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題名：護理人員多元文化照護能力初探
書刊名：臺灣公共衛生雜誌
作者：梁亞文 引用關係／陳文意 引用關係／林育秀／蘇湘怡／李明輝／趙堡蕓
作者(外文)：Liang, Yia-wun／Chen, Wen-yi／Lin, Yu-hsiu／Su, Siang-yi／Lee, Ming-huei／Chao, Pao-yun
出版日期：2014
卷期：33:5
頁次：頁549-562
主題關鍵詞：護理人員；健康照護；文化；多元文化照護；Nurse；Health care；Culture；Multi-culture caring
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:57
  • 點閱點閱:33
目標：來台外籍人士及聯外婚姻倍增，病人多元文化背景除影響醫療照護服務的需求、期待與就醫行為，護病關係也更形複雜。本研究旨在探討臨床護理人員多元文化照護能力現況及其影響因素，期有助提升護理人員多元文化照護能力，減少健康不均等、降低健康差異。方法：本研究為一橫斷性研究，以「護理人員多元文化能力量表」收集資料，使用驗證性因素分析及逐步迴歸，探討影響護理人員多元文化照護能力的因子。結果：護理人員整體多元文化能力中等，以不同構面的能力來看，文化知識與文化技巧構面能力，則仍有待提升。影響護理人員整體多元文化能力及其四個構面的顯著因子包含：年齡、婚姻狀態、學歷、學校屬性、護理工作資歷、護理專業能力職級、服務單位、照護外籍人士經驗、語言檢定考試、上過多元文化課程，及出國經驗。結論：護理人員多元文化能力有待提升。建議護理人員提升語言溝通能力；醫院提供多元文化照護主題教育訓練；學校教授多元文化照護課程，提升護理人員多元文化照護能力。
Objectives: Many foreigners reside in Taiwan. Patient diversity may affect patients' needs/expectations regarding healthcare, healthy behaviors, and patient outcomes, and jeopardize the relationship between patients and healthcare personnel. The aim of this study was to explore nurses' multicultural caring competence and the factors that influence it. Methods: This was a cross-sectional study which collected data with the ＂Nurses' Multicultural Caring Competence Scale＂ to survey nurses working in a government-owned, regional teaching hospital in centralTaiwan. Confirmatory factor analysis and stepwise regression were used to explore the factors associated with overall multicultural caring competence and its four dimensions. Results: Nurses have a middle level of multicultural caring competence, but higher levels of cultural knowledge and cultural skills need to be developed. Significant factors associated with overall multicultural caring competence and its four dimensions included age, marital status, type of school, years worked as a nurse, clinical ladders, work units, experiences in caring for foreigners, language proficiency, exposure to a multicultural curriculum, and overseas experience. Conclusions: Recommendations to promote nurses' multicultural caring competence include improving nurses' language proficiency, offering ready-to-use on-the-job training regarding culturally competent nursing care, and providing a multifaceted cultural nursing curriculum as part of nursing education.
期刊論文
1.Paige, R. M.、Jacobs-Cassuto, M.、Yershova, Y. A.、De-Jaeghere, J.(2003)。Assessing intercultural sensitivity: an empirical analysis of the Hammer and Bennett Intercul-tural Development Inventory。International Journal of In-tercultural Relations，27，467-486。  new window
2.李選、張婷(20111000)。以病人安全為服務導向之護理倫理議題。澄清醫護管理雜誌，7(4)，4-11。  延伸查詢new window
3.Majumdar, B.、Browne, G.、Roberts, J.、Carpio, B.(2004)。Effects of cultural sensitivity training on health care provider attitudes and patient outcomes。Journal of Nursing Scholarship，36(2)，161-166。  new window
4.Poirier, T. I.、Butler, L. M.、Devraj, R.、Gupchup, G. V.、Santanello, C.、Lynch, J. C.(2009)。A cultural competency course for pharmacy students。American Journal of Pharmaceutical Education，73(5)，1-7。  new window
5.Servonsky, E. J.、Gibbons, M. E.(2005)。Family nursing: Assessment strategies for implementing culturally competent care。The Journal of Multicultural Nursing & Health，11(3)，51-56。  new window
6.Leininger, M. M.(1996)。Cultural care theory: Research and practice。Nursing science quarterly，9(2)，71-78。  new window
7.Rosenbaum, J. N.(1991)。A cultural assessment guide: Learning cultural sensitivity。Canadian Nurse，87(4)，32-33。  new window
8.Campinha-Bacote, Josepha(2002)。The process of cultural competence in the delivery of healthcare services: A model of care。Journal of Transcultural Nursing，13(3)，181-184。  new window
9.曾建薰、羅紹麟(20061200)。遊客滿意度驗證性因素分析及其模式修正之研究--以惠蓀林場森林遊樂區為例。林業研究季刊，28(4)，77-86。  延伸查詢new window
10.彭少貞、林珠茹、莊瑞菱(20070800)。以教育課程培育護理人員文化能力。志為護理，6(4)，91-102。  延伸查詢new window
11.胡宜足、陳淑銘(20030900)。照顧一位菲律賓籍白血病患者的泛文化護理經驗。慈濟護理雜誌，2(3)，87-95。  延伸查詢new window
12.Denboba, D. L.、Bragdon, J. L.(1998)。Reducing health disparities through cultural competence。J Health Educ，29，S47-53。  new window
13.Wells, M. I.(2000)。Beyond cultural competence: a model for individual and institutional cultural development。J Community Health Nurs，17，189-199。  new window
14.Burchum, J. L.(2002)。Cultural competence: an evolutionary perspective。Nurs Forum，37，5-15。  new window
15.Suh, E. E.(2004)。The model of cultural competence through an evolutionary concept analysis。J Transcult Nurs，15，93-102。  new window
16.Baldwin, D.(1999)。Community-based experiences and cultural competence。J Nurs Educ，38，195-197。  new window
17.Kim, S. H.(2013)。Transcultural self-efficacy and educational needs for cultural competence in nursing of Korean nurses。J Korean Acad Nurs，43，102-113。  new window
18.Kim, D. H.、Kim, S. E.(2013)。Cultural competence and factors influencing cultural competence in nursing students。J Korean Acad Psychiatr Ment Health Nurs，22，159-168。  new window
19.Flowers, D. L.(2004)。Culturally competent nursing care: a challenge for the 21st century。Crit Care Nurse，24，48-52。  new window
20.Ahmann, E.(2002)。Developing cultural competence in health care settings。Pediatr Nurs，28，133-137。  new window
21.Benedum, E.、Kalup, M.、Freed, D.(1990)。A competency achievement program for direct caregivers。Nurs Manage，21(5)，32-35。  new window
22.Schultz, A. W.(1993)。Evaluation of a clinical advancement system。J Nurs Adm，23，13-19。  new window
23.Leishman, J. L.