精神卫生保健中的文化能力：模型评估综述
Cultural competence in mental health care: a review of model evaluations.
作者信息
Bhui Kamaldeep, Warfa Nasir, Edonya Patricia, McKenzie Kwame, Bhugra Dinesh
机构信息
Centre for Psychiatry, Barts and The London, Queen Mary's School of Medicine and Dentistry, Old Anatomy Building, Charterhouse Square, London EC1M 6BQ, UK.
出版信息
BMC Health Serv Res. 2007 Jan 31;7:15. doi: 10.1186/1472-6963-7-15.
BACKGROUND
Cultural competency is now a core requirement for mental health professionals working with culturally diverse patient groups. Cultural competency training may improve the quality of mental health care for ethnic groups.
METHODS
A systematic review that included evaluated models of professional education or service delivery.
RESULTS
Of 109 potential papers, only 9 included an evaluation of the model to improve the cultural competency practice and service delivery. All 9 studies were located in North America. Cultural competency included modification of clinical practice and organizational performance. Few studies published their teaching and learning methods. Only three studies used quantitative outcomes. One of these showed a change in attitudes and skills of staff following training. The cultural consultation model showed evidence of significant satisfaction by clinicians using the service. No studies investigated service user experiences and outcomes.
CONCLUSION
There is limited evidence on the effectiveness of cultural competency training and service delivery. Further work is required to evaluate improvement in service users' experiences and outcomes.
背景
文化能力现已成为心理健康专业人员为文化多元患者群体提供服务的一项核心要求。文化能力培训可能会提高针对不同种族群体的心理健康护理质量。
方法
进行一项系统综述，纳入对专业教育或服务提供模式的评估。
结果
在109篇潜在论文中，仅有9篇对旨在改善文化能力实践和服务提供的模式进行了评估。所有9项研究均来自北美。文化能力包括临床实践的调整和组织绩效。很少有研究公布其教学方法。仅有三项研究采用了定量结果。其中一项研究表明，培训后工作人员的态度和技能有所改变。文化咨询模式显示，使用该服务的临床医生满意度较高。没有研究调查服务使用者的体验和结果。
结论
关于文化能力培训和服务提供有效性的证据有限。需要进一步开展工作来评估服务使用者体验和结果的改善情况。
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