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文化胜任力模型在护理专业人员基层医疗护理服务体验中的应用

[Application of the cultural competence model in the experience of care in nursing professionals Primary Care].

作者信息

Gil Estevan María Dolores, Solano Ruíz María Del Carmen

机构信息

Departamento de Salud de Elda, HGU de Elda, Alicante, España.

Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Alicante, Alicante, España.

出版信息

Aten Primaria. 2017 Nov;49(9):549-556. doi: 10.1016/j.aprim.2016.10.013. Epub 2017 Jun 11.

Abstract

OBJECTIVE

To know the experiences and perceptions of nurses in providing care and health promotion, women belonging to groups at risk of social vulnerability, applying the model of cultural competence Purnell.

DESIGN

Phenomenological qualitative study.

LOCATION

Department of Health Elda.

PARTICIPANTS

A total of 22 primary care professional volunteers.

METHOD

Semi-structured interviews and focus groups with recording and content analysis, according to the theory model of cultural competence.

RESULTS

Socio-cultural factors influence the relationship between professionals and users of the system. The subtle racism and historical prejudices create uncomfortable situations and mistrust. The language barrier makes it difficult not only communication, but also the monitoring and control of the health-disease process. The physical appearance and stereotypes are determining factors for primary care professionals. Although perceived misuse of health services are also talking about changes. The spiritual aspects of religious beliefs alone are taken into account in the case of Muslim women, not being considered as important in the case of Gypsy women and Romanian women.

CONCLUSIONS

To provide quality care, consistent and culturally competent, it is necessary to develop training programs for professionals in cultural competence, to know the culture of other, and work without preconceived ideas, and ethnocentric; since the greater the knowledge of the cultural group being served, the better the quality of care provided.

摘要

目的

运用普尔内尔文化能力模型,了解护士在为处于社会脆弱风险群体的女性提供护理和健康促进方面的经验与认知。

设计

现象学定性研究。

地点

埃尔达卫生部门。

参与者

共22名基层医疗专业志愿者。

方法

根据文化能力理论模型,进行半结构化访谈和焦点小组讨论,并进行记录和内容分析。

结果

社会文化因素影响着专业人员与系统使用者之间的关系。微妙的种族主义和历史偏见造成了令人不适的情况和不信任。语言障碍不仅使沟通困难,也给健康-疾病过程的监测和控制带来难题。外貌和刻板印象是基层医疗专业人员的决定因素。尽管也提到了对医疗服务的不当使用情况有所变化。仅在穆斯林女性的案例中考虑宗教信仰的精神层面,而在吉普赛女性和罗马尼亚女性的案例中则不认为其重要。

结论

为提供高质量、连贯且具备文化能力的护理,有必要为专业人员开展文化能力培训项目,了解其他文化,摒弃先入为主的观念和民族中心主义;因为对所服务文化群体的了解越多,提供的护理质量就越高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03d9/6876046/1c010796ca5d/gr1.jpg

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