Department of Nursing and Midwifery, Health Science Building, University of Limerick, Castletroy, Limerick, Ireland.
Formerly, School of Health and Social Sciences, Middlesex University, London, United Kingdom.
Nurse Educ Pract. 2020 Mar;44:102751. doi: 10.1016/j.nepr.2020.102751. Epub 2020 Feb 29.
This article provides a critical review of how grounded theory methodology was used to explore student and registered nurses' experiences of caring for culturally diverse patients, as part of a doctorate of philosophy. It illustrates how a continuous cycle of data collection, constant comparative analysis and theoretical sampling was operationalised and explains how these methods were consistent with classic grounded theory methodology. It describes how a theory of resigned Indifference was generated, which explains how nurses used a raft of disengagement strategies as a means of dealing with their uncertainties, during cross cultural encounters. Disengagement was allowed and sometimes even facilitated within clinical practice and as a result nurses became indifferent to people they knew little about and appeared resigned that this was acceptable. This study highlights the need for greater consideration into how cultural competence development is taught, learnt and more importantly, applied in clinical practice. The detailed explanation of the methodology and methods used is intended to provide a practical guide for researchers considering using the methodology. It describes how new insights into nurses' behaviours towards culturally diverse patients were generated, which has relevance and utility for practising nurses and nurse educators.
本文批判性地回顾了扎根理论方法如何用于探索学生和注册护士在照顾文化多样化患者方面的经验，这是哲学博士的一部分。它说明了如何操作数据收集、不断比较分析和理论抽样的连续循环，并解释了这些方法如何与经典扎根理论方法保持一致。它描述了如何生成一种“无奈冷漠”的理论，该理论解释了护士在跨文化接触中如何使用一系列脱离接触策略来应对自己的不确定性。在临床实践中，脱离接触是被允许的，甚至有时是被促进的，因此护士对他们知之甚少的人变得漠不关心，并似乎默许这种情况是可以接受的。这项研究强调了需要更多地考虑如何教授、学习和更重要的是将文化能力发展应用于临床实践。对所使用的方法和方法的详细解释旨在为考虑使用该方法的研究人员提供实用指南。它描述了如何针对护士对文化多样化患者的行为产生新的见解，这对执业护士和护理教育者具有相关性和实用性。
