Shades of care: Understanding the needs of racially and ethnically diverse paediatric patients, their families, and health care providers in North America.
Raisa Ladha, Elena Neiterman
PMID 34461757WHAT IT FOUND
Across North American paediatric care, language barriers, poor awareness of interpreter access, and insufficient cultural training left diverse families feeling unheard and providers unsure.
Start by asking about language, trust, and practical barriers.
Key findings
01Language and interpreter access were recurring barriers for immigrant and minority families.
02Providers and residents often felt unprepared because cultural training was limited and not prioritized.
03Families reported distrust and feeling ignored when staff did not communicate clearly or include them.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPsWhat it means for RNs
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What it does not show
This is a scoping review, not a test of whether any intervention works. Only 29 articles were included, and most were from the United States or Canada. Only two studies included children's own experiences; most patient and family accounts came from parents or caregivers. The review did not evaluate study quality or combine results.
The easy way to misread this
Do not read this as evidence that cultural safety training improves patient outcomes. The review mapped themes and did not evaluate efficacy.