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护生的跨文化准备:对考察文化能力教育干预措施的证据的综合综述。

Intercultural readiness of nursing students: An integrative review of evidence examining cultural competence educational interventions.

作者信息

O'Brien Elizabeth-Mary, O' Donnell Claire, Murphy Jill, O' Brien Brid, Markey Kathleen

机构信息

University Hospital Limerick, Limerick, Ireland.

Department of Nursing and Midwifery, Faculty of Education and Health Sciences, University of Limerick, Ireland.

出版信息

Nurse Educ Pract. 2021 Jan;50:102966. doi: 10.1016/j.nepr.2021.102966. Epub 2021 Jan 5.

DOI:10.1016/j.nepr.2021.102966
PMID:33454512
Abstract

With the mounting reports of culturally insensitive care and the reported challenges nurses experience when caring for culturally diverse patients, developing the intercultural readiness of nursing students is a necessity. However, little is known as to the success of cultural competence educational interventions in undergraduate nursing curricula and there remains a lack of consensus within the literature as to how it should be structured, organised and facilitated. Incorporating an integrative review method, this study synthesised international research on educational interventions used in preparing student nurses to care for culturally diverse patients. A systematic literature search of all published studies between 2013 and 2017, in CINAHL, Scopus, Medline, PubMed, Embase, Cochrane, Education Source and PsycINFO databases were performed. The PRISMA checklist was used to guide the review process. Six hundred and twenty-four studies were screened for eligibility and the analysis of the fourteen included studies are presented within two overarching themes; increasing knowledge and understanding and developing commitment and confidence. Engaging student nurses in learning activities that augment their understanding of, and commitment to, providing culturally competent care must include a variety of integrated culturally responsive pedagogical approaches made explicit and continuously developed across all learning opportunities.

摘要

随着关于文化不敏感护理的报道越来越多,以及护士在护理文化背景多样的患者时所面临的挑战,培养护生的跨文化准备能力成为必要。然而,对于本科护理课程中文化能力教育干预的成效知之甚少,并且在文献中对于其应如何构建、组织和推进也缺乏共识。本研究采用综合评价方法,综合了关于用于培养护生护理文化背景多样患者的教育干预的国际研究。对2013年至2017年间发表在CINAHL、Scopus、Medline、PubMed、Embase、Cochrane、教育源和PsycINFO数据库中的所有已发表研究进行了系统的文献检索。使用PRISMA清单来指导评价过程。筛选了624项研究以确定其是否符合条件,并在两个总体主题下呈现了对14项纳入研究的分析;增加知识和理解以及培养承诺和信心。让护生参与学习活动,增强他们对提供文化胜任护理的理解和承诺,必须包括各种综合的文化响应式教学方法,这些方法要明确并在所有学习机会中持续发展。

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