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弗拉芒地区肿瘤医护人员对非西方血统患者护理的看法。

Perspectives of oncology health workers in Flanders on caring for patients of non-Western descent.

作者信息

van Eechoud I, Grypdonck M, Leman J, Verhaeghe S

机构信息

Department of Social Work and Diversity & Intercultural Mediation, University Hospital Ghent, Ghent, Belgium.

Department of Public Health, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.

出版信息

Eur J Cancer Care (Engl). 2017 Nov;26(6). doi: 10.1111/ecc.12481. Epub 2016 Mar 7.

Abstract

This study was undertaken to gain insight in the views and experiences of oncology healthcare providers in Flanders, the Dutch-speaking part of Belgium, on caring for patients of non-Western descent. A qualitative research design with the constant comparative method was used. Data were collected through five focus group interviews, with 23 oncology health workers as participants. Barriers and difficulties were paramount in the provision of care to patients of non-Western descent. Participants want to act according to their professional standards, which call for treating all patients equally and providing appropriate care. However, a focus on medical aspects occurs, wherein 'cure' takes precedence over 'care', when participants were not willing or not fully able to overcome barriers. This results in feelings of inadequacy in those participants who equate professional standards to care of equal quality. Participants who interpreted their professional standard as equivalent care were irritated by 'these' patients who restrained them from providing appropriate care. The findings indicate that professional standards provide protection against possible discrimination that may result from personal beliefs. Extending professional standards from 'treating all patients equally' to 'care attuned to each patient' might be a way to prevent 'cure' taking precedence over 'care'.

摘要

本研究旨在深入了解比利时弗拉芒地区(荷语区)肿瘤医疗服务提供者在照顾非西方血统患者方面的观点和经历。采用了恒定比较法的定性研究设计。通过五次焦点小组访谈收集数据,共有23名肿瘤医护人员参与。在为非西方血统患者提供护理时,障碍和困难至关重要。参与者希望按照他们的专业标准行事,这些标准要求平等对待所有患者并提供适当的护理。然而,当参与者不愿意或无法完全克服障碍时,就会出现对医疗方面的关注,其中“治愈”优先于“护理”。这导致那些将专业标准等同于同等质量护理的参与者产生不足感。那些将其专业标准解释为同等护理的参与者会被“这些”阻碍他们提供适当护理的患者激怒。研究结果表明,专业标准可防止因个人信念可能导致的歧视。将专业标准从“平等对待所有患者”扩展到“根据每位患者调整护理”可能是防止“治愈”优先于“护理”的一种方法。

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