Cioffi Jane
School of Nursing, Family and Community Health, College of Social and Health Sciences, University of Western Sydney, Hawkesbury Campus, New South Wales.
Contemp Nurse. 2005 Sep;20(1):78-86. doi: 10.5172/conu.20.1.78.
Identification of nurses' experiences of caring for culturally diverse patients in acute care settings contributes to transcultural nursing knowledge. This qualitative study aims to describe nurses' experiences of caring for culturally diverse adult patients on medical and surgical wards in an acute care setting. These experiences identify current practice and associated issues for nurses caring for culturally diverse clients. A purposive sample of ten registered nurses was interviewed and transcripts analysed. Main findings were acquiring cultural knowledge, committing to and engaging with culturally diverse patients. Strategies for change developed from these findings focus on increasing cultural competency of nurses by: implementing a formal education program; developing partnerships with patients and their families to increase cultural comfort; and increasing organisational accommodation of the culturally diverse with policy review and extension of resources. Further research to explore issues for bilingual nurses and to describe the experiences of culturally diverse patients and their families in general acute care settings is recommended.
识别护士在急症护理环境中照顾文化背景各异患者的经历,有助于丰富跨文化护理知识。本定性研究旨在描述护士在急症护理环境中,照顾医疗和外科病房里文化背景各异成年患者的经历。这些经历揭示了护士在照顾文化背景各异患者时的当前实践及相关问题。研究采用目的抽样法,对10名注册护士进行了访谈,并对访谈记录进行了分析。主要发现包括获取文化知识、致力于并与文化背景各异的患者互动。基于这些发现制定的变革策略,侧重于通过以下方式提高护士的文化能力:实施正规教育项目;与患者及其家属建立伙伴关系以增强文化舒适度;通过政策审查和资源扩展,增加机构对文化背景各异人群的包容度。建议进一步开展研究,以探讨双语护士面临的问题,并描述文化背景各异的患者及其家属在一般急症护理环境中的经历。