Cathy Son, Emma Forsgren, Joakim Öhlén, Richard Sawatzky
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引用次数: 0
Abstract
According to the World Migration Report, the number of international migrants has steadily increased in the past 50 years. This has led to an increasing need for healthcare to incorporate a variety of perspectives for migrants. However, healthcare systems still show gaps in accommodating diverse cultural perspectives. Given the increasing attention to person-centred care, there is both an opportunity and a need to explicate how person-centred care (PCC) can help to improve healthcare for migrants. Therefore, we conducted a narrative literature review on cultural dimensions of PCC practice for migrants. A scoping review by Forsgren et al. (2025) identified 1,351 articles from a search of PubMed, Scopus, PsycINFO, CINAHL, and Web of Science databases. From these, nine studies that met the following inclusion criteria were selected: (1) about cultural dimensions of health care for migrants (immigrants and refugees), (2) in any health care settings, (3) written in English, and (4) published within the last 10 years (January 1, 2023-December 31, 2023). The studies included participants from diverse ethnicities, racial backgrounds, and countries of origin. Seven studies were undertaken in primary care, long-term care, or outpatient clinics; one study was on health education; and one additional study focused on the acute care environment. The review led to three main practices: (a) enhancing migrants' ability to participate in their healthcare, (b) building intercultural partnerships, and (c) promoting cultural education of healthcare providers. These practices underscore the significance of respecting diverse cultural beliefs about shared decision-making and understanding how PCC practice is perceived in different cultural contexts. The results also indicate a need for educational programs that equip healthcare providers with intercultural communication skills and knowledge to provide culturally sensitive PCC. Overall, this study highlights the importance of integrating PCC with interculturalism as a way to foster a more nuanced and responsive understanding of the cultural dimension of care.
根据《世界移民报告》,在过去的50年里,国际移民的数量稳步增长。这导致越来越需要医疗保健纳入移民的各种观点。然而,医疗保健系统在适应不同文化观点方面仍然存在差距。鉴于对以人为中心的护理的日益关注,有机会也有必要说明以人为中心的护理如何有助于改善移徙者的医疗保健。因此,我们对移民PCC实践的文化维度进行了叙述性的文献回顾。Forsgren等人(2025)在PubMed、Scopus、PsycINFO、CINAHL和Web of Science数据库中检索了1351篇文章。从这些研究中,我们选择了符合以下纳入标准的9项研究:(1)关于移民(移民和难民)医疗保健的文化维度,(2)在任何医疗保健机构,(3)用英语写作,(4)最近10年(2023年1月1日至2023年12月31日)发表的研究。这些研究包括来自不同民族、种族背景和原籍国的参与者。在初级保健、长期护理或门诊诊所进行了7项研究;一项研究是关于健康教育的;另外一项研究关注的是急症护理环境。审查产生了三个主要做法:(a)提高移徙者参与医疗保健的能力;(b)建立跨文化伙伴关系;(c)促进医疗保健提供者的文化教育。这些实践强调了尊重关于共同决策的不同文化信仰和理解PCC实践如何在不同文化背景下被感知的重要性。结果还表明,需要教育方案,使医疗保健提供者具备跨文化沟通技巧和知识,以提供文化敏感的PCC。总的来说,本研究强调了将PCC与跨文化主义相结合的重要性,这是一种促进对护理文化维度更细致和更敏感理解的方式。