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1.
Stud Health Technol Inform ; 264: 1371-1372, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438150

RESUMO

We developed a mobile learning system that provides cultural competency training courses for nurses at a university hospital in South Korea using the system development life cycle. The contents and functions of the system were identified from the literature review, expert's recommendations, and the users' requirements. An algorithm, database, and user interface were designed. The system was implemented using the Newin Touchclass authoring tool. We evaluated and modified the system based on heuristics evaluation.


Assuntos
Competência Cultural , Aprendizagem , Humanos , República da Coreia
2.
Nurs Educ Perspect ; 40(5): 278-282, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31436690

RESUMO

AIM: This qualitative descriptive study aimed to evaluate the role of a short-term interprofessional study abroad program in Kenya on beginning awareness of cultural humility. BACKGROUND: Students in the health care professions, including nursing, must learn to work effectively with diverse patient populations and provide culturally safe care. METHOD: Course assignments of 21 students were thematically analyzed to discover how students applied concepts of cultural attunement to learn cultural humility while interacting with people in rural and urban Kenya. RESULTS: Student narrations acknowledged all aspects of cultural attunement during the experience: the pain of oppression; acted with reverence; reported coming from a place of not knowing; engaged in acts of humility; engaged in mutuality; and reported attaining harmony, cooperation, and accord. CONCLUSION: Findings suggest a short-term community-focused study abroad experience can be a valuable tool for beginning stages of becoming culturally humble and providing culturally safe health care.


Assuntos
Competência Cultural/educação , Intercâmbio Educacional Internacional , Estudantes de Ciências da Saúde/psicologia , Estudantes de Enfermagem/psicologia , Humanos , Quênia , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem
3.
Ned Tijdschr Tandheelkd ; 126(7-8): 377-383, 2019 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-31309936

RESUMO

Dentists will increasingly have to treat patients with a variety of cultural backgrounds. They will consequently have to deal with various preconceptions about health and how people ought to behave with each other. In order to develop a good dentist-patient relationship and provide appropriate care, the dentist will have to learn to communicate in a culturally competent manner. That requires an open, empathetic attitude and an awareness of one's own norms, values and views. The dentist will have to consider how they differ from those of people from another (sub) culture. With the help of a number of examples, this article will provide an impulse to do that.


Assuntos
Comunicação , Competência Cultural , Relações Dentista-Paciente , Odontólogos , Humanos
4.
Nurs Educ Perspect ; 40(5): 309-311, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31335493

RESUMO

The PICO (Population/Problem, Intervention, Comparison, Outcome) framework is widely accepted for posing evidence-based practice questions. This framework offers prelicensure nursing students a structured process for synthesizing nursing knowledge with the best available evidence to make decisions for practice. However, students in an international outreach course may find that evidence-based practice is not available in-country; furthermore, it may not be congruent with a population's culture. Faculty guidance helps students enrolled in international outreach courses to integrate cultural competence into the PICO structure. A case study illustrates how the framework was applied during an undergraduate nursing outreach course to Nicaragua.


Assuntos
Competência Cultural/educação , Bacharelado em Enfermagem/organização & administração , Enfermagem Baseada em Evidências/educação , Intercâmbio Educacional Internacional , Currículo , Humanos , Nicarágua , Pesquisa em Educação de Enfermagem , Estudantes de Enfermagem/psicologia
5.
Women Birth ; 32(5): 412-426, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31262706

