利用实证数据检验医疗服务中文化能力传递过程中的假设，重点关注文化意识。
Testing the Assumptions in the Process of Cultural Competence in the Delivery of Healthcare Services Using Empirical Data, Focusing on Cultural Awareness.
机构信息
School of Education and Communication, Jönköping University, Sweden.
School of Health and Welfare, Jönköping University, Jönköping, Sweden.
出版信息
J Transcult Nurs. 2023 May;34(3):187-194. doi: 10.1177/10436596231152212. Epub 2023 Feb 9.
INTRODUCTION
Encounters with children of foreign origin call for school nurses' cultural competence during the health visits. This study aimed to investigate the statistical associations between the cultural constructs described by the Process of Cultural Competence in the Delivery of Healthcare Services (PCCDHS) model and whether school nurses' cultural encounters, cultural knowledge, and cultural skill could statistically predict their cultural awareness.
METHODOLOGY
Spearman correlation and hierarchical regression analyses were conducted using cross-sectional secondary data from 816 Swedish school nurses. The cultural constructs in the theoretical description of the PCCDHS model guided the selection and sorting of the items on cultural competence.
RESULTS
The constructs of cultural knowledge, cultural skill, cultural encounters, and cultural awareness were positively correlated with each other. However, becoming culturally aware was not statistically predicted by included cultural constructs ( = 13.4, = .06).
DISCUSSION
Despite the interrelations between the investigated cultural constructs of the PCCDHS model, understanding cultural awareness development requires further empirical testing.
简介
在健康访视中，与外国出身的儿童相遇需要学校护士具备文化能力。本研究旨在调查医疗保健服务提供中的文化能力过程（PCCDHS）模型中描述的文化结构与学校护士的文化遭遇、文化知识和文化技能之间是否存在统计学关联，以及它们是否可以在统计学上预测他们的文化意识。
方法
使用来自 816 名瑞典学校护士的横截面二次数据进行 Spearman 相关和分层回归分析。PCCDHS 模型的理论描述中的文化结构指导了文化能力项目的选择和分类。
结果
文化知识、文化技能、文化遭遇和文化意识这四个结构彼此之间呈正相关。然而，纳入的文化结构并不能在统计学上预测文化意识的形成（β=13.4，p=.06）。
讨论
尽管 PCCDHS 模型中调查的文化结构之间存在相互关系，但要理解文化意识的发展，还需要进一步的实证检验。
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