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影响肿瘤护士在姑息治疗中适应文化需求方法的因素。

Factors influencing oncology nurses' approaches to accommodating cultural needs in palliative care.

机构信息

Nursing Department, Tzu Hui Institute of Technology, Taiwan, Republic of China.

出版信息

J Clin Nurs. 2009 Dec;18(24):3421-9. doi: 10.1111/j.1365-2702.2009.02938.x.

DOI:10.1111/j.1365-2702.2009.02938.x
PMID:20487490
Abstract

AIMS AND OBJECTIVES

The purpose of this study is to explore the social construction of cultural issues in palliative care amongst oncology nurses.

BACKGROUND

Australia is a nation composed of people from different cultural origins with diverse linguistic, spiritual, religious and social backgrounds. The challenge of working with an increasingly culturally diverse population is a common theme expressed by many healthcare professionals from a variety of countries.

DESIGN

Grounded theory was used to investigate the processes by which nurses provide nursing care to cancer patients from diverse cultural backgrounds.

METHODS

Semi-structured interviews with seven Australian oncology nurses provided the data for the study; the data was analysed using grounded theory data analysis techniques.

RESULTS

The core category emerging from the study was that of accommodating cultural needs. This paper focuses on describing the series of subcategories that were identified as factors which could influence the process by which nurses would accommodate cultural needs. These factors included nurses' views and understandings of culture and cultural mores, their philosophy of cultural care, nurses' previous experiences with people from other cultures and organisational approaches to culture and cultural care.

CONCLUSIONS

This study demonstrated that previous experiences with people from other cultures and organisational approaches to culture and cultural care often influenced nurses' views and understandings of culture and cultural mores and their beliefs, attitudes and behaviours in providing cultural care. Relevance to clinical practice. It is imperative to appreciate how nurses' experiences with people from other cultures can be recognised and built upon or, if necessary, challenged. Furthermore, nurses' cultural competence and experiences with people from other cultures need to be further investigated in clinical practice.

摘要

目的和目标

本研究旨在探讨肿瘤护士在姑息治疗中文化问题的社会建构。

背景

澳大利亚是一个由来自不同文化背景、具有不同语言、精神、宗教和社会背景的人组成的国家。许多来自不同国家的医疗保健专业人员都表达了一个共同的主题,即在与越来越多样化的人群合作时面临挑战。

设计

扎根理论被用来调查护士为来自不同文化背景的癌症患者提供护理的过程。

方法

对 7 名澳大利亚肿瘤护士进行了半结构化访谈,为研究提供了数据;使用扎根理论数据分析技术对数据进行了分析。

结果

研究中出现的核心类别是满足文化需求。本文重点描述了被确定为影响护士满足文化需求的过程的一系列子类别。这些因素包括护士对文化和文化习俗的看法和理解、他们的文化关怀哲学、护士以前与其他文化的人交往的经验以及组织对文化和文化关怀的方法。

结论

本研究表明,与来自其他文化的人交往的经验以及组织对文化和文化关怀的方法往往会影响护士对文化和文化习俗的看法和理解,以及他们在提供文化关怀时的信念、态度和行为。与临床实践的相关性。至关重要的是,要认识到如何可以认识和利用护士与来自其他文化的人交往的经验,或者在必要时对其进行挑战。此外,需要进一步调查护士的文化能力和与来自其他文化的人的交往经验在临床实践中的应用。

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