适应美国西班牙裔社区的提前护理规划干预措施
Heather J Costigan1, Erika VanDyke1, William A Calo1
1Penn State College of Medicine, Hershey, PA, USA.
The American journal of hospice & palliative care
|December 19, 2024
概括
为西班牙裔社区调整预先护理规划 (ACP) 干预措施需要文化敏感的策略. 吸引双语员工和了解当地规范对于有效实施和减少健康不平等至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 基于社区的参与式研究
背景情况:
- 在西班牙裔人口中,健康不平等仍然存在,需要社区参与的解决方案.
- 让西班牙裔社区参与预先护理计划 (ACP) 研究对于文化适当的干预至关重要.
- 项目谈话试验 (PTT) 旨在通过基于社区的交付模式来解决这些需求.
研究的目的:
- 了解最佳的适应和实施策略,以西班牙语的ACP干预措施在不同的美国西班牙裔社区.
- 确定在PTT实施过程中遇到的挑战和成功的解决方案.
主要方法:
- 基于证据的干预措施的调整和修改报告框架 (FRAME) 指导了这项研究.
- 与西班牙裔社区活动主持人 (n=9) 和研究助理 (RA) (n=7) 进行了半结构化采访.
- 用专题分析来分析采访成绩单.
主要成果:
- 社区主办方指出,不充分的认证翻译服务和缺乏西班牙语RA是障碍.
- 文化规范,如不同的RSVP系统,影响了实施.
- 地区协会报告了沟通障碍的不适以及参与者与双语地区协会的联系的改善.
结论:
- 一个强大的基于社区的交付模式对于有效的非洲国家和地区干预是必不可少的.
- 关注当地方言,文化细微差别以及需要西班牙语工作人员的需求至关重要.
- 在严格和相关的干预中,平衡国家研究忠诚度与当地适应能力是关键.
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