LIVIVO - Das Suchportal für Lebenswissenschaften

switch to English language
Erweiterte Suche

Ihre letzten Suchen

  1. AU="Seeleman, Conny"
  2. AU="Delaquis, Pascal"
  3. AU="Bommineni, Gopal R"
  4. AU="Kuhn, Cynthia M."
  5. AU="Olson, Jason C"
  6. AU="Buchholz, V."
  7. AU="Urquhart, Bradley L"
  8. AU="Ezaki, Kazune"
  9. AU="Choi, Jong Hyun"
  10. AU="Xie, Qiaowei"
  11. AU=Rojas-Marte G AU=Rojas-Marte G
  12. AU="Belli, A"
  13. AU="Moolman, M Charl"
  14. AU="Mazzoni, Stefania"
  15. AU=Stryjewski Martin E
  16. AU=Vallon Volker AU=Vallon Volker
  17. AU="Knowland, K E"
  18. AU="Beker, M. G."

Suchergebnis

Treffer 1 - 10 von insgesamt 18

Suchoptionen

  1. Artikel ; Online: 'A role model is like a mosaic': reimagining URiM students' role models in medical school.

    Spaans, Isabella / de Kleijn, Renske / Seeleman, Conny / Dilaver, Gönül

    BMC medical education

    2023  Band 23, Heft 1, Seite(n) 396

    Abstract: Background: Role modelling is a widely acknowledged element of medical education and it is associated with a range of beneficial outcomes for medical students, such as contributing to professional identity development and a sense of belonging. However, ... ...

    Abstract Background: Role modelling is a widely acknowledged element of medical education and it is associated with a range of beneficial outcomes for medical students, such as contributing to professional identity development and a sense of belonging. However, for students who are racially and ethnically underrepresented in medicine (URiM), identification with clinical role models may not be self-evident, as they have no shared ethnic background as a basis for social comparison. This study aims to learn more about the role models of URiM students during medical school and about the added value of representative role models.
    Methods: In this qualitative study we used a concept-guided approach to explore URiM alumni's experiences with role models during medical school. We conducted semi-structured interviews with ten URiM alumni about their perception of role models, who their own role models were during medical school and why they considered these figures as role models. Sensitizing concepts guided the topic list, interview questions and finally served as deductive codes in the first round of coding.
    Results: The participants needed time to think about what a role model is and who their own role models are. Having role models was not self-evident as they had never thought about it before, and participants appeared hesitant and uncomfortable discussing representative role models. Eventually, all participants identified not one, but multiple people as their role model. These role models served different functions: role models from outside medical school, such as parents, motivated them to work hard. Clinical role models were fewer and functioned primarily as examples of professional behaviour. The participants experienced a lack of representation rather than a lack of role models.
    Conclusions: This study presents us with three ways to reimagine role models in medical education. First, as culturally embedded: having a role model is not as self-evident as it appears in existing role model literature, which is largely based on research conducted in the U.S. Second, as cognitive constructs: the participants engaged in selective imitation, where they did not have one archetypical clinical role model, but rather approach role models as a mosaic of elements from different people. Third, role models carry not only a behavioural but also a symbolical value, the latter of which is particularly important for URiM students because it relies heavier on social comparison.
    Mesh-Begriff(e) Humans ; Students, Medical/psychology ; Schools, Medical ; Ethnicity ; Education, Medical ; Social Identification
    Sprache Englisch
    Erscheinungsdatum 2023-06-02
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2044473-4
    ISSN 1472-6920 ; 1472-6920
    ISSN (online) 1472-6920
    ISSN 1472-6920
    DOI 10.1186/s12909-023-04394-y
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  2. Buch: Een arts van de wereld

    Seeleman, Conny

    etnische diversiteit in de medische praktijk

    2012  

    Verfasserangabe Jeanine Suurmond [and three others]
    Mesh-Begriff(e) Cultural Competency ; Patient Care ; Ethnic Groups
    Schlagwörter Netherlands
    Sprache Niederländisch
    Umfang xv, 220 pages :, illustrations
    Ausgabenhinweis Tweede, herziene druk.
    Dokumenttyp Buch
    Anmerkung Conny Seeleman's name appears first in previous edition.
    ISBN 9789031391462 ; 9031391468
    Datenquelle Katalog der US National Library of Medicine (NLM)

    Zusatzmaterialien

    Kategorien

  3. Artikel ; Online: Analyzing Fallacies in Argumentation to Enhance Effectiveness of Educational Interventions: The Case of Care Providers' Arguments Against Using Professional Interpretation.

