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“有时我会极度疲惫”:萨米族医护人员在实践中的文化负担体验

"Sometimes I Get So Extremely Tired": Sámi Healthcare Staff Experiences of Cultural Load in Practice.

作者信息

Ness Tove Mentsen, Mehus Grete

机构信息

Nord University, Levanger, Norway.

University of Tromsø, The Arctic University of Norway, Hammerfest, Norway.

出版信息

Glob Qual Nurs Res. 2024 Sep 17;11:23333936241273256. doi: 10.1177/23333936241273256. eCollection 2024 Jan-Dec.

DOI:10.1177/23333936241273256
PMID:39351590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11440554/
Abstract

The study aim was to explore how Sámi healthcare staff experience working as an ethnic minority in the Norwegian healthcare system. This was a qualitative focus group and individual interview study inspired by interpretive description, with 14 participants. The results indicate that Sámi healthcare staff experience various degrees of cultural load in their jobs. This was shown through the two themes: "Feeling responsible for Sámi patients and non-Sámi colleagues" and "Feeling exhausted as a Sámi healthcare worker." To provide culturally safe care for all Sámi patients and their families, it is vital to ensure the well-being of the small number of Sámi healthcare personnel. Therefore, we emphasize the need for training programs for non-Sámi healthcare staff to provide them with the knowledge needed to support their encounters with Sámi patients in culturally safe ways. Sámi healthcare staff cannot take all responsibility for teaching their non-Sámi colleagues and acting as cultural mediators in all situations that non-Sámi staff find challenging. The risk of cultural load and burnout is very present. Nursing departments in universities and leaders in primary and secondary healthcare need to address these issues in order to ensure culturally safe care to all patients and support Sámi healthcare staff.

摘要

该研究的目的是探讨萨米族医护人员在挪威医疗系统中作为少数民族工作的体验。这是一项受解释性描述启发的定性焦点小组和个人访谈研究,有14名参与者。结果表明,萨米族医护人员在工作中体验到不同程度的文化负担。这通过两个主题得以体现:“对萨米族患者和非萨米族同事负责的感觉”以及“作为萨米族医护人员感到疲惫”。为所有萨米族患者及其家庭提供具有文化安全性的护理,确保少数萨米族医护人员的福祉至关重要。因此,我们强调需要为非萨米族医护人员开展培训项目,使其具备以文化安全的方式支持他们与萨米族患者接触所需的知识。萨米族医护人员不能在所有非萨米族工作人员认为具有挑战性的情况下,承担教导非萨米族同事并充当文化调解人的全部责任。文化负担和职业倦怠的风险非常现实。大学护理系以及初级和二级医疗保健机构的领导需要解决这些问题,以确保为所有患者提供具有文化安全性的护理,并支持萨米族医护人员。

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