文化安全是一种患者护理方法,旨在促进尊重患者的文化需求,并解决不同文化情况下护理中的不平等问题。
■许多文献认为围产期的文化安全护理,然而,人们对患者如何体验和理解文化安全知之甚少。尽管患者定义的护理是文化安全的定义之一。
■本范围审查调查了从现有的定性文献中了解到的有关患者在围产期干预措施中的文化安全框架的经验。
■在PubMed中搜索“文化安全”或“文化安全”,OvidMedline,OvidEmbase,护理和相关健康文献的累积指数,Scopus,Scielo,在重复数据删除后,拉丁美洲和加勒比健康科学文献返回了2233个结果。进行了标题摘要和全文筛选,以从围产期患者的角度确定文化安全的定性研究。七项研究纳入最终分析。使用NVivo对数据进行开放编码。
■确定了三个主题:(1)承认他们的生活与主流文化中的患者不同的护理,(2)在社区接受护理,和(3)护理提供者谁尊重他们的选择和文化特定的知识。
■这项研究表明,文化安全如何与助产和产科中使用的其他基于公平的框架相交。
■在这项研究的基础上建立可能会导致新的协议,以解决围产期边缘化人群复杂的社会和身体需求。
UNASSIGNED: Cultural safety is an approach to patient care designed to facilitate respect of patients\' cultural needs and address inequities in care in culturally diverse situations.
UNASSIGNED: Much literature considers culturally safe care during the perinatal period, yet little is known about how patients experience and understand cultural safety. This is despite patient-defined care being one of the definitions of cultural safety.
UNASSIGNED: This scoping review investigates what is known from existing qualitative literature about patients\' experience of cultural safety frameworks in perinatal interventions.
UNASSIGNED: A search for \"cultural safety\" OR \"culturally safe\" in PubMed, Ovid Medline, Ovid Embase, Cumulated Index to Nursing and Allied Health Literature, Scopus, Scielo, and Latin America and the Caribbean Literature on Health Sciences returned 2233 results after deduplication. Title-abstract and full-text screenings were conducted to identify qualitative studies of cultural safety from perinatal patients\' perspectives. Seven studies were included in the final analysis. Data were open coded using NVivo.
UNASSIGNED: Three themes were identified: (1) care that acknowledged that their lives were different from patients in the dominant culture, (2) receiving care in community, and (3) care providers who respected their choices and culturally specific knowledge.
UNASSIGNED: This research shows how cultural safety intersects with other equity-based frameworks used in midwifery and obstetrics.
UNASSIGNED: Building on this research could lead to new protocols that address complex social and physical needs of marginalized people during the perinatal period.