当西方概念与东方文化相遇时:探索家论对中国共享决策的影响
Meiqi Meng1,2,3, Xuejing Li1,2,3, Junqiang Zhao4,5
1School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Asia-Pacific journal of oncology nursing
|October 24, 2024
概括
孔子主义的价值观,如家庭和和仪式治理,塑造了中国的医疗保健决策,经常限制了患者的自主权. 战略必须适应这些规范,以便在瘤学中有效地共享决策 (SDM).
科学领域:
- 医学社会学 医学社会学
- 文化人类学 文化人类学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 家的价值观极大地影响了中国的医疗保健实践.
- 共享决策 (SDM) 模式在中国文化背景下面临着独特的挑战,特别是在瘤学领域.
研究的目的:
- 探索家价值观对中国瘤学中SDM的影响.
- 确定影响患者和家庭参与医疗决策的文化因素.
- 提出在中国医疗保健中有效整合SDM的战略.
主要方法:
- 这是一个评论,而不是经验研究.
- 文化基础的分析:家庭和,子女虔诚和仪式治理.
- 讨论中国瘤学中SDM的影响.
主要成果:
- 家庭和和子女虔诚促进集体决策,往往凌驾于个体患者自主权之上.
- 仪式治理有助于权力失衡,患者将权力移交给医生,护士在SDM中的角色有限.
- 当前的SDM方法可能与根深蒂固的文化规范不一致.
结论:
- 在中国,有效的SDM整合需要文化适应的战略,尊重传统价值观,同时促进患者赋权.
- 对于医疗保健提供者来说,对不断发展的中国文化有细微的理解是必不可少的.
- 全球医疗保健提供者需要文化能力,以支持中国患者,特别是瘤学,在国内和国际上.
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