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探索高等卫生科学专业学生对文化能力和安全教学法的接受意愿或抵制情况。

Exploring Tertiary Health Science Student Willingness or Resistance to Cultural Competency and Safety Pedagogy.

机构信息

School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2751, Australia.

School of Health Sciences, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2751, Australia.

出版信息

Int J Environ Res Public Health. 2021 Aug 31;18(17):9184. doi: 10.3390/ijerph18179184.

DOI:10.3390/ijerph18179184
PMID:34501772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8430816/
Abstract

There is an increasing body of literature that considers the relevance and experiences of cultural competency and safety training in health professional students. However, less is written about Australian tertiary learners' experiences of engaging with cultural competency training. The aim of this study is to explore tertiary students' willingness or resistance to cultural competency and safety pedagogy. Qualitative student feedback to a teaching unit was collected and triangulated with data from focus groups with tutors. Results were thematically analyzed. Willingness and resistance to cultural competency and safety teaching emerged as two key themes. Willingness to engage with the unit was largely due to student interest in the content, teaching environment and relevance of cultural competency to students' future practice. Resistance was linked to the students feeling personally attacked, or culturally confronted, with tutors noting the topics around sexuality and white privilege being more resisted. Acknowledging reasons for student resistance and developing strategies to reduce resistance can facilitate more student engagement with cultural competency topics, ultimately leading to their future provision of culturally competent healthcare.

摘要

越来越多的文献认为,在医疗卫生专业学生中,文化能力和安全培训具有相关性和重要性。然而,有关澳大利亚高等教育学习者参与文化能力培训的经验却鲜少被提及。本研究旨在探讨高等教育学生对文化能力和安全教学的接受程度或抵触情绪。我们收集了学生对教学单元的定性反馈,并与辅导教师焦点小组的数据进行了三角分析。结果进行了主题分析。对文化能力和安全教学的接受程度或抵触情绪主要体现为两个关键主题。学生之所以愿意参与单元学习,主要是因为他们对教学内容、教学环境以及文化能力对学生未来实践的相关性感兴趣。抵触情绪则与学生感到受到人身攻击或文化冲击有关,辅导教师指出,涉及性行为和白人特权的话题更具抵触性。承认学生抵触的原因并制定减少抵触的策略,可以促进学生更多地参与文化能力相关主题的学习,最终使他们能够提供更具文化能力的医疗服务。

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本文引用的文献

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Health and support service needs of individuals with disability from culturally and linguistically diverse backgrounds: a scoping review protocol.文化和语言背景多样的残疾人士的健康与支持服务需求:一项范围综述方案
Syst Rev. 2021 Jan 21;10(1):34. doi: 10.1186/s13643-021-01587-8.
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A systematic review of mental health care workers' constructions about culturally and linguistically diverse people.一项关于心理健康保健工作者对文化和语言多样化人群的观念的系统评价。
PLoS One. 2018 Jul 19;13(7):e0200662. doi: 10.1371/journal.pone.0200662. eCollection 2018.
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Cultural competence in healthcare in the community: A concept analysis.社区医疗保健中的文化能力:一项概念分析。
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Cultural safety and engagement: Keys to improving access to care.文化安全与参与:改善医疗服务可及性的关键
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Conceptual Models of Social Determinants of Health: A Narrative Review.健康社会决定因素的概念模型:一项叙述性综述
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An Examination of Cultural Competence Training in US Medical Education Guided by the Tool for Assessing Cultural Competence Training.以文化能力培训评估工具为指导对美国医学教育中的文化能力培训进行的考察
J Health Dispar Res Pract. 2016 Fall;9(3):150-167.
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How Effective is Cultural Competence Training of Healthcare Providers on Improving Patient Satisfaction of Minority Groups? A Systematic Review of Literature.医疗服务提供者的文化能力培训对提高少数群体患者满意度的效果如何?文献系统综述
Worldviews Evid Based Nurs. 2016 Dec;13(6):402-410. doi: 10.1111/wvn.12176. Epub 2016 Oct 25.
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Developing cultural competence through self-reflection in interprofessional education: Findings from an Australian university.通过跨专业教育中的自我反思培养文化能力:来自一所澳大利亚大学的研究结果。
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