具有文化敏感性和包容性的IBD护理
Victor Chedid1, Laura Targownik2, Oriana M Damas3
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
概括
炎症性肠病 (IBD) 护理必须解决患者的身份和歧视如何影响健康. 对文化敏感的方法和文化谦卑对于减少弱势社区IBD的健康不平等至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 健康 公平 卫生 公平
- 卫生社会学 卫生社会学
背景情况:
- 炎症性肠病 (IBD) 的患病率在历史上处于不利地位的社区中正在上升.
- 交叉性,包括歧视 (种族主义,性别主义,阶级主义),显著影响患者在医疗保健中的体验.
- 健康的社会决定因素在医疗系统内导航IBD方面发挥着关键作用.
研究的目的:
- 检查健康的交叉性和社会决定因素如何影响IBD患者的体验.
- 在IBD管理中探索文化敏感护理和文化谦卑的原则.
- 提出一个框架,将文化谦卑融入IBD实践和研究中.
主要方法:
- 关于IBD护理在服务不足的人群中的文献综述.
- 分析跨领域在医疗保健差异中的作用.
- 对文化敏感的IBD护理的概念框架开发.
主要成果:
- 文化敏感的护理需要认识到交叉身份对患者疾病旅程的影响.
- 文化谦卑,持续的学习过程,对于包容性患者护理至关重要.
- 解决隐性和显式偏见对于公平的IBD护理提供至关重要.
结论:
- 从文化能力转向文化敏感性,以文化谦卑为指导,促进包容性IBD护理.
- 实施文化谦卑的框架可以帮助缓解IBD的健康不平等.
- 包容和谦虚的观点是必要的,以提高IBD患者群体的多样化护理质量.
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