[健康科学的跨文化敏感性学院院长将跨文化能力纳入课程]。

Revista medica de Chile Pub Date : 2025-01-01 Epub Date: 2025-03-20 DOI:10.4067/s0034-98872025000100022
Debbie Álvarez-Cruces, Alejandra Nocetti-de-la-Barra, Juan Mansilla-Sepúlveda
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引用次数: 0

摘要

在智利,自1990年以来移民人口增长显著;然而,《国际移民健康政策》直到2017年才制定。这项政策强调将跨文化、移民和健康纳入卫生科学课程。学院院长管理课程以满足情境需求。跨文化敏感性模型概述了发展同理心的各个阶段,这对满足他人的文化需求至关重要。目的:探讨健康科学学院院长在将流动病人的跨文化能力纳入课程时的跨文化敏感性。方法:采用解释方法进行定性研究。在通过电子邮件获得知情同意后,通过Zoom对来自各个卫生学科的学院院长进行了采访。数据分析利用与跨文化敏感性阶段相一致的演绎类别和由ATLAS支持的归纳子类别。Ti 24软件。结果:来自3所高校的15名院长参与了调查。确定的类别包括:a)否认,其特点是学术孤立和对国际移徙者健康政策缺乏认识;b)国防,其特点是缺乏训练有素的教员,课程死板,委派实践训练;c)最小化,与隐性训练和淡化形成性努力有关;d)接受,涉及内容收录策略。代码/文档分析显示,最常见的阶段是最小化,其次是防御。达到的最高阶段是接受,尽管它的特点是不系统的教育策略。没有达到适应和整合的阶段。结论:在将流动病人的跨文化能力纳入课程时,院长的跨文化敏感性主要处于最小化和防御阶段,忽视了文化方面。这种方法影响并延续了普遍主义和以种族为中心的医疗保健实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Intercultural Sensitivity in Health Science Head of Faculty to incorporate Intercultural Competence in the Curriculum].

In Chile, the growth of the migrant population since 1990 has been significant; however, the International Migrant Health Policy was only established in 2017. This policy stresses incorporating interculturality, migration, and health into health science curricula. Heads of Faculty manage the curriculum to address contextual needs. The Intercultural Sensitivity Model outlines the stages for developing empathy essential to meet the cultural needs of others.

Aim: To explore the Intercultural Sensitivity of Health Science Heads of Faculty in integrating Intercultural Competence for migrant patients into the curriculum.

Method: A qualitative study with an interpretative approach was performed. Key informants, consisting of Heads of Faculty from various health disciplines, were interviewed via Zoom after receiving informed consent via email. Data analysis utilized deductive categories aligned with the stages of Intercultural Sensitivity and inductive subcategories, backed by the ATLAS.ti 24 software.

Results: Fifteen Heads of Faculty from three universities participated. The identified categories included: a) Denial, characterized by subcategories of academic isolation and lack of awareness of the International Migrant Health Policy; b) Defense, marked by a lack of trained faculty, rigid curricula, and delegation of practical training; c) Minimization, associated with implicit training and downplaying formative efforts; and d) Acceptance, involving strategies for content inclusion. The code/document analysis revealed that the most frequent stage was Minimization, followed by Defense. The highest stage achieved was Acceptance, though it featured unsystematic educational strategies. The stages of Adaptation and Integration were not reached.

Conclusion: The Intercultural Sensitivity of Heads of Faculty in integrating Intercultural Competence for migrant patients into the curriculum is predominantly at the stages of Minimization and Defense, which overlook cultural aspects. This approach impacts and perpetuates universalistic and ethnocentric healthcare practices.

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