An intersectional social capital model of career development for international marriage migrants.

The phenomenon of women immigrating to marry has resulted in changing labor markets and increasing workforce diversity. However, because of a lack of social capital in their new country, immigrant women face significant barriers to gaining employment, have access to only limited work arenas, or remain at home as housewives. Existing studies of immigrant women are mainly limited to their human rights or cultural issues; there are few studies focusing on career development for them. This article uses social capital and intersectionality theories to create an intersectional social capital model of career development for immigrant women. The application of the model is explicated through the context of South Korea. The positive career development interventions as described in the model can help immigrant brides overcome multiple career-related barriers and find new roots

"It is a challenge to do it the right way" : an interpretive description of caregivers' experiences in caring for migrant patients in Northern Sweden

BACKGROUND: Experiences from nations with population diversity show extensive evidence on the need for cultural and linguistic competence in health care. In Sweden, despite the increasing diversity, only few studies have focused on challenges in cross-cultural care. The aim of this study was to explore the perspectives and experiences of caregivers in caring for migrant patients in Northern Sweden in order to understand the challenges they face and generate knowledge that could inform clinical practice. METHODS: We used an interpretive description approach, combining semi-structured interviews with 10 caregivers purposively selected and participant observation of patient-provider interactions in caring encounters. The interviews were transcribed and analyzed using thematic analysis approach. Field notes were also used to orient data collection and confirm or challenge the analysis. RESULTS: We found complex and intertwined challenges as indicated in the three themes we present including: the sociocultural diversity, the language barrier and the challenges migrants face in navigating through the Swedish health care system. The caregivers described migrants as a heterogeneous group coming from different geographical areas but also having varied social, cultural and religious affiliations, migration history and status all which influenced the health care encounter, whether providing or receiving. Participants also described language as a major barrier to effective provision and use of health services. Meanwhile, they expressed concern over the use of interpreters in the triad communication and over the difficulties encountered by migrants in navigating through the Swedish health care system. CONCLUSIONS: The study illuminates complex challenges facing health care providers caring for migrant populations and highlights the need for multifaceted approaches to improve the delivery and receipt of care. The policy implications of these challenges are discussed in relation to the need to (a) adapt care to the individual needs, (b) translate key documents and messages in formats and languages accessible and acceptable to migrants, (c) train interpreters and enhance caregivers' contextual understanding of migrant groups and their needs, (d) and improve migrants' health literacy through strategies such as community based educational outreach