Japanese public health nurses' culturally sensitive disaster nursing for small island communities
Japanese public health nurses' culturally sensitive disaster nursing for small island communities
复制标题
DOI：
10.24043/isj.116
复制
发表时间：
2020-11-01
影响因子：
1.5
通讯作者：
Harada, Nahoko
中科院分区：
文献类型：
--
作者：
Marutani, Miki;Kodama, Shimpei;Harada, Nahoko
目的：澄清日本公共卫生护士谁管理文化敏感的灾难护理小岛屿社区的隐性知识。设计：定性和归纳研究。样本：11名公共卫生护士在六个受灾岛屿之一提供救灾援助。测量：半结构化访谈，对数据进行定性分析。护理行动是基于对岛民的文化的考虑进行分类的相似性。结果：文化敏感的灾难护理的类别被确定为每个灾难阶段的恢复过程。这些措施包括确认岛民的安全，并利用现有的人际关系通知其他人（紧急阶段）;通过促进适用当地规则和债券协助住所管理（半急性期）;通过公共服务弥补邻里关系的削弱（中期阶段）;并通过利用/调整岛民与当地政府人员的现有关系，（长期阶段）。文化因素包括人与人之间的纽带和关系，这是跨阶段出现的。结论：公共卫生护士应利用文化，不仅要安慰岛民，但也要加强他们的凝聚力和韧性的岛民。他们还应该记住补偿缺乏自我照顾的护理原则。为了提供有效的援助，应考虑文化影响随恢复阶段的变化。
Objective: To clarify the tacit knowledge of Japanese public-health nurses who administer culturally sensitive disaster nursing for small island communities. Design: Qualitative and inductive study. Sample: Eleven public-health nurses who provided disaster aid on one of six affected islands. Measurements: Semi-structured interviews, with qualitative analysis of data. Nursing actions that were based on consideration for islanders' culture were categorized in terms of similarity. Results: Categories of culturally sensitive disaster nursing were identified for each disaster phase of the recovery process. These included confirming islanders' safety and using existing interpersonal bonds to notify others (acute phase); assisting shelter management by facilitating the application of local rules and bonds (semi-acute phase); compensating for weakened neighbour-based relationships through public services (mid-term phase); and supporting the completion of necessary procedures by utilizing/adjusting islanders' existing relationships with local government personnel (long-term phase). Cultural elements included interpersonal bonds and relationship, which emerged across phases. Conclusion: Public-health nurses should utilize culture not only to comfort islanders, but also to strengthen their sense of coherence and resilience as islander. They should also remember the nursing principle of compensating for a lack of self-care. To provide effective aid, the changes in cultural influences with recovery phases should be considered.