城市地区照顾母乳喂养母亲的医护人员的文化能力。
Cultural competence of healthcare professionals caring for breastfeeding mothers in urban areas.
机构信息
Department of Pediatrics, Mount Sinai School of Medicine, Queens Hospital Network, New York, New York, USA.
出版信息
Breastfeed Med. 2009 Dec;4(4):221-4. doi: 10.1089/bfm.2009.0020.
OBJECTIVE
Breastfeeding is strongly influenced by cultural considerations. Therefore, culturally competent healthcare professionals can provide more appropriate breastfeeding support and information. The purpose of this study was to measure the general cultural competence of healthcare professionals caring for breastfeeding mothers in an urban area.
METHODS
Healthcare professionals involved in the care of breastfeeding mothers in New York, NY were surveyed utilizing Campinha-Bacote's Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Revised (IAPCC-R) and a demographic data instrument.
RESULTS
Of 141 surveyed healthcare professionals, 128 completed the questionnaire. There were 18 physicians, 69 nurses, and 41 other allied health professionals in this sample. Of those surveyed, 76% reported a majority of their clients' cultural background differed from their own, 56% had studied cultural diversity in school, and 68% had attended a continuing education class on the subject. The mean score on the IAPCC-R was 68 +/- 9, which is culturally aware on Campinha-Bacote's continuum of culturally incompetent, culturally aware, culturally competent, and culturally proficient. There was no statistical difference in IAPCC-R scores whether or not the respondents had attended courses in school or worked with a more diverse population. Professionals who had attended continuing education courses on cultural diversity had significantly higher total scores (69 +/- 9 vs. 65 +/- 7, P = 0.021) and scores for cultural skill (14 +/- 2 vs. 13 +/- 2, P = 0.002) and desire (17 +/- 2 vs. 16 +/- 2, P = 0.011). Twenty-three percent of the participants achieved a score of cultural competence. They were more likely to have attended continuing education courses on cultural diversity (31% vs. 7%, P = 0.0003).
CONCLUSIONS
The majority (77%) of healthcare professionals caring for breastfeeding mothers in urban areas did not achieve a score of cultural competence.
目的
母乳喂养受到文化因素的强烈影响。因此，有文化能力的医疗保健专业人员可以提供更合适的母乳喂养支持和信息。本研究的目的是衡量照顾纽约市母乳喂养母亲的医疗保健专业人员的一般文化能力。
方法
利用 Campinha-Bacote 的医疗保健专业人员文化能力评估量表修订版（IAPCC-R）和人口统计学数据工具，对参与照顾母乳喂养母亲的医疗保健专业人员进行调查。
结果
在接受调查的 141 名医疗保健专业人员中，有 128 人完成了问卷。样本中包括 18 名医生、69 名护士和 41 名其他联合保健专业人员。在接受调查的人员中，76%的人报告说他们的大多数客户的文化背景与自己不同，56%的人在学校学习过文化多样性，68%的人参加过该主题的继续教育课程。IAPCC-R 的平均得分为 68+/-9，这是 Campinha-Bacote 的文化能力连续体中文化意识不足、文化意识、文化能力和文化熟练程度的表现。无论受访者是否在学校参加过课程或与更多样化的人群合作，他们的 IAPCC-R 得分都没有统计学差异。参加过文化多样性继续教育课程的专业人员的总分（69+/-9 与 65+/-7，P=0.021）和文化技能（14+/-2 与 13+/-2，P=0.002）和愿望（17+/-2 与 16+/-2，P=0.011）得分明显更高。23%的参与者达到了文化能力的得分。他们更有可能参加过文化多样性继续教育课程（31%与 7%，P=0.0003）。
结论
在照顾城市地区母乳喂养母亲的医疗保健专业人员中，大多数（77%）人没有达到文化能力的得分。
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