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[Implementation of an Advanced Nursing Practice to advance transcultural healthcare: A practical development project]
Claudia Schönbächler Marcar1, Marianne Keller1
1Direktion Pflege und MTB, Universitäts-Kinderspital Zürich, Schweiz.
Abstract:
Implementation of an Advanced Nursing Practice to advance transcultural healthcare: A practical development project Abstract. Background: Patients and staff with different cultural backgrounds encounter each other in different roles at the children's hospital. Cultural differences are at the heart of misinterpretations and misunderstandings that can result in errors and prolong hospitalisation. Aim: To meet the challenges of reaching a common understanding in trans-cultural care, improve empowerment and ensure adequate treatment of children and family alike we introduced an ANP trans-cultural care team (ANP-TKV). Methods: The role of the ANP-TKV team was conceived as a project, encompassing a stakeholder and risk analysis, defining of the organisation, the setting of milestones, resources and controlling, as well as establishing an information concept. Results: The project concept successfully integrated and consolidated the APN-TKV team into our hospital activity. The team is now regularly consulted to manage complex trans-cultural situations, sensitises diverse professional groups and initiates professional inputs. It also provides helpful material and is able to anticipate potential current trans-cultural issues. Discussion: The evidence-based work of the ANP-TVK team has exerted positive effects on therapeutic teams as well as patients and their families and initiates a cultural change within the hospital. It is now an operative addition to the hospital's strategic commission. Further development of the meaning of trans-cultural and the question of allocation of financial and time resources to the APN-TKV team are presently under review.
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