The effects of nurse practitioner cultural competence on Latina patient satisfaction

The effects of nurse practitioner cultural competence on Latina patient satisfaction
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DOI:
10.1111/j.1745-7599.2009.00406.x
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发表时间:
2009-05-01
影响因子:
--
通讯作者:
Ruiz, Ester
Ruiz, Ester
中科院分区:
其他
文献类型:
--
作者:
Castro, Anabell;Ruiz, Ester

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目的:探讨拉美裔护士文化胜任程度与患者满意度的关系。资料来源:采用描述性相关设计,考察拉美裔护士文化胜任程度与患者满意度的关系。来自西南某大城市不同诊所的15家有执照的非营利组织的便利样本完成了两份自填式问卷。一个方便的样本,218名拉丁裔患者完成了三份自填式问卷,有英语和西班牙语两种版本。数据采用描述性统计和相关性分析。结论:拉丁裔患者对获得认证、接受过文化能力培训、会说西班牙语和参加过硕士课程的拉丁裔NPs有更高的满意度。拉美裔患者对减少的诊所等待时间也最满意。文化能力得分最高的两个NP是非拉丁裔。NPS在文化能力方面表现出明显的差异。实践的意义:提供具有文化能力的护理导致谈判、相互信息交换、更高的遵从性和改善患者与提供者的沟通。同样,患者对护理的满意度与更高的依从性和更大的护理连续性相关。寻求满足日益增长的拉美裔人口的医疗保健需求的雇主必须考虑到NPS的认证、文化能力培训、教育和说西班牙语的能力等外在价值。
Purpose: To explore the relationship between degree of cultural competence in nurse practitioners (NPs) and measures of patient satisfaction among Latinas.Data sources: A descriptive correlational design was used to examine the degree Of cultural competence in NPs and measures of patient satisfaction among Latinas. A convenience sample of 15 licensed NPs from I I different clinics in a large southwestern city completed two self-administered questionnaires. A convenience sample of 218 Latina patients completed three self-administered questionnaires available in both English and Spanish. Descriptive statistics and correlations were used to analyze the data.Conclusions: Latina patients reported greater satisfaction with NPs of Latina origin who were certified, had received Cultural competence training, could speak Spanish, and had attended master's level programs. Latina patients were also most satisfied with decreased clinic waiting time. The two NPs with the highest levels Of Cultural competency scores were non-Latinas. Noticeable differences were found in the amount of cultural competence exhibited by NPs.Implications for practice: The provision Of Culturally competent care leads to negotiation, Mutual exchange of information, increased compliance, and improved patient-provider communication. Similarly, patient satisfaction with care is associated with increased compliance and greater continuity of care. Employers seeking to meet the healthcare demands of a growing Latino population must took at extrinsic values Such as NPs' certification, cultural competence training, education, and ability to speak Spanish.