Stephen Jennifer M, Zoucha Rick, Cazzell Mary, Devido Jessica
Cook Children's Health Care System, Fort Worth, TX, USA.
Advanced Role and PhD Programs, Duquesne University, 600 Forbes Avenue, 527 Fisher Hall, Pittsburgh, PA 15202, USA.
J Pediatr Nurs. 2023 Mar-Apr;69:62-70. doi: 10.1016/j.pedn.2022.12.019. Epub 2023 Jan 18.
Parents' inability to speak English proficiently is associated with communication barriers in the care process of their children, social determinants of health, and poor child health outcomes. Research exploring perspectives of Spanish speaking parents with limited English proficiency (SSP-LEP) whose children are hospitalized in the context of culture is lacking in the literature. The purpose of this study was to explore the cultural experiences, values, and beliefs of SSP-LEP, of Mexican origin, whose children were hospitalized and to understand nurses' roles in providing culturally congruent care.
Leininger's qualitative, ethnonursing method was used for this study. The Theory of Culture Care Diversity and Universality provided a guiding framework. Eleven SSP-LEP, of Mexican origin, participated in interviews conducted in-person and via Zoom. Data was analyzed using Leininger's four phases of qualitative analysis.
Three themes emerged: 1. role of the mother as an ever-present manager of care for the hospitalized child and family, 2. parents' difficult, fearful, stressful, and unknowing experiences in the presence of a language barrier, and 3. expected nursing care that was kind, respectful, compassionate, and attentive.
Lack of knowledge creates hardships for parents who desire to be involved, informed caregivers. Communication in Spanish language is integral to parents' understanding and expected nursing care. SSP-LEP may have negative feelings; yet describe a positive care experience.
Culturally congruent care should incorporate language services for information sharing that facilitates parent participation and decision-making; be kind, respectful, compassionate, and attentive; and promote maternal role maintenance.
父母英语不熟练会在其子女的护理过程中造成沟通障碍，影响健康的社会决定因素，并导致不良的儿童健康结果。在文化背景下，针对英语水平有限的讲西班牙语的父母（SSP-LEP）在其子女住院时的观点进行探索的研究在文献中尚属空白。本研究的目的是探讨墨西哥裔、子女住院的英语水平有限的讲西班牙语的父母的文化经历、价值观和信仰，并了解护士在提供文化契合护理方面的作用。
本研究采用了莱宁格的质性民族护理学方法。文化护理多样性与普遍性理论提供了一个指导框架。11名墨西哥裔英语水平有限的讲西班牙语的父母参与了面对面和通过Zoom进行的访谈。数据使用莱宁格的质性分析四个阶段进行分析。
出现了三个主题：1.母亲作为住院儿童和家庭护理的始终在场管理者的角色；2.父母在语言障碍面前艰难、恐惧、有压力和无知的经历；3.期望的护理是亲切、尊重、有同情心和周到的。
知识的缺乏给渴望参与其中、了解情况的父母带来了困难。用西班牙语交流对于父母的理解和期望的护理至关重要。英语水平有限的讲西班牙语的父母可能会有负面情绪，但却描述了积极的护理体验。
文化契合护理应纳入语言服务以促进信息共享，从而便于父母参与和决策；要亲切、尊重、有同情心和周到；并促进母亲角色的维持。