    Suurmond, Jeanine / Seeleman, Conny / Essink-Bot, Marie-Louise

    The Journal of continuing education in the health professions

    2015  Band 35, Heft 4, Seite(n) 249–254

    Abstract: Introduction: Although research has shown that professional interpreters improve health care to patients who do not speak the same language as their care provider, care providers underuse professional interpretation services. To get more insight into ... ...

    Abstract Introduction: Although research has shown that professional interpreters improve health care to patients who do not speak the same language as their care provider, care providers underuse professional interpretation services. To get more insight into the reasons of care providers to underuse professional interpreters, we studied fallacies in their arguments. Fallacies in reasoning may explain why care providers avoid changing their behavior even if they are aware of evidence in favor of such behavior.
    Methods: We did a secondary analysis of interviews about immigrant patients with care providers collected in two studies on in-hospital pediatric care. Interviews (N = 37) were held in 2009, in the Netherlands. Interviews were analyzed using a contextual approach to fallacious argumentation: a method that can identify fallacies as "wrong" arguments compared with the context in they are made.
    Results: We identified six main fallacies that care providers used to argue that they prefer not to use a professional interpreter while having free access to professional interpreters: 1) There are also some negative side effects to using professional interpreters, 2) there is no language problem, 3) it is such an enormous hassle to organize it, 4) I am a good doctor, 5) my medical information is not complex, and 6) patients do not want it.
    Discussion: Familiarizing care providers with these fallacies can raise their awareness of the wrong arguments to defend their underuse of professional interpreters and can be made part of their training.
    Mesh-Begriff(e) Attitude of Health Personnel ; Communication Barriers ; Emigrants and Immigrants ; Female ; Humans ; Interviews as Topic ; Language ; Male ; Multilingualism ; Netherlands ; Nurse-Patient Relations ; Pediatrics ; Physician-Patient Relations
    Sprache Englisch
    Erscheinungsdatum 2015
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639445-0
    ISSN 1554-558X ; 0894-1912
    ISSN (online) 1554-558X
    ISSN 0894-1912
    DOI 10.1097/CEH.0000000000000003
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  4. Buch: Een arts van de wereld

    Seeleman, Conny

    etnische diversiteit in de medische praktijk

    2005  

    Verfasserangabe Conny Seeleman, Jeanine Suurmond, Karien Stronks
    Mesh-Begriff(e) Patient Care ; Ethnic Groups
    Schlagwörter Netherlands
    Sprache Niederländisch
    Umfang ix, 178 p. :, ill.
    Ausgabenhinweis 1. druk.
    Verlag Bohn Stafleu Van Loghum
    Erscheinungsort Houten
    Dokumenttyp Buch
    ISBN 9789031346592 ; 9031346594
    Datenquelle Katalog der US National Library of Medicine (NLM)

    Zusatzmaterialien

    Kategorien

  5. Artikel ; Online: Intercultural communication through the eyes of patients: experiences and preferences.

    Paternotte, Emma / van Dulmen, Sandra / Bank, Lindsay / Seeleman, Conny / Scherpbier, Albert / Scheele, Fedde

    International journal of medical education

    2017  Band 8, Seite(n) 170–175

    Abstract: Objectives: To explore patients' preferences and experiences regarding intercultural communication which could influence the development of intercultural patient-centred communication training.: Methods: This qualitative study is based on interviews ... ...

