Culturally responsive care in haemodialysis: A scoping review.

IF 3.2 3区 医学 Q1 NURSING
Journal of Clinical Nursing Pub Date : 2024-11-01 Epub Date: 2024-07-15 DOI:10.1111/jocn.17373
Sara Aryal, Paul N Bennett, Melissa J Bloomer
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引用次数: 0

Abstract

Aim: 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.

Method: 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.

Conclusion: 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.

Relevance to clinical practice: Culturally responsive care is complex and multidimensional. Individuals' cultural care needs should be acknowledged, respected, and accommodated in care.

Patient or public contribution: No patient or public contribution. The study protocol was registered in the Open Science Framework. https://osf.io/uv8g3.

血液透析中的文化敏感性护理:范围综述。
目的:描述临床医生如何在血液透析中心为不同文化背景的肾衰竭患者提供符合其文化需求的护理:背景:接受中心内维持性血液透析治疗的不同文化背景的患者有着独特的文化需求。文化需求得不到满足会损害并严重影响他们的体验。鉴于文化敏感性护理有可能改善不同文化背景人群的体验,因此了解临床医生如何提供文化敏感性护理至关重要:方法:采用 Arksey 和 OMalleys 框架进行了范围界定审查。五个数据库:检索了 Medline 和 CINAHL Complete (EBSCO)、PsycINFO、Embase (OVID) 以及 ProQuest Theses and Dissertation 数据库中 1990 年至 2023 年间用英语发表的研究文献。采用叙事综合法对数据进行综合:从筛选出的 17,271 条记录中,有 17 篇报告 14 项研究的论文符合纳入标准。叙事综述揭示了两个主题:(i) 沟通的促进因素和障碍,包括语言差异、专业和非专业口译员的使用;(ii) 文化的重要性,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:虽然与血液透析相关的各种优先事项可能会对临床医生构成挑战,但认识到文化护理需求的重要性并在护理中满足这些需求是非常重要的。必须尊重文化多样性,通过满足血液透析肾衰竭患者的独特文化需求来提供以人为本的护理:文化护理是一项复杂而多维的工作。在护理过程中,个人的文化护理需求应得到认可、尊重和照顾:无患者或公众贡献。该研究方案已在开放科学框架中注册。https://osf.io/uv8g3。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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