撒哈拉以南非洲的息护理:叙述审查
1School of Pharmacy, University of Maryland Baltimore, Baltimore, Maryland, USA.
Journal of palliative medicine
|March 11, 2024
概括
撒哈拉以南非洲地区的息护理面临着挑战,原因是患病者与提供者之间普遍存在的父权主义关系. 适应文化规范的护理对于有效的终身支持至关重要.
科学领域:
- 全球健康 全球健康
- 医学伦理 医学伦理
- 在医疗保健中的文化能力.
背景情况:
- 文化和种族因素显著影响终身护理偏好.
- 息治疗正在非洲医疗保健系统中出现,需要文化定制的方法.
- 西方的息护理模式需要调整以适应非洲的文化背景.
研究的目的:
- 探索撒哈拉以南非洲地区息护理中父权主义的流行和适当性.
- 了解文化规范如何影响终身护理中的患者与提供者关系.
- 在父权主义模型中确定有效沟通的策略.
主要方法:
- 通过数据库搜索和参考列表识别的730篇文章的叙事综述.
- 应用了包含/排除标准,结果分析了14篇文章.
- 审查的重点是撒哈拉以南非洲地区的息治疗中的患者-提供者关系.
主要成果:
- 在撒哈拉以南非洲,一种父权主义的患者-提供者关系是主要的模式.
- 导致父权主义的因素包括语言障碍,教育水平,文化期望,时间限制和感知到的善意.
- 有效的息护理实施取决于了解患者的目标,这是由父权主义动态复杂的.
结论:
- 在撒哈拉以南非洲的息护理中,父权主义很普遍,受到各种社会文化和系统因素的影响.
- 调整息护理需要解决与父权关系固有的沟通挑战.
- 未来的息护理策略必须整合文化敏感性,以确保以患者为中心的决策.
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