Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
J Clin Nurs. 2022 Jul;31(13-14):1850-1863. doi: 10.1111/jocn.15518. Epub 2020 Oct 15.
To explore how healthcare professionals in community-based dementia teams perceive their role in reaching and supporting family caregivers from minority ethnic backgrounds when caring for a family member suffering from dementia or cognitive impairment.
Despite increased focus on barriers to accessing the dementia healthcare service for family caregivers from minority ethnic backgrounds, the lack of knowledge on how to address these barriers in order to reach and support this group is evident.
The study has a qualitative, explorative design. The principles of consolidated criteria for reporting qualitative research (COREQ) were applied for reporting methods and findings.
Based on data from semi-structured interviews (n = 9) conducted in two large Norwegian municipalities, a thematic analysis influenced by Braun and Clarke was used. The analytical findings draw on Pierre Bourdieu's theoretical concepts of field, habitus and capital.
'The desire for a harmonious interaction' was identified as an overarching theme. However, while desirable, the analysis shows that healthcare professionals in community-based dementia teams do not always succeed in reaching and supporting family caregivers from minority ethnic backgrounds. The study reveals that the dementia healthcare service is a complex, normative and sometimes rigid system that requires a number of distinct attributes to navigate.
The different social structures within the dementia healthcare service can both create and retain barriers that prevent family caregivers from minority ethnic backgrounds from receiving support on their own terms.
A practical implication of allowing critical reflection on the dementia healthcare service is that it provides opportunities for discussion. Healthcare professionals in community-based dementia teams need to reflect on how normative ideals and 'taken-for-granted' mindsets can affect their ability to reach and support family caregivers from minority ethnic backgrounds.
探讨社区痴呆症团队中的医疗保健专业人员如何看待他们在照顾患有痴呆症或认知障碍的家庭成员时，在接触和支持少数族裔背景的家庭照顾者方面的角色。
尽管越来越关注少数族裔背景的家庭照顾者获得痴呆症医疗保健服务的障碍，但显然缺乏了解如何解决这些障碍以接触和支持这一群体的知识。
本研究采用定性、探索性设计。报告方法和发现应用了定性研究的统一标准报告（COREQ）原则。
基于在两个挪威大城市进行的半结构化访谈（n=9）的数据，采用受 Braun 和 Clarke 影响的主题分析。分析结果借鉴了 Pierre Bourdieu 的场域、惯习和资本的理论概念。
确定了“和谐互动的愿望”作为一个总体主题。然而，尽管这是可取的，但分析表明，社区痴呆症团队中的医疗保健专业人员并不总是能够接触和支持少数族裔背景的家庭照顾者。研究表明，痴呆症医疗保健服务是一个复杂的、规范性的、有时甚至是僵化的系统，需要具备多种不同的属性才能进行导航。
痴呆症医疗保健服务中的不同社会结构既可以创造又可以保留障碍，使少数族裔背景的家庭照顾者无法按照自己的条件获得支持。
允许对痴呆症医疗保健服务进行批判性反思的实际意义在于，它为讨论提供了机会。社区痴呆症团队中的医疗保健专业人员需要反思规范性理想和“想当然”的心态如何影响他们接触和支持少数族裔背景的家庭照顾者的能力。