RESUMO

BACKGROUND: Culturally secure care is considered foundational for good perinatal outcomes for Indigenous women. It is unknown what literature reports on whether Indigenous women giving birth in urban areas receives appropriate cultural care. The aim of this scoping review was to examine and summarise relevant evidence which reports on culturally secure care for Indigenous women using urban maternity services at any time during the perinatal period. METHODS: Ten journal databases plus grey literature and theses databases were searched for relevant material dated 1986-2018. Articles were included if they were about Indigenous women from Australia, New Zealand, Canada or the USA; care was provided anytime during the perinatal period, in an urban area; and cultural security (or variations of this term) were used. RESULTS: 6856 titles and abstracts were screened, of these: 25 studies, 15 grey literature documents and 9 theses matched the search criteria. Studies were mostly qualitative (13/25) and from Australia (18/25). Studies showed women's access to and experiences of culturally secure maternity care in urban areas as variable. The grey literature originated from Australia (8/15); New Zealand (4/15); and Canada (3/15); while theses were from Canada (7/9) and Australia (2/9). CONCLUSION: The scoping review results showed substantial qualitative evidence on Indigenous women's experience during the perinatal period in urban areas. In-depth analysis of these studies is required to inform future practice and policy on what works and what needs improvement. Culturally secure midwifery care shows promising results.


Assuntos
Assistência à Saúde Culturalmente Competente , Assistência à Saúde/organização & administração , Serviços de Saúde do Indígena/organização & administração , Tocologia/métodos , Assistência Perinatal , Austrália , Canadá , Competência Cultural , Assistência à Saúde/métodos , Feminino , Humanos , Nova Zelândia , Parto , Gravidez , População Urbana
6.
Rev Med Chil ; 147(3): 305-313, 2019 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-31344167

RESUMO

BACKGROUND: The Chilean public health system is based on Primary Health Care (PHC), whose assessment is challenging due to the heterogeneity of services and multi-dimensionality of expected results. The Primary Care Assessment Tool was adapted and validated for Chile. AIM: To analyze, from the provider's perspective, the structure and functioning of the health centers, to determine the achievement of PHC's core functions: access, continuity, coordination, comprehensiveness of care, cultural competence, family centeredness and community orientation. MATERIAL AND METHODS: All professionals working in primary care in a commune of Metropolitan Santiago were invited to answer an online version of the Primary Care Assessment Tool. RESULTS: One hundred and nine professionals (51% of those invited) from four Family Health Centers, two Community Health Centers, and a Community Mental Health Center, answered the online questionnaire. Their distribution by profession and health units does not resemble the whole research population, which should be considered when interpreting the results. Data show a good performance of the system: general and domain specific scores are all near three for a maximum score of four. Family centeredness obtained the highest score, whereas cultural competence had the lowest. CONCLUSIONS: Reinforcing intercultural skills and a wider approach to psycho-social problems is recommended to strengthen the new healthcare model implementation.


Assuntos
Pessoal de Saúde , Acesso aos Serviços de Saúde , Atenção Primária à Saúde , Inquéritos e Questionários , Chile , Competência Cultural , Saúde da Família , Humanos , Pessoa de Meia-Idade , Satisfação do Paciente , População Urbana
7.
Women Birth ; 32(5): 449-459, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31345659

RESUMO

PROBLEM: It is not well known how to prepare new multidisciplinary teams aiming to provide culturally safe maternity care for Aboriginal and Torres Strait Islander families in an urban setting. BACKGROUND: National policies recommend increasing the Aboriginal and Torres Strait Islander workforce and cultural competencies of the non-Indigenous workforce as key drivers of culturally safe care. QUESTION: What are the key learnings from staff experiences establishing multidisciplinary teams aiming to provide culturally safe maternity care that aims to privilege Indigenous ways of knowing, being and doing? METHODS: As part of a larger participatory action research project, semi-structured qualitative interviews were conducted December 2014-April 2015 with 21 Aboriginal and Torres Strait Islander and non-Indigenous healthcare staff. Thematic analysis was used to identify learnings for practice. FINDINGS: Four key learnings were identified for forming new teams aiming to provide culturally safe care: (a) having a shared understanding of what characterises cultural safety in the local program context; (b) understanding and valuing different roles and knowledges people bring to the team; (c) acknowledging the influence of race and culture on staff behaviour; and (d) acting on individual and organisational responsibilities for continuous improvement towards cultural safety. DISCUSSION: We present recommendations from our participatory action research approach to respond to these learnings in practice. CONCLUSION: A deliberate workforce investment at the early stages of team development is crucial when aiming to provide culturally safe maternity care that can respond to the unique needs of Aboriginal and Torres Strait Islander women and families.


