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执业护士文化能力及其影响因素的初步研究

A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors.

作者信息

Liu Tsui-Ting, Chen Miao-Yen, Chang Yu-Mei, Lin Mei-Hsiang

机构信息

Department of Nursing, Taipei Veterans General Hospital, National Taipei University of Nursing and Health Science, Taipei 112303, Taiwan.

School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan.

出版信息

Healthcare (Basel). 2022 Apr 3;10(4):678. doi: 10.3390/healthcare10040678.

Abstract

Cultural competence refers to a healthcare provider’s ability to consider cultural factors that affect an individual’s health and attitudes toward disease and disability. Nurse practitioners (NPs) are increasingly important in healthcare, practicing culturally competent care strategies to improve the quality of patient care. The aim of this study was to explore cultural competence and its related factors among NPs. A cross sectional study design with a structured questionnaire survey was used. Purposive sampling was employed, for which 86 NPs were recruited from a medical center in northern Taiwan. A T-test, one-way ANOVA, and Pearson’s product-moment correlation coefficient were used for data analysis. The results were as follows: (1) overall, the total score for cultural competence was above-average, with a score of 3.75; (2) years of experience as a NP was found to have a statistically significant correlation with overall clinical competence, with r = 0.23, p < 0.05; (3) there were significant differences in clinical awareness and cultural sensitivity related to the clinical ladder system (t = −2.42, p = 0.01; t = −2.04, p = 0.04). The findings of this study can provide information for directors of medical institutions to design an in-service educational program for NPs to enhance their cultural competence and nursing quality.

摘要

文化能力是指医疗保健提供者考虑影响个人健康以及对疾病和残疾态度的文化因素的能力。执业护士(NP)在医疗保健中越来越重要,他们采用具有文化能力的护理策略来提高患者护理质量。本研究的目的是探讨执业护士的文化能力及其相关因素。采用横断面研究设计并进行结构化问卷调查。采用目的抽样法,从台湾北部的一家医疗中心招募了86名执业护士。数据分析采用t检验、单因素方差分析和Pearson积矩相关系数。结果如下:(1)总体而言,文化能力总分高于平均水平,得分为3.75;(2)发现执业护士的工作年限与总体临床能力存在统计学显著相关性,r = 0.23,p < 0.05;(3)与临床阶梯系统相关的临床意识和文化敏感性存在显著差异(t = -2.42, p = 0.01;t = -2.04, p = 0.04)。本研究结果可为医疗机构负责人设计执业护士在职教育项目提供信息,以提高他们的文化能力和护理质量。

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