The issue of communication between the patient and nurse belonging to minority communities.

The issue of cross-cultural nursing is currently a hot topic, because the tourism, migration, etc. grow due to the borders opening. The professionals working as paramedical staff are required to provide effective and high-quality nursing care to all people, without exception. But who considers the fact that the caring professionals can be a different culture, religion or nationality? The presented diploma thesis is devoted to nurses belonging to minority groups, and it is aimed to the problem of communication between the patient and the nurse belonging to a minority group. Specifically, this is about foreign-born nurses, nurses of different religions, same-sex orientation and nurses with physical disabilities. The theoretical basis on which the thesis relies, is primarily a conceptual model of nursing of the Rising Sun by Madeleine Leininger in interaction with the model of culturally considerate care by J. N. Giger and R. E. Davidhizar. In the theoretical part, the concepts relating to the cross-cultural nursing and issues relating to minority groups in the Czech Republic are defined. The preliminary descriptive empirical matter of the thesis was to find out what problems do nurses belonging to minority groups have in relation to the profession of nurses. Research sample is made up of 16 nurses belonging to minority groups, including nurses with different sexual orientation, physically disabled nurses, nurses with ethnic differences and the nurses of different religions. For the empirical part of the thesis, the qualitative approach was selected as a research design, since, according to Strauss and Corbin (1999), this option is appropriate in situations in which the researcher seeks to uncover the experience with a certain phenomenon. The introduction of the research investigation was a pilot study, which used the case study technique for data capture, specifically, the method of the life stories of nurses with cultural, religious, sexual or health differences. For the selection of the respondents there was the snowball method used, as we live in an area where there is difficult to reach these people. A pilot study was a base for the research investigation undertaken by using semi-structured interviews with patients, doctors and nurses in charge of the hospital. The results obtained in this survey were compared with the results of a pilot study. The main research objective of the pilot study was defined due to the research problem, to explore the issues of communication within the nursing care between the patient and the nurse belonging to a minority group. Following this target, the main research question was established: What problems do the nurses belonging to a minority group have to face in nursing practice? Then it is followed up with next research question: What difficulties do the nurses belonging to a minority group find in communication with a patient? The results of the pilot study are divided into 4 groups according to the above division, which means the nurses with different nationality, religion, with a different sexual orientation and handicapped nurses. In each group the areas of contact and interaction at the workplace were monitored, it means cooperation with colleagues, and the fact of the contact with patients from the perspective of the nurses and their personal subjective satisfaction of the communication held within the nursing profession. Subsequently, in the context of the pilot study, the occurrence of features typical only for certain groups of nurses was found out. From this point of view, for a group of nurses of foreign nationalities, the results included communication barriers associated with another native language than Czech. The research sample of disabled nurses expands the results for specific care procedures that may be a barrier due to their health-related handicaps. The nurses describe their physical difference and its circumstances