. doi: 10.1186/s12913-023-10312-1.
There is little evidence on experiences in psychiatric care treatment among patients with immigrant or ethnic minority background. Knowledge about their experiences is crucial in the development of equal and high-quality services and is needed to validate instruments applied in national patient experience surveys in Norway. The aim of this scoping review is to assess and summarize current evidence on immigrant and ethnic minorities` experiences in psychiatric care treatment in Europe.
Guidelines from the Joanna Briggs Institute were followed and the research process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The literature search was carried out in Medline, Cinahl, Web of Science, Cochrane database of systematic reviews, Embase, and APA PsychInfo, up to Dec 2022, for articles on immigrant patients` experiences in psychiatric care. Reference lists of included articles were screened for additional relevant articles. Titles and abstracts were screened, and potentially relevant articles read in full-text, by two researchers. Evidence was extracted using an a priori extraction form and summarized in tables and text. Any disagreement between the reviewers regarding inclusion of articles or extracted information details were resolved through discussion between authors.
We included eight studies in the scoping review. Immigrant and ethnic minority background patients did not differ from the general population in quantitative satisfaction questionnaires. However, qualitative studies showed that they experience a lack of understanding and respect of own culture and related needs, and difficulties in communication, which do not seem to be captured in questionnaire-based studies.
Raising awareness about the importance of respect and understanding for patients` cultural background and communication needs for treatment satisfaction should be addressed in future quality improvement work.
关于具有移民或少数族裔背景的患者在精神科护理治疗中的体验，证据很少。了解他们的体验对于发展平等和高质量的服务至关重要，并且需要验证挪威全国患者体验调查中应用的工具。本范围综述的目的是评估和总结欧洲移民和少数族裔在精神科护理治疗中的体验的现有证据。
遵循 Joanna Briggs 研究所的指南，研究过程遵循用于范围综述的系统评价和荟萃分析扩展的首选报告项目。文献检索在 Medline、Cinahl、Web of Science、Cochrane 系统评价数据库、Embase 和 APA PsychInfo 中进行，截至 2022 年 12 月，检索关于移民患者在精神科护理中的体验的文章。纳入文章的参考文献列表被筛选以获取其他相关文章。两名研究人员筛选标题和摘要，并对潜在相关文章进行全文阅读。使用预先制定的提取表格提取证据，并以表格和文本形式总结。审稿人在纳入文章或提取信息细节方面存在分歧的，通过作者之间的讨论解决。
我们纳入了八项范围综述研究。在定量满意度问卷中，移民和少数族裔背景的患者与一般人群没有差异。然而，定性研究表明，他们体验到对自己文化和相关需求的理解和尊重不足，以及沟通困难，而这些问题似乎没有在基于问卷的研究中被捕捉到。
未来的质量改进工作应提高对尊重和理解患者文化背景以及沟通需求对治疗满意度的重要性的认识。
