Cultural competence

文化能力
  • 文章类型: Journal Article
    让护理学生参与跨学科学习和协作活动将为他们在促进全球健康知识和文化能力方面的未来角色做好准备。这项研究的目的是描述本科护理学生参加旨在促进全球健康知识和提高瑞典大学与索马里兰大学之间文化能力的合作虚拟研讨会的经验。
    进行了使用半结构化个人访谈和焦点小组讨论的定性描述性研究。值得注意的是,参加了协作虚拟研讨会的27名护理专业学生。采用归纳定性内容分析对数据进行分析。
    护理学生报告说,他们对全球健康有了深刻的理解和广阔的视野,文化意识,和好奇心对他们作为未来全球护士的角色至关重要。
    通过协作虚拟研讨会在护理专业学生中培养全球健康知识和文化能力是有利的,因为它增强了他们在护理方面的文化能力。
    UNASSIGNED: Engaging nursing students in transdisciplinary learning and collaborative activities will prepare them for future roles in promoting global health knowledge and cultural competence. The purpose of this study was to describe undergraduate nursing students\' experiences of participating in collaborative virtual seminars intended to promote global health knowledge and increase cultural competence between a university in Sweden and a university in Somaliland.
    UNASSIGNED: A qualitative descriptive study using semi-structured individual interviews and focus group discussions was conducted. Notably, 27 nursing students who participated in a collaborative virtual seminar were included. Data were analyzed using inductive qualitative content analysis.
    UNASSIGNED: Nursing students reported having gained profound comprehension of and a broadened perspective on global health, cultural awareness, and curiosity crucial for their roles as future global nurses.
    UNASSIGNED: Fostering global health knowledge and cultural competence among nursing students through collaborative virtual seminars is advantageous as it enhances their cultural competence in nursing.
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  • 文章类型: Journal Article
    假定性别和性别是二元且一致的语言在医学中普遍存在,并且在生理学和病理学教学中经常使用。通过该透镜提供的信息过度简化了疾病机制,并且无法解决性别和性多样化(GSD)个体的健康问题。我们开发了一个培训课程,以帮助教师以准确和包容GSD健康的方式参考性别和性别。
    针对本科生和研究生医学教育工作者的1小时课程强调了医学教学中的顺性和二元偏见,并引入了一种扎根的思维方式,该思维方式优先教授性别和性别亚群之间疾病特征差异的潜在过程。培训包括30分钟的教学教学和20分钟的小组讨论。医学教育教师在培训前后参加并自我报告知识和意识。使用配对t检验比较结果。费用包括咨询和餐饮费用。
    40名教师参加(培训前调查n=36,培训后调查n=21)。培训结束后,自我报告对性别和性别之间差异的认识显着增加(p=0.002),性别与教义的感知相关性(p=.04),并准备讨论性连锁疾病的生理驱动因素(p=0.005)。
    参与者报告在医学教育中对性别和性别的理解和考虑增加;反馈强调了对持续指导的愿望。这个容易适应的会议可以提供关于性别和性别的一系列医学教导的介绍。
    UNASSIGNED: Language that assumes gender and sex are binary and aligned is pervasive in medicine and is often used when teaching on physiology and pathology. Information presented through this lens oversimplifies disease mechanisms and poorly addresses the health of gender and sexually diverse (GSD) individuals. We developed a training session to help faculty reference gender and sex in a manner that would be accurate and inclusive of GSD health.
    UNASSIGNED: The 1-hour session for undergraduate and graduate medical educators highlighted cisgender and binary biases in medical teachings and introduced a getting-to-the-root mindset that prioritized teaching the processes underlying differences in disease profiles among gender and sex subpopulations. The training consisted of 30 minutes of didactic teaching and 20 minutes of small-group discussion. Medical education faculty attended and self-reported knowledge and awareness before and after the training. Results were compared using paired t tests. Expenses included fees for consultation and catering.
