Department of Nursing, Delaware State University, Dover, DE 19901, USA.
J Psychiatr Ment Health Nurs. 2010 Oct;17(8):715-24. doi: 10.1111/j.1365-2850.2010.01586.x. Epub 2010 Jun 14.
Evidence-based descriptions of culturally competent psychiatric nursing care are scarce. This study explored the perceptions of clients with mental illness regarding the overall effectiveness of psychiatric nursing care in meeting their cultural needs, and psychiatric nurses' perceptions of how and to what extent they provided culturally competent psychiatric mental health nursing care to diverse client populations. This descriptive study employed a qualitative research design using a multi-method data collection approach consisting of in-depth individual client interviews and a self-administered nurse questionnaire. Client participants tended to minimize the importance of receiving care related to their cultural needs. They described (1) encouraging and reassuring me; (2) speaking up for me; and (3) praying a lot as essential to their care. Nurse participants perceived their psychiatric nursing care to be culturally competent; however, few described specific strategies for incorporating cultural beliefs and practices into nursing care. Client participant lacked awareness of their cultural needs and had difficulty identifying and describing specific nursing interventions that contributed to positive mental health outcomes. Nurses perceived that they provided culturally competent care but actually lacked specific knowledge and skills to do so effectively.
有关文化能力精神病护理的循证描述很少。本研究探讨了患有精神疾病的客户对精神病护理满足其文化需求的整体有效性的看法，以及精神病护士对他们向不同客户群体提供文化能力精神病心理健康护理的方式和程度的看法。这项描述性研究采用了定性研究设计，使用了多种方法的数据收集方法，包括深入的个人客户访谈和护士自我管理问卷。客户参与者往往会降低获得与他们的文化需求相关的护理的重要性。他们将（1）鼓励和安慰我；（2）为我说话；（3）大量祈祷描述为他们护理的重要组成部分。护士参与者认为他们的精神病护理具有文化能力；然而，很少有人描述将文化信仰和实践融入护理的具体策略。客户参与者对自己的文化需求缺乏认识，难以识别和描述有助于心理健康的具体护理干预措施。护士认为他们提供了文化能力的护理，但实际上缺乏有效的具体知识和技能。
