Addressing issues for early detection and screening in ethnic populations. 1997.

Addressing issues for early detection and screening in ethnic populations. 1997.
复制标题

解决少数民族人群的早期发现和筛查问题。

DOI:
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发表时间:
1997
影响因子:
1.9
通讯作者:
M. Kagawa
M. Kagawa
中科院分区:
医学4区
文献类型:
--
作者:
M. Kagawa

文献摘要

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描述如何将多元文化的知识和技能应用于文化上胜任的实践中,以开发和提供可获得的,可接受的和适当的方案,在少数民族社区的早期癌症检测和筛查计划。资料来源文献和临床社区实践报告。资料综合成功的社区筛查项目可以在少数民族人群中进行。从业人员必须根据重点人群的突出文化差异来调整护理。以文化为基础的实践导致(a)在社区和个人评估中批判性思考的能力增强,(B)制定更准确的计划和设计,以及(c)在护理评估中使用适当结果的可能性增加。结论:更高的文化能力提高了护理的准确性,从而提高了护理的有效性、效率和成功率,从而提供了可接受的和最佳的方案。文化评估的第一步是了解自己的信仰和态度。第二步,并行进行,需要了解的群体,使病人和工作人员的人口在实践中设置,然后将这些观点融入实践。然后,从业人员可以开始第三步,即在承认各方专业知识和诚信的平等基础上,与各社区成员就项目的所有阶段进行谈判。
PURPOSE/OBJECTIVES To describe how multicultural knowledge and skills are applied in culturally competent practice to develop and deliver available, accessible, acceptable, and appropriate programs in early cancer detection and screening programs in ethnic communities. DATA SOURCES Literature and clinical community practice reports. DATA SYNTHESIS Successful community screening programs can be conducted within ethnic minority populations. Practitioners must tailor care based on salient cultural differences of the population of focus. Culturally based practice results in the (a) increased ability to think critically in community and individual assessments, (b) development of more accurate program plans and designs, and (c) increased likelihood that appropriate outcomes will be used in the evaluation of care. CONCLUSIONS Greater cultural competence increases the accuracy of care and thereby its effectiveness, efficiency, and success in providing acceptable and optimal programs. IMPLICATIONS FOR NURSING PRACTICE The first step in a cultural assessment is to know one's own beliefs and attitudes. The second step, conducted in parallel, requires knowledge about the groups that make up the patient and staff populations within the practice setting and then integrating those perspectives into practice. Practitioners then can begin the third step of negotiation of all stages of the project with members of the various communities on an equal basis that recognizes the expertise and integrity of all parties.