Plawecki H M, Sanchez T R, Plawecki J A
J Holist Nurs. 1994 Sep;12(3):291-306. doi: 10.1177/089801019401200307.
Cultural factors significantly influence the Navajo's interactive processes as well as perceptions of health and illness. Unfortunately, very limited published information is available about the problems that may occur when health care practitioners ignore the influence of culture. The interactive processes are made even more complex when health care providers have cultural expectations that are different from those held by their patients. The article reviews some of the complex factors (i.e., family structure, health/illness beliefs, traditional remedies, and cultural practitioners) that influence the Navajo's decision to seek, accept, or reject the assistance of professional health care providers. In addition, some implications, strategies, and suggestions are included that may assist the nurse in improving the quality of care provided to the Navajo patient.
文化因素显著影响纳瓦霍人的互动过程以及他们对健康和疾病的认知。不幸的是,关于医疗从业者忽视文化影响时可能出现的问题,公开的信息非常有限。当医疗服务提供者的文化期望与患者不同时,互动过程会变得更加复杂。本文回顾了一些影响纳瓦霍人寻求、接受或拒绝专业医疗服务提供者帮助的决定的复杂因素(即家庭结构、健康/疾病观念、传统疗法和文化从业者)。此外,还包括一些可能有助于护士提高为纳瓦霍患者提供的护理质量的启示、策略和建议。