1 University of Tasmania, Hobart, Tasmania, Australia.
J Transcult Nurs. 2018 Nov;29(6):570-577. doi: 10.1177/1043659618768702. Epub 2018 Apr 5.
The purpose of this study was to explore perceived barriers to managing medications and potential solutions to such barriers among Bhutanese former refugees and service providers in Tasmania, Australia.
Thirty Bhutanese former refugees and service providers recruited through community health programs participated in a community-based participatory research design. Data were elicited through a structured focus group process and analyzed using content analysis.
Perceived barriers to managing medications included language barriers, low health literacy, and culturally unresponsive interactions with services. Themes identifying potential solutions to barriers referred to the functional health literacy of individuals (providing reassurance, checking understanding, and involving support networks) and creating supportive health care environments (consistent service providers, culturally responsive care, assistance navigating services, using trained interpreters).
Creating environments conducive to interactive and critical health literacy about medications is as important for culturally congruent care as supporting the functional health literacy of individuals.
本研究旨在探索在澳大利亚塔斯马尼亚州，不丹前难民和服务提供者在管理药物方面所面临的障碍和潜在解决方案。
通过社区健康项目招募了 30 名不丹前难民和服务提供者，参与了基于社区的参与式研究设计。通过结构化的焦点小组过程收集数据，并使用内容分析进行分析。
管理药物方面的障碍包括语言障碍、健康素养低以及与服务的文化不适应互动。解决障碍的主题涉及个人的功能性健康素养（提供保证、检查理解和涉及支持网络）和创造支持性的医疗保健环境（一致的服务提供者、文化响应式护理、协助服务导航、使用受过培训的口译员）。
创造有利于药物交互和批判性健康素养的环境，对于文化一致的护理与支持个人的功能性健康素养同样重要。
