Dennis Betty Pierce, Small Ernestine B
Department of Nursing, North Carolina Central University, Durham, NC 27707, USA.
ABNF J. 2003 Jan-Feb;14(1):17-26.
This article examines the context of culture from the perspective of the increase in immigration and concomitant growth of diversity within the United States. It proposes that nurses who deliver culturally competent care are brokers of three cultures: their own; the health care system; and the client. The mechanism for creating approaches to care that utilize this concept is the nursing process. A culture-specific assessment can be achieved using the explanatory model of illness. The inadequacies of some frequently used strategies such as nursing diagnosis are also discussed with suggested changes.
本文从美国移民增加以及随之而来的多样性增长的角度审视文化背景。文章提出，提供具有文化胜任力护理的护士是三种文化的中介：他们自己的文化、医疗保健系统文化和患者文化。利用这一概念创建护理方法的机制是护理程序。可以使用疾病解释模型来实现针对特定文化的评估。文中还讨论了一些常用策略（如护理诊断）的不足之处，并提出了改进建议。
