在治疗来自不同文化的患者时感知到的临床挑战:在挪威精神病学学员中进行的一项研究
Morten Sandbu1,2, Anne Cecilie Javo3, Suraj Bahadur Thapa2,4
1Institute of Basic Medical Sciences, University of Oslo.
Transcultural psychiatry
|December 24, 2024
概括
挪威出生的挪威医生报告的跨文化临床挑战比国际医学毕业生更多. 两组人都发现难以评估精神病和自杀风险,强调需要更好的跨文化培训精神病医生.
科学领域:
- 精神病学是一个精神病学.
- 跨文化精神健康跨文化精神健康
- 医疗保健提供者培训
背景情况:
- 西方国家越来越多的多元文化患者群体需要加强医疗保健提供者的跨文化能力.
- 医院变得越来越多样化,许多医生,包括精神病医生,都是外国人.
研究的目的:
- 探索国际医学毕业生 (IMG) 和挪威本土医生在治疗不同文化患者时面临的临床挑战.
- 确定与这些跨文化临床挑战相关的因素.
主要方法:
- 开发了六项感知跨文化临床挑战 (PCC) 清单,并向216名精神病学学员进行了管理.
- 收集了个人和工作相关背景因素的数据.
- 统计分析包括单向ANOVA用于组比较和线性多重回归用于与背景因素的关联.
主要成果:
- 与IMG相比,出生在挪威的挪威医生报告了与IMG相比,感知到的跨文化临床挑战 (PCC) 的水平显著更高.
- 两个小组都认为"评估精神病","评估自杀风险",以及"在跨文化咨询中缺乏工具"是最苛刻的挑战.
- 较高的PCC独立地与成为挪威出生的挪威医生和经历高工作家庭冲突有关.
结论:
- 精神病学学员可能需要加强培训和改善资源,以跨文化评估精神障碍.
- 导师计划应该考虑本地出生的医生和IMG之间的PCC的潜在差异,以及工作家庭冲突对感知挑战的影响.
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