Xiao Lily Dongxia, Willis Eileen, Harrington Ann, Gillham David, De Bellis Anita, Morey Wendy, Jeffers Lesley
School of Nursing and Midwifery, Flinders University, Adelaide, SA, Australia.
School of Health Sciences, Flinders University, Adelaide, SA, Australia.
Nurs Inq. 2018 Jan;25(1). doi: 10.1111/nin.12208. Epub 2017 Jun 14.
Cultural diversity between residents and staff is significant in aged care homes in many developed nations in the context of international migration. This diversity can be a challenge to achieving effective cross-cultural communication. The aim of this study was to critically examine how staff and residents initiated effective cross-cultural communication and social cohesion that enabled positive changes to occur. A critical hermeneutic analysis underpinned by Giddens' Structuration Theory was applied to the study. Data were collected by interviews with residents or their family and by focus groups with staff in four aged care homes in Australia. Findings reveal that residents and staff are capable of restructuring communication via a partnership approach. They can also work in collaboration to develop communication resources. When staff demonstrate cultural humility, they empower residents from culturally and linguistically diverse backgrounds to engage in effective communication. Findings also suggest that workforce interventions are required to improve residents' experiences in cross-cultural care. This study challenges aged care homes to establish policies, criteria and procedures in cross-cultural communication. There is also the challenge to provide ongoing education and training for staff to improve their cross-cultural communication capabilities.
在国际移民的背景下，许多发达国家的养老院中，居民与工作人员之间的文化多样性十分显著。这种多样性对于实现有效的跨文化交流而言可能是一项挑战。本研究的目的是批判性地审视工作人员和居民如何发起有效的跨文化交流及社会凝聚力，从而促成积极的变化。本研究采用了以吉登斯结构化理论为基础的批判性诠释分析方法。通过对澳大利亚四家养老院的居民或其家属进行访谈以及与工作人员开展焦点小组讨论来收集数据。研究结果表明，居民和工作人员有能力通过伙伴关系的方式重构交流。他们还能够合作开发交流资源。当工作人员展现出文化谦逊时，他们就能使来自不同文化和语言背景的居民参与到有效的交流中。研究结果还表明，需要采取劳动力干预措施来改善居民在跨文化护理方面的体验。本研究促使养老院制定跨文化交流的政策、标准和程序。此外，还面临着为工作人员提供持续教育和培训以提高其跨文化交流能力的挑战。