    Abstract Objectives: To explore patients' preferences and experiences regarding intercultural communication which could influence the development of intercultural patient-centred communication training.
    Methods: This qualitative study is based on interviews with non-native patients. Thirty non-native patients were interviewed between September and December 2015 about their preferences and experiences regarding communication with a native Dutch doctor. Fourteen interviews were established with an interpreter. The semi-structured interviews took place in Amsterdam. They were focused on generic and intercultural communication skills of doctors. Relevant fragments were coded by two researchers and analysed by the research team by means of thematic network analysis. Informed consent and ethical approval was obtained beforehand.
    Results: All patients preferred a doctor with a professional patient-centred attitude regardless of the doctor's background. Patients mentioned mainly generic communication aspects, such as listening, as important skills and seemed to be aware of their own responsibility in participating in a consultation. Being treated as a unique person and not as a disease was also frequently mentioned. Unfamiliarity with the Dutch healthcare system influenced the experienced communication negatively. However, a language barrier was considered the most important problem, which would become less pressing once a doctor-patient relation was established.
    Conclusions: Remarkably, patients in this study had no preference regarding the ethnic background of the doctor. Generic communication was experienced as important as specific intercultural communication, which underlines the marginal distinction between these two. A close link between intercultural communication and patient-centred communication was reflected in the expressed preference 'to be treated as a person'.
    Mesh-Begriff(e) Attitude of Health Personnel ; Communication ; Communication Barriers ; Cultural Competency ; Delivery of Health Care/organization & administration ; Emigrants and Immigrants/statistics & numerical data ; Female ; Humans ; Interviews as Topic ; Male ; Netherlands ; Patient Preference/statistics & numerical data ; Patient-Centered Care/standards ; Physician-Patient Relations ; Physicians/psychology ; Physicians/standards
    Sprache Englisch
    Erscheinungsdatum 2017-05-16
    Erscheinungsland England
    Dokumenttyp Journal Article
    ISSN 2042-6372
    ISSN (online) 2042-6372
    DOI 10.5116/ijme.591b.19f9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  6. Artikel ; Online: How should health service organizations respond to diversity? A content analysis of six approaches.

    Seeleman, Conny / Essink-Bot, Marie-Louise / Stronks, Karien / Ingleby, David

    BMC health services research

    2015  Band 15, Seite(n) 510

    Abstract: Background: Health care organizations need to be responsive to the needs of increasingly diverse patient populations. We compared the contents of six publicly available approaches to organizational responsiveness to diversity. The central questions ... ...

    Abstract Background: Health care organizations need to be responsive to the needs of increasingly diverse patient populations. We compared the contents of six publicly available approaches to organizational responsiveness to diversity. The central questions addressed in this paper are: what are the most consistently recommended issues for health care organizations to address in order to be responsive to the needs of diverse groups that differ from the majority population? How much consensus is there between various approaches?
    Methods: We purposively sampled six approaches from the US, Australia and Europe and used qualitative textual analysis to categorize the content of each approach into domains (conceptually distinct topic areas) and, within each domain, into dimensions (operationalizations). The resulting classification framework was used for comparative analysis of the content of the six approaches.
    Results: We identified seven domains that were represented in most or all approaches: organizational commitment, empirical evidence on inequalities and needs, a competent and diverse workforce, ensuring access for all users, ensuring responsiveness in care provision, fostering patient and community participation, and actively promoting responsiveness. Variations in the operationalization of these domains related to different scopes, contexts and types of diversity. For example, approaches that focus on ethnic diversity mostly provide recommendations to handle cultural and language differences; approaches that take an intersectional approach and broaden their target population to vulnerable groups in a more general sense also pay attention to factors such as socio-economic status and gender.
    Conclusions: Despite differences in labeling, there is a broad consensus about what health care organizations need to do in order to be responsive to patient diversity. This opens the way to full scale implementation of organizational responsiveness in healthcare and structured evaluation of its effectiveness in improving patient outcomes.
    Mesh-Begriff(e) Australia ; Clinical Competence/standards ; Community Participation ; Cultural Diversity ; Delivery of Health Care/organization & administration ; Delivery of Health Care/standards ; Ethnic Groups ; Europe ; Health Personnel/standards ; Health Services Needs and Demand ; Healthcare Disparities ; Humans ; Insurance, Health/statistics & numerical data ; Organizational Culture ; Organizational Policy ; Organizations/standards ; Patient Participation ; Patient Rights ; Quality of Health Care ; United States
    Sprache Englisch
    Erscheinungsdatum 2015-11-16
    Erscheinungsland England
    Dokumenttyp Journal Article ; Multicenter Study
    ISSN 1472-6963
    ISSN (online) 1472-6963
    DOI 10.1186/s12913-015-1159-7
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  7. Artikel ; Online: Deficiencies in culturally competent asthma care for ethnic minority children

    Seeleman Conny / Stronks Karien / van Aalderen Wim / Bot Marie-Louise

    BMC Pediatrics, Vol 12, Iss 1, p

    a qualitative assessment among care providers

    2012  Band 47

    Abstract: Abstract Background Asthma outcomes are generally worse for ethnic minority children. Cultural competence training is an instrument for improving healthcare for ethnic minority patients. To develop effective training, we explored the mechanisms in ... ...