    UNASSIGNED: Forty faculty participated (pretraining survey n = 36, posttraining survey n = 21). After the training, there was a significant increase in self-reported awareness of the difference between gender and sex (p = .002), perceived relevance of gender to teachings (p = .04), and readiness to discuss physiological drivers of sex-linked disease (p = .005).
    UNASSIGNED: Participants reported increased understanding and consideration of gender and sex in medical education; feedback emphasized a desire for continued guidance. This easily adaptable session can provide an introduction to a series of medical teachings on gender and sex.
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  • 文章类型: Journal Article
    促进健康公平的方案制定和评估由社区参与式研究推动,并由选定社区的人们领导,以坚持多样性原则,股本,inclusion,可达性(DEIA)。当这些社区代表DEIA内的交叉点时,这个过程就丰富了,例如,例如,美籍韩裔女性患有抑郁症。研究表明,与针对更广泛人群的护理标准相比,针对这些社区的特定文化服务适应更有效。然而,文化特异性降低了调查结果的普遍性和干预措施的可扩展性。有关交叉性的决定受到对科学的影响以及参与此过程的个人的现实利益的影响。
    Program development and evaluation that promote health equity are driven by community-based participatory research and led by people from select communities to adhere to the principles of diversity, equity, inclusion, and accessibility (DEIA). This process is enriched when these communities represent intersections within DEIA, such as, for example, Korean American women with depression. Research shows that culture-specific adaptations of services are significantly more effective for these communities than is the standard of care for the broader population. However, cultural specificity decreases generalizability of findings and scalability of interventions. Decisions about intersectionality are affected by implications for science as well as real-world benefits for individuals participating in this process.
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  • 文章类型: Journal Article
    目的:探索口腔健康专业教育课程中有关土著内容的文献。
    方法:本范围审查包括所有类型的关于土著内容的口腔保健教育计划的文献,遵循JBI(乔安娜·布里格斯研究所)方法。使用\"土著,\"\"教育,“”和“口腔健康”作为关键字,为MEDLINE提供了完整的搜索策略,CINAHL,Embase,Scopus,ERIC,EPPI,MededPORTAL,谷歌学者,ProQuest论文和论文全球,澳大利亚政府卫生部,澳大利亚土著HealthInfoNet。搜索包括直到2023年11月1日可用的文献,无论语言如何。两名评审员独立筛选了这些研究,和数据被提取并以表格和叙述性摘要格式呈现。
    结果:共确定了948条记录,选择了101项研究进行全文回顾。23项研究符合数据提取标准。在所有的研究中,95.6%在2007年至2021年之间发布,主要来自澳大利亚和新西兰。最常见的内容包括土著文化,其次是历史,土著口腔健康,和土著人民的健康。农村和临床安置是最常用的分娩方法,评估调查是最常用的评估技术。提供土著课程的障碍包括学生的不感兴趣和与土著社区的有限互动,而促进者包括文化沉浸和支持性指导。
    结论:尽管在将土著内容纳入口腔健康教育方面取得了进展,挑战依然存在。优先考虑土著观点,社区伙伴关系,和标准化的评估工具是必要的。未来的研究应侧重于土著课程开发和交付的长期影响和最佳做法。
    OBJECTIVE: To explore the literature on Indigenous content within the oral health professions\' education curricula.
    METHODS: This scoping review included all types of literature on oral health care educational programs on Indigenous content, following the JBI (Joanna Briggs Institute) methodology. An initial search using \"Indigenous,\" \"education,\" and \"oral health\" as keywords informed a full search strategy for MEDLINE, CINAHL, Embase, Scopus, ERIC, EPPI, MedEdPORTAL, Google Scholar, ProQuest Dissertations and Theses Global, Australian Government Department of Health, and Australian Indigenous HealthInfoNet. The search included literature available until November 1, 2023, irrespective of language. Two reviewers independently screened the studies, and data were extracted and presented in tabular and narrative summary formats.