Assuntos
Continuidade da Assistência ao Paciente , Competência Cultural , Assistência à Saúde Culturalmente Competente , Pesquisa sobre Serviços de Saúde/organização & administração , Serviços de Saúde Materna/organização & administração , Bem-Estar Materno/etnologia , Equipe de Assistência ao Paciente/organização & administração , Adulto , Pesquisa Participativa Baseada na Comunidade , Feminino , Serviços de Saúde do Indígena , Disparidades em Assistência à Saúde , Humanos , Entrevistas como Assunto , Obstetrícia , Grupo com Ancestrais Oceânicos , Pesquisa Qualitativa
8.
BMC Public Health ; 19(1): 848, 2019 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-31253113

RESUMO

BACKGROUND: Childhood obesity prevalence continues to be at high levels in the United Kingdom (UK). South Asian children (mainly Pakistani and Bangladeshi origin) with excess adiposity are at particular risk from the cardiovascular consequences of obesity. Many community-based children's weight management programmes have been delivered in the UK, but none have been adapted for diverse cultural communities. The aim of the Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study, was to culturally adapt an existing children's weight management programme for children aged 4-11 years so that the programme was more able to meet the needs of families from South Asian communities. METHODS: The adaptation process was applied to First Steps, an evidence informed programme being delivered in Birmingham (a large, ethnically diverse city). A qualitative study was undertaken to obtain the views of South Asian parents of children with excess weight, who had fully or partially attended, or who had initially agreed but then declined to attend the First Steps programme. The resulting data were integrated with current research evidence and local programme information as part of a cultural adaptation process that was guided by two theoretical frameworks. RESULTS: Interviews or focus groups with 31 parents in their preferred languages were undertaken. Themes arising from the data included the need for convenient timing of a programme in a close familiar location, support for those who do not speak English, the need to focus on health rather than weight, nutritional content that focuses on traditional and Western diets, more physical activity content, and support with parenting skills. The data were mapped to the Behaviour Change Wheel framework and Typology of Cultural Adaptation to develop an intervention programme outline. The research evidence and local programme information was then used in the detailed planning of the programme sessions. CONCLUSIONS: The process of cultural adaptation of an existing children's weight management programme resulted in a theoretically underpinned programme that is culturally adapted at both the surface and deep structural levels. TRIAL REGISTRATION: ISRCTN81798055 , registered: 13/05/2014.


Assuntos
Grupo com Ancestrais do Continente Asiático/psicologia , Competência Cultural , Diversidade Cultural , Obesidade Pediátrica/etnologia , Programas de Redução de Peso/organização & administração , Grupo com Ancestrais do Continente Asiático/estatística & dados numéricos , Bangladesh/etnologia , Criança , Pré-Escolar , Feminino , Grupos Focais , Humanos , Masculino , Paquistão/etnologia , Pais/psicologia , Obesidade Pediátrica/prevenção & controle , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa , Reino Unido
9.
Isr J Health Policy Res ; 8(1): 51, 2019 06 07.
Artigo em Inglês | MEDLINE | ID: mdl-31174595

RESUMO

This commentary describes how the first program for enhancing cultural competence in an Israeli healthcare facility was implemented at the ALYN Hospital Pediatric and Adolescent Rehabilitation Center in Jerusalem, and the lessons that can be learned from the ALYN experience for other healthcare facilities attempting to enhance their cultural competence, particularly in environments of heightened inter-cultural tension. A structured program was developed to educate hospital staff and optimize the hospital's administrative functioning towards the goal of enhanced cultural competence. The program was initiated with an international conference on site to promote awareness of the concept, and included, among other steps, the appointment of a senior administration "Coordinator of Cultural Competence", improvements in translation services, regular educational seminars, the opening of a Muslim prayer room in the hospital, and accommodations for Sabbath and Ramadan observance. Enhancing cultural competence was found to be an ongoing work-in-progress, with unanticipated cultural challenges constantly emerging, and demanding ad-hoc solutions. Some elements of the program encountered resistance from members of staff, and occasionally from members of the hospital's dominant patient cultures. Overall, enhanced cultural competence at ALYN brought benefit to both patients and the institution, ranging from a more pleasant patient experience to improved patient adherence to treatment plans, better patient-caregiver communication and a more positive and cohesive professional team and work environment.