    Abstract Abstract Background Asthma outcomes are generally worse for ethnic minority children. Cultural competence training is an instrument for improving healthcare for ethnic minority patients. To develop effective training, we explored the mechanisms in paediatric asthma care for ethnic minority patients that lead to deficiencies in the care process. Methods We conducted semi-structured interviews on care for ethnic minority children with asthma (aged 4-10 years) with paediatricians (n = 13) and nurses (n = 3) in three hospitals. Interviews were analysed qualitatively with a framework method, using a cultural competence model. Results Respondents mentioned patient non-adherence as the central problem in asthma care. They related non-adherence in children from ethnic minority backgrounds to social context factors, difficulties in understanding the chronic nature of asthma, and parents’ language barriers. Reactions reported by respondents to patients’ non-adherence included retrieving additional information, providing biomedical information, occasionally providing referrals for social context issues, and using informal interpreters. Conclusions This study provides keys to improve the quality of specialist paediatric asthma care to ethnic minority children, mainly related to non-adherence. Care providers do not consciously recognise all the mechanisms that lead to deficiencies in culturally competent asthma care they provide to ethnic minority children (e.g. communicating mainly from a biomedical perspective and using mostly informal interpreters). Therefore, the learning objectives of cultural competence training should reflect issues that care providers are aware of as well as issues they are unaware of.
    Schlagwörter Pediatrics ; RJ1-570 ; Medicine ; R ; DOAJ:Pediatrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Thema/Rubrik (Code) 360
    Sprache Englisch
    Erscheinungsdatum 2012-07-01T00:00:00Z
    Verlag BioMed Central
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

    Zusatzmaterialien

    Kategorien

  8. Artikel: Shared decision-making in an intercultural context. Barriers in the interaction between physicians and immigrant patients.

    Suurmond, Jeanine / Seeleman, Conny

    Patient education and counseling

    2006  Band 60, Heft 2, Seite(n) 253–259

    Abstract: Objective: The objective of this exploratory paper is to describe several barriers in shared decision-making in an intercultural context.: Methods: Based on the prevailing literature on intercultural communication in medical settings, four conceptual ...

    Abstract Objective: The objective of this exploratory paper is to describe several barriers in shared decision-making in an intercultural context.
    Methods: Based on the prevailing literature on intercultural communication in medical settings, four conceptual barriers were described. When the conceptual barriers were described, they were compared with the results from semi-structured interviews with purposively selected physicians (n = 18) and immigrant patients (n = 13). Physicians differed in medical discipline (GPs, company doctors, an internist, a cardiologist, a gynaecologist, and an intern) and patients had different ethnic and immigration backgrounds.
    Results: The following barriers were found: (1) physician and patient may not share the same linguistic background; (2) physician and patient may not share similar values about health and illness; (3) physician and patient may not have similar role expectations; and (4) physician and patient may have prejudices and do not speak to each other in an unbiased manner.
    Conclusion: We conclude that due to these barriers, the transfer of information, the formulation of the diagnosis, and the discussion of treatment options are at stake and the shared decision-making process is impeded.
    Practice implications: Improving physician's skills to recognize the communication limitations during shared decision-making as well as improving the skills to deal with the barriers may help to ameliorate shared decision-making in an intercultural setting.
    Mesh-Begriff(e) Communication Barriers ; Cultural Characteristics ; Decision Making ; Humans ; Physician's Role ; Physician-Patient Relations ; Prejudice
    Sprache Englisch
    Erscheinungsdatum 2006-02
    Erscheinungsland Ireland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 605590-4
    ISSN 1873-5134 ; 0738-3991
    ISSN (online) 1873-5134
    ISSN 0738-3991
    DOI 10.1016/j.pec.2005.01.012
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  9. Artikel ; Online: How should ethnic diversity be represented in medical curricula? A plea for systematic training in cultural competence.

