Gebara Jouhayna, Tashjian Hera
American University of Beirut Medical Center, Beirut, Lebanon.
J Transcult Nurs. 2006 Oct;17(4):381-8. doi: 10.1177/1043659606291548.
End-of-life care requires knowledgeable and culturally sensitive clinicians to assist patients and families dealing with the difficult journey of death. The authors present important end-of-life considerations for health care providers dealing with culturally diversified patients. A case study approach is used illustrating two case vignettes derived from the practice of an intensive care setting of a tertiary teaching facility in a large urban area in Lebanon. In a multidisciplinary fashion, practices of end of life were explored and a protocol developed to guide health care providers. Special cultural values were identified such as importance of family involvement and religious beliefs. Implications for practice are described.
临终关怀需要知识渊博且具备文化敏感性的临床医生来协助患者及其家属应对死亡这一艰难历程。作者为应对文化多元化患者的医疗服务提供者提出了重要的临终关怀考量。采用了案例研究方法，展示了两个源自黎巴嫩一个大城市地区一家三级教学机构重症监护病房实践的案例 vignettes。以多学科方式探讨了临终实践，并制定了一项协议来指导医疗服务提供者。确定了特殊的文化价值观，如家庭参与的重要性和宗教信仰。描述了对实践的影响。
