a Faculty of Social Work , University of Calgary, Central and Northern Alberta Region , Edmonton , Alberta , Canada.
Soc Work Health Care. 2014;53(2):135-55. doi: 10.1080/00981389.2013.864377.
Culturally competent health care is of critical importance; however, it is presented as a frequent challenge in health care settings. This study explored cross-cultural care from the health care provider perspective within two tertiary level Neonatal Intensive Care Units (NICUs). Fifty eight inter-professional health care providers (HCP) participated in focus groups. Participants identified perceived care-related experiences of newly immigrated parents whose infant received care in the NICU as well as health care provider perspectives on delivering that care. Results identified core processes of "connection" and "disconnection," which appeared to have a substantial bearing on NICU experience and interaction. Connection comprised congruity, synergy, and "fit," and resulted in an enhanced relationship between the family and HCP. Disconnection, in contrast, entailed a lack of "fit" and in some cases, misunderstanding and/or conflict between the family and a member or members of the health care team. Connection and disconnection occurred at various junctures of NICU care. These junctures reflected interaction between the family and HCP at the bedside and/or at the level of the unit, hospital, or community at large. Implications for practice, policy, and research are discussed.
文化能力的医疗保健至关重要；然而，在医疗保健环境中，它被认为是一个常见的挑战。本研究从两个三级新生儿重症监护病房（NICU）的医疗保健提供者角度探讨了跨文化护理。58 名跨专业医疗保健提供者（HCP）参加了焦点小组。参与者确定了新移民父母在 NICU 接受护理时的护理相关体验，以及医疗保健提供者对提供这种护理的看法。研究结果确定了“联系”和“脱节”的核心过程，这似乎对 NICU 的体验和互动有很大影响。联系包括一致性、协同作用和“契合”，并增强了家庭和 HCP 之间的关系。相比之下，脱节意味着缺乏“契合”，在某些情况下，家庭和医疗保健团队的成员之间会出现误解和/或冲突。联系和脱节发生在 NICU 护理的不同阶段。这些阶段反映了家庭和 HCP 在床边和/或在单位、医院或整个社区层面的互动。讨论了对实践、政策和研究的影响。
