Jukes M, O'Shea K
Faculty of Health and Community Care, University of Central England, Birmingham.
Br J Nurs. 1998;7(15):901-6. doi: 10.12968/bjon.1998.7.15.5620.
In this article, the first of two parts, the issues surrounding healthcare provision are discussed in the context of the UK as a multicultural society. Concerns relating to nurse education and training are identified in regard to the implications for practice surrounding diagnosis across cultures, classification of illness, and the status and influence of psychological assessments within the field of mental health and learning disability. Finally, the concept of empowerment is critically reviewed, emphasizing that service providers need to collaborate with communities. Community mental health and learning disability nurses are required to make dynamic alliances with communities, through the individual, and so redirect the power relationship to the community and subsequently respond to the demands for cultural diversity sensitively from within healthcare provision and services.
在本文（两部分中的第一部分）中，围绕医疗保健提供的问题在英国作为多元文化社会的背景下进行了讨论。在跨文化诊断、疾病分类以及心理健康和学习障碍领域中心理评估的地位和影响等实践相关问题方面，确定了与护士教育和培训有关的担忧。最后，对赋权概念进行了批判性审视，强调服务提供者需要与社区合作。社区心理健康和学习障碍护士需要通过个体与社区建立动态联盟，从而将权力关系重新导向社区，并随后在医疗保健提供和服务中敏感地回应文化多样性的需求。
