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A review of the cultural competence view of cardiac rehabilitation

Authors

  • Patricia M Davidson,

    1. Authors:Patricia M Davidson, BA, MEd, PhD, RN, Professor, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW; Leila Gholizadeh, BN, MSc, PhD, RN, Lecturer, University of Western Sydney, School of Nursing and University of Technology Sydney, Faculty of Nursing, Midwifery and Health, NSW, Australia; Abbas Haghshenas, MD, PhD, Senior Lecturer, Centre for Health Management and Economic Studies, Isfahan University of Medical Sciences, Tehran, Iran; Arie Rotem, BA, MA, PhD, Emeritus Professor, University of New South Wales, School of Public Health and Community Medicine, Sydney, NSW; Michelle DiGiacomo, BA, MHSc, PhD, Research Fellow, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Sydney, NSW; Maurice Eisenbruch, MD, MPhil, MEdSt, DPM, BS, Professor, School of Psychology, Psychiatry and Psychological Medicine, Monash University, VIC; Yenna Salamonson, BSc, MA, PhD, RN, Senior Lecturer, University of Western Sydney, School of Nursing, Sydney, NSW, Australia
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  • Leila Gholizadeh,

    1. Authors:Patricia M Davidson, BA, MEd, PhD, RN, Professor, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW; Leila Gholizadeh, BN, MSc, PhD, RN, Lecturer, University of Western Sydney, School of Nursing and University of Technology Sydney, Faculty of Nursing, Midwifery and Health, NSW, Australia; Abbas Haghshenas, MD, PhD, Senior Lecturer, Centre for Health Management and Economic Studies, Isfahan University of Medical Sciences, Tehran, Iran; Arie Rotem, BA, MA, PhD, Emeritus Professor, University of New South Wales, School of Public Health and Community Medicine, Sydney, NSW; Michelle DiGiacomo, BA, MHSc, PhD, Research Fellow, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Sydney, NSW; Maurice Eisenbruch, MD, MPhil, MEdSt, DPM, BS, Professor, School of Psychology, Psychiatry and Psychological Medicine, Monash University, VIC; Yenna Salamonson, BSc, MA, PhD, RN, Senior Lecturer, University of Western Sydney, School of Nursing, Sydney, NSW, Australia
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  • Abbas Haghshenas,

    1. Authors:Patricia M Davidson, BA, MEd, PhD, RN, Professor, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW; Leila Gholizadeh, BN, MSc, PhD, RN, Lecturer, University of Western Sydney, School of Nursing and University of Technology Sydney, Faculty of Nursing, Midwifery and Health, NSW, Australia; Abbas Haghshenas, MD, PhD, Senior Lecturer, Centre for Health Management and Economic Studies, Isfahan University of Medical Sciences, Tehran, Iran; Arie Rotem, BA, MA, PhD, Emeritus Professor, University of New South Wales, School of Public Health and Community Medicine, Sydney, NSW; Michelle DiGiacomo, BA, MHSc, PhD, Research Fellow, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Sydney, NSW; Maurice Eisenbruch, MD, MPhil, MEdSt, DPM, BS, Professor, School of Psychology, Psychiatry and Psychological Medicine, Monash University, VIC; Yenna Salamonson, BSc, MA, PhD, RN, Senior Lecturer, University of Western Sydney, School of Nursing, Sydney, NSW, Australia
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  • Arie Rotem,

    1. Authors:Patricia M Davidson, BA, MEd, PhD, RN, Professor, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW; Leila Gholizadeh, BN, MSc, PhD, RN, Lecturer, University of Western Sydney, School of Nursing and University of Technology Sydney, Faculty of Nursing, Midwifery and Health, NSW, Australia; Abbas Haghshenas, MD, PhD, Senior Lecturer, Centre for Health Management and Economic Studies, Isfahan University of Medical Sciences, Tehran, Iran; Arie Rotem, BA, MA, PhD, Emeritus Professor, University of New South Wales, School of Public Health and Community Medicine, Sydney, NSW; Michelle DiGiacomo, BA, MHSc, PhD, Research Fellow, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Sydney, NSW; Maurice Eisenbruch, MD, MPhil, MEdSt, DPM, BS, Professor, School of Psychology, Psychiatry and Psychological Medicine, Monash University, VIC; Yenna Salamonson, BSc, MA, PhD, RN, Senior Lecturer, University of Western Sydney, School of Nursing, Sydney, NSW, Australia
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  • Michelle DiGiacomo,

