Jackson Angela Knight
Heart of Birmingham Teaching Primary Care Trust.
Community Pract. 2007 Feb;80(2):17-22.
The aim of this research study is to explore health visitors' beliefs, knowledge and practice in cultural competence. A baseline survey was undertaken with all health visitors working within a West Midlands primary care trust (PCT) which served a significant population of minority ethnic communities. The results show that half the respondents were themselves members of a minority ethnic community. Caribbean origins predominated, with little representation from those of Asian descent. Non-parametric testing indicated that respondents showed there was a significant difference in their ability to meet the needs of minority ethnic communites as opposed to their ability to meet the white population needs. Respondents were able to identify factors which promote, and barriers which hamper use of health visiting services by minority ethnic communities, for example, the standard yet important factors of language and culture. However, racism was not recognised as a significant issue. The need for cultural competence training was seen as a key outcome.This training must reflect the diverse cultural needs of staff and service users.
本研究的目的是探索健康访视员在文化能力方面的信念、知识和实践。对西米德兰兹郡一家为大量少数族裔社区提供服务的初级保健信托基金（PCT）内所有的健康访视员进行了基线调查。结果显示，一半的受访者本身就是少数族裔社区的成员。加勒比地区血统占主导，亚裔血统的代表很少。非参数检验表明，受访者显示出他们满足少数族裔社区需求的能力与满足白人人口需求的能力存在显著差异。受访者能够识别促进少数族裔社区使用健康访视服务的因素以及阻碍因素，例如语言和文化这些标准但重要的因素。然而，种族主义并未被视为一个重大问题。文化能力培训的需求被视为一项关键成果。这种培训必须反映工作人员和服务使用者多样的文化需求。
