Emotional Encounters in Health Care: An investigation into the experiences of health visitors when working across cultures

Abstract

Background: A substantial body of research evidence suggests that inequalities in health linked to ethnicity exist. Health professionals are expected to deliver a high standard of culturally appropriate care and yet problems persist. This research explores the opportunities and barriers experienced by health visitors in the North East of England when working with clients who are from another culture. Methodology: Grounded Theory methodology was used and 21 semi-structured interviews were conducted with practicing health visitors between May 2008 and September 2009. All participants described themselves as white. Findings: When health visitors talk about their work iwth people from cultures they identify as different to their own, there are three areas which are important to them. First, in relation to relationship building; second, a metaphorical 'cross cultural terrain'; and finally, and most importantly, in managing emotions. The complex ways in which these three areas intersect with each other is what shapes professional engagement across cultures. Conclusion: Emotions have the power to shape professional practice in health care, influencing (dis)engagement with clients across cultures. The ways in which this happens has implications for practice, theory and education