腫瘍学における少数民族との共同意思決定:インタビュー研究
Roukayya Oueslati1, Asiye Gedik2, Ria Reis3
1Department of Ethics and Law of Health Care, Leiden University Medical Center, Leiden, the Netherlands; Research Group Relational Care, Department of Health, Nutrition and Sport, The Hague University of Applied Sciences, The Hague, the Netherlands; Research Group Oncological Care, Department of Health, Nutrition and Sport, The Hague University of Applied Sciences, The Hague, the Netherlands.
Patient education and counseling
|February 19, 2026
まとめ
がん治療における共有意思決定 (SDM) は,医療従事者の文化的な能力の向上と,個別化された支援を提供することによって,少数民族のために改善することができます. これは患者に力を与え,より個別化された治療の選択につながります.
科学分野:
- 腫瘍学 腫瘍学
- 健康の格差について
- 共同で意思決定を行う.
背景:
- 少数民族の患者およびその親戚は,腫瘍学病院のケアにおいて,共同意思決定 (SDM) に関するユニークな課題に直面することが多い.
- 医療従事者 (HCP) は,さまざまな要因のために,少数民族の患者をSDMに効果的に関与させるのに苦労することがあります.
研究 の 目的:
- 腫瘍学におけるSDMに関する少数民族の患者,親戚,医療従事者の経験を調査する.
- 発見を価値構造と結びつけることで,少数民族のSDMを改善するための機会を特定する.
主な方法:
- 少数民族の患者 (n=22),親戚 (n=11),医療従事者 (n=14) とのインタビューが行われました.
- シュワルツの価値理論をSDMに適応した反射的なテーマ分析が採用されました.
主要な成果:
- 特定された主なテーマは,SDMにおける患者のエンパワーメント/デエンパワーメント要因 (知識,サポート,HPと患者の関係),審議を通じて治療決定の個別化,および文化的能力のギャップのためにHPの患者の文脈への限られた洞察などです.
- HCPは,文化的能力の欠如と認識された文化的違いから生じる課題を報告しました.
結論:
- 少数民族のためのSDMの強化には,医療従事者の文化的能力の強化,文化と言語に合わせて情報と支援の提供,関係構築の促進が必要です.
- 医療従事者向けの教育プログラム,ターゲットキャンペーン,文化に敏感な統合支援システムなども推奨されています.
- 努力は,違いを過度に強調せず,一般的な患者集団との共通点を認めることなく,文化的側面に対応する必要があります.
関連する概念動画
Surveys
14.4K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.4K
Treatment Resistant Cancers
2.7K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
2.7K
Nursing Ethical Principles II
2.5K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.5K
Ethical Issues
2.3K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.3K
Ethical Dilemmas II
2.7K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.7K
Ethnic Identity within a Larger Culture
419
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
419


