Maboko Disebo R, Armstrong Sue, Casteleijn Daleen
Department of Nursing Education, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Department of Occupational Therapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Health SA. 2024 Jun 14;29:2499. doi: 10.4102/hsag.v29i0.2499. eCollection 2024.
Healthcare institutions are increasingly receiving patients from diverse cultural backgrounds because of migration, rapid urbanisation, and easier access to healthcare. Because the satisfaction of these patients is linked to their perceptions of appropriate cultural care, understanding patient perspectives about cultural competence is imperative. Additionally, patient perceptions about nurses' cultural competence are largely unexplored in South Africa.
This study explored how the concept of cultural competence is perceived by patients.
Three public sector hospitals in Gauteng, one from each of the three different levels of public sector hospitals - district (level one), regional (level two), and academic (tertiary, level three).
This study derives from the qualitative phase of a larger sequential exploratory mixed methods study. The study population was patients in public sector hospitals. A total of 21 interviews were conducted after purposive stratified sampling was done. Data analysis followed Tesch's eight steps of data analysis.
Patients in public sector hospitals in Gauteng believe consideration of culture is important in nursing. They identified the cultural needs they would like nurses to acknowledge, such as being asked about their food preferences and mentioned the need to evaluate nurses' level of cultural competence.
Patient perceptions about cultural competence and their cultural needs can assist nurses in gauging how culturally competent they are and improving care to patients.
Patients' perceptions revealed that nurses must be competent to acknowledge their specific cultural needs such as food, language preferences, and religious practices.
由于移民、快速城市化以及医疗服务可及性提高，医疗机构接收的患者文化背景日益多样。鉴于这些患者的满意度与其对恰当文化照护的认知相关，了解患者对文化胜任力的看法势在必行。此外，在南非，患者对护士文化胜任力的看法在很大程度上尚未得到探讨。
本研究探讨患者如何看待文化胜任力这一概念。
豪登省的三家公立医院，分别来自公共部门医院的三个不同级别——区级（一级）、区域级（二级）和学术型（三级，高等）医院各一家。
本研究源自一项更大规模的序贯探索性混合方法研究的定性阶段。研究对象为公立医院的患者。在进行目的分层抽样后，共进行了21次访谈。数据分析遵循特施的八步数据分析方法。
豪登省公立医院的患者认为护理中考虑文化因素很重要。他们明确了希望护士认可的文化需求，比如询问他们的食物偏好，并提到有必要评估护士的文化胜任力水平。
患者对文化胜任力及其文化需求的看法有助于护士衡量自身的文化胜任力水平，并改善对患者的护理。
患者的看法表明，护士必须有能力认可他们的特定文化需求，如食物、语言偏好和宗教习俗。