Assuntos
Competência Cultural , Grupos Étnicos , Adolescente , Criança , Comunicação , Hospitais , Humanos , Israel
10.
Nurse Educ Today ; 79: 204-209, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31158652

RESUMO

BACKGROUND: Study abroad generates positive learning outcomes for students. However, experiences of learning, and processes of learning during unaccompanied-by-faculty nursing study abroad are unclear. This research therefore investigated student nurse experiences of learning during a study abroad journey in order to explore the phenomenon of learning and the processes of learning throughout this journey. METHODS AND PARTICIPANTS: An interpretivist hermeneutic phenomenological methodology was applied, and twenty student nurses, from the UK and Europe, participated; two individual semi-structured interviews were conducted per participant (post-return and follow-up). FINDINGS AND CONCLUSIONS: The 'Phenomenological Hermeneutical Method' of data analysis was employed and revealed the phenomenon of learning comprised four themes: 'experiencing a different reality'; 'active sense-making'; 'being with others' and 'being changed and transformed'. When considered together, these themes identify that study abroad was experienced as the liminal space in which learning occurred. Students experienced liminality in this space and the process of learning was triggered by disjuncture. Students took responsibility for learning and undertook active sense-making activities to gain insight. Students struggled to make sense of troublesome experiences, and remained in a stuck place until resolution of troublesome-ness enabled students to cross a threshold into understanding. Learning was also influenced by others. Students experienced change and transformation as a result of the learning that had occurred, and a postliminal state was attained when troublesome-ness was resolved and students had re-integrated into their usual reality. These findings offer insight into student learning during unaccompanied study abroad journeys, and further development of nurse education and research is recommended.


Assuntos
Competência Cultural , Hermenêutica , Intercâmbio Educacional Internacional , Aprendizagem , Estudantes de Enfermagem/psicologia , Características Culturais , Assistência à Saúde , Bacharelado em Enfermagem/métodos , Europa (Continente) , Humanos , Entrevistas como Assunto , Pesquisa em Educação de Enfermagem , Pesquisa Qualitativa
12.
Diagn. tratamento ; 24(2): [64-66], abr - jun 2019.
Artigo em Português | LILACS | ID: biblio-1015339

RESUMO

Diferenças culturais impactam o relacionamento entre o profissional de saúde e o paciente. A competência cultural caracteriza-se por autoconsciência, conhecimento e habilidades, o que aumenta a flexibilidade, capacidade de adaptação e disponibilidade do profissional para aquisição de novos conhecimentos sobre a população atendida e sobre si mesmo. Quando ela está comprometida, ocorre a opressão cultural, imposição de padrões próprios, sem considerar raça, cultura, gênero e orientação sexual do paciente, mesmo que não intencionalmente. Populações mais vulneráveis à opressão cultural sofrem o estresse de minorias e microagressões. A consciência da diversidade depende do desenvolvimento da consciência crítica sobre a própria condição privilegiada. O racismo, numa dimensão individual, pode ser explícito (intenção deliberada de tratar uma raça como superior) ou implícito (expressão sutil com viés discriminatório, consciente ou não). O esforço para melhorar os serviços de saúde para grupos com diferenças culturais e étnicas tem sido focado no treinamento da competência cultural e avaliado por mudanças em conhecimento, atitudes, habilidades e comportamentos. Profissionais de saúde frequentemente consideram-se aptos para atender às necessidades de uma população multicultural, mesmo sem capacitação na área. No entanto, poucos reconhecem o próprio racismo, desequilíbrio de poder, vieses culturais e a necessidade de autorreflexão. O desafio para eles, especialmente para o profissional de saúde sexual, é o desenvolvimento da própria competência cultural, considerando vieses inconscientes e com maior foco na dimensão implícita no treinamento antidiscriminatório e no aumento da autoreflexão crítica.