    1. Authors:Patricia M Davidson, BA, MEd, PhD, RN, Professor, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW; Leila Gholizadeh, BN, MSc, PhD, RN, Lecturer, University of Western Sydney, School of Nursing and University of Technology Sydney, Faculty of Nursing, Midwifery and Health, NSW, Australia; Abbas Haghshenas, MD, PhD, Senior Lecturer, Centre for Health Management and Economic Studies, Isfahan University of Medical Sciences, Tehran, Iran; Arie Rotem, BA, MA, PhD, Emeritus Professor, University of New South Wales, School of Public Health and Community Medicine, Sydney, NSW; Michelle DiGiacomo, BA, MHSc, PhD, Research Fellow, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Sydney, NSW; Maurice Eisenbruch, MD, MPhil, MEdSt, DPM, BS, Professor, School of Psychology, Psychiatry and Psychological Medicine, Monash University, VIC; Yenna Salamonson, BSc, MA, PhD, RN, Senior Lecturer, University of Western Sydney, School of Nursing, Sydney, NSW, Australia
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  • Maurice Eisenbruch,

    1. Authors:Patricia M Davidson, BA, MEd, PhD, RN, Professor, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW; Leila Gholizadeh, BN, MSc, PhD, RN, Lecturer, University of Western Sydney, School of Nursing and University of Technology Sydney, Faculty of Nursing, Midwifery and Health, NSW, Australia; Abbas Haghshenas, MD, PhD, Senior Lecturer, Centre for Health Management and Economic Studies, Isfahan University of Medical Sciences, Tehran, Iran; Arie Rotem, BA, MA, PhD, Emeritus Professor, University of New South Wales, School of Public Health and Community Medicine, Sydney, NSW; Michelle DiGiacomo, BA, MHSc, PhD, Research Fellow, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Sydney, NSW; Maurice Eisenbruch, MD, MPhil, MEdSt, DPM, BS, Professor, School of Psychology, Psychiatry and Psychological Medicine, Monash University, VIC; Yenna Salamonson, BSc, MA, PhD, RN, Senior Lecturer, University of Western Sydney, School of Nursing, Sydney, NSW, Australia
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  • Yenna Salamonson

    1. Authors:Patricia M Davidson, BA, MEd, PhD, RN, Professor, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW; Leila Gholizadeh, BN, MSc, PhD, RN, Lecturer, University of Western Sydney, School of Nursing and University of Technology Sydney, Faculty of Nursing, Midwifery and Health, NSW, Australia; Abbas Haghshenas, MD, PhD, Senior Lecturer, Centre for Health Management and Economic Studies, Isfahan University of Medical Sciences, Tehran, Iran; Arie Rotem, BA, MA, PhD, Emeritus Professor, University of New South Wales, School of Public Health and Community Medicine, Sydney, NSW; Michelle DiGiacomo, BA, MHSc, PhD, Research Fellow, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Sydney, NSW; Maurice Eisenbruch, MD, MPhil, MEdSt, DPM, BS, Professor, School of Psychology, Psychiatry and Psychological Medicine, Monash University, VIC; Yenna Salamonson, BSc, MA, PhD, RN, Senior Lecturer, University of Western Sydney, School of Nursing, Sydney, NSW, Australia
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Patricia M Davidson, Professor, Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Institute, Curtin House 39 Regent Street, Chippendale NSW 2008, Australia. Telephone: 61 03 8399 7831.
E-mail:p.davidson@curtin.edu.au

Abstract

Aims and objectives.  This paper describes cultural competence issues within the scientific and scholarly discourse surrounding cardiac rehabilitation (CR).

Background.  CR is an important secondary prevention strategy, improving health-related outcomes and reducing the risks of subsequent cardiovascular events. Internationally, it is widely accepted as a discrete health service model and is endorsed by government and professional bodies. Over past decades, low participation rates in CR remain a concern, particularly among minority groups and culturally and linguistically diverse populations.

Design.  Systematic review.

Methods.  Search of electronic databases.

Conclusions.  Few studies to date have described cultural competence in CR service design and as a consequence, there are minimal data to assist CR professionals and policy makers in tailoring health service delivery models. The limited scholarly debate and discussion regarding cultural competence in the CR literature limits the development and evaluation of culturally appropriate interventions.

Relevance to clinical practice.  There needs to be greater attention to the concept of cultural competence, both in practice and research settings, to ensure access to CR for people from culturally and linguistically diverse backgrounds.

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