Review : Caring for children of differing cultures

“The final, definitive version of this article has been published in the Journal of Child Health Care, Vol.3 No.4, 1999, copyright Association of British Pediatric Nurses on SAGE Journals Online: http://chc.sagepub.com/ " [Full text of this article is not available in the UHRA]- The term ’culture’ is open to diverse interpretation. - The provision of culturally-sensitive care to children and their families is a challenge which nurses cannot avoid. - There are a range of potential methods of enhancing culturally-sensitive care for children, but these are open to debate. - This is an area of children’s nursing practice which deserves further consideration and research.Peer reviewe

A systematic review of the extent and measurement of healthcare provider racism

BackgroundAlthough considered a key driver of racial disparities in healthcare, relatively little is known about the extent of interpersonal racism perpetrated by healthcare providers, nor is there a good understanding of how best to measure such racism.ObjectivesThis paper reviews worldwide evidence (from 1995 onwards) for racism among healthcare providers; as well as comparing existing measurement approaches to emerging best practice, it focuses on the assessment of interpersonal racism, rather than internalized or systemic/institutional racism.MethodsThe following databases and electronic journal collections were searched for articles published between 1995 and 2012: Medline, CINAHL, PsycInfo, Sociological Abstracts. Included studies were published empirical studies of any design measuring and/or reporting on healthcare provider racism in the English language. Data on study design and objectives; method of measurement, constructs measured, type of tool; study population and healthcare setting; country and language of study; and study outcomes were extracted from each study.ResultsThe 37 studies included in this review were almost solely conducted in the U.S. and with physicians. Statistically significant evidence of racist beliefs, emotions or practices among healthcare providers in relation to minority groups was evident in 26 of these studies. Although a number of measurement approaches were utilized, a limited range of constructs was assessed.ConclusionDespite burgeoning interest in racism as a contributor to racial disparities in healthcare, we still know little about the extent of healthcare provider racism or how best to measure it. Studies using more sophisticated approaches to assess healthcare provider racism are required to inform interventions aimed at reducing racial disparities in health

Effect of rosiglitazone on the frequency of diabetes in patients with impaired glucose tolerance or impaired fasting glucose: a randomised controlled trial

Background Rosiglitazone is a thiazolidinedione that reduces insulin resistance and might preserve insulin secretion. The aim of this study was to assess prospectively the drugs ability to prevent type 2 diabetes in individuals at high risk of developing the condition