Assuntos
Competência Cultural , Saúde Sexual , Opressão Social , Relações Interpessoais , Grupos Minoritários
13.
J Prof Nurs ; 35(3): 181-186, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31126394

RESUMO

The literature indicates that service learning integrated into a study abroad course results in cultural learning, personal growth, and professional development. However, there are inadequate examples of strategies to achieve cultural learning in the context of study abroad. The purpose of this article is to briefly describe the authors' collaboration with leaders of an international health system in developing a faculty-led study abroad course and describe strategies to promote guided reflection to achieve cultural learning. The preparation phase of the course was delivered with two video conferences and an online learning management system for students on three campuses. Service learning with clinic nursing staff of the international health system and children in a residential home was purposefully incorporated in the study abroad phase of the course. During the first week of study abroad, specific prompts for daily journaling were introduced to the students to promote guided reflection as a critical component of service learning. During the second week, students discussed concepts that had been introduced during the preparation phase. The students wrote a final summary reflection paper with the guidance of additional prompts and an evaluation rubric. In summary, preparation phase learning activities, study abroad phase daily journaling and group discussion combined with a summary reflection paper were used as strategies to achieve cultural learning.


Assuntos
Competência Cultural/educação , Intercâmbio Educacional Internacional , Aprendizagem Baseada em Problemas , Estudantes de Enfermagem/psicologia , Pensamento , Bacharelado em Enfermagem , Gana , Humanos , Pesquisa em Educação de Enfermagem
14.
BMC Health Serv Res ; 19(1): 275, 2019 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-31046750

RESUMO

BACKGROUND: Patient experience with primary health care services can vary markedly between different types of health care facilities, even within the same country setting. Given known benefits of high quality primary health care, the performance of these facilities may significantly impact population health. The aim of this study was to compare the quality of primary care in different types of health facilities as experienced by Vietnamese consumers. METHODS: 1662 people who utilized primary health care services at least once over the past two years in various types of facilities in central Vietnam were surveyed in a cross-sectional study using the Vietnamese version of the Primary Care Assessment Tool (VN PCAT-AE) to assess overall primary care quality as well as several different domains of high quality primary care services. RESULTS: Commune health centers were associated with the highest overall primary care quality (PCAT expanded score 21.07, p < 0.001) as well as high scores in nearly all individual domains of primary care quality experienced by consumers compared with other types of facilities. Conversely, private facilities such as private clinics and pharmacies were rated lowest overall (PCAT expanded score 18.45, p < 0.05 and 16.90, p < 0.001 respectively). District hospitals and other government hospitals (PCAT expanded score 20.10 and 19.72 respectively) were reported as the best quality in comprehensiveness of available services (p < 0.001). Polyclinics performed quite well in comprehensiveness of services available (3.11) and first contact-access (2.79) but less so in other domains, especially in cultural competency (1.87). CONCLUSIONS: The high quality of primary care services experienced by consumers in commune health centers compared with other facilities gives Vietnam ample reason to promote greater use of these community-based primary care facilities. Populations may benefit most from building and strengthening grassroots networks of such community-based health centers as an effective solution for overcrowding at hospitals while simultaneously providing better overall health outcomes.


