一项关于护士对心力衰竭 migrant 患者进行自我护理咨询经验的定性研究。 注：原文中“migrant”可能有误，推测应该是“migrant workers”之类表述才更符合语境逻辑，这里暂且按给定原文翻译。
A qualitative study of nurses' experiences of self-care counseling in migrant patients with heart failure.
作者信息
Patel Harshida, Szkinc-Olsson Grazyna, Lennartsson Al Liddawi Madeleine
机构信息
Institute of Health Care and Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Institute of Health Care & Sciences, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Sweden.
出版信息
Int J Nurs Sci. 2021 Jun 1;8(3):279-288. doi: 10.1016/j.ijnss.2021.05.004. eCollection 2021 Jul 10.
OBJECTIVES
This study aims to enhance researchers' and nurses' understanding of how to best support migrant patients with heart failure in self-care management. Previous research on self-care in heart failure patients has highlighted its importance, particularly among migrant populations. Nurses play an important role in informing and engaging patients with chronic conditions like heart failure to support their active participation in self-care. However, nurses' experiences of providing self-care counseling to migrant populations with heart failure have not been studied.
METHODS
A qualitative study was conducted. Nurses working with migrant patients with HF ( = 13) from different types of facility in Western Sweden were interviewed between October and December 2020. Data were collected using semi-structured interviews and analyzed using inductive thematic analysis.
RESULTS
The main theme that emerged from the interviews was the difficulty for nurses " in self-care counseling The nurses during self-care counseling had: ",, faced , and " It was evident that nurses faced several challenges in counseling migrants in self-care, including language and cultural barriers, time resource constraints, low levels of health literacy, and experienced disharmony between the law and their professional norms. They perceived building caring relationships with their patients to be crucial to fostering health-promoting self-care processes.
CONCLUSIONS
To increase self-care adherence, nurses must become more sensitive to cultural differences and adapt self-care counseling to patients' health literacy. The findings of this research support and challenge nurses in providing the best counsel to migrant patients with heart failure living in Sweden's multi-ethnic society. Policymakers in the health care organization should act to facilitate mutual cultural understanding between all involved partners for patient-safe self-care counseling.
目的
本研究旨在增强研究人员和护士对如何最好地支持心力衰竭移民患者进行自我护理管理的理解。先前关于心力衰竭患者自我护理的研究强调了其重要性，尤其是在移民群体中。护士在为患有心力衰竭等慢性病的患者提供信息并促使其参与自我护理以支持他们积极参与方面发挥着重要作用。然而，尚未对护士为心力衰竭移民群体提供自我护理咨询的经验进行研究。
方法
进行了一项定性研究。2020年10月至12月期间，对瑞典西部不同类型机构中为心力衰竭移民患者提供护理的13名护士进行了访谈。使用半结构化访谈收集数据，并采用归纳主题分析法进行分析。
结果
访谈中出现的主要主题是护士在自我护理咨询中面临的困难。在自我护理咨询过程中，护士们面临着……，很明显，护士在为移民提供自我护理咨询时面临着诸多挑战，包括语言和文化障碍、时间资源限制、健康素养水平低，以及法律与职业规范之间的不协调。他们认为与患者建立关爱关系对于促进健康的自我护理过程至关重要。
结论
为了提高自我护理的依从性，护士必须对文化差异更加敏感，并根据患者的健康素养调整自我护理咨询。本研究结果为在瑞典多民族社会中为心力衰竭移民患者提供最佳咨询的护士提供了支持和挑战。医疗保健组织的政策制定者应采取行动，促进所有相关伙伴之间的相互文化理解，以进行安全的患者自我护理咨询。
Zotero 插件