Strickland C J, Squeoch M D, Chrisman N J
University of Washington, USA.
J Transcult Nurs. 1999 Jul;10(3):190-6. doi: 10.1177/104365969901000309.
The purpose of this 3-year study was to gain a greater understanding of the importance of the Wa'Shat Longhouse religion to the design of a culturally appropriate health promotion (cervical cancer prevention) program with the Yakama Indian people of eastern Washington. This descriptive study involved interviews with 10 Wa'Shat members, observations, and participant observations of 30 community ceremonial activities. The framework of health promotion planning guided the investigation. We found that (a) program goals needed to be holistic and wellness oriented, (b) teaching methods needed to include circular symbols, and (c) intervention strategies needed to be linked to the natural patterns of communication of the Wa'Shat Longhouse and to involve elders. Storytelling, talking circles, and use of role models were all found to be important teaching methods. We confirm previous perspectives on the importance of religion, provide greater depth in this understanding and outline implications for transcultural nursing practice.
这项为期三年的研究旨在更深入地了解瓦沙特长屋宗教对为华盛顿州东部的亚卡马印第安人设计一个符合文化习俗的健康促进（宫颈癌预防）项目的重要性。这项描述性研究包括对10名瓦沙特成员的访谈、观察以及对30次社区仪式活动的参与观察。健康促进规划框架指导了此次调查。我们发现：（a）项目目标需要是全面且以健康为导向的；（b）教学方法需要包括圆形符号；（c）干预策略需要与瓦沙特长屋的自然交流模式相联系，并让长者参与其中。讲故事、围坐交谈以及使用榜样人物都被发现是重要的教学方法。我们证实了之前关于宗教重要性的观点，在这一理解上提供了更深入的内容，并概述了对跨文化护理实践的启示。