Assuntos
Instalações de Saúde/normas , Atenção Primária à Saúde , Qualidade da Assistência à Saúde , Adolescente , Adulto , Idoso , Centros Comunitários de Saúde , Estudos Transversais , Competência Cultural , Confiabilidade dos Dados , Feminino , Pesquisas sobre Serviços de Saúde , Acesso aos Serviços de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde/normas , Vietnã , Adulto Jovem
15.
BMC Health Serv Res ; 19(1): 294, 2019 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-31068175

RESUMO

BACKGROUND: To test the validity of the Finnish version of the Bernhard et al.'s Cross-Cultural Competence instrument of Healthcare Professionals (CCCHP). METHODS: The study sample comprised registered nurses (N = 810) from the Finnish "Competent workforce for the future" -project (COPE). Exploratory factor analyses and structural equation modelling were applied to test structural validity of the CCCHP. Internal consistency of the sub-scales was evaluated using the Cronbach's alphas. Criterion validity was explored in terms of received education for multicultural work, perceived difficulty of patients, and job satisfaction variables. RESULTS: The revised version of the instrument including four (motivation/curiosity, attitudes, skills and emotions/empathy) of the five original dimensions provided satisfactory psychometric properties (internal consistency, a good model fit of the data). Of the four remaining competence sub-scales, motivation/curiosity, attitudes and emotions/empathy were associated with the amount of received education for multicultural work, and all with perceived difficulty of patients, and all but attitudes with job satisfaction. CONCLUSION: This revised Finnish version of the CCCHP provides a useful tool for studies focusing on the healthcare personnel's cross-cultural competence in delivering effective and culturally sensitive healthcare services for patients from different cultures.


Assuntos
Competência Clínica/estatística & dados numéricos , Competência Cultural , Enfermeiras Internacionais/estatística & dados numéricos , Enfermagem Transcultural , Adulto , Competência Cultural/educação , Diversidade Cultural , Feminino , Finlândia , Pesquisa sobre Serviços de Saúde , Humanos , Satisfação no Emprego , Masculino , Enfermeiras Internacionais/psicologia , Psicometria/instrumentação , Reprodutibilidade dos Testes , Inquéritos e Questionários
16.
Nurse Educ Today ; 79: 74-79, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31108382

RESUMO

BACKGROUND: Cultural competency has been identified as an essential curricular element in undergraduate and graduate nursing programmes. Supporting successful transition to practice is essential for retaining graduate nurses in the workforce and meeting the demand for cultural diversity in health care services. OBJECTIVES: This study aimed to explore the teaching and learning interactions of transition cultural competence from the perspective of mentors of newly graduated nurses in a Taiwanese postgraduate nursing programme. DESIGN: A qualitative design that utilised focus group interviews was adopted for this study. A framework approach-a content and thematic analysis strategy-was used to analyse the interviews. SETTING: The study setting consisted of two hospitals in northern Taiwan. PARTICIPANTS: The study participants consisted of 24 new graduate nurse mentors. METHODS: Three focus group sessions were conducted (two at a medical centre and one at a district hospital), where the participants were interviewed. RESULTS: Four themes were derived from the data-transition process, teaching strategies according to the transition stage, learning after overcoming clinical stress, and awareness of cultural diversity among new graduate nurses. The clinical routine and physical stress of caring for patients did not allow the newly graduated nurses to appropriately demonstrate cultural competence in the first three months. Mentors were only able to provide resources for new graduate nurses when they first started to care for patients in cultural groups. The point of catalysis was when learners finally gained awareness of cultural differences, and, consequently, they could encounter the teaching and learning process. CONCLUSION: The different learning stages and teaching strategies illustrated the interactive process between new nurses and educators. Facilitating the cultural awareness of learners is a challenge for teachers who provide cultural competence training. This model could serve as a reference for curriculum and clinical training programmes.


Assuntos
Competência Cultural , Assistência à Saúde/métodos , Educação de Pós-Graduação em Enfermagem , Aprendizagem , Mentores , Estudantes de Enfermagem , Grupos Focais , Humanos , Internato não Médico , Pesquisa em Educação de Enfermagem , Pesquisa Qualitativa , Taiwan , Fatores de Tempo
17.
Isr Med Assoc J ; 5(21): 314-317, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31140221

