The University of New South Wales, Australia.
RMIT University, Australia.
Health (London). 2020 Sep;24(5):552-571. doi: 10.1177/1363459319829192. Epub 2019 Feb 13.
In this article, we focus on developing a critical sociology of 'cultural and linguistic diversity' as evident in cancer care praxis, drawing on the perspectives of cancer care health professionals. Set within the context of increasing efforts on the part of healthcare providers to 'accommodate difference' and 'incorporate diversity', we aimed to utilise participants' accounts of practice to ask: how we and how we think about and operationalise 'culture' (if at all) in cancer care settings. Drawing on eight focus groups with doctors, nurses, allied health staff and multicultural community workers, here we explore their accounts of: othering and over-simplification; the role of absences in biographical reciprocity; intimacy, care and carelessness; and entanglements of culture with other aspects of the person. Based on their accounts, we argue for a broadening of the examination of the nexus of culture and care, to focus on the problematics of othering, intimacy, reciprocity and complexity.
在本文中,我们专注于发展一种批判性的“文化和语言多样性”社会学,这种多样性在癌症护理实践中显而易见,借鉴了癌症护理保健专业人员的观点。在医疗保健提供者越来越努力“适应差异”和“包容多样性”的背景下,我们旨在利用参与者对实践的描述来提出以下问题:我们如何以及我们是否考虑并在癌症护理环境中实施“文化”(如果有的话)。我们通过与医生、护士、辅助医疗人员和多元文化社区工作者进行的八个焦点小组探讨了他们对以下问题的看法:异化和过度简化;传记互惠中缺失的角色;亲密、关怀和粗心大意;以及文化与个人其他方面的纠缠。基于他们的描述,我们主张扩大对文化和关怀关系的研究,关注异化、亲密、互惠和复杂性的问题。