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为文化和语言多样化患者的护理人员开发教育材料:对护理人员对信息的需求、获取和理解进行定性分析得出的见解。

Developing education materials for caregivers of culturally and linguistically diverse patients: Insights from a qualitative analysis of caregivers' needs, access and understanding of information.

机构信息

Ingram School of Nursing, McGill University, Montréal, Québec, Canada.

McGill University Health Centre, Montréal, Québec, Canada.

出版信息

Health Expect. 2019 Jun;22(3):444-456. doi: 10.1111/hex.12867. Epub 2019 Feb 14.

Abstract

OBJECTIVES

To explore the information needs of caregivers of culturally and linguistically diverse (CALD) patients, and how they access and understand health information related to the management of their care person's chronic illness(es).

BACKGROUND

Caregivers of CALD patients experience greater unmet needs compared to the general caregiver population. They experience many challenges in identifying resources and accessing formal supports to aid in self-management behaviours.

METHODS

Eleven caregivers were recruited from outpatient clinics in Québec, Canada. Consenting caregivers participated in one face-to-face or phone interview. A qualitative descriptive design and inductive content analysis were used to identify themes.

RESULTS

Caregivers described a "village" approach to caregiving in which more than one individual was involved in patient care. The specific roles ascribed to caregivers defined their information needs. Caregivers described two categories of information needs: perceived and unperceived. Perceived information needs were explicit, and centred on the medical management of illnesses. Unperceived needs were unrecognized knowledge gaps that emerged during interviews and focused on self-care.

CONCLUSION

Although caregivers' perceived needs are often met, their unperceived needs remain unmet. Health-care providers should perform need assessments to identify caregivers' unperceived needs, with the aims of providing culturally competent care and ongoing support.

摘要

目的

探讨文化和语言多样化(CALD)患者照顾者的信息需求,以及他们如何获取和理解与管理其照顾者慢性疾病相关的健康信息。

背景

与一般照顾者群体相比,CALD 患者的照顾者有更多未满足的需求。他们在识别资源和获得有助于自我管理行为的正式支持方面面临诸多挑战。

方法

从加拿大魁北克的门诊诊所招募了 11 名照顾者。同意参与的照顾者参加了一次面对面或电话访谈。采用定性描述设计和归纳内容分析来确定主题。

结果

照顾者描述了一种“村落”式的照顾方式,其中不止一个人参与患者的护理。照顾者被赋予的特定角色定义了他们的信息需求。照顾者描述了两类信息需求:感知到的和未感知到的。感知到的信息需求是明确的,集中在疾病的医疗管理上。未感知到的需求是在访谈中出现的、未被认识到的知识空白,侧重于自我护理。

结论

尽管照顾者的感知需求通常得到满足,但他们的未感知需求仍然未得到满足。医疗保健提供者应进行需求评估,以确定照顾者的未感知需求,旨在提供文化上合适的护理和持续的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6543161/c90d341866e4/HEX-22-444-g001.jpg

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