Ezenkwele Ugo A, Roodsari Gholamreza S
Woodhull Medical and Mental Health Center, New York University School of Medicine, Brooklyn, New York 11206, USA.
J Emerg Med. 2013 Aug;45(2):168-74. doi: 10.1016/j.jemermed.2012.11.077. Epub 2013 Mar 9.
Cultural competency is crucial to the delivery of optimal medical care. In Emergency Medicine, overcoming cultural barriers is even more important because patients might use the Emergency Department (ED) as their first choice for health care. At least 2.2 million Muslims from Middle Eastern background live in the United States.
We wanted to create a succinct guideline for Emergency care providers to overcome cultural barriers in delivering care for this unique population.
A compensative search on medical and health databases was performed and all the articles related to providing healthcare for Muslim-Americans were reviewed.
The important cultural factors that impact Emergency care delivery to this population include norms of modesty; gender role; the concept of God's will and its role in health, family structure, prohibition of premarital and extramarital sex; Islamic rituals of praying and fasting; Islamic dietary codes; and rules related to religious cleanliness.
The Muslim-American community is a fast-growing, under-studied population. Cultural awareness is essential for optimal delivery of health care to this minority. We have created a succinct guideline that can be used by Emergency Care providers to overcome cultural barriers. However, it is important to consider the heterogeneity and diversity of this population and to use this guideline on an individual basis.
文化能力对于提供优质医疗服务至关重要。在急诊医学中，克服文化障碍更为重要，因为患者可能会将急诊科（ED）作为他们首选的医疗保健场所。至少有220万来自中东背景的穆斯林生活在美国。
我们希望为急诊护理人员制定一份简洁的指南，以帮助他们在为这一特殊人群提供护理时克服文化障碍。
对医学和健康数据库进行了补充检索，并对所有与为美国穆斯林提供医疗保健相关的文章进行了审查。
影响为这一人群提供急诊护理的重要文化因素包括谦逊规范、性别角色、神意概念及其在健康中的作用、家庭结构、婚前和婚外性行为的禁忌、祈祷和禁食的伊斯兰仪式、伊斯兰饮食规范以及与宗教清洁相关的规则。
美国穆斯林社区是一个快速增长但研究不足的人群。文化意识对于为这一少数群体提供最佳医疗保健至关重要。我们制定了一份简洁的指南，急诊护理人员可利用它来克服文化障碍。然而，重要的是要考虑到这一人群的异质性和多样性，并根据个人情况使用本指南。
