难民保健的文化能力:探索希腊保健专业人员的培训需求和挑战。

IF 2 4区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH
Georgia Koutsouradi, Elena Riza, Areti Lagiou, Gerasimos Kolaitis, Vassiliki Benetou
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引用次数: 0

摘要

文化能力被广泛认为是医疗公平的核心组成部分。然而,很少有人知道在希腊的医疗保健专业人员,一个前线国家流离失所的人口,发展和实施难民医疗文化能力。本研究探讨的经验,培训需求,挑战和希腊医疗保健专业人员提供文化主管护理难民和寻求庇护者的策略。来自希腊不同医疗机构的12名医疗保健专业人员参加了半结构化访谈。数据分析采用适用于应用卫生研究的解释性说明框架内的反身性专题分析。研究提出了三个主题:(i)通过跨文化接触发展文化能力;㈡寻求平衡:难民保健方面的困境和复杂性;(三)孤立照料:在不支持的环境中照料难民。尽管参与者表现出适应能力和承诺,但系统约束和患者-提供者挑战限制了参与者的努力,这有时会导致情绪衰竭或脱离参与。研究结果强调了多层次干预的必要性,将结构能力、宣传和反思性监督相结合,以支持不间断的、文化响应的护理,并促进医疗保健提供者的福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cultural competence in refugee healthcare: exploring the training needs and challenges of healthcare professionals in Greece.

Cultural competence is widely recognized as a core component of equity in healthcare. However, little is known about how healthcare professionals in Greece, a frontline country for displaced populations, develop and implement cultural competence in refugee healthcare. This study explores the experiences, training needs, challenges, and strategies of Greek healthcare professionals for delivering culturally competent care to refugees and asylum seekers. Twelve healthcare professionals from various Greek healthcare settings participated in semi-structured interviews. Data were analysed using reflexive thematic analysis within an interpretive description framework, appropriate for applied health research. Three themes were developed: (i) developing cultural competence through cross-cultural engagement; (ii) finding a balance: dilemmas and complexity in refugee healthcare; and (iii) caring in isolation: refugee care in unsupportive environments. Systemic constraints and patient-provider challenges limited participants' efforts, despite their demonstrated adaptability and commitment, which sometimes resulted in emotional exhaustion or disengagement. Findings highlight the need for multilevel interventions, combining structural competence, advocacy, and reflective supervision, to support uninterrupted, culturally responsive care and promote healthcare providers' well-being.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
34
期刊介绍: Publishing original, refereed papers, Health Education Research deals with all the vital issues involved in health education and promotion worldwide - providing a valuable link between the health education research and practice communities.
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