    RESULTS: A total of 948 records were identified, and 101 studies were chosen for full-text review. Twenty-three studies met the criteria for data extraction. Of all studies, 95.6% were published between 2007 and 2021, mostly from Australia and New Zealand. The most frequently covered content included Indigenous culture, followed by history, Indigenous oral health, and Indigenous Peoples\' health. Rural and clinical placements were the most employed delivery methods, and evaluation surveys were the most employed assessment technique. Barriers to delivering an Indigenous curriculum included students\' disinterest and limited interaction with Indigenous communities, while facilitators included cultural immersion and supportive mentorship.
    CONCLUSIONS: Despite progress in integrating Indigenous content into oral health education, challenges persist. Prioritizing Indigenous perspectives, community partnerships, and standardized assessment tools is needed. Future research should focus on long-term impacts and best practices for Indigenous curriculum development and delivery.
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  • 文章类型: Journal Article
    向医学生介绍文化谦逊的概念,我们设计了一个教学计划,让学生考虑如何通过在临床交流中使用语言来体现力量,专注于全科医学。文化谦逊是一个教学框架,由Tervalon和Murray-Garcia介绍,以解决他们认为的文化能力模型的局限性。
    我们的教学计划专门针对临床交流中的力量,口头磋商和书面说明。该课程在他们的第一个“临床”年度面向三年级医学生,他们定期见证并参与初级和二级护理实习的临床沟通。道德上的认可已经到位,以分析学生对会议的思考。
    参加的学生很好。他们对会议进行了积极的评价,因为他们提高了对临床语言在负面刻板印象和非人性化患者中的力量的认识。他们在反映通常用于医患关系的临床语言的无意伤害时表现出文化谦卑。然而,对我们来说最引人注目的是,以及我们作为教育者的学习所在,出席会议的人很少,尽管我们试图强调临床相关性和作为未来医生发展的重要性。
    本文为对文化谦逊感兴趣的教育者提供了一个框架。这一举措的含义是如何(或如何不)在这一领域发展和提供培训。作为教育工作者需要更多的考虑,包括我们自己的语言,如何让学生围绕权力这个复杂的话题进行思考。
    UNASSIGNED: Introducing medical students to the concept of Cultural Humility, we devised a teaching initiative for students to consider how power manifests through the use of language in clinical communication, with a focus on General Practice. Cultural Humility is a pedagogical framework, introduced by Tervalon and Murray-Garcia, to address what they consider as the limitations of the Cultural Competence model.
    UNASSIGNED: Our teaching initiative specifically focused on power in clinical communication, both oral consultations and written notes. The session was delivered to third-year medical students during their first \'clinical\' year, where they regularly witness and are involved in clinical communication across primary and secondary care placements. Ethical approval was in place to analyse students\' reflections on the session.
    UNASSIGNED: Students who attended engaged well. They evaluated the session positively as increasing their awareness of the power of clinical language in negatively stereotyping and dehumanising patients. They demonstrated Cultural Humility in their reflections of the unintentional harm of clinical language commonly used for the doctor-patient relationship. However, most striking for us, and where our learning as educators lies, was the low attendance at the session, despite our attempts to underline clinical relevance and importance for development as future doctors.
    UNASSIGNED: This article offers a framework for educators interested in Cultural Humility. The implications of this initiative are how (or how not) to develop and deliver training in this space. More consideration is required as educators, including around our own language, as to how to engage students to think around the complex topic of power.