RESUMO

BACKGROUND: Israel's population is diverse, with people of different religions, many of whom seek spiritual guidance during ethical dilemmas. It is paramount for healthcare providers to be familiar with different religious approaches. OBJECTIVES: To describe the attitudes of the three major monotheistic religions when encountering four complex neonatal situations. METHODS: A questionnaire related to four simulated cases was presented to each participant: a non-viable extremely premature infant (case 1), a severely asphyxiated term infant with extensive brain damage (case 2), a small preterm infant with severe brain hemorrhage and likely extensive brain damage (case 3), and a term infant with trisomy 21 syndrome and a severe cardiac malformation (case 4). RESULTS: Major differences among the three religious opinions were found in the definition of viability and in the approach towards quality of life. CONCLUSIONS: Neonatologists must be sensitive to culture and religion when dealing with major ethical issues in the neonatal intensive care unit.


Assuntos
Atitude Frente a Saúde , Competência Cultural , Diversidade Cultural , Doenças do Recém-Nascido/psicologia , Recém-Nascido Prematuro/psicologia , Neonatologia/ética , Religião , Competência Cultural/ética , Competência Cultural/psicologia , Síndrome de Down/psicologia , Feminino , Cardiopatias Congênitas/psicologia , Humanos , Hipóxia Encefálica/psicologia , Recém-Nascido , Unidades de Terapia Intensiva Neonatal/ética , Israel/epidemiologia , Masculino , Determinação de Necessidades de Cuidados de Saúde
18.
Orthop Clin North Am ; 50(3): 337-344, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31084836

RESUMO

Data from the US Census Bureau, the Accreditation Council for Graduate Medical Education, and the American Academy of Orthopaedic Surgeons reveal that orthopedic surgery is the least diverse of any surgical specialty and that diversity within orthopedics is not improving. Considerable data from both medicine and business suggest that improving diversity within the orthopedic surgery specialty would be of significant benefit to the orthopedic surgery profession and to patients. Multiple avenues for increasing diversity exist, including large-scale pipeline programs as well as personal and institutional efforts examining biases and decision-making processes.


Assuntos
Grupos de Populações Continentais , Diversidade Cultural , Ortopedia/educação , Competência Cultural , Previsões , Acesso aos Serviços de Saúde , Humanos , Internato e Residência/tendências , Ortopedia/tendências , Satisfação do Paciente , Relações Médico-Paciente , Estados Unidos
19.
Nurse Educ Pract ; 37: 97-104, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31129531

RESUMO

Little is known about nursing students' experiences of caring for patients from diverse cultures, which is an important factor in educational settings when it comes to understanding whether the teaching strategies applied are successful. Thus, the aim of this study was to conduct a scoping review of the literature, thereby synthesising existing studies to explore nursing students' experiences of caring for patients with different cultural backgrounds from theirs. A systematic article search was done in PubMed, CINAHL and ERIC. A total of 996 studies were found in the searches and finally seven studies met the inclusion criteria and were included. The analysis of the seven included studies was interpreted to represent two overarching themes, namely the challenge of communication and non-mutual language and the challenge of culture and culturally influenced behaviour, representing nursing students' experiences of caring for patients with a different cultural background from theirs. A major challenge for nursing educators appears to be creating pedagogical interventions that cultivate a humble, solicitous and caring curiosity among students, such that they do not perceive only challenges in caring for culturally diverse patients.


Assuntos
Diversidade Cultural , Grupos Étnicos/psicologia , Estudantes de Enfermagem , Comunicação , Competência Cultural/psicologia , Bacharelado em Enfermagem , Docentes de Enfermagem , Humanos
20.
Nursing ; 49(6): 34-40, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31124852

RESUMO

Many nurses practicing today lack basic education about LGBTQ (lesbian, gay, bisexual, transgender, queer) patient care. How can they better prepare to care for this population? This article provides insight on LGBTQ people, their health risks and disparities, and how nurses can work with LGBTQ patients to improve outcomes.


Assuntos
Competência Cultural/educação , Cuidados de Enfermagem , Minorias Sexuais e de Gênero , Feminino , Disparidades nos Níveis de Saúde , Humanos , Masculino , Fatores de Risco , Estados Unidos
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