Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context

IF 2.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Shreemouna Gurung , Habib Chaudhury , Pia Kontos , Atiya Mahmood , Deborah O'Connor
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引用次数: 0

Abstract

Culturally responsive care is essential to meaningful relationship-building in long-term care (LTC) settings, yet there is limited understanding of how Relationship-Centered Care (RCC) is interpreted and enacted in contexts shaped by shared cultural frameworks. This critical ethnographic study examines how RCC practices unfolded within an ethno-specific LTC home serving predominantly Chinese older adults in Vancouver, drawing on document review, participant observation, and interviews with residents, families, and staff. Four key themes were identified: (1) Caring like family (i.e., building trust through kinship-based language and emotional familiarity); (2) Honoring roots (i.e., integrating residents’ cultural identities into care); (3) Recreation and celebrations (i.e., fostering belonging through culturally meaningful activities); and (4) Collaboration as the heart of care (i.e., reinforcing reciprocity through resident-family-staff partnerships). These findings illustrate how culturally grounded practices shape the interpretation and enactment of RCC in everyday care. Future research should explore how RCC operates in more culturally heterogeneous settings and use inclusive methods to amplify the voices of diverse residents.
转变长期护理:理解种族特定背景下以关系为中心的护理实践
文化响应型护理对于长期护理(LTC)环境中有意义的关系建立至关重要,然而,对于在共同文化框架形成的环境中如何解释和实施以关系为中心的护理(RCC),人们的理解有限。这项重要的民族志研究通过文献回顾、参与者观察以及对居民、家庭和工作人员的访谈,探讨了在温哥华一个主要为华裔老年人服务的特定民族LTC家庭中,RCC实践是如何展开的。确定了四个关键主题:(1)像家庭一样的关怀(即通过基于亲缘关系的语言和情感熟悉来建立信任);(2)尊重根(即将居民的文化认同融入到关怀中);(3)娱乐和庆祝活动(即通过有文化意义的活动培养归属感);(4)以合作为关怀的核心(即通过住院医师与家庭工作人员的伙伴关系加强互惠)。这些发现说明了基于文化的实践如何在日常护理中塑造RCC的解释和制定。未来的研究应该探索RCC如何在文化异质性更强的环境中运作,并使用包容性的方法来放大不同居民的声音。
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
1.60
自引率
0.00%
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审稿时长
163 days
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