理解多样性:基于吉格和大卫希扎尔模型的三角研究视角下跨文化教育前护士的文化知识概况
Understanding Diversity: The Cultural Knowledge Profile of Nurses Prior to Transcultural Education in Light of a Triangulated Study Based on the Giger and Davidhizar Model.
作者信息
Lesińska-Sawicka Małgorzata, Roszak Alina
机构信息
Department of Nursing, Academy of Applied Sciences in Konin, 62-510 Konin, Poland.
出版信息
Healthcare (Basel). 2025 Aug 5;13(15):1907. doi: 10.3390/healthcare13151907.
The increasing cultural diversity of patients poses new challenges for nurses. Cultural competence, especially knowledge of the cultural determinants of health and illness, is an important element of professionalism in nursing care. The aim of this study was to analyse nurses' self-assessment of cultural knowledge, with a focus on the six dimensions of the Giger and Davidhizar model, prior to formal training in this area. A triangulation method combining qualitative and quantitative analysis was used. The analysis included 353 statements from 36 master's student nurses. Data were coded according to six cultural phenomena: biological factors, communication, space, time, social structure, and environmental control. Content analysis, ANOVA, Spearman's rank correlation, and cluster analysis (k-means) were conducted. The most frequently identified that categories were environmental control (34%), communication (20%), and social structure (16%). Significant knowledge gaps were identified in the areas of non-verbal communication, biological differences, and understanding space in a cultural context. Three cultural knowledge profiles of the female participants were distinguished: pragmatic, socio-reflective, and critical-experiential. The cultural knowledge of the participants was fragmented and simplified. The results indicate the need to personalise cultural learning and to take into account nurses' level of readiness and experience profile. The study highlights the importance of the systematic development of reflective and contextual cultural knowledge as a foundation for competent care.
患者文化多样性的增加给护士带来了新的挑战。文化能力,尤其是对健康和疾病文化决定因素的了解,是护理专业素养的重要组成部分。本研究的目的是分析护士在接受该领域正式培训之前对文化知识的自我评估,重点关注吉格和大卫希扎尔模型的六个维度。采用了定性和定量分析相结合的三角测量法。分析包括来自36名护理学硕士研究生的353条陈述。数据根据六种文化现象进行编码:生物因素、沟通、空间、时间、社会结构和环境控制。进行了内容分析、方差分析、斯皮尔曼等级相关分析和聚类分析(k均值法)。最常被提及的类别是环境控制(34%)、沟通(20%)和社会结构(16%)。在非语言沟通、生物差异以及在文化背景下理解空间等方面发现了明显的知识差距。区分出了女性参与者的三种文化知识概况:务实型、社会反思型和批判性体验型。参与者的文化知识是零散和简化的。结果表明需要对文化学习进行个性化,并考虑护士的准备程度和经验概况。该研究强调了系统发展反思性和情境性文化知识作为提供胜任护理基础的重要性。
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