Cancer Nursing Research Unit, Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Discipline of Work and Organisational Studies, Business School, The University of Sydney, Darlington, NSW, Australia.
J Adv Nurs. 2021 Sep;77(9):3618-3629. doi: 10.1111/jan.14814. Epub 2021 Feb 21.
To identify and analyse the cultural attitudes, beliefs and practices of internationally educated nurses towards end-of-life care in the context of cancer.
Cultural heritage shape beliefs and practices about cancer and end of life, which complicates nursing care delivery. While previous studies centred on diverse patients' perspectives and cultural competence of healthcare professionals, little analysis available focusing on the cultural attitudes and beliefs of care providers from diverse backgrounds.
Mixed methods systematic review.
CINAHL, MEDLINE, Embase, PsychINFO and Scopus were searched between January and March 2020. No date limit was applied.
Quality appraisal was conducted using the mixed-method appraisal tool. Convergent segregated synthesis was undertaken. Findings were thematically synthesised with the final synthesis presented narratively.
Seven studies were included: three qualitative, two quantitative and two mixed methods. None of the studies focused on the end-of-life care experiences of IENs in the context of cancer. One study reported views on cancer, with all studies analysing the cultural attitudes, beliefs and practices of internationally educated nurses towards end-of-life care. Three main themes were identified: the philosophy of care, approaches to care and perceptions of death and dying.
The distinct gap in research on understanding the cultural attitudes and beliefs of internationally educated nurses in end-of-life care in the context of cancer demands further research. Several aspects of end-of-life care were in conflict with internationally educated nurses' cultural attitudes, beliefs and practices. As these nurses are integral in achieving culturally competent care, further understanding of this phenomenon is required to advance the delivery of culturally sensitive care to patients.
Stakeholders, including the nursing workforce, need to play an active role in providing a culturally inclusive workplace. Support measures are necessary to reduce the impact of cultural conflicts experienced by internationally educated nurses.
在癌症背景下，识别和分析具有国际教育背景的护士对临终关怀的文化态度、信仰和实践。
文化遗产塑造了人们对癌症和生命末期的信仰和实践，这使护理服务的提供变得复杂。虽然之前的研究集中在不同患者的观点和医疗保健专业人员的文化能力上，但很少有分析关注来自不同背景的护理提供者的文化态度和信仰。
混合方法系统评价。
在 2020 年 1 月至 3 月期间，在 CINAHL、MEDLINE、Embase、PsychINFO 和 Scopus 中进行了搜索。未应用日期限制。
使用混合方法评价工具进行质量评价。进行了汇聚分离综合。通过主题综合对研究结果进行了分析，并以叙述的方式呈现了最终的综合结果。
共纳入 7 项研究：3 项定性研究、2 项定量研究和 2 项混合方法研究。没有一项研究专门关注具有国际教育背景的护士在癌症背景下的临终关怀体验。有一项研究报告了对癌症的看法，所有研究都分析了具有国际教育背景的护士对临终关怀的文化态度、信仰和实践。确定了三个主要主题：护理理念、护理方法和对死亡的看法。
在癌症背景下，了解具有国际教育背景的护士对临终关怀的文化态度和信仰方面存在明显差距，需要进一步研究。临终关怀的几个方面与具有国际教育背景的护士的文化态度、信仰和实践相冲突。由于这些护士是实现文化能力护理的重要组成部分，因此需要进一步了解这一现象，以提高对患者的文化敏感护理的提供。
利益相关者，包括护理人员，需要在提供文化包容的工作场所方面发挥积极作用。需要采取支持措施来减少具有国际教育背景的护士所经历的文化冲突的影响。
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