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  • 文章类型: Journal Article
    目的:本研究的目的是利用跨文化发展量表(IDI)的结果,探索护理学学士(BSN)学生对独特教学策略有效性的看法。一种评估跨文化能力的工具,他们定制的跨文化发展计划(IDP)在护理高级实习中增强他们的文化能力发展。该研究还研究了学生对如何制定计划来发展他们的跨文化能力将对他们未来的护理实践产生影响的见解。
    背景:跨文化能力对于提供优质的医疗保健至关重要,然而,在理解如何设计和实施教育干预措施以提高护理专业学生的文化能力方面存在差距。本文介绍了一种发展跨文化能力的策略。IDI在五个学期的BSN计划的第四学期中被管理给护理学学士(BSN)学生。根据他们的IDI结果,每个学生都接受了定制的IDP,该IDP建议了特定的活动,并鼓励引导自我反思以增强跨文化能力的发展。在第五学期的高级实习课程中,学生根据他们的IDP制定了个人跨文化能力发展目标。他们还在实习期间每周发表关于跨文化能力发展的期刊。
    方法:本研究采用定性案例研究设计。
    方法:这项研究于2021年1月至7月在美国东南部的一个大型BSN计划中对47名高级实习学生进行了研究。数据包括学生对IDI/IDP如何影响其跨文化发展及其对未来实践的潜在影响的提示的书面答复。通过归纳内容分析对数据进行分析。
    结果:出现了三个关键主题:自我意识,承认文化影响和增长目标。学生的思考表明,他们希望发展跨文化能力,以便为患者提供最佳的护理。尽管如此,大多数学生没有计划如何在这方面成长。许多学生报告说,他们的IDI/IDP在整个实习过程中提高了文化意识,指导他们跨文化能力的发展,并导致对文化的更深入和更广泛的理解。学生建议,这增进了文化理解,以及他们的国内流离失所者,将促进他们在未来的专业实践中继续发展跨文化能力。
    结论:本研究通过提供经验证据证明IDI/IDP对护生感知的跨文化发展的积极影响,有助于现有的跨文化能力发展知识和有效的教学方法。这些发现可以为提高跨文化能力的教学策略的制定和实施提供信息,这将最终改善所有医疗保健环境中的患者护理结果。
    OBJECTIVE: The aim of this study was to explore Bachelor of Science in Nursing (BSN) students\' perceptions of the effectiveness of a unique teaching-learning strategy using their results from the Intercultural Development Inventory (IDI), an instrument for the assessment of intercultural competence, with their customized Intercultural Development Plan (IDP) in enhancing their cultural competence development in a nursing senior practicum. The study also examined student insights about how having a plan to develop their intercultural competence will have an impact on their future nursing practice.
    BACKGROUND: Intercultural competence is vital for providing quality healthcare, yet there is a gap in understanding how educational interventions are designed and implemented to enhance cultural competence among nursing students. This paper describes a strategy for developing intercultural competence. The IDI was administered to Bachelor of Science in Nursing (BSN) students in the fourth semester of a five-semester BSN program. Based on their IDI results, each student received a customized IDP that suggested specific activities and encouraged guided self-reflection to enhance intercultural competence development. In the fifth-semester senior practicum course, the students developed personal intercultural competence development goals based on their IDP. They also kept weekly journals on their intercultural competence development during their practicum.
    METHODS: This study used a Qualitative Case Study design.
    METHODS: This study was conducted from January to July 2021 with 47 senior practicum students in a large BSN program in the Southeastern United States. Data consisted of student written responses to prompts on how the IDI/IDP influenced their intercultural development and its potential effect on their future practice. The data were analyzed through inductive content analysis.
    RESULTS: Three key themes emerged: self-awareness, recognition of cultural influences and growth goals. Student reflections suggested that they desired to develop intercultural competence so they could provide the best possible nursing care for their patients. Still, most students did not have a plan for how to grow in this area. Many students reported that their IDI/IDP heightened cultural awareness throughout their practicum, guiding their development of intercultural competence and leading to a deeper and broader understanding of culture. Students suggested that this enhanced cultural understanding, along with their IDP, will facilitate their continued development of intercultural competence in their future professional practice.
