Ogbolu Yolanda, Scrandis Debra A, Fitzpatrick Grace
Baltimore School of Nursing, University of Maryland, Baltimore, MD, USA.
J Nurs Manag. 2018 Jan;26(1):3-10. doi: 10.1111/jonm.12498. Epub 2017 Oct 27.
To examine chief nurse executives' perspectives on: (1) the provision of culturally and linguistically appropriate services in hospitals and (2) to identify barriers and facilitators associated with the implementation of culturally and linguistically appropriate services.
Hospitals continue to face challenges providing care to diverse patients. The uptake of standards related to culturally and linguistically appropriate services into clinical practice is sluggish, despite potential benefits, including reducing health disparities, patient errors, readmissions and improving patient experiences.
A qualitative study with chief nurse executives from one eastern United States (US). Data were analysed using content analysis.
Seven themes emerged: (1) lack of awareness of resources for health care organisations; (2) constrained cultural competency training; (3) suboptimal resources (cost and time); (4) mutual understanding; (5) limited workplace diversity; (6) community outreach programmes; and (7) the management of unvoiced patient expectations.
As the American population diversifies, providing culturally and linguistically appropriate services remains a priority for nurse leaders. Being aware and utilizing the resources, policies and best practices available for the implementation of culturally and linguistically appropriate services can assist nursing managers in reaching their goals of providing high quality care to diverse populations.
Nurse managers are key in aligning the unit's resources with organisational goals related to the provision of culturally and linguistically appropriate services by providing the operational leadership to eliminate barriers and to enhance the uptake of best practices related to culturally and linguistically appropriate services.
探讨护士长对以下方面的看法：（1）医院提供文化和语言适宜服务的情况；（2）确定与实施文化和语言适宜服务相关的障碍和促进因素。
医院在为多样化患者提供护理方面持续面临挑战。尽管文化和语言适宜服务相关标准可能带来诸多益处，包括减少健康差距、患者差错、再入院率以及改善患者体验，但这些标准在临床实践中的应用进展缓慢。
对来自美国东部某一地区的护士长进行定性研究。采用内容分析法对数据进行分析。
出现了七个主题：（1）医疗机构对资源缺乏认知；（2）文化能力培训受限；（3）资源（成本和时间）不理想；（4）相互理解；（5）工作场所多样性有限；（6）社区外展项目；（7）未表达的患者期望的管理。
随着美国人口多样化，提供文化和语言适宜服务仍是护理领导者的首要任务。了解并利用可用于实施文化和语言适宜服务的资源、政策和最佳实践，有助于护理管理者实现为多样化人群提供高质量护理的目标。
护理管理者对于使科室资源与提供文化和语言适宜服务的组织目标保持一致至关重要，他们需提供运营层面的领导，消除障碍，促进与文化和语言适宜服务相关的最佳实践的应用。
