Winston-Salem State University, NC, USA.
J Adv Nurs. 2012 Mar;68(3):695-704. doi: 10.1111/j.1365-2648.2011.05822.x. Epub 2011 Sep 5.
This paper presents a discussion of the relation between health literacy and cultural competence in nursing practice.
Cultural competence involves understanding values, beliefs, traditions and customs of diverse groups. Health literacy is the degree to which individuals can obtain, process, and understand health information to make healthcare decisions. Cultural competence and health literacy are directly related to healthcare. Campinha-Bacote's Process of Cultural Competence Model can assist nurses in addressing cultural issues associated with a person's low health literacy. Data sources. Literature searches were performed using CINAHL, ERIC, Academic Search Premier, Health Source Nursing, MasterFILE Premier and Academic OneFile. All articles reviewed were published in peer reviewed journals in English from the 1990s to the present and were relevant to health literacy and cultural competence in nursing. Books and other supporting scholarly sources were also used. Discussion. Health literacy and cultural competence are related. Applying Campinha-Bacote's Process of Cultural Competence Model using the mnemonic ASKED (awareness, skills, knowledge, encounters and desire) involves incorporating culturally appropriate assessments and disseminating healthcare information at lower literacy levels and is needed for nurses to provide care for ethnic minorities and diverse populations. Implications for nursing. Health literacy should be assessed and care should be based on a client's level of understanding and cultural values and norms.
Nurses can care for ethnic minorities by using resources that target health literacy deficits and by increasing their own cultural competence.
本文探讨了护理实践中健康素养与文化能力之间的关系。
文化能力涉及理解不同群体的价值观、信仰、传统和习俗。健康素养是指个体获取、处理和理解健康信息以做出医疗保健决策的程度。文化能力和健康素养与医疗保健直接相关。坎皮纳-巴科特的文化能力模型可以帮助护士解决与个人健康素养低相关的文化问题。
使用 CINAHL、ERIC、Academic Search Premier、Health Source Nursing、MasterFILE Premier 和 Academic OneFile 进行文献检索。综述中所有的文章都发表在 20 世纪 90 年代至今的同行评议的英文期刊上,与护理中的健康素养和文化能力相关。还使用了书籍和其他支持性的学术资源。
健康素养和文化能力是相关的。应用坎皮纳-巴科特的文化能力模型(使用记忆术 ASKED(意识、技能、知识、接触和愿望))包括在较低文化素养水平下进行文化适宜性评估和传播医疗保健信息,这是护士为少数民族和不同人群提供护理所必需的。
应评估健康素养,并应根据患者的理解水平和文化价值观和规范来提供护理。
护士可以通过利用针对健康素养缺陷的资源并提高自身的文化能力来照顾少数民族。