    CONCLUSIONS: This study contributes to existing knowledge about intercultural competence development and effective teaching methods by providing empirical evidence of the positive impact of the IDI/IDP on nursing students\' perceived intercultural development. These findings can inform the development and implementation of pedagogical strategies to enhance intercultural competence, which will ultimately improve patient care outcomes in all healthcare settings.
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  • 文章类型: Journal Article
    人群之间的健康不平等往往是不公正和可以避免的,并受到健康的社会决定因素的影响,影响健康结果的非医学因素。吉普赛人和旅行者社区经历了严重的健康不平等,包括与普通人群相比,获得医疗保健服务的障碍和次优的健康结果。本文概述了与吉普赛和游民社区有关的健康不平等,并研究了健康的三个社会决定因素-歧视和种族主义,住宿和获得医疗保健-影响这些不平等。作者认为,准确的数据收集以及提供具有文化能力的卫生服务和护理可能有助于吉普赛和旅行者社区获得医疗保健,并有可能减少健康不平等。
    Health inequalities between groups of people are often unjust and avoidable and are influenced by social determinants of health, the non-medical factors that influence health outcomes. Gypsy and Traveller communities experience significant health inequalities, including barriers to accessing healthcare services and suboptimal health outcomes compared with the general population. This article provides an overview of health inequalities in relation to Gypsy and Traveller communities and examines three social determinants of health - discrimination and racism, accommodation and access to healthcare - that influence these inequalities. The authors propose that accurate data collection as well as delivery of culturally competent health services and care may facilitate access to healthcare for Gypsy and Traveller communities and potentially reduce health inequalities.
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  • 文章类型: Journal Article
    在多元化社会和健康危机期间提供健康信息时,护士能够适应移民的沟通是至关重要的,因为这可能会对他们的健康结果产生影响。这项研究旨在确定护士在COVID-19期间如何体验和评估他们与移民的沟通和信息工作,并讨论改进实践的措施。
    该研究具有解释性和探索性的定性设计,分析了对挪威市政卫生服务机构护士的10次半结构化访谈。
    创建了以下三个主题:多语言感染控制团队和与志愿者的合作,提供COVID-19信息时面临的挑战,以及护士在新的大流行或其他健康危机中的改进建议。
    护士的文化能力和他们对移民的知识健康素养可以帮助他们了解移民在患病期间的思维和行为。重要的是护士在健康危机期间使用谨慎。
    UNASSIGNED: When providing health information in a diverse society and during health crises, it is crucial that nurses can adapt their communication to immigrants, as this may have an impact on their health outcomes. This study seeks to identify how nurses experienced and assessed their communication and information work with immigrants during COVID-19 and to discuss measures to improve practice.
    UNASSIGNED: The study has an interpretive and explorative qualitative design, analyzing 10 semi-structured interviews with nurses from the municipal health service in Norway.
    UNASSIGNED: Three themes were created as follows: multilingual infection control teams and cooperation with volunteers, challenges when providing COVID-19 information, and the nurses\' suggestions for improvements in the event of a new pandemic or other health crisis.
    UNASSIGNED: Nurses\' cultural competence and their knowledge of immigrants\' health literacy can help them understand how immigrants think and behave during illness. It is important that nurses use discretion during health crises.
