國立虎尾科技大學 |

Experience, Communication and Trust : = The Role of Cultural Health Navigators in Mediating Refugee Families' Access to Health Literacy and Pediatrics Care.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Experience, Communication and Trust :/
Reminder of title:	The Role of Cultural Health Navigators in Mediating Refugee Families' Access to Health Literacy and Pediatrics Care.
Author:	Morelli, Katherine Elizabeth.
Description:	1 online resource (295 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.
Contained By:	Dissertation Abstracts International79-09A(E).
Subject:	Rhetoric. -
Online resource:	click for full text (PQDT)
ISBN:	9780355957204

Experience, Communication and Trust : = The Role of Cultural Health Navigators in Mediating Refugee Families' Access to Health Literacy and Pediatrics Care.
Morelli, Katherine Elizabeth.

Experience, Communication and Trust :The Role of Cultural Health Navigators in Mediating Refugee Families' Access to Health Literacy and Pediatrics Care. - 1 online resource (295 pages)

Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.

Thesis (Ph.D.)--Arizona State University, 2018.

Includes bibliographical references

This dissertation explores findings from a year-long investigation of the context-driven practices, strategies and beliefs of five multilingual Cultural Health Navigators (CHNs) working in a local pediatrics clinic serving large numbers of refugee families from a variety of cultural backgrounds who are experiencing a range of healthcare challenges. Grounded in a methodology of engagement (Grabill, 2010), this inquiry systematically documents and analyzes the range of ways in which the CHNs assist refugee families and their healthcare providers, their rationale for the decisions made and actions taken, and their concerns about the challenges they encounter. I show that while much of what the CHNs do to assist refugee families and their healthcare providers is routine and can be expected, CHNs also tend to manage complex work involved in mediating refugee families' interactions with healthcare providers and the healthcare system in ways that cannot always be anticipated in advance. Through a close analysis of their practices and reflections, I show how their various interactions, actions and decisions are responsive to specifics of the situation at hand, informed by their lived experiences as CHNs and immigrants/refugees, and influenced by a dynamic, emergent and embodied notion of context. The findings of this study demonstrate how the CHNs' collective and distributed knowledge production work shapes experiences with acquiring health literacy, and the material consequences of such efforts and practices.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355957204Subjects--Topical Terms:

567738
Rhetoric.
Index Terms--Genre/Form:

554714
Electronic books.

Experience, Communication and Trust : = The Role of Cultural Health Navigators in Mediating Refugee Families' Access to Health Literacy and Pediatrics Care.
LDR:03757ntm a2200349Ki 4500 001 919354
005 20181127124955.5
006 m o u
007 cr mn||||a|a||
008 190606s2018 xx obm 000 0 eng d
020 $a 9780355957204
035 $a (MiAaPQ)AAI10811266
035 $a (MiAaPQ)asu:18044
035 $a AAI10811266
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Morelli, Katherine Elizabeth. $3 1193907
245 1 0 $a Experience, Communication and Trust : $b The Role of Cultural Health Navigators in Mediating Refugee Families' Access to Health Literacy and Pediatrics Care.
264 0 $c 2018
300 $a 1 online resource (295 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.
500 $a Adviser: Doris Warriner.
502 $a Thesis (Ph.D.)--Arizona State University, 2018.
504 $a Includes bibliographical references
520 $a This dissertation explores findings from a year-long investigation of the context-driven practices, strategies and beliefs of five multilingual Cultural Health Navigators (CHNs) working in a local pediatrics clinic serving large numbers of refugee families from a variety of cultural backgrounds who are experiencing a range of healthcare challenges. Grounded in a methodology of engagement (Grabill, 2010), this inquiry systematically documents and analyzes the range of ways in which the CHNs assist refugee families and their healthcare providers, their rationale for the decisions made and actions taken, and their concerns about the challenges they encounter. I show that while much of what the CHNs do to assist refugee families and their healthcare providers is routine and can be expected, CHNs also tend to manage complex work involved in mediating refugee families' interactions with healthcare providers and the healthcare system in ways that cannot always be anticipated in advance. Through a close analysis of their practices and reflections, I show how their various interactions, actions and decisions are responsive to specifics of the situation at hand, informed by their lived experiences as CHNs and immigrants/refugees, and influenced by a dynamic, emergent and embodied notion of context. The findings of this study demonstrate how the CHNs' collective and distributed knowledge production work shapes experiences with acquiring health literacy, and the material consequences of such efforts and practices.
520 $a Drawing on ethnographic research methods and critical-incident methodologies that involved the CHNs in the inquiry process, this study provides a nuanced analysis of the different kinds of work they do, the constraints they encounter, and how they creatively respond to such constraints in real time. The findings demonstrate that a collaborative engagement with critical incidents as a method of intercultural inquiry facilitates a more robust and dynamic understanding of the distributed nature of decision-making practices and ways of knowing. Embodying sensitivity to situated ways of knowing and dynamic practices in institutional settings, this study demonstrates the value of combining social science methodologies with rhetorical inquiry methods to conduct interdisciplinary and cross-institutional research to address pressing social problems in ways that benefit historically marginalized groups.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2018
538 $a Mode of access: World Wide Web
650 4 $a Rhetoric. $3 567738
650 4 $a Language. $3 571568
655 7 $a Electronic books. $2 local $3 554714
690 $a 0681
690 $a 0679
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a Arizona State University. $b English. $3 1183907
773 0 $t Dissertation Abstracts International $g 79-09A(E).
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10811266 $z click for full text (PQDT)