Gergely Susan Williamson
Author Affiliation: Senior Vice President, Chief People Officer, American Hospital Association; and Former Chief Operating Officer and Acting Chief Executive Officer, American Organization of Nurse Executives, Chicago, Illinois.
J Nurs Adm. 2018 Oct;48(10):474-477. doi: 10.1097/NNA.0000000000000654.
Healthcare disparities for racial and ethnic minority patients are a serious issue in the United States. Although socioeconomic factors are a key contributor to these disparities, there are many other influences, related to the patient, system, and provider. A key strategy to address provider-related factors is to assess the cultural competence of caregivers. Utilizing a survey and interviews of AONE members, this study explored the influences affecting the ability of nurse leaders to lead their teams in providing culturally competent care. The study found that nurse leaders need a deeper understanding of the presence of healthcare disparities for racial and ethnic minority patients, more formalized training, and increased opportunities to reflect on their own abilities and potential for bias. Cultural competence must be a strategic priority, providing resources for training, and by holding leaders accountable to improve the level of cultural competence of their teams.
在美国，种族和少数民族患者面临的医疗保健差异是一个严重问题。虽然社会经济因素是这些差异的关键因素，但还有许多其他与患者、系统和提供者相关的影响因素。解决与提供者相关因素的一个关键策略是评估护理人员的文化能力。本研究通过对美国护理行政主管协会（AONE）成员进行调查和访谈，探讨了影响护士领导者带领团队提供具有文化能力护理的因素。研究发现，护士领导者需要更深入地了解种族和少数民族患者所面临的医疗保健差异，接受更正规的培训，并增加反思自身能力和潜在偏见的机会。文化能力必须成为一项战略重点，提供培训资源，并要求领导者对提高其团队的文化能力水平负责。
