Re-thinking the Concept of Cultural Competency in Nursing Care of Older Adults.

IF 1.7 Q2 NURSING
Amany Farag Hassan Mohamed, Shokoufeh Modanloo
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引用次数: 0

Abstract

The influx of migrants to Canada has resulted in a shift in the country's demographic landscape. Individuals often interpret and approach health and wellness through the lens of their cultural heritage, which has led to stereotyping behaviors and discriminatory practices, exacerbating the notion of "Othering". Immigrant older adults are likely to experience discrimination in a more dreadful way in the form of societal isolation and marginalization due to the collective systems of power such as ageism, ableism, and racism. This paper results from continuous thought-provoking discussions initiated by the first author (AM) in her doctoral program at the University of Western Ontario for the Philosophy of Nursing Science course, taught and facilitated by the second author (SM). After studying the course materials on "revolutionary science" and reflection on the process of paradigm shift introduced by Thomas Khun and engaging in critical discussions on a range of relevant philosophical concepts such as bio-power, othering, silencing and ignorance, marginalization, oppression, neoliberalism, health equity, and social justice, we have been prompted to rethink the concept of cultural competence in nursing education and healthcare practices, particularly in the context of nursing care of older adults. Therefore, in this paper, we will critique the concept of cultural competency in the context of an anti-racist and anti-oppressive lens and suggest a pivotal response to move towards an inquiry-driven approach based on cultural humility and respect in the nursing care of older adults.

重新思考老年人护理中的文化胜任力概念。
大量移民涌入加拿大,导致加拿大人口结构发生变化。个人往往从其文化遗产的角度来解释和处理健康和保健问题,这导致了陈规定型行为和歧视性做法,加剧了 "他者化 "的概念。由于年龄歧视、能力歧视和种族主义等集体权力系统的存在,移民老年人很可能以社会孤立和边缘化的形式遭受更可怕的歧视。本文是第一作者(AM)在西安大略大学(University of Western Ontario)攻读博士学位期间,在第二作者(SM)的教授和协助下,就护理科学哲学课程发起的持续发人深省的讨论的结果。在学习了有关 "革命性科学 "的课程材料和对托马斯-坤(Thomas Khun)提出的范式转换过程进行反思,并对生物权力、他者化、沉默和无知、边缘化、压迫、新自由主义、健康公平和社会正义等一系列相关哲学概念进行批判性讨论之后,我们被促使重新思考护理教育和医疗保健实践中的文化能力概念,尤其是在老年人护理的背景下。因此,在本文中,我们将从反种族主义和反压迫的视角对文化胜任力的概念进行批判,并提出一个关键性的对策,即在老年人护理工作中,以文化谦逊和尊重为基础,采用探究驱动的方法。
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
4.00
自引率
4.80%
发文量
32
期刊介绍: We are pleased to announce the launch of the CJNR digital archive, an online archive available through the McGill University Library, and hosted by the McGill University Library Digital Collections Program in perpetuity. This archive has been made possible through a Richard M. Tomlinson Digital Library Innovation and Access Award to the McGill School of Nursing. The Richard M. Tomlinson award recognizes the ongoing contribution and commitment the CJNR has made to the McGill School of Nursing, and to the development and nursing science in Canada and worldwide. We hope this archive proves to be an invaluable research tool for researchers in Nursing and other faculties.
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