Gaviola Minah Amor, Omura Mieko, Inder Kerry Jill, Johnson Amanda
School of Nursing and Midwifery, The University of Newcastle, NSW, Australia.
Int J Nurs Stud. 2024 Mar;151:104674. doi: 10.1016/j.ijnurstu.2023.104674. Epub 2023 Dec 15.
With continued increase in global migration, older people population in most countries is culturally diverse. Despite lesser preference for nursing home placement, people with dementia from culturally diverse backgrounds with higher needs and acuity do access nursing homes, however, little is known about care provision.
The aims of this review were to map and synthesise available literature on care provision amongst people with dementia from culturally and linguistically diverse backgrounds in nursing homes and identify literature gaps that could inform future research.
A scoping review was conducted guided by the six-step scoping review methodology of Levac and colleagues.
A literature search was conducted from August to September 2022 and updated in June 2023 using six databases: Medline, CINAHL, Embase, Cochrane Library, PsycINFO, and Scopus. Screening of articles, data extraction, and quality appraisal was performed independently by two authors. Articles included were primary empirical studies that explored care provision to people with dementia from culturally and linguistically diverse backgrounds living in nursing homes. Critical appraisal was conducted using the Joanna Briggs Institute Critical Appraisal Tool. Data were analysed using thematic analysis. Results were presented in a table and narrative format.
Of the 1149 articles identified, 25 were included. A majority of the articles were qualitative (n = 17) and conducted in Western countries such as those in Europe (n = 11), as well as Australia (n = 5) and the United States (n = 4). Data analysis led to the development of three themes: (1) maintaining a sense of home; (2) fostering communication and interaction; (3) barriers and facilitators to providing care. Most articles did not specify the model underpinning the approaches to care provision.
Care provision for people with dementia from culturally and linguistically diverse backgrounds living in nursing homes entails an environment which enables them to live up to the standards of what "home" means to them, communicate their needs, and engage in meaningful interactions. Predominant barriers to care provision relate to language and the facility's resources and capacity to deliver culture-specific care. Methodological quality of the studies that explored care provision for people with dementia from culturally and linguistically diverse backgrounds in the nursing home context is mostly limited. To strengthen the evidence base, there is a need for more rigorous research that informs care provision approaches and development of an inclusive model of culturally appropriate care to people with dementia from culturally diverse backgrounds in the nursing home context.
A scoping review synthesised evidence on care provision amongst people with dementia from CALD backgrounds in nursing homes.
随着全球移民持续增加，大多数国家的老年人口在文化上具有多样性。尽管对养老院安置的偏好较低，但来自文化背景多样、需求更高且病情更严重的痴呆症患者确实会入住养老院，然而，对于护理服务的提供情况却知之甚少。
本综述的目的是梳理和综合关于养老院中来自文化和语言背景多样的痴呆症患者护理服务的现有文献，并找出可为未来研究提供参考的文献空白。
在莱瓦克及其同事的六步范围综述方法的指导下进行了一项范围综述。
于2022年8月至9月进行了文献检索，并于2023年6月使用六个数据库进行了更新：医学索引数据库（Medline）、护理学与健康领域数据库（CINAHL）、荷兰医学文摘数据库（Embase）、考克兰图书馆、心理学文摘数据库（PsycINFO）和Scopus。两名作者独立进行文章筛选、数据提取和质量评估。纳入的文章为探索为居住在养老院中来自文化和语言背景多样的痴呆症患者提供护理服务的主要实证研究。使用乔安娜·布里格斯研究所的批判性评估工具进行批判性评估。使用主题分析法对数据进行分析。结果以表格和叙述形式呈现。
在检索到的1149篇文章中，纳入了25篇。大多数文章为定性研究（n = 17），且在欧洲等西方国家（n = 11）、澳大利亚（n = 5）和美国（n = 4）开展。数据分析得出了三个主题：（1）保持家的感觉；（2）促进沟通与互动；（3）提供护理的障碍和促进因素。大多数文章未明确说明护理服务提供方法所依据的模式。
为居住在养老院中来自文化和语言背景多样的痴呆症患者提供护理服务需要一个能使他们达到“家”对他们而言的标准、表达需求并进行有意义互动的环境。提供护理的主要障碍与语言以及机构提供特定文化护理的资源和能力有关。在养老院背景下探索为来自文化和语言背景多样的痴呆症患者提供护理服务的研究，其方法学质量大多有限。为加强证据基础，需要进行更严格的研究，为护理服务提供方法提供信息，并开发一种包容性的、适合养老院中来自文化背景多样的痴呆症患者的文化适宜护理模式。
一项范围综述综合了关于养老院中来自文化和语言背景多样的痴呆症患者护理服务的证据。
