Racine Louise
University of British Columbia, School of Nursing, Vancouver.
Rech Soins Infirm. 2003 Dec(75):7-14.
Providing culturally competent care to non-Western populations remains a challenge in Western pluralist societies. Limitations related to the use of cultural theories to adapt nursing care have to be acknowledged. Cultural theories erase the impact of the larger social context on non-Western populations' health. Health problems arising from social inequities have to be addressed, if culturally adapted nursing interventions, are to be designed. To this end, post-colonialist theoretical approach represents a promising avenue since it is aimed at unmasking health problems intersecting with race, ethnicity, gender, and social classes. Research endeavours are directed at integrating marginalized knowledge in nursing theorization. As well, post-colonialism, from which the concept of cultural safety is derived, is a means to enhance the quality of care offered by nurses coming from dominant ethnic group to non-Western populations.
在西方多元社会中，为非西方人群提供具有文化胜任力的护理仍然是一项挑战。必须认识到在运用文化理论来调整护理服务方面存在的局限性。文化理论忽略了更广泛的社会背景对非西方人群健康的影响。如果要设计出具有文化适应性的护理干预措施，就必须解决由社会不平等引发的健康问题。为此，后殖民主义理论方法是一条很有前景的途径，因为它旨在揭示与种族、民族、性别和社会阶层相关的健康问题。研究工作致力于将边缘化知识融入护理理论构建中。此外，文化安全概念源自后殖民主义，它是提高来自主导族群的护士为非西方人群提供护理服务质量的一种手段。
