关键词: communication skills hospital workers intercultural competence multicultural patients professional development

Mesh : Humans Republic of Korea Cultural Competency / education Cultural Diversity Female Male Adult Surveys and Questionnaires Communication Barriers Middle Aged Personnel, Hospital / psychology Cross-Sectional Studies Attitude of Health Personnel Hospitals, General Communication

来  源:   DOI:10.5116/ijme.6667.2270   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aims to assess the intercultural competence of general hospital workers in South Korea by examining their understanding of cultural diversity in healthcare and to identify factors influencing their intercultural competence.
UNASSIGNED: A cross-institutional survey was conducted with 439 participants from four South Korean general hospitals, employing inferential statistics such as one-way Analysis of Variance, Mann-Whitney U, and Kruskal-Wallis test followed by post-hoc, and multiple linear regression analyses.
UNASSIGNED: While 85% (n = 362) of participants acknowledged the significance of multiculturalism in Korean society, only 11% (n = 49) felt competent in treating multicultural patients. Additionally, 72% (n = 315) experienced significant linguistic difficulties in medical communication. Multiple regression analysis identified advanced English competency, multicultural training experiences, and peer support with organizational awareness of multicultural importance as significant positive contributors to intercultural competence.
UNASSIGNED: Despite recognizing the importance of multiculturalism, general hospital workers face significant language barriers and low self-efficacy in providing care to multicultural patients. To address these challenges, hospitals should designate resident translators for culturally appropriate communication. Furthermore, a tri-tiered training approach is proposed to enhance the five domains of intercultural competence among general hospital workers in Korea, including overarching multicultural training, occupation-specific courses, and long-term managerial programs aimed at managing cultural diversity effectively in healthcare settings.
摘要:
本研究旨在通过检查韩国综合医院工作人员对医疗保健文化多样性的理解来评估他们的跨文化能力,并确定影响他们跨文化能力的因素。
对来自韩国四家综合医院的439名参与者进行了一项跨机构调查,采用推断统计,如单向方差分析,Mann-WhitneyU,和Kruskal-Wallis测试,然后是事后分析,和多元线性回归分析。
虽然85%(n=362)的参与者承认多元文化在韩国社会的重要性,只有11%(n=49)认为有能力治疗多元文化患者。此外,72%(n=315)在医学交流中遇到了严重的语言困难。多元回归分析确定了高级英语能力,多元文化培训经验,和同伴支持,组织意识到多元文化的重要性,这是跨文化能力的重要积极贡献者。
尽管认识到多元文化主义的重要性,综合医院工作人员在为多元文化患者提供护理时面临显著的语言障碍和低自我效能感。为了应对这些挑战,医院应指定常驻翻译人员进行文化上适当的交流。此外,提出了一种三层培训方法,以增强韩国综合医院工作人员的五个跨文化能力领域,包括全面的多元文化培训,特定职业课程,以及旨在有效管理医疗保健环境中的文化多样性的长期管理计划。
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