Healthcare delivery to patients from culturally and linguistically diverse backgrounds in emergency care: a scoping review protocol

Article

Huang, Ya‑Ling, Thorning, Sarah, Lin, Chun‑Chih, Lee, Robert, Elder, Elizabeth and Crilly, Julia. 2024. "Healthcare delivery to patients from culturally and linguistically diverse backgrounds in emergency care: a scoping review protocol." Systematic Reviews. 13. https://doi.org/10.1186/s13643-024-02579-0
Article Title

Healthcare delivery to patients from culturally and linguistically diverse backgrounds in emergency care: a scoping review protocol

ERA Journal ID201547
Article CategoryArticle
AuthorsHuang, Ya‑Ling, Thorning, Sarah, Lin, Chun‑Chih, Lee, Robert, Elder, Elizabeth and Crilly, Julia
Journal TitleSystematic Reviews
Journal Citation13
Article Number178
Number of Pages6
Year2024
PublisherBioMed Central Ltd.
Place of PublicationUnited Kingdom
ISSN2046-4053
Digital Object Identifier (DOI)https://doi.org/10.1186/s13643-024-02579-0
Web Address (URL)https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-024-02579-0
Abstract

Background
Worldwide, the culturally and linguistically diverse (CALD) population is increasing, and is predicted to reach 405 million by 2050. The delivery of emergency care for the CALD population can be complex due to cultural, social, and language factors. The extent to which cultural, social, and contextual factors influence care delivery to patients from CALD backgrounds throughout their emergency care journey is unclear. Using a systematic approach, this review aims to map the existing evidence regarding emergency healthcare delivery for patients from CALD backgrounds and uses a social ecological framework to provide a broader perspective on cultural, social, and contextual influence on emergency care delivery.

Methods
The Joanna Briggs Institute (JBI) scoping review methodology will be used to guide this review. The population is patients from CALD backgrounds who received care and emergency care clinicians who provided direct care. The concept is healthcare delivery to patients from CALD backgrounds. The context is emergency care. This review will include quantitative, qualitative, and mixed-methods studies published in English from January 1, 2012, onwards. Searches will be conducted in the databases of CINAHL (EBSCO), MEDLINE (Ovid), Embase (Elsevier), SocINDEX (EBSCO), Scopus (Elsevier), and a web search of Google Scholar. A PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram will be used to present the search decision process. All included articles will be appraised using the Mixed Methods Appraisal Tool (MMAT). Data will be presented in tabular form and accompanied by a narrative synthesis of the literature.

Discussion
Despite the increased use of emergency care service by patients from CALD backgrounds, there has been no comprehensive review of healthcare delivery to patients from CALD backgrounds in the emergency care context (ED and prehospital settings) that includes consideration of cultural, social, and contextual influences. The results of this scoping review may be used to inform future research and strategies that aim to enhance care delivery and experiences for people from CALD backgrounds who require emergency care.

KeywordsHealthcare delivery; Cultural and linguistical diversity; Multicultural; Emergency care; Barriers and facilitators; Social ecological model
ANZSRC Field of Research 2020420602. Health equity
420501. Acute care
420312. Implementation science and evaluation
Byline AffiliationsSchool of Nursing and Midwifery
Gold Coast Hospital and Health Service, Australia
Southern Cross University
Griffith University
Central Queensland Hospital and Health Service, Australia
Chang Gung University of Science and Technology, Taiwan
New Taipei Municipal TuCheng Hospital, Taiwan
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