Thomas V, Dines A
King's College, University of London, England.
J Adv Nurs. 1994 Nov;20(5):802-8. doi: 10.1046/j.1365-2648.1994.20050802.x.
The UKCC Code of Professional Conduct for nurses, midwives and health visitors stresses the need to have an understanding of the social and cultural determinants of health and illness. There is as yet little evidence of what might constitute good practice in this area and it is difficult to ascertain why this basic philosophy is not translated into action. Indeed, the nursing and midwifery professions' ability to deliver adequate and appropriate health care more generally to Britain's multiracial, multicultural population has been questioned. This literature review presents evidence which strongly suggests that although we are living in a multicultural society patients from minority ethnic groups are additionally disadvantaged because the initiatives by nurses, and others working in the National Health Service, to meet their health care needs are inadequate and often inappropriate.
英国护士、助产士和健康访视员专业行为准则强调，需要了解健康与疾病的社会和文化决定因素。目前几乎没有证据表明在这一领域什么可能构成良好实践，也很难确定为什么这一基本理念没有转化为行动。事实上，护理和助产专业更广泛地为英国多种族、多文化人口提供充分和适当医疗保健的能力受到了质疑。这篇文献综述提供的证据有力地表明，尽管我们生活在一个多元文化社会中，但少数族裔患者却处于更加不利的地位，因为护士以及国民医疗服务体系中的其他工作人员满足他们医疗保健需求的举措并不充分，而且往往不恰当。
