将严重疾病对话指南适应到新加坡的多元文化环境:一项定性研究
Chandrika Ramakrishnan1, Anna So Youn Lee1, Chetna Malhotra1
1Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore.
BMJ open
|October 28, 2025
概括
一个文化敏感的严重疾病对话指南 (SICG) 适用于新加坡. 修订侧重于积极的框架和文化相关性,大大提高了患者和医疗保健提供者的接受度.
科学领域:
- 医学沟通 医学沟通
- 跨文化医疗适应 跨文化医疗适应
- 息护理研究 息护理研究
背景情况:
- 严重疾病对话指南 (SICG) 是一个关于生命结束讨论的工具.
- 适应当地文化背景的沟通工具对于有效的医疗保健服务至关重要.
- 以前的SICG版本可能不完全符合新加坡的文化细微差别.
研究的目的:
- 根据新加坡的情况,将原来的严重疾病对话指南 (SICG) 改编为新加坡语境.
- 评估适应SICG在患者,护理人员和医疗保健提供者的可接受性.
- 确保严重疾病传播的文化敏感性和相关性.
主要方法:
- 使用半结构面试对49名参与者 (患者,护理人员,医疗人员) 进行定性研究.
- 一个代的设计过程,涉及认知面试和专家咨询,以改进SICG.
- 通过交通信号灯系统 (红色,色,绿色) 和内容分析来评估可接受性.
主要成果:
- 最初的SICG由于负面的框架,复杂的语言和文化不敏感性而表现出较低的可接受性.
- 重点关注积极语言,当前价值观和个性化的提示的修订显著提高了可接受性.
- 确定的主要主题包括需要充满希望的语言和文化上适当的预后讨论.
结论:
- 成功开发了一种文化敏感,适应本地的新加坡SICG.
- 调整后的SICG保留了原版的核心元素,同时也满足了文化需求.
- 修订后的指南显示了在其他亚洲国家使用的潜力,并保证了进一步的测试.
相关概念视频
Factors Affecting Illness
5.0K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.0K
Classification of Illness
8.5K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
8.5K
Stress Prevention and Stress Management Techniques VI
235
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
235
Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
Community Based Intervention
269
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
269

