Cultural safety

文化安全
  • 文章类型: Journal Article
    国际上有人担心,在COVID-19大流行期间,缺乏良好的姑息治疗,导致了不良的临终护理体验。迄今为止,很少有研究考虑大流行对死于非COVID-19原因的人及其家人和朋友的影响。特别是,关于土著临终关怀的实证研究很少,移民和少数民族社区。
    探讨在COVID-19大流行规定下,丧亲者对临终关怀的看法和经验。
    这项定性研究涉及对30名种族不同的近亲进行深入的一次性采访,这些近亲的家庭成员在奥特罗阿大流行的第一年死亡,新西兰。
    面试由种族匹配的面试者/受访者进行。反身性主题分析被用来探索和概念化他们的账户。
    一个关键发现是,失去亲人的家庭将单独死亡和感染COVID-19视为同样重要的风险。通过这种分析,我们确定了五个关键主题:(1)受损的联系;(2)不确定的沟通;(3)文化安全;(4)支持悲伤和(5)一线希望。
    本文强调了为家庭/whanau在生命结束时与他们的家庭/wha-nau成员实现安全和受支持的访问的重要性。我们认为需要更广泛地提供丧亲支持。我们建议政策制定者增加姑息治疗服务的资源,确保病人及其家属得到高质量的临终关怀,在这场大流行期间和之后。政策制定者还可以促进文化多样化的临终关怀工作人员队伍,并在人们死亡的一系列机构中嵌入文化安全做法。
    UNASSIGNED: There have been international concerns raised that, during the COVID-19 pandemic, there was an absence of good palliative care resulting in poor end-of-life care experiences. To date, there have been few studies considering the pandemic\'s impact on people dying from non-COVID-19 causes and their families and friends. In particular, there has been very less empirical research in relation to end-of-life care for Indigenous, migrant and minoritised ethnic communities.
    UNASSIGNED: To explore bereaved next-of-kin\'s views and experiences of end-of-life care under COVID-19 pandemic regulations.
    UNASSIGNED: This qualitative study involved in-depth one-off interviews with 30 ethnically diverse next-of-kin who had a family member die in the first year of the pandemic in Aotearoa, New Zealand.
    UNASSIGNED: Interviews were conducted by ethnically matched interviewers/interviewees. A reflexive thematic analysis was used to explore and conceptualise their accounts.
    UNASSIGNED: A key finding was that dying alone and contracting COVID-19 were seen as equally significant risks by bereaved families. Through this analysis, we identified five key themes: (1) compromised connection; (2) uncertain communication; (3) cultural safety; (4) supported grieving and (5) silver linings.
    UNASSIGNED: This article emphasises the importance of enabling safe and supported access for family/whanau to be with their family/wha-nau member at end-of-life. We identify a need for wider provision of bereavement support. We recommend that policy makers increase resourcing of palliative care services to ensure that patients and their families receive high-quality end-of-life care, both during and post this pandemic. Policy makers could also promote a culturally-diverse end-of-life care work force and the embedding of culturally-safety practices across a range of institutions where people die.
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