Minnesota State University Mankato, Mankato, MN, USA.
J Transcult Nurs. 2019 Nov;30(6):576-586. doi: 10.1177/1043659619828054. Epub 2019 Feb 9.
The purpose of this study was to describe basic palliative care from the acute care nurses' perspective with consideration for culturally diverse populations. Participants focused their responses based on their experiences with Hmong patients. The concept of cultural safety was explored to improve basic palliative care practice in acute care settings. A qualitative approach was utilized. Thirty-four nurses participated in either focus group or individual interviews. Assisting tradition, understanding culture, and managing language barriers were identified as themes unique to providing basic palliative care to Hmong patients. Nurses experienced uncertainty and inadequacy of resources when caring for patients from a Hmong background. Nurses also recognized the strong family ties in this specific population and the importance of supporting tradition while in the hospital. Utilizing Wood and Schwass' framework of cultural safety could guide nurses providing basic palliative care to Hmong patients and other culturally diverse patients.
本研究旨在从急症护理护士的角度描述基本的姑息治疗，并考虑到文化多元化的人群。参与者根据他们与苗族患者的经验集中回答问题。探讨了文化安全的概念，以改善急症护理环境中的基本姑息治疗实践。采用了定性方法。34 名护士参加了焦点小组或个人访谈。根据传统提供帮助、理解文化和管理语言障碍被确定为为苗族患者提供基本姑息治疗的独特主题。护士在照顾苗族背景的患者时感到不确定和资源不足。护士还认识到这个特定人群中强烈的家庭关系，以及在医院中支持传统的重要性。利用伍德和施瓦斯的文化安全框架可以指导为苗族患者和其他文化多元化患者提供基本姑息治疗的护士。
