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护理干预实施中的多元文化问题与伦理考量。

Multicultural issues and ethical concerns in the delivery of nursing care interventions.

作者信息

Doswell W M, Erlen J A

机构信息

University of Pittsburgh School of Nursing, PA, USA.

出版信息

Nurs Clin North Am. 1998 Jun;33(2):353-61.

PMID:9624209
Abstract

Nurses are beginning to recognize the importance of understanding the values, beliefs, and health practices of different cultures in order to provide care that is appropriate and culturally relevant to diverse patient populations. Individuals from other cultures may have different languages and customs. These cultural factors are important to the nurse's understanding of the specifics of health care practice. Culture and ethnicity may influence one's physical development and exposure to health compromising environments and conditions. This article uses a case study to describe a process that health care providers can use when faced with ethical dilemmas that arise when caring for patients from different cultures. Nursing strategies to promote culturally sensitive care are discussed, and include cultural assessment, heightening sensitivity to ethical issues in cultural diversity, and the role of continuing education in providing culturally competent care.

摘要

护士们开始认识到理解不同文化的价值观、信仰和健康习俗的重要性,以便提供适合不同患者群体且与文化相关的护理。来自其他文化的个体可能有不同的语言和习俗。这些文化因素对于护士理解医疗保健实践的具体情况很重要。文化和种族可能会影响一个人的身体发育以及接触危害健康的环境和条件。本文通过一个案例研究来描述医疗保健提供者在面对照顾来自不同文化背景的患者时出现的伦理困境时可以采用的过程。讨论了促进具有文化敏感性护理的护理策略,包括文化评估、提高对文化多样性中伦理问题的敏感性以及继续教育在提供具有文化胜任力护理方面的作用。

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