怀孕护理中的文化经纪:批判性审查
Amanda DiMeo1, Ami Karlage1, Karen Schoenherr1
1Ariadne Labs at Brigham and Women's Hospital and the Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
怀孕护理中的文化经纪有助于弥合语言和文化差距,但其定义和对健康结果的影响需要澄清. 需要一致的方法来支持不同患者群体.
科学领域:
- 获得医疗保健和公平的机会.
- 孕产妇和儿童的健康
- 跨文化沟通跨文化沟通
背景情况:
- 非英语说话者在获得美国医疗保健方面面临重大障碍.
- 语言和文化差异对全球的护理质量产生影响,特别是在多样化的人口中.
- 怀孕护理是家庭与医疗保健系统接触的关键时期.
研究的目的:
- 综合现有的关于怀孕护理中的文化经纪的文献.
- 确定促进有效文化经纪的促进者和障碍者.
- 提出一个框架来理解文化经纪的目标.
主要方法:
- 对文学进行批判性评价.
- 使用关键词搜索了PubMed,Embase和CINAHL:文化经纪,怀孕,语言.
- 包括从已识别的文章中追踪参考,导致33项审查的研究.
主要成果:
- 文化经纪在当前的研究中缺乏明确,一致的定义.
- 关于经纪人和患者/临床医生之间语言一致性的信息有限.
- 没有研究报告文化经纪对特定健康结果的影响.
结论:
- 文化经纪旨在提供语言支持,弥合文化差异,提供社会支持/倡导,并帮助医疗护理导航.
- 促进者包括专业间的合作,患者与经纪人之间的联系和临床医生的信任.
- 障碍包括角色模糊性,边界问题和有限的经纪人可用性.
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