血液透析中的文化响应护理：范围综述。

Culturally responsive care in haemodialysis: A scoping review.

机构信息

School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia.

Menzies Health Institute of Queensland, Griffith University, Southport, Queensland, Australia.

出版信息

J Clin Nurs. 2024 Nov;33(11):4267-4279. doi: 10.1111/jocn.17373. Epub 2024 Jul 15.

DOI:10.1111/jocn.17373

PMID:39007168

Abstract

AIM

To describe how clinicians provide culturally responsive care to culturally diverse people with kidney failure in haemodialysis centres.

BACKGROUND

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.

METHOD

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.

RESULTS

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.

CONCLUSION

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.

RELEVANCE TO CLINICAL PRACTICE

Culturally responsive care is complex and multidimensional. Individuals' cultural care needs should be acknowledged, respected, and accommodated in care.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution. The study protocol was registered in the Open Science Framework. https://osf.io/uv8g3.

摘要

目的

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。

背景

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。

方法

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。