Qualitative data suggest that components and strategies of culturally competent healthcare were appreciated by patients and providers. The overall effects on patient outcomes and utilization rates of identified components or strategies were positive but often small or not significant.
A model integrating the results is proposed. Identified strategies and components of culturally competent healthcare extracted from these studies were clustered into twenty categories, which were organized in four groups: Components of culturally competent healthcare-Individual level Components of culturally competent healthcare-Organizational level Strategies to implement culturally competent healthcare and Strategies to provide access to culturally competent healthcare. Sixty-seven studies implementing culturally competent healthcare interventions were included in the final synthesis. PICO criteria were adapted to formulate the research question and to systematically choose relevant search terms. Thereafter, we aim to organize identified components into a model of culturally competent healthcare provisions.Ī systematic literature search was carried out using three databases (Pubmed, PsycINFO and Web of Science) to identify studies which have implemented and evaluated cultural competence interventions in healthcare facilities. This scoping review aims to collect components and strategies from evaluated interventions that provide culturally competent healthcare for culturally and linguistically diverse patients within healthcare organizations and to examine their effects on selected outcome measures. In order to reduce these disparities, the promotion of cultural competence in healthcare organizations has been a political goal. Cultural care aggregates knowledge and can be considered a new paradigm for nursing care that allows an affective, reflective, human, empathic relationship between nurse/child/family.Ĭulturally and linguistically diverse patients access healthcare services less than the host populations and are confronted with different barriers such as language barriers, legal restrictions or differences in health beliefs. Data were coded, classified and scrutinized to identify saturation of similar or different ideas and patterns, and recoded by making theoretical formulations and recommendations.īeliefs, values and practices of families depend on cultural references and are manifested in the care with feeding, clothing and hygiene, maintenance of sleep and rest, presence, care with medication and exercise of religious belief.įamily members care for the hospitalized child based on their cultural reference and it is important that nurses take this aspect into consideration during care practice. The methodological framework of Ethnonursing was adopted. Qualitative study developed at the Pediatrics Unit of a University Hospital in southern Brazil through non-participant observation, participant observation and interview with children’s family members. To know the beliefs, values and practices of families in the care of hospitalized children.
0 kommentar(er)
