Kirkham S R
University of British Columbia.
Clin Nurs Res. 1998 May;7(2):125-46. doi: 10.1177/105477389800700204.
The nursing profession has responded to today's cultural diversity through theory development, association statements, research, and inclusion of cultural content in nursing curricula. This qualitative study was completed to explore whether this increased attention to cultural diversity is resulting in culturally sensitive nursing care. In this preliminary description of cross-cultural care, eight recently graduated nurses were each interviewed twice. Caring for culturally diverse clients is reflected by these participants as complex and challenging, due to the interrelatedness of multiple personal and contextual factors. Nurses' commitment to caring for culturally diverse clients varies, ranging from "resistant" to "generalist" to "impassioned." Contextual factors include the setting of health care, the support of colleagues, the institutional climate, the foundation of education, and the presence of racism. Despite the nursing profession's attention directed toward issues of cultural diversity, it seems that the goal of culturally sensitive care remains a distant ideal.
护理专业通过理论发展、协会声明、研究以及将文化内容纳入护理课程等方式来应对当今的文化多样性。这项定性研究旨在探讨对文化多样性的更多关注是否会带来具有文化敏感性的护理。在这项跨文化护理的初步描述中,对八名刚毕业的护士每人进行了两次访谈。这些参与者认为,由于多种个人因素和背景因素相互关联,照顾文化背景各异的患者既复杂又具有挑战性。护士照顾文化背景各异患者的投入程度各不相同,从“抵触”到“通才型”再到“充满热情型”。背景因素包括医疗保健环境、同事的支持、机构氛围、教育基础以及种族主义的存在。尽管护理专业关注文化多样性问题,但具有文化敏感性护理的目标似乎仍是一个遥远的理想。