Suchergebnisse

Transkulturelle Kompetenz: Eine offene und engagierte Haltung gegenüber MigrantInnen und die Fähigkeit, deren Bedürfnisse und Lebenswelten situations- und kontextgerecht in Behandlung, Betreuung und Pflege einzubeziehen, dieses wichtige Thema wird in den großen Kompendien für Pflege- und Gesundheitsberufe weitgehend ausgespart. Dieses Lehrbuch, 2001 erstmals u.d.T. "Professionelle transkulturellle Pflege" erschienen (hier nicht angezeigt), liegt nun in aktualisierter und wesentlich erweiterter Form vor. 32 ExpertInnen verschiedener Fachrichtungen, vorwiegend aus der Schweiz, vermitteln zunächst die theoretischen Hintergründe zu den Zusammenhängen von Kultur, Integration und Migration, stellen dann die Grundlagen der transkulturellen Kompetenz in Lehre und Praxis dar und erweitern diese durch spezifische Themen aus der transkulturellen Perspektive: z.B. Migrantenkinder, Alter und Migration, Schwangerschaft/-abbruch und Traumatisierung. Immer mit Fällen, Übungen, Kapitelzusammenfassungen. Inkl. Register. - Grundlagenwerk für die Ausbildung, Fort- und Weiterbildung von Gesundheits- und Pflegeberuflern. (3)

Background: The global economic crisis has been associated with increased unemployment, reduced health-care spending and adverse health outcomes. Insights into the impact of economic variations on cancer mortality, however, remain limited. Methods: We used multivariate regression analysis to assess how changes in unemployment and public-sector expenditure on health care (PSEH) varied with female breast cancer mortality in the 27 European Union member states from 1990 to 2009. We then determined how the association with unemployment was modified by PSEH. Country-specific differences in infrastructure and demographic structure were controlled for, and 1-, 3-, 5- and 10-year lag analyses were conducted. Several robustness checks were also implemented. Results: Unemployment was associated with an increase in breast cancer mortality [P < 0.0001, coefficient (R) = 0.1829, 95% confidence interval (CI) 0.0978–0.2680]. Lag analysis showed a continued increase in breast cancer mortality at 1, 3, 5 and 10 years after unemployment rises (P < 0.05). Controlling for PSEH removed this association (P = 0.063, R = 0.080, 95% CI −0.004 to 0.163). PSEH increases were associated with significant decreases in breast cancer mortality (P < 0.0001, R = –1.28, 95% CI −1.67 to −0.877). The association between unemployment and breast cancer mortality remained in all robustness checks. Conclusion: Rises in unemployment are associated with significant short- and long-term increases in breast cancer mortality, while increases in PSEH are associated with reductions in breast cancer mortality. Initiatives that bolster employment and maintain total health-care expenditure may help minimize increases in breast cancer mortality during economic crises.