A survey of issues of ethnicity and culture in nursing homes in an English region: nurse managers' perspectives
A survey of issues of ethnicity and culture in nursing homes in an English region: nurse managers' perspectives
复制标题
DOI：
10.1111/j.1365-2702.2011.03880.x
复制
发表时间：
2012-06-01
影响因子：
4.2
通讯作者：
Clifford, Collette
中科院分区：
文献类型：
--
作者：
Badger, Frances;Clarke, Laura;Clifford, Collette
目标。这项调查探讨了一个英国地区养老院的种族和文化问题。背景。英国的老年黑人和少数民族人口正在增加，这是第一次详细研究养老院的黑人和少数民族居民数量，以及管理人员对他们应对居民需求的能力的看法。设计。混合方法。方法。数据收集于2008年。一份邮政调查已发送到该地区所有的养老院。经理的子样本参加了半结构化的电话采访。结果。101个家庭参与了调查，13位经理接受了采访。三分之一的家庭有黑人和少数民族居民，95%的家庭有这些群体的工作人员。管理人员的基本护理理念是单独对待每位居民，而不是按类别对待。认为个性化的护理计划导致居民的需求得到适当的满足。具有文化敏感性的护理服务各不相同。有些家庭建立了对居民多样性作出反应的制度，而其他家庭则根据需要对黑人和少数民族居民的需要作出反应。尽管居民对员工的偏见成为一个主题，但管理人员认为拥有不同背景的员工有好处，管理人员的反应也各不相同。工作人员在提供适当的临终关怀方面的培训被确定为一种需要。结论。黑人和少数民族居民构成了养老院居民中人数不多但不断增长的少数民族。这一常驻群体预计会增加，这意味着管理人员必须考虑提供具有文化敏感性的服务。未来的研究需要探索黑人和少数民族居民的视角。与临床实践相关。英国的养老院是越来越多样化的社区，必须解决员工培训需求，以促进所有居民的高质量护理。
Aims. This survey explored issues of ethnicity and culture in nursing homes in one English region. Background. The older black and minority ethnic population in the UK is increasing, and this is the first detailed study of numbers of black and minority ethnic residents in nursing homes and of managers perceptions of their abilities to respond to residents needs. Design. Mixed methods. Methods. Date were collected in 2008. A postal survey was sent to all nursing homes in the region. A sub-sample of managers participated in semi-structured telephone interviews. Results. A hundred and one homes responded to the survey, and 13 managers were interviewed. One-third of homes had black and minority ethnic residents, and 95% had staff from these groups. Managers underlying philosophies of care were to treat each resident individually and not by category. It was felt that individualised care plans resulted in residents needs being met appropriately. Culturally sensitive care delivery varied. Some homes had established systems that were responsive to residents diversity, while others responded to the needs of black and minority ethnic residents on an as-required basis. Managers identified advantages in having staff from diverse backgrounds, although prejudice from residents towards staff emerged as a theme and managers responses varied. Staff training in the provision of appropriate end-of-life care was identified as a need. Conclusion. Black and minority ethnic residents form a small but growing minority of nursing home residents. Predicted increases in this resident group mean that managers must consider the delivery of culturally sensitive services. Future research is needed to explore the perspectives of black and minority ethnic residents. Relevance to clinical practice. Nursing homes in England are increasingly diverse communities, and staff training needs must be addressed to promote quality care for all residents.