Faculty of Social Sciences, School of Social Work, Ariel University, Ariel 40700, Israel.
Quality Assurance Department Patient Report Outcome Measures, Sheba Medical Center, Tel Ha Shomer 52620, Israel.
Int J Environ Res Public Health. 2021 Jun 16;18(12):6496. doi: 10.3390/ijerph18126496.
People from different cultures are often hospitalized while the staff treating them do not have sufficient knowledge about the attitudes and feelings of the patients regarding culture and health. To fill this gap, the aim of this study was to examine the perspective of Israeli older adult hospital in-patients regarding the association between health and culture and to understand the meaning of the participants' experiences with regards to the medical staff's attitude towards them. This study was carried out using qualitative methodology that followed the interpretive interactionism approach. The research participants were 493 (mean age 70.81, S.D.: 15.88) in-patients at internal care departments at a hospital in Israel who answered an open-ended question included in the questionnaire as part of a wide study held during 2017 to 2018. Two main themes were found: (1) a humane attitude of respect and the right to privacy and (2) beliefs, values, and traditional medicine that are passed down through generations. The findings highlighted the issue of the patients' cultural heritage and ageist attitudes they ascribed to the professional staff. This study provided recommendations for training the in-patient hospital workforce on the topic of cultural competence, beginning from the stage of diagnosis through treatment and to discharge from the hospital, in order to improve the service.
不同文化背景的人在住院治疗时,往往会遇到医护人员对其文化和健康态度与感受缺乏足够了解的情况。为了弥补这一不足,本研究旨在探讨以色列老年住院患者对健康与文化之间关系的看法,并理解参与者对医护人员态度的相关体验的意义。本研究采用了定性方法,遵循解释性互动主义方法。研究参与者为以色列一家医院内科病房的 493 名住院患者(平均年龄 70.81,标准差 15.88),他们回答了问卷调查中包含的一个开放式问题,该问卷是 2017 年至 2018 年期间进行的一项广泛研究的一部分。研究发现了两个主要主题:(1)尊重和隐私权的人道态度;(2)世代相传的信仰、价值观和传统医学。研究结果突出了患者文化遗产和他们归因于专业人员的年龄歧视态度的问题。本研究就文化能力培训向住院患者医院工作人员提出了建议,从诊断阶段到治疗和出院,以改善服务。