Abstract：
OBJECTIVE: To describe how clinicians provide culturally responsive care to culturally diverse people with kidney failure in haemodialysis centres.
BACKGROUND: Culturally diverse individuals receiving in-centre maintenance haemodialysis have unique cultural needs. Unmet cultural needs can impair and profoundly affect their experiences. Given culturally responsive care has the potential to enhance the experiences of culturally diverse people, it is vital to understand how clinicians provide culturally responsive care.
METHODS: A scoping review was undertaken using Arksey and OMalleys framework. Five databases: Medline and CINAHL Complete (EBSCO), PsycINFO, Embase (OVID) and ProQuest Theses and Dissertation databases were searched for research literature published in English between 1990 and 2023. Narrative synthesis was used to synthesise the data.
RESULTS: From the 17,271 records screened, 17 papers reporting 14 studies met the inclusion criteria. Narrative synthesis revealed two themes: (i) communication enablers and barriers including linguistic differences, professional and lay interpreter use; and (ii) the importance of culture, which encompassed acknowledging cultural priorities, accommodating cultural food preferences and access to cultural training.
CONCLUSIONS: While competing priorities associated with haemodialysis may be a challenge for clinicians, recognising the significance of cultural care needs and accommodating them in care is important. Demonstrating respect towards cultural diversity and providing person-centred care by facilitating the unique cultural needs of people with kidney failure in haemodialysis is imperative.
CONCLUSIONS: Culturally responsive care is complex and multidimensional. Individuals\' cultural care needs should be acknowledged, respected, and accommodated in care.
UNASSIGNED: No patient or public contribution. The study protocol was registered in the Open Science Framework. https://osf.io/uv8g3.
BACKGROUND: Culturally diverse individuals receiving in-centre maintenance haemodialysis have unique cultural needs. Unmet cultural needs can impair and profoundly affect their experiences. Given culturally responsive care has the potential to enhance the experiences of culturally diverse people, it is vital to understand how clinicians provide culturally responsive care.
METHODS: A scoping review was undertaken using Arksey and OMalleys framework. Five databases: Medline and CINAHL Complete (EBSCO), PsycINFO, Embase (OVID) and ProQuest Theses and Dissertation databases were searched for research literature published in English between 1990 and 2023. Narrative synthesis was used to synthesise the data.
RESULTS: From the 17,271 records screened, 17 papers reporting 14 studies met the inclusion criteria. Narrative synthesis revealed two themes: (i) communication enablers and barriers including linguistic differences, professional and lay interpreter use; and (ii) the importance of culture, which encompassed acknowledging cultural priorities, accommodating cultural food preferences and access to cultural training.
CONCLUSIONS: While competing priorities associated with haemodialysis may be a challenge for clinicians, recognising the significance of cultural care needs and accommodating them in care is important. Demonstrating respect towards cultural diversity and providing person-centred care by facilitating the unique cultural needs of people with kidney failure in haemodialysis is imperative.
CONCLUSIONS: Culturally responsive care is complex and multidimensional. Individuals\' cultural care needs should be acknowledged, respected, and accommodated in care.
UNASSIGNED: No patient or public contribution. The study protocol was registered in the Open Science Framework. https://osf.io/uv8g3.
摘要：
目的：描述临床医生如何在血液透析中心为不同文化的肾衰竭患者提供文化响应性护理。
背景：接受中心维持性血液透析的文化多样性个体具有独特的文化需求。未满足的文化需求会损害并深刻影响他们的经历。鉴于文化敏感的护理有可能增强文化多样性人群的体验，了解临床医生如何提供符合文化的护理至关重要.
方法：使用Arksey和OMalleys框架进行范围审查。五个数据库：Medline和CINAHLComplete（EBSCO），PsycINFO,搜索Embase（OVID）和ProQuest论文和论文数据库，以获取1990年至2023年之间以英语发表的研究文献。叙事合成用于合成数据。
结果：从筛选的17,271条记录中，报告14项研究的17篇论文符合纳入标准。叙事综合揭示了两个主题：（i）交流促进因素和障碍，包括语言差异，专业和外行口译员使用；以及(Ii)文化的重要性，其中包括承认文化优先事项，适应文化饮食偏好和获得文化培训。
结论：虽然与血液透析相关的竞争优先事项对临床医生来说可能是一个挑战，认识到文化护理需求的重要性并将其纳入护理中很重要。必须通过促进血液透析中肾衰竭患者的独特文化需求来表现出对文化多样性的尊重并提供以人为本的护理。
结论：文化反应性护理是复杂和多维的。应该承认个人的文化关怀需求，尊敬的,并被照顾。
■没有患者或公众捐款。研究方案在开放科学框架中注册。https://osf.io/uv8g3.
背景：接受中心维持性血液透析的文化多样性个体具有独特的文化需求。未满足的文化需求会损害并深刻影响他们的经历。鉴于文化敏感的护理有可能增强文化多样性人群的体验，了解临床医生如何提供符合文化的护理至关重要.
方法：使用Arksey和OMalleys框架进行范围审查。五个数据库：Medline和CINAHLComplete（EBSCO），PsycINFO,搜索Embase（OVID）和ProQuest论文和论文数据库，以获取1990年至2023年之间以英语发表的研究文献。叙事合成用于合成数据。
结果：从筛选的17,271条记录中，报告14项研究的17篇论文符合纳入标准。叙事综合揭示了两个主题：（i）交流促进因素和障碍，包括语言差异，专业和外行口译员使用；以及(Ii)文化的重要性，其中包括承认文化优先事项，适应文化饮食偏好和获得文化培训。
结论：虽然与血液透析相关的竞争优先事项对临床医生来说可能是一个挑战，认识到文化护理需求的重要性并将其纳入护理中很重要。必须通过促进血液透析中肾衰竭患者的独特文化需求来表现出对文化多样性的尊重并提供以人为本的护理。
结论：文化反应性护理是复杂和多维的。应该承认个人的文化关怀需求，尊敬的,并被照顾。
■没有患者或公众捐款。研究方案在开放科学框架中注册。https://osf.io/uv8g3.
