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外国患者在韩国就医时所感知到的文化差异：工具开发与测量

Perceived cultural differences in healthcare for foreign patients visiting South Korea: tool development and measurement.

作者信息

Sung Sumi, Park Hyeoun-Ae

机构信息

College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.

出版信息

BMC Health Serv Res. 2019 Mar 28;19(1):197. doi: 10.1186/s12913-019-3965-9.

DOI:10.1186/s12913-019-3965-9
PMID:30922381
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6437978/
Abstract

BACKGROUND

We developed a 41-item tool measuring cultural differences in healthcare as perceived by foreign patients visiting South Korea.

METHODS

The tool was tested on 256 foreign patients who visited three tertiary hospitals in Seoul, South Korea. Content validity was explored by two physicians and eight nurses working in an international healthcare department. Structural validity was tested via exploratory factor analysis and by testing two hypotheses: (1) there are perceived cultural differences between the South Korean healthcare and those of foreign patients' home countries (one-sample t-test); and, (2) Perceived cultural differences vary among language groups (analysis of variance). We also calculated Cronbach's alpha.

RESULTS

The content validity index of the tool was 0.97. Exploratory factor analysis identified seven significant factors: hospital care and services, food, the healthcare system, communication, the healthcare facility, religion, and cultural values. The overall Cronbach's alpha for the tool was 0.96, indicating very high internal consistency. We found that foreign patients visiting South Korean hospitals perceived that the healthcare culture differed significantly from that of their home country. The perceived cultural differences varied significantly by language group.

CONCLUSIONS

Nurses can use our new tool to understand the cultural differences of foreign patients and provide them with culturally competent nursing care.

摘要

背景

我们开发了一种包含41个条目的工具，用于衡量来韩国就诊的外国患者所感知到的医疗保健文化差异。

方法

该工具在256名到韩国首尔的三家三级医院就诊的外国患者身上进行了测试。由在国际医疗保健部门工作的两名医生和八名护士探讨内容效度。通过探索性因素分析以及检验两个假设来测试结构效度：（1）韩国医疗保健与外国患者本国的医疗保健之间存在感知到的文化差异（单样本t检验）；以及（2）不同语言群体之间感知到的文化差异有所不同（方差分析）。我们还计算了克朗巴哈系数。

结果

该工具的内容效度指数为0.97。探索性因素分析确定了七个显著因素：医院护理与服务、食物、医疗保健系统、沟通、医疗保健设施、宗教和文化价值观。该工具的总体克朗巴哈系数为0.96，表明内部一致性非常高。我们发现，到韩国医院就诊的外国患者认为韩国的医疗保健文化与他们本国的有显著差异。不同语言群体之间感知到的文化差异有显著不同。

结论

护士可以使用我们的新工具来了解外国患者的文化差异，并为他们提供具有文化胜任力的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/6437978/f8fdc3c3e0b3/12913_2019_3965_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/6437978/f8fdc3c3e0b3/12913_2019_3965_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a37/6437978/f8fdc3c3e0b3/12913_2019_3965_Fig1_HTML.jpg

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