Mani Zakaria A
Nursing Department, Jazan University, Jazan, Saudi Arabia.
School of Nursing and Midwifery, Monash University, Melbourne, Australia.
BMC Nurs. 2024 Nov 28;23(1):865. doi: 10.1186/s12912-024-02514-7.
This qualitative study explores the experiences and perspectives of international intensive care unit charge nurses providing end-of-life care to Muslim patients in Saudi Arabia. It examines how these nurses navigate the complexities of delivering culturally sensitive care, particularly regarding Islamic beliefs and practices. The study also investigates the challenges encountered by international nurses due to differing healthcare expectations between themselves and patients' families, highlighting the interplay between cultural sensitivity and effective end-of-life care in this unique context.
A qualitative descriptive design was employed, using semi-structured interviews to gather data from eight international ICU charge nurses working in a tertiary hospital in Saudi Arabia. Thematic analysis was used to analyze the interview transcripts.
This qualitative study explored the experiences of international ICU charge nurses in Saudi Arabia regarding culturally sensitive end-of-life care within Islamic traditions. Analysis revealed nine key themes and 31 subthemes reflecting the multifaceted nature of this sensitive domain. These themes encompassed intercultural anxieties, emotional burdens on families and nurses, the importance of bridging cultural divides, advocating for change in end-of-life care practices, and honoring diverse spiritual needs. Key findings emphasized the significance of family presence, honoring faith in the absence of family, and ensuring peaceful and compassionate passings, highlighting nurses' commitment to holistic, patient-centered care that respects both cultural and individual beliefs..
This study provides valuable insights into the cultural nuances of end-of-life care in Saudi Arabia. The findings underscore the importance of culturally sensitive practices that respect Islamic beliefs, prioritize family involvement, and address the holistic needs of patients and their families.
This study underscores the need for culturally sensitive communication training for healthcare providers working with diverse patient populations. Hospitals and healthcare institutions should prioritize educational initiatives that equip staff with the skills to engage in open dialogues about death and dying, navigate cultural differences in end-of-life preferences, and address the use of traditional healing practices. By fostering greater cultural understanding and communication competency, healthcare systems can better support both patients and families in navigating the complexities of end-of-life care.
本定性研究探讨了在沙特阿拉伯为穆斯林患者提供临终关怀的国际重症监护病房护士长的经历和观点。研究考察了这些护士如何应对提供具有文化敏感性护理的复杂性，特别是在涉及伊斯兰教信仰和习俗方面。该研究还调查了国际护士因自身与患者家属之间不同的医疗期望而遇到的挑战，突出了在这一独特背景下文化敏感性与有效的临终关怀之间的相互作用。
采用定性描述性设计，通过半结构化访谈从在沙特阿拉伯一家三级医院工作的八位国际重症监护病房护士长收集数据。采用主题分析法对访谈记录进行分析。
本定性研究探讨了沙特阿拉伯国际重症监护病房护士长在伊斯兰教传统中提供具有文化敏感性的临终关怀方面的经历。分析揭示了九个关键主题和31个子主题，反映了这一敏感领域的多面性。这些主题包括跨文化焦虑、家庭和护士的情感负担、弥合文化差异的重要性、倡导改变临终关怀做法以及尊重不同的精神需求。主要研究结果强调了家属在场的重要性、在没有家属时尊重信仰以及确保平静而富有同情心的离世，突出了护士致力于提供尊重文化和个人信仰的全面、以患者为中心的护理。
本研究为沙特阿拉伯临终关怀的文化细微差别提供了有价值的见解。研究结果强调了尊重伊斯兰教信仰、优先考虑家庭参与并满足患者及其家庭全面需求的具有文化敏感性做法的重要性。
本研究强调了为与不同患者群体合作的医疗保健提供者提供具有文化敏感性沟通培训的必要性。医院和医疗保健机构应优先开展教育举措，使工作人员具备进行关于死亡和临终的开放对话、应对临终偏好方面的文化差异以及处理传统治疗方法使用问题的技能。通过促进更大程度的文化理解和沟通能力，医疗保健系统可以更好地支持患者和家庭应对临终关怀的复杂性。
