Research Center, Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.
School of Nursing, Wollongong University, Wollongong, New South Wales, Australia.
Nurs Crit Care. 2019 Jul;24(4):192-200. doi: 10.1111/nicc.12434. Epub 2019 May 24.
The death of a child is regarded as one of the most devastating events for a family. Families are reliant on nurses to not only provide end-of-life care but also to support and care for grieving families in a way that is sensitive to their cultural and religious needs and preferences.
The aim of this study was to explore the perceived impact and influence of cultural diversity on how neonatal and paediatric intensive care nurses care for Muslim families before and after the death of infants/children.
A qualitative descriptive approach was used in this study, conducted in Saudi Arabia.
Semi-structured interviews were used to gather data from a convenience sample of registered nurses working in neonatal and paediatric intensive care, with experience in providing end-of-life care. Interviews were conducted between July and November, 2018. Interviews were audio-recorded and transcribed for analysis.
Thirteen registered nurses participated; all were born overseas, identified with various faiths and spoke English in the workplace. A respect for diversity and care of the family was prioritized yet impacted by communication challenges. Caring and respect was demonstrated by facilitating important cultural and religious practices important in the Muslim faith. Self-care was identified as important, transcending the culturally diverse nature of the nursing workforce.
Significant challenges exist for a culturally diverse nursing workforce in providing care to a Saudi Muslim population of infants/children and families, before and after a death. Their overriding commitment to respect for others, and an openness to cultural diversity and difference, aided in overcoming the inherent challenges in providing culturally sensitive end-of-life care that meets the needs of Muslim families. These findings provide valuable insights for intensive care clinicians in other countries to address challenges associated with cultural diversity.
儿童的死亡被认为是家庭最具破坏性的事件之一。家庭依赖护士不仅提供临终关怀，而且还以对其文化和宗教需求和偏好敏感的方式支持和照顾悲痛欲绝的家庭。
本研究旨在探讨文化多样性对新生儿和儿科重症监护护士在婴儿/儿童死亡前后如何照顾穆斯林家庭的感知影响和影响。
本研究采用定性描述方法，在沙特阿拉伯进行。
使用半结构化访谈从在新生儿和儿科重症监护病房工作、有提供临终关怀经验的注册护士中方便抽样收集数据。访谈于 2018 年 7 月至 11 月进行。访谈进行了录音，并转录进行分析。
13 名注册护士参加了研究；他们都是海外出生的，信仰各不相同，在工作场所说英语。尊重多样性和照顾家庭被优先考虑，但受到沟通挑战的影响。通过促进穆斯林信仰中重要的文化和宗教习俗，表现出关怀和尊重。自我保健被认为是重要的，超越了护理劳动力的文化多样性。
在为婴儿/儿童和家庭提供临终关怀之前和之后，文化多元化的护理人员在为沙特穆斯林人口提供护理方面存在重大挑战。他们对尊重他人的坚定承诺，以及对文化多样性和差异的开放态度，有助于克服提供满足穆斯林家庭需求的文化敏感性临终关怀的固有挑战。这些发现为其他国家的重症监护临床医生提供了有价值的见解，以解决与文化多样性相关的挑战。