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  • 文章类型: Journal Article
    背景:随着越来越多的文化和语言多样化患者,波兰人口统计数据的变化为医学教育提供了新的方向,以准备未来的医生在跨文化中有效工作。然而,对波兰医学生获得跨文化知识和技能的意愿知之甚少,渴望与来自不同文化背景的患者互动,关于跨文化培训的期望和需求,以及他们在通往文化能力的道路上面临的挑战。
    方法:因此,在这项研究中,我们对15名半结构化的医学生进行了访谈,并进行了主题分析,以扩大我们对医学生对跨文化能力增强的认识。
    结果:进行的主题分析允许开发四个主题,这表明波兰医学生认为促进文化上一致的护理所必需的技能和知识对于形成优质的医患关系是必不可少的,认为缺乏文化敏感性可能导致危险的刻板印象形成,能力不足可能是压力和焦虑的根源,导致混乱和缺乏信心。最后,与会者就如何提高他们的跨文化能力提出了许多建议。学生强调,然而,积极和体验式学习方法的医学教育的作用,包括基于模拟的培训,在为他们提供必要的知识和技能的过程中,为不同文化的患者提供最优质的护理。
    结论:我们的分析表明,波兰医学生似乎对文化能力发展持积极态度,并将其视为医师专业精神的重要组成部分。
    BACKGROUND: Changes in Polish demographic data with a growing number of culturally and linguistically diverse patients stipulate new directions in medical education to prepare future physicians to work effectively across cultures. However, little is known about Polish medical students\' willingness to gain cross-cultural knowledge and skills, desire to get engaged in interactions with patients from diverse cultural backgrounds, expectations and needs concerning cross-cultural training as well as challenges they face in the path to cultural competence.
    METHODS: Therefore, in this study, we conducted and thematically analysed fifteen semi-structured interviews with medical students to broaden our understanding of medical students\' perception of cross-cultural competence enhancement.
    RESULTS: The conducted thematic analysis allowed for the development of four themes, which showed that Polish medical students perceived skills and knowledge necessary to facilitate culturally congruent care as indispensable to form quality patient-doctor relations, believed that lack of cultural sensitivity may lead to dangerous stereotype formation and insufficient competence may be the source of stress and anxiety resulting in confusion and lack of confidence. Finally, numerous suggestions have been made by participants on how to improve their cross-cultural competence. Students emphasized, however, the role of medical education with active and experiential learning methods, including simulation-based training, in the process of equipping them with the knowledge and skills necessary to provide best quality care to culturally diverse patients.
    CONCLUSIONS: Our analysis indicated that Polish medical students seem to hold positive attitudes towards cultural competence development and view it as an important component of physician professionalism.
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  • 文章类型: Journal Article
    在加沙等受冲突影响的地区,复杂且交叉的创伤后应激障碍(PTSD)的流行需要创新的干预措施.我们的研究探索了一种在文化上适应了15年的精神卫生保健方法,以解决加沙地带PTSD的复杂景观。Tarkiz最初被开发为“聚焦”,由尤金·根德林在20世纪50年代芝加哥创立的元认知方法。Tarkiz由一个当地从业人员团队在加沙反复改编和实施了十多年。该计划的独特重点在于其参与方式,这依赖于社区参与和伙伴关系建设。这项研究的目的是从适应和交付该计划的从业者以及参与该计划的客户的角度定性地探索该计划的成功。数据收集是由一个多元文化的研究团队推动的,并优先考虑为巴勒斯坦从业者提供能力建设机会,他们领导制定确定成功的研究问题。这体现了一个成功的科学外交模式,强调协作方式,文化敏感性,以及对全球公共卫生至关重要的适应性伙伴关系。
    In ongoing-conflict-affected regions like Gaza, the prevalence of complex and intersecting post-traumatic stress disorders (PTSDs) necessitates innovative interventions. Our study explores a mental health care approach that has been culturally adapted for 15 years to address the complex landscape of PTSD in the Gaza Strip. Tarkiz was initially developed as \'Focusing\', a metacognitive approach founded by Eugene Gendlin in 1950s Chicago. Tarkiz has been iteratively adapted and implemented for over a decade in Gaza by a team of local practitioners. The program\'s unique emphasis lies in its engagement approach, which relies on community participation and partnership building. The aim of this study was to qualitatively explore the perceived success of the program from the perspectives of the practitioners who adapted and delivered the program and the clients who participated in it. Data collection was driven by a multicultural research team, and prioritized capacity-building opportunities for Palestinian practitioners who lead on the development of research questions defining success. This exemplifies a successful science diplomacy model, emphasizing a collaborative approach, cultural sensitivity, and adaptable partnerships essential in global public health.
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