The importance of language and culture in pediatric care: Case studies from the Latino community
The importance of language and culture in pediatric care: Case studies from the Latino community
复制标题
DOI：
10.1067/mpd.2000.109150
复制
发表时间：
2000-12-01
影响因子：
5.1
通讯作者：
Hill, M
中科院分区：
文献类型：
--
作者：
Flores, G;Abreu, M;Hill, M
背景：很少有研究探讨文化对儿科护理的影响。目的：分析3例说明文化在儿科中的重要性的案例。方法：采用文化胜任力模型进行案例分析。结果：1名因腹痛被送到急诊科的3岁儿童的父母没有翻译；她曾两次出院，因急腹症返回，并因阑尾破裂和腹膜炎住院治疗。一名2岁的女孩在一次摔倒中摔断了锁骨，但由于儿科医生的误解，她被社会服务机构拘留。患有脑病、癫痫和肾功能衰竭的2周大的呼吸机依赖婴儿的父母并不知道婴儿的不良预后，尽管使用了翻译。结论：培养对儿科护理有重要影响；使用简单的模式可以确保儿科医生提供有文化能力的护理。
Background: Few studies have examined culture's effect on pediatric care.Objectives: To analyze 3 cases illustrating the importance of culture in pediatrics.Methods: Case analysis with a cultural competency model.Results: No interpreter was available for the parents of a 3-year-old brought to the emergency department because of abdominal pain; she was discharged twice, returned with an acute abdomen, and was hospitalized for treatment of appendiceal rupture and peritonitis. A 2-year-old fractured her clavicle in a fall but was placed in social services' custody because of a pediatrician's misinterpretation. Parents of a ventilation-dependent 2-week-old with encephalopathy, seizures, and renal failure were unaware of the infant's poor prognosis, despite use of an interpreter.Conclusions: Culture can have a significant impact on pediatric care; use of a simple model can ensure that pediatricians provide culturally competent care.