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一项定性研究:探究营养学专业学生和注册营养师对培训及职业中文化谦逊的看法。

A Qualitative Study Exploring Dietetic Students' and Registered Dietitians' Views on Cultural Humility in Training and the Profession.

作者信息

Sullivan Amelia, Neptune Leigh, McNamara Jade

机构信息

School of Food and Agriculture, University of Maine, Orono, Maine, USA.

出版信息

J Hum Nutr Diet. 2025 Apr;38(2):e70048. doi: 10.1111/jhn.70048.

Abstract

INTRODUCTION

Cultural humility is a critical component of equitable and inclusive nutrition care. The current study aimed to explore the existing state of cultural competence among nutrition students and nutrition professionals while identifying the need for and acceptability of cultural humility training tailored for nutrition professionals.

METHODS

Dietetic students and nutrition professionals from various educational and professional backgrounds in the United States were recruited through purposive sampling. Descriptive statistics were used to examine the samples self-reported standing as a nutritional professional, time in the field, and cultural competence awareness and behaviours. A directed and deductive thematic analysis was conducted using the Theory of Cultural Humility to analyse interview transcriptions.

RESULTS

Participants reported high agreement for cultural competence awareness/behaviours, while responses to educational resources and confidence in adapting services showed more variability. Five major themes emerged aligning with Foronda's Theory of Cultural Humility.

CONCLUSIONS

Key findings highlight an opportunity to strengthen cultural humility training among nutrition students and professionals. Expanding cultural humility education in nutrition and dietetics programmes could enhance the ability of future professionals to navigate diverse patient needs and address health disparities shaped by social determinants of health.

摘要

引言

文化谦逊是公平和包容的营养护理的关键组成部分。本研究旨在探讨营养专业学生和营养专业人员的文化能力现状,同时确定针对营养专业人员的文化谦逊培训的必要性和可接受性。

方法

通过目的抽样法招募了来自美国不同教育和专业背景的营养学学生和营养专业人员。描述性统计用于检验样本自我报告的作为营养专业人员的身份、在该领域的工作时间以及文化能力意识和行为。使用文化谦逊理论进行定向和演绎主题分析,以分析访谈记录。

结果

参与者对文化能力意识/行为的认同度较高,而对教育资源的反应和调整服务的信心则表现出更大的差异。出现了五个与福龙达文化谦逊理论一致的主要主题。

结论

主要研究结果凸显了加强营养专业学生和专业人员文化谦逊培训的机会。在营养与饮食学课程中扩大文化谦逊教育,可以提高未来专业人员满足不同患者需求以及解决由健康的社会决定因素造成的健康差距的能力。

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