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针对为具有种族化背景的外国出生的老年人提供服务的医疗保健提供者的文化能力干预措施:系统评价方案

Cultural Competence Interventions for Health Care Providers Working With Racialized Foreign-born Older Adults: Protocol for a Systematic Review.

作者信息

Chowdhury Diya, Baiocco-Romano Leonardo, Sacco Veronica, El Hajj Karen, Stolee Paul

机构信息

University of Waterloo, Waterloo, ON, Canada.

出版信息

JMIR Res Protoc. 2022 Jul 26;11(7):e31691. doi: 10.2196/31691.

Abstract

BACKGROUND

Integrating culturally competent approaches in the provision of health care services is recognized as a promising strategy for improving health outcomes for racially and ethnically diverse populations. Person-centered care, which ensures patient values guide care delivery, necessitates cultural competence of health care providers to reduce racial/ethnic health disparities. Previous work has focused on interventions to improve cultural competence among health care workers generally; however, little investigation has been undertaken regarding current practices focused on racialized foreign-born older adults.

OBJECTIVE

We seek to synthesize evidence from existing literature in the field to gain a comprehensive understanding of interventions to improve the cultural competence of health professionals who care for racialized foreign-born older adults. The aim of this paper is to outline a protocol for a systematic review of available published evidence.

METHODS

Our protocol will follow the PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Protocols) for systematic review protocols. We will conduct a systematic search for relevant studies from four electronic databases that focus on health and social sciences (PubMed, CINAHL, Scopus, and Cochrane Database). After selecting relevant papers using the inclusion and exclusion criteria, data will be extracted, analyzed, and synthesized to yield recommendations for practice and for future research.

RESULTS

The systematic review is currently at the search phase where authors are refining the search strings for the selected databases; the search strings will be finalized by July 2022. We anticipate the systematic review to be completed by December 2022.

CONCLUSIONS

This study will inform the future development and implementation of interventions to support culturally competent, person-centered care of racialized foreign-born older adults.

TRIAL REGISTRATION

PROSPERO CRD42021259979; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=259979.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/31691.

摘要

背景

在提供医疗保健服务时整合具有文化胜任力的方法,被认为是改善不同种族和族裔人群健康结果的一项有前景的策略。以患者为中心的护理,即确保患者价值观指导护理提供,需要医疗保健提供者具备文化胜任力,以减少种族/族裔健康差距。以往的工作主要集中在提高医护人员整体文化胜任力的干预措施上;然而,针对当前针对种族化的外国出生老年人的实践的研究较少。

目的

我们试图综合该领域现有文献的证据,以全面了解旨在提高照顾种族化外国出生老年人的卫生专业人员文化胜任力的干预措施。本文的目的是概述一项对现有已发表证据进行系统评价的方案。

方法

我们的方案将遵循系统评价方案的PRISMA-P(系统评价和Meta分析优先报告项目-方案)。我们将从四个专注于健康和社会科学的电子数据库(PubMed、CINAHL、Scopus和Cochrane数据库)中系统搜索相关研究。使用纳入和排除标准选择相关论文后,将提取、分析和综合数据,以得出实践和未来研究的建议。

结果

系统评价目前处于搜索阶段,作者正在完善所选数据库的搜索词;搜索词将于2022年7月最终确定。我们预计系统评价将于2022年12月完成。

结论

本研究将为未来支持对种族化外国出生老年人进行具有文化胜任力、以患者为中心护理的干预措施的开发和实施提供信息。

试验注册

PROSPERO CRD42021259979;https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=259979。

国际注册报告识别号(IRRID):PRR1-10.2196/31691。

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