关键词: cultural barriers cultural competency organ transplantation transplant surgeons transplant surgery

来  源:   DOI:10.3390/healthcare12131252   PDF(Pubmed)

Abstract:
To achieve expertise, transplant surgeons in Turkiye undergo rigorous training, including medical school, residency, compulsory service, and extensive training in transplant surgery. Despite their high academic and clinical knowledge level, success in transplant surgery heavily depends on cultural competency. Through semi-structured interviews with 21 transplant surgeons specializing in kidney and liver transplants in Ankara, this study reveals how health illiteracy, culture, and folklore create significant barriers. Surgeons navigate these challenges while enduring harsh working conditions. This research highlights the critical role of cultural competency in transplant surgery, emphasizing the necessity for surgeons to understand and address the diverse cultural needs of their patients. Key findings indicate that surgeons must balance medical expertise with cultural sensitivity to deliver effective care. This study identifies four main cultural barriers: spiritual trust, family politics, health illiteracy, and subcultural incompetency. Effective transplant surgery requires a combination of theoretical proficiency and cultural awareness to meet a patient\'s needs and improve surgical outcomes.
摘要:
为了获得专业知识,Turkiye的移植外科医生接受严格的培训,包括医学院,residence,义务服务,和广泛的移植手术培训。尽管他们的学术和临床知识水平很高,移植手术的成功在很大程度上取决于文化能力。通过对安卡拉21名专门从事肾脏和肝脏移植的移植外科医生的半结构化访谈,这项研究揭示了健康文盲,文化,和民间传说创造了巨大的障碍。外科医生在忍受恶劣工作条件的同时应对这些挑战。这项研究强调了文化能力在移植手术中的关键作用,强调外科医生了解和解决患者不同文化需求的必要性。主要研究结果表明,外科医生必须在医学专业知识与文化敏感性之间取得平衡,以提供有效的护理。这项研究确定了四个主要的文化障碍:精神信任,家庭政治,健康文盲,和亚文化无能。有效的移植手术需要结合理论水平和文化意识,以满足患者的需求并改善手术效果。
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