Jovanovic Maja
Department of Sociology, McMaster University, Hamilton, Ontario, Canada.
Am J Hosp Palliat Care. 2012 May;29(3):165-70. doi: 10.1177/1049909111410415. Epub 2011 Jun 1.
This case study examines the current state of cultural competence in hospice and palliative care in the Greater Toronto Area (GTA). Because of changing demographic trends and ethnic minorities underutilizing hospice palliative care services, this research examined the current state of culturally competent care in a hospice setting, and the challenges to providing culturally competent care in a hospice in the GTA. A case study was conducted with a hospice and included in-depth interviews with 14 hospice volunteers. The findings reveal that volunteers encountered cultural clashes when their level of cultural competency was weak. Second, volunteers revealed there was a lack of adequate cultural competency training with their hospice, and finally, there was a lack of ethnic, cultural, and linguistic diversity among the hospice volunteers.
本案例研究考察了大多伦多地区(GTA)临终关怀与姑息治疗领域文化能力的现状。由于人口结构变化趋势以及少数族裔对临终关怀与姑息治疗服务利用不足,本研究考察了临终关怀机构中文化胜任力护理的现状,以及在GTA的一家临终关怀机构提供文化胜任力护理所面临的挑战。对一家临终关怀机构进行了案例研究,并对14名临终关怀志愿者进行了深入访谈。研究结果显示,当志愿者的文化能力水平较弱时,他们会遇到文化冲突。其次,志愿者表示他们所在的临终关怀机构缺乏足够的文化能力培训,最后,临终关怀志愿者中缺乏种族、文化和语言多样性。