Discipline of Nursing, College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Western Australia, Australia.
Int J Ment Health Nurs. 2019 Oct;28(5):1110-1118. doi: 10.1111/inm.12622. Epub 2019 Jun 17.
The population of overseas-born Australians continues to grow including the recent increase of immigrants and refugees from African countries. Due to this increase, healthcare services need to assess if current available services are culturally appropriate for African immigrant inpatients. This qualitative study, with a quality improvement focus, examined current services to identify key service gaps and consider recommendation to improve care of African immigrant mental health inpatients in the hospital from the point of view of staff working within the organisation. What was revealed is that services currently offered to African mental health inpatients were culturally inappropriate. Emerging themes included inadequate interpreter services, lack of cultural awareness staff training, lack of organisation link with other services, unmet spiritual needs, use of staff/families as interpreters, culturally inappropriate information, and lack of or inadequate culturally appropriate policies and framework. Changes to current practices are recommended to provide culturally appropriate mental health care to African inpatients.
海外出生的澳大利亚人数量持续增长，包括最近来自非洲国家的移民和难民人数增加。由于这种增长，医疗保健服务需要评估当前可用的服务是否对非洲移民住院患者具有文化适宜性。这项以质量改进为重点的定性研究检查了当前的服务，以确定关键的服务差距，并考虑从组织内工作人员的角度提出改善医院中非洲移民精神健康住院患者护理的建议。结果显示，目前为非洲精神健康住院患者提供的服务在文化上是不适当的。出现的主题包括口译服务不足、缺乏文化意识的员工培训、缺乏与其他服务的组织联系、未满足的精神需求、使用员工/家属作为口译员、文化上不适当的信息，以及缺乏或不充分的文化上适当的政策和框架。建议对当前的做法进行更改，以向非洲住院患者提供文化上适当的精神保健服务。
