School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia.
Menzies Health Institute of Queensland, Griffith University, Southport, Queensland, Australia.
J Clin Nurs. 2024 Nov;33(11):4267-4279. doi: 10.1111/jocn.17373. Epub 2024 Jul 15.
To describe how clinicians provide culturally responsive care to culturally diverse people with kidney failure in haemodialysis centres.
Culturally diverse individuals receiving in-centre maintenance haemodialysis have unique cultural needs. Unmet cultural needs can impair and profoundly affect their experiences. Given culturally responsive care has the potential to enhance the experiences of culturally diverse people, it is vital to understand how clinicians provide culturally responsive care.
A scoping review was undertaken using Arksey and OMalleys framework. Five databases: Medline and CINAHL Complete (EBSCO), PsycINFO, Embase (OVID) and ProQuest Theses and Dissertation databases were searched for research literature published in English between 1990 and 2023. Narrative synthesis was used to synthesise the data.
From the 17,271 records screened, 17 papers reporting 14 studies met the inclusion criteria. Narrative synthesis revealed two themes: (i) communication enablers and barriers including linguistic differences, professional and lay interpreter use; and (ii) the importance of culture, which encompassed acknowledging cultural priorities, accommodating cultural food preferences and access to cultural training.
While competing priorities associated with haemodialysis may be a challenge for clinicians, recognising the significance of cultural care needs and accommodating them in care is important. Demonstrating respect towards cultural diversity and providing person-centred care by facilitating the unique cultural needs of people with kidney failure in haemodialysis is imperative.
Culturally responsive care is complex and multidimensional. Individuals' cultural care needs should be acknowledged, respected, and accommodated in care.
No patient or public contribution. The study protocol was registered in the Open Science Framework. https://osf.io/uv8g3.
描述血液透析中心的临床医生如何为患有肾衰竭的文化多元化人群提供文化响应式护理。
接受中心维持性血液透析的文化多元化个体具有独特的文化需求。未满足的文化需求会影响并深刻影响他们的体验。鉴于文化响应式护理有可能增强文化多元化人群的体验，因此了解临床医生如何提供文化响应式护理至关重要。
使用 Arksey 和 OMalleys 框架进行了范围综述。在 1990 年至 2023 年期间，在五个数据库中搜索了英文研究文献：Medline 和 CINAHL Complete（EBSCO）、PsycINFO、Embase（OVID）和 ProQuest 论文和学位论文数据库。使用叙述性综合来综合数据。
从筛选出的 17,271 条记录中，有 17 篇论文报道的 14 项研究符合纳入标准。叙述性综合揭示了两个主题：（i）沟通促进因素和障碍，包括语言差异、专业和非专业口译员的使用；（ii）文化的重要性，包括承认文化优先事项、满足文化饮食偏好和获得文化培训。
虽然与血液透析相关的竞争优先事项可能对临床医生构成挑战，但认识到文化护理需求的重要性并在护理中予以满足很重要。通过促进血液透析患者独特的文化需求，展示对文化多样性的尊重并提供以患者为中心的护理至关重要。
文化响应式护理是复杂和多维度的。应承认、尊重和满足个体的文化护理需求。
无患者或公众贡献。该研究方案已在开放科学框架中注册。https://osf.io/uv8g3。
