{"title":"文化胜任能力对注册护理助理提供姑息治疗的挑战。","authors":"Jennifer A Gray, Jinsook Kim","doi":"10.3928/00989134-20240618-06","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Increasing racial and ethnic diversity in U.S. nursing facilities has necessitated the provision of more culturally competent care. This study explored the cultural challenges in providing palliative care from the perspective of certified nursing assistants (CNAs) and nurses in nursing facilities.</p><p><strong>Method: </strong>A thematic analysis approach was used to examine data from semi-structured interviews with 12 CNAs and 11 nurses from six nursing facilities in a U.S. Midwestern state.</p><p><strong>Results: </strong>Four themes emerged from the data: <i>Cultural Needs Expressed by Residents</i>, <i>Cultural Needs Expressed by Family Members</i>, <i>Accommodating Residents' Cultural Needs</i>, and <i>Organizational Responses to Cultural Competency Challenges</i>.</p><p><strong>Conclusion: </strong>Results highlighted the training variations on diversity and cultural competency issues and the varying cultural competency levels possessed by staff. To support residents' culture-related needs, staff need education and support. Organizations can provide foundational resources for this diversity of cultural expression, including providing more culturally diverse programming facilities. [<i>Journal of Gerontological Nursing, 50</i>(7), 35-41.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 7","pages":"35-41"},"PeriodicalIF":1.1000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cultural Competency Challenges Certified Nursing Assistants Experience in Providing Palliative Care.\",\"authors\":\"Jennifer A Gray, Jinsook Kim\",\"doi\":\"10.3928/00989134-20240618-06\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Increasing racial and ethnic diversity in U.S. nursing facilities has necessitated the provision of more culturally competent care. This study explored the cultural challenges in providing palliative care from the perspective of certified nursing assistants (CNAs) and nurses in nursing facilities.</p><p><strong>Method: </strong>A thematic analysis approach was used to examine data from semi-structured interviews with 12 CNAs and 11 nurses from six nursing facilities in a U.S. Midwestern state.</p><p><strong>Results: </strong>Four themes emerged from the data: <i>Cultural Needs Expressed by Residents</i>, <i>Cultural Needs Expressed by Family Members</i>, <i>Accommodating Residents' Cultural Needs</i>, and <i>Organizational Responses to Cultural Competency Challenges</i>.</p><p><strong>Conclusion: </strong>Results highlighted the training variations on diversity and cultural competency issues and the varying cultural competency levels possessed by staff. To support residents' culture-related needs, staff need education and support. Organizations can provide foundational resources for this diversity of cultural expression, including providing more culturally diverse programming facilities. [<i>Journal of Gerontological Nursing, 50</i>(7), 35-41.].</p>\",\"PeriodicalId\":15848,\"journal\":{\"name\":\"Journal of gerontological nursing\",\"volume\":\"50 7\",\"pages\":\"35-41\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of gerontological nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/00989134-20240618-06\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20240618-06","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：美国护理机构中的种族和民族多样性日益增加，因此有必要提供更多具有文化适应性的护理服务。本研究从认证护理助理（CNA）和护理机构护士的角度探讨了在提供姑息关怀时所面临的文化挑战：方法：采用主题分析方法，对来自美国中西部某州六家护理机构的 12 名 CNA 和 11 名护士的半结构化访谈数据进行研究：结果：数据中出现了四个主题：结果：数据中出现了四个主题：住院者表达的文化需求、家庭成员表达的文化需求、适应住院者的文化需求以及组织对文化胜任能力挑战的回应：结果凸显了在多样性和文化胜任能力问题上的培训差异，以及员工所具备的不同文化胜任能力水平。为了满足住户与文化相关的需求，员工需要接受教育并获得支持。各组织可以为这种文化表达的多样性提供基础资源，包括提供更多具有文化多样性的计划设施。[老年护理杂志》（Journal of Gerontological Nursing），50（7），35-41。
Cultural Competency Challenges Certified Nursing Assistants Experience in Providing Palliative Care.
Purpose: Increasing racial and ethnic diversity in U.S. nursing facilities has necessitated the provision of more culturally competent care. This study explored the cultural challenges in providing palliative care from the perspective of certified nursing assistants (CNAs) and nurses in nursing facilities.
Method: A thematic analysis approach was used to examine data from semi-structured interviews with 12 CNAs and 11 nurses from six nursing facilities in a U.S. Midwestern state.
Results: Four themes emerged from the data: Cultural Needs Expressed by Residents, Cultural Needs Expressed by Family Members, Accommodating Residents' Cultural Needs, and Organizational Responses to Cultural Competency Challenges.
Conclusion: Results highlighted the training variations on diversity and cultural competency issues and the varying cultural competency levels possessed by staff. To support residents' culture-related needs, staff need education and support. Organizations can provide foundational resources for this diversity of cultural expression, including providing more culturally diverse programming facilities. [Journal of Gerontological Nursing, 50(7), 35-41.].
期刊介绍：
The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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