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实习护士在多元文化护患交流中的经历。

Experiences of student nurses in a multicultural nurse-patient encounter.

作者信息

Khanyile T

机构信息

University of Natal.

出版信息

Curationis. 1999 Sep;22(3):20-4.

Abstract

South African nurses have accepted the challenge that was brought about by the Health Reform Policy of 1990 which decreed that health service centres be opened to people of all cultural and racial groups. However, studies on transcultural; nursing have revealed that, problems have occurred during a multicultural nurse patient encounter. Most of these studies have approached the problems from the patients point of view, this study was therefore an attempt to look into the problem from the nurses point of view. The researcher was interested in exploring the sources of such problems, their effects on the nurse patient relationship as well as to find out from the respondents, the possible solutions to such problems. Through focus group interviews (FGI), respondents who had experienced problems with culturally different patients were given an opportunity to reflect on those experiences, report on these and recommend possible solutions. The results revealed that differing perceptions about the encounter between the nurse and the patient, previous experience which led to the formation of stereotypes, was the major source of problems. The results further revealed that stereotype relevant information, if used during the nurse patient encounter, led to inadequate care delivery. The solution to the problem according to the results, would be a positive approach to the problem of cultural differences.

摘要

南非护士接受了1990年卫生改革政策带来的挑战,该政策规定卫生服务中心应向所有文化和种族群体的人们开放。然而,跨文化护理研究表明,在多元文化的护士与患者接触过程中出现了问题。这些研究大多从患者的角度探讨问题,因此本研究试图从护士的角度审视该问题。研究者感兴趣的是探究此类问题的根源、它们对护患关系的影响,以及从受访者那里找出解决这些问题的可能办法。通过焦点小组访谈,有过与文化背景不同的患者打交道经历的受访者有机会反思这些经历、汇报情况并提出可能的解决方案。结果显示,对护士与患者接触的不同看法,以及导致形成刻板印象的既往经历,是问题的主要根源。结果还显示,如果在护患接触中使用与刻板印象相关的信息,会导致护理服务提供不足。根据结果,解决该问题的办法是积极应对文化差异问题。

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