The Need of the Hour: Culturally Competent Care for Seriously Ill Patients.
The Need of the Hour: Culturally Competent Care for Seriously Ill Patients.
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当前的需求：为重病患者提供具有文化能力的护理。
DOI：
10.1089/jpm.2020.0087
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发表时间：
2020
影响因子：
2.8
通讯作者：
Periyakoil,VyjeyanthiJ
中科院分区：
文献类型：
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作者：
Periyakoil,VyjeyanthiJ
“2020年健康人”国家倡议1突出强调了创造社会和物质环境以促进包括少数群体在内的所有人的良好健康的理想目标，这是该十年的四个首要目标之一。然而，来自种族和少数民族的美国人在生命周期的各个阶段都面临着持续和普遍的健康差距，特别是在生命的最后几年。虽然文化上的适当护理是所有卫生保健的一个重要组成部分，但它在照顾重病患者方面变得至关重要。过去二十年的数据1 -4一致表明，少数群体的人不太可能完成预先指令，获得姑息治疗和临终关怀服务的机会较少，更有可能撤销临终关怀，而且他们的家人更有可能报告对护理的满意度不高。我们目前正处于一个关键时刻，因为我们的国家即将成为一个少数民族占多数的国家。文化影响患者和家属如何解释，理解和体验疼痛和疾病，以及他们如何应对姑息干预。对文化信仰和行为的关注必须是为重病患者提供服务的核心和中心因素。作为卫生专业人员，我们有两种选择之一。我们可以希望并坚持一个临床的白日梦，等待数百万少数民族美国人放弃他们的文化信仰，顺从地接受主流的姑息治疗和临终关怀。或者，我们可以努力提供有文化能力的护理，并在文化和语言上调整姑息治疗措施，如Costas-Muniz等人在本期《姑息医学杂志》（第489页）中的工作所示。
The national initiative ‘‘Healthy People 2020’’ 1 prominently features the aspirational goal to create social and physical environments that promote good health for all, including persons from minorities as one of the four overarching goals for the decade. However, Americans from racial and ethnic minorities face persistent and pervasive health disparities at all stages of the life cycle and especially so in the last years of life. Although culturally competent care is a vital element of all health care, it becomes critically important in the care of the seriously ill. Data1–4 for the past two decades have consistently shown that persons from minority groups are less likely to complete advance directives, less access palliative and hospice services, more likely to revoke hospice care, and their families are more likely to report poor satisfaction with care. We are currently at an inflexion point as our nation is poised to become a minority–majority nation. Culture influences how patients and families interpret, understand, and experience pain and illness, and how they respond to palliative interventions. Attentiveness to cultural3–6 beliefs and behaviors must be a core and central element in the delivery of services to seriously ill patients.As health professionals, we have one of two choices. We could hope and hold on to a clinical pipedream and wait for millions of minority Americans to relinquish their cultural beliefs and obediently embrace mainstream palliative and hospice care. Or we can make strident efforts toward providing culturally competent care and culturally and linguistically adapt palliative care therapeutic measures as exemplified by the work of Costas-Muniz et al. in this issue of Journal of Palliative Medicine (page 489).
在以西班牙裔为主的西南边境社区寻求疼痛治疗的个体的文化适应、抑郁和功能。
DOI：
10.1016/j.cnur.2011.02.009
发表时间：
2011
期刊：
The Nursing clinics of North America
影响因子：
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作者：
Robinson,KristyniaM;Monsivais,JoseJ
通讯作者：
Monsivais,JoseJ