Bushy Angeline
Community Health Nursing, College of Nursing, University of Central Florida, Orlando, Florida, USA.
Annu Rev Nurs Res. 2008;26:221-36.
The face of America is changing. In efforts to provide services to and meet the needs of consumers of different ethnicities and cultures, cultural competence has become a driving force not only in health care but also in business, education, and research. Lack of cultural competence among caregivers has been linked to health disparities, decreased client satisfaction, and decreased client adherence to recommended medical regimens. The depth of rural research in general, and by nurse researchers focusing on rural cultural groups in particular, is limited. This chapter focuses on conducting rural nursing research with rural cultural groups, highlights methodological issues that are commonly encountered with rural populations, and proposes strategies to address them. Addressing methodological challenges will contribute to the limited knowledge base related to culture and ethnicity in rural nursing research.
美国的面貌正在发生变化。为了向不同种族和文化背景的消费者提供服务并满足他们的需求,文化能力不仅已成为医疗保健领域的驱动力,在商业、教育和研究领域亦是如此。护理人员缺乏文化能力与健康差距、患者满意度下降以及患者对推荐医疗方案的依从性降低有关。总体而言,农村研究的深度有限,尤其是专注于农村文化群体的护士研究人员开展的研究。本章重点关注针对农村文化群体进行农村护理研究,突出农村人群常见的方法学问题,并提出应对策略。应对方法学挑战将有助于扩充农村护理研究中与文化和种族相关的有限知识库。