Abudari Gassan, Hazeim Hassan, Ginete Gilda
King Faisal Specialist Hospital and Research Centre,Riyadh,Saudi Arabia.
Palliat Support Care. 2016 Dec;14(6):599-611. doi: 10.1017/S1478951516000249. Epub 2016 Apr 20.
The nursing profession demands knowledge, awareness, and experience regarding the ethnic, religious, cultural, and social constructs involved in patient care. Non-Muslim nurses must have theoretical and empirical insights into treatment methods and caring for terminally ill Muslim patients. In particular, non-Muslim nurses should acquire knowledge of Islamic rules and regulations. They should also be familiar with the unique religious and sociocultural practices that pertain to healthcare practices. Our study aimed to explore non-Muslim nurses' experiences in caring for terminally ill Muslim patients and their families regarding physical, social, cultural, spiritual, and religious practices. The study also sought to investigate the context or situations that influence these experiences as described by the nurses.
In this qualitative descriptive study, 10 nurses working in medical, oncology, and oncology/palliative care units in a tertiary care hospital in Saudi Arabia were interviewed. A modified Stevick-Colaizzi-Keen method was employed for data analysis.
Three main themes constituted the nurses' lived experiences: family matters, end-of-life practices, and nurse challenges. Cultural values, religious practices, and a family approach to the process of care influenced nurses' experiences. Issues related to an absence of palliative care integration and the unavailability of members in the interdisciplinary team also influenced their experiences. Nurses showed a lack of cultural knowledge of some practices due to a lack of awareness of cultural diversity and the unavailability of formal cultural education.
Provision of culturally competent care at the end of life for Muslim patients in Saudi Arabia requires a thoughtful understanding of religious and cultural practices as well as knowledge of the role of the family throughout the care process. The introduction of a cultural care nursing delivery model that incorporates a cultural education program with Islamic teachings and practices at its core is recommended.
护理行业要求具备有关患者护理中涉及的种族、宗教、文化和社会结构的知识、意识和经验。非穆斯林护士必须对治疗方法以及照顾晚期穆斯林患者有理论和实证方面的见解。特别是，非穆斯林护士应了解伊斯兰法律法规。他们还应熟悉与医疗保健实践相关的独特宗教和社会文化习俗。我们的研究旨在探索非穆斯林护士在照顾晚期穆斯林患者及其家庭时在身体、社会、文化、精神和宗教习俗方面的经历。该研究还试图调查护士所描述的影响这些经历的背景或情况。
在这项定性描述性研究中，对沙特阿拉伯一家三级护理医院的医疗、肿瘤和肿瘤/姑息治疗科室工作的10名护士进行了访谈。采用改良的Stevick-Colaizzi-Keen方法进行数据分析。
护士的生活经历主要由三个主题构成：家庭事务、临终实践和护士面临的挑战。文化价值观、宗教习俗以及家庭对护理过程的态度影响了护士的经历。与缺乏姑息治疗整合以及跨学科团队成员无法到位相关的问题也影响了他们的经历。由于缺乏文化多样性意识以及没有正规的文化教育，护士对一些习俗缺乏文化知识。
在沙特阿拉伯为穆斯林患者提供临终时具有文化胜任力的护理需要对宗教和文化习俗进行深入理解，以及了解家庭在整个护理过程中的作用。建议引入一种以文化教育项目为核心，融入伊斯兰教义和习俗的文化护理提供模式。
