Matteliano Mary A, Street Debra
Department of Rehabilitation Science, University at Buffalo, State University of New York, Buffalo, New York 14214-3079, USA.
J Am Acad Nurse Pract. 2012 Jul;24(7):425-35. doi: 10.1111/j.1745-7599.2012.00701.x. Epub 2012 Mar 29.
To document unique ways Nurse Practitioners (NPs) contribute to the delivery of culturally competent healthcare to diverse and underserved patient populations in urban primary care practices.
Data are from a multi-year, multi-site study and includes 50 intensive interviews with healthcare professionals and repeated observations at three urban primary health clinics in a Northeastern U.S. city.
Different healthcare professionals reported common perspectives on cultural competence dealing with distinctive patient communities, including altruistic motivations, advocacy, and addressing root causes while treating diverse patients. What made NPs distinct among healthcare workers in this study was the comprehensiveness of their cultural competence approaches, both in patient interactions and within healthcare teams. NPs established culturally sensitive partnerships with patients, encouraged self-advocacy, addressed contextual considerations, and adjusted practices to meet the patient needs. They also developed niches in multidisciplinary teams that emphasized holistic approaches to establish trust and to cross cultural boundaries, both with other health professionals and their diverse patients.
记录执业护士（NPs）在城市初级保健机构中，为不同的、服务不足的患者群体提供具有文化胜任力的医疗服务的独特方式。
数据来自一项多年、多地点的研究，包括对医疗保健专业人员的50次深入访谈，以及在美国东北部一个城市的三家城市初级保健诊所进行的反复观察。
不同的医疗保健专业人员在应对不同患者群体的文化胜任力方面表达了共同观点，包括利他动机、倡导以及在治疗不同患者时解决根本原因。在本研究中，执业护士在医护人员中与众不同之处在于他们文化胜任力方法的全面性，无论是在患者互动还是在医疗团队内部。执业护士与患者建立了具有文化敏感性的伙伴关系，鼓励自我倡导，考虑背景因素，并调整做法以满足患者需求。他们还在多学科团队中发挥了独特作用，强调采用整体方法与其他健康专业人员及其不同患者建立信任并跨越文化界限。
