Tavallali Azar G, Jirwe Maria, Johansson Stark Åsa, Eckerblad Jeanette
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Alfred Nobels Allé 23, 23 300, SE 141 83 Huddinge, Sweden.
Red Cross University College, Department of Health Sciences, Huddinge, Sweden, Hälsovägen 11C, BOX 1059, 141 21 Huddinge, Sweden.
J Pediatr Nurs. 2025 Mar-Apr;81:74-82. doi: 10.1016/j.pedn.2025.01.014. Epub 2025 Jan 24.
Nurses are expected to provide appropriate care for children from diverse cultural backgrounds to achieve the aims of current legislation on good care and to ensure equal terms for the entire population. This study aim was to describe nurses' experiences of cross-cultural care encounters when interacting with children and families with a Culturally and Linguistically Diverse background in Swedish pediatric hospital care.
A descriptive qualitative study was conducted. Individual semi-structured online interviews were performed with 21 nurses in pediatric care from six university hospitals.
Two themes were identified, (I) the importance of culturally competent care, with two sub-themes, (i) the significance of open-mindedness and cultural understanding, (ii) the significance of organizational support, and (II) the importance of effective communication, with three sub-themes, (i) the influence of language barriers, (ii) the importance of using communication tools and strategies and (iii) the influence of socio-cultural differences.
The findings provide further insight into the facilitators and barriers of cross-cultural care encounters in pediatric hospital care. Interactions with families from culturally and linguistically diverse backgrounds offer opportunities to enhance understanding of cultural differences and promote cultural awareness. Facilitating cross-cultural care encounters in pediatric hospital care requires cultural competence, mutual respect, and sufficient organizational support.
The findings have implications for nursing practice, particularly in improving nurses' understanding of the diverse opportunities and challenges related to cultural and linguistic diversity in pediatric care, and in improving family-centered care.
护士应向来自不同文化背景的儿童提供适当护理，以实现当前关于优质护理的立法目标，并确保全体民众享有平等的待遇。本研究旨在描述瑞典儿科医院护理中，护士在与具有文化和语言多样性背景的儿童及其家庭互动时的跨文化护理体验。
开展了一项描述性定性研究。对来自六所大学医院的21名儿科护理护士进行了个人半结构化在线访谈。
确定了两个主题，（I）文化胜任力护理的重要性，有两个子主题，（i）开放心态和文化理解的重要性，（ii）组织支持的重要性，以及（II）有效沟通的重要性，有三个子主题，（i）语言障碍的影响，（ii）使用沟通工具和策略的重要性，以及（iii）社会文化差异的影响。
研究结果进一步深入了解了儿科医院护理中跨文化护理体验的促进因素和障碍。与来自文化和语言多样背景的家庭互动，为增进对文化差异的理解和提高文化意识提供了机会。在儿科医院护理中促进跨文化护理体验需要文化胜任力、相互尊重和充分的组织支持。
研究结果对护理实践具有启示意义，特别是在提高护士对儿科护理中与文化和语言多样性相关的各种机会和挑战的理解，以及改善以家庭为中心的护理方面。