    Knipper, Michael / Seeleman, Conny / Essink-Bot, Marie-Luise

    GMS Zeitschrift fur medizinische Ausbildung

    2010  Band 27, Heft 2, Seite(n) Doc26

    Abstract: Ethnic diversity has become a common reality in European societies, including those of Germany and the Netherlands. Given that ethnic minority groups and immigrants are known to be especially vulnerable to inequalities in health, access to services and ... ...

    Abstract Ethnic diversity has become a common reality in European societies, including those of Germany and the Netherlands. Given that ethnic minority groups and immigrants are known to be especially vulnerable to inequalities in health, access to services and quality of care, the need for cultural competency training in medical education is widely acknowledged. This paper presents four key issues in providing medical students and physicians with the knowledge, attitudes and skills to adapt medical care to ethnically diverse populations. It then describes two educational programmes delivered by the University of Amsterdam (UvA Academic Medical Centre, the Netherlands) and Giessen University Medical School (Germany), respectively, to illustrate that translating theoretical educational objectives into educational practice can lead to different teaching programmes depending on specific local conditions. In the conclusions, emphasis is placed on the need for systematic approaches that do not limit their focus to patients and groups of specific ethnic or migration backgrounds. Issues of culture, communication and research in relation to ethnically diverse populations are magnifications of general problems in medicine and healthcare. Explicit attention to ethnic diversity thus offers a view through a 'magnifying glass' of subjects of much broader importance and can be a means for improving health care in general.
    Sprache Englisch
    Erscheinungsdatum 2010-04-22
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 2195412-4
    ISSN 1860-3572 ; 1860-7446
    ISSN (online) 1860-3572
    ISSN 1860-7446
    DOI 10.3205/zma000663
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

  10. Artikel ; Online: Deficiencies in culturally competent asthma care for ethnic minority children: a qualitative assessment among care providers.

    Seeleman, Conny / Stronks, Karien / van Aalderen, Wim / Bot, Marie-Louise Essink

    BMC pediatrics

    2012  Band 12, Seite(n) 47

    Abstract: Background: Asthma outcomes are generally worse for ethnic minority children. Cultural competence training is an instrument for improving healthcare for ethnic minority patients. To develop effective training, we explored the mechanisms in paediatric ... ...

    Abstract Background: Asthma outcomes are generally worse for ethnic minority children. Cultural competence training is an instrument for improving healthcare for ethnic minority patients. To develop effective training, we explored the mechanisms in paediatric asthma care for ethnic minority patients that lead to deficiencies in the care process.
    Methods: We conducted semi-structured interviews on care for ethnic minority children with asthma (aged 4-10 years) with paediatricians (n = 13) and nurses (n = 3) in three hospitals. Interviews were analysed qualitatively with a framework method, using a cultural competence model.
    Results: Respondents mentioned patient non-adherence as the central problem in asthma care. They related non-adherence in children from ethnic minority backgrounds to social context factors, difficulties in understanding the chronic nature of asthma, and parents' language barriers. Reactions reported by respondents to patients' non-adherence included retrieving additional information, providing biomedical information, occasionally providing referrals for social context issues, and using informal interpreters.
    Conclusions: This study provides keys to improve the quality of specialist paediatric asthma care to ethnic minority children, mainly related to non-adherence. Care providers do not consciously recognise all the mechanisms that lead to deficiencies in culturally competent asthma care they provide to ethnic minority children (e.g. communicating mainly from a biomedical perspective and using mostly informal interpreters). Therefore, the learning objectives of cultural competence training should reflect issues that care providers are aware of as well as issues they are unaware of.
    Mesh-Begriff(e) Asthma/ethnology ; Asthma/therapy ; Child ; Child, Preschool ; Communication Barriers ; Cultural Competency ; Female ; Health Care Surveys ; Healthcare Disparities/ethnology ; Humans ; Interviews as Topic ; Language ; Male ; Minority Groups ; Netherlands ; Patient Compliance/ethnology ; Pediatrics/standards ; Physician-Patient Relations ; Physicians/psychology ; Physicians/standards ; Pulmonary Medicine/standards ; Qualitative Research
    Sprache Englisch
    Erscheinungsdatum 2012-07-10
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/1471-2431-12-47
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

    Zusatzmaterialien

    Kategorien

Zum Seitenanfang