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与来自其他文化背景患者建立关怀关系中的文化和沟通能力。

Cultural and communicative competence in the caring relationship with patients from another culture.

作者信息

Hemberg Jessica Anne Viveka, Vilander Susann

机构信息

Department of Caring Sciences, Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland.

出版信息

Scand J Caring Sci. 2017 Dec;31(4):822-829. doi: 10.1111/scs.12403. Epub 2017 Feb 24.

Abstract

BACKGROUND

The global and multicultural society of today creates challenges that require multicultural competence among individuals, especially within caring contexts.

AIMS AND OBJECTIVES

This study assumes an intercultural perspective, and the aim is to uncover a new understanding of the caring community between nurses and patients when these do not speak the same language. The research question is: What is the significance of communication in a caring community when nurses and patients do not speak the same language?

METHODOLOGICAL DESIGN AND METHOD

This qualitative study uses a hermeneutical approach. The material was collected through questionnaires with eight nurses and two adults from another culture. The texts were analysed through latent content analysis.

ETHICAL ISSUES AND APPROVAL

Study participation, data storage and handling for research purposes were approved by the participants when they provided their informed consent. Permission to conduct the study was granted by an ethical committee of a hospital organisation.

RESULTS

Human love is the basis for a caring relationship since it reaches beyond the limits of cultural differences. Integrity is vital for cultural respect and especially for the consideration of spiritual needs in the caring relationship. An affirming presence is essential for communion. Creative courage is fundamental for communication, and continuous information is vital for establishing trust within the caring relationship.

STUDY LIMITATIONS

One limitation to this study might be the limited number of participants (ten).

CONCLUSIONS

Caring for a patient from another culture requires that nurses are open-minded and have the courage to encounter new challenges. It is essential for nurses to respect the patient's integrity but also to acquire knowledge in order to improve their cultural competence. Further research within this area should focus on the role of next of kin in intercultural caring and on how leadership may contribute to improving cultural competence within health organisations.

摘要

背景

当今全球化和多元文化的社会带来了诸多挑战,这要求个人具备多元文化能力,尤其是在护理环境中。

目的

本研究采用跨文化视角,旨在揭示当护士和患者语言不通时,对护理社区的全新理解。研究问题是:当护士和患者语言不通时,沟通在护理社区中有何意义?

方法设计与方法

本定性研究采用诠释学方法。材料通过对八名护士和两名来自其他文化背景的成年人进行问卷调查收集。文本通过潜在内容分析进行分析。

伦理问题与批准

研究参与、为研究目的进行的数据存储和处理在参与者提供知情同意时得到批准。开展本研究的许可由一家医院组织的伦理委员会授予。

结果

人类之爱是护理关系的基础,因为它超越了文化差异的界限。正直对于文化尊重至关重要,尤其对于在护理关系中考虑精神需求而言。肯定的陪伴对于交流至关重要。创造性勇气是沟通的根本,持续的信息对于在护理关系中建立信任至关重要。

研究局限性

本研究的一个局限性可能是参与者数量有限(十名)。

结论

护理来自其他文化背景的患者要求护士思想开放并勇于面对新挑战。护士尊重患者的正直固然重要,但获取知识以提高其文化能力也必不可少。该领域的进一步研究应关注近亲在跨文化护理中的作用以及领导力如何有助于提高卫生组织内的文化能力。

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