Alizadeh Somayeh, Chavan Meena
Marketing and Management, Macquarie University, Sydney, New South Wales, Australia.
Health Soc Care Community. 2016 Nov;24(6):e117-e130. doi: 10.1111/hsc.12293. Epub 2015 Oct 26.
It has been widely suggested that cultural competence is an individual's core requirement for working effectively with culturally diverse people. However, there is no consensus regarding the definition or the components of this concept and there is a dearth of empirical proof indicating the benefits of cultural competence. Therefore, a systematic review was conducted to identify the most common cultural competence dimensions proposed in recent publications and to identify whether sufficient evidence exists regarding the efficacy of cultural competence in the healthcare context. A total of 1204 citations were identified through an electronic search of databases, of which 18 publications included cultural competence frameworks, and 13 studies contained empirical data on cultural competence outcomes. The overarching themes of the review were centred around the challenges faced by the healthcare sector in many countries due to growing cultural diversity, but lack of cultural competence, leading to predicaments that arise during intercultural interactions between patients and clinicians. This review will benefit researchers exploring cultural competence as one of the research variables impacting research outcomes.
人们普遍认为，文化能力是个人与文化背景多样的人有效合作的核心要求。然而，对于这一概念的定义或组成部分尚未达成共识，而且缺乏实证证据表明文化能力的益处。因此，进行了一项系统综述，以确定近期出版物中提出的最常见的文化能力维度，并确定在医疗保健背景下是否存在关于文化能力有效性的充分证据。通过对数据库的电子检索共识别出1204条引文，其中18篇出版物包含文化能力框架，13项研究包含关于文化能力结果的实证数据。综述的总体主题围绕许多国家医疗保健部门因文化多样性不断增加但缺乏文化能力而面临的挑战，这些挑战导致患者与临床医生之间跨文化互动中出现困境。本综述将有助于研究人员将文化能力作为影响研究结果的研究变量之一进行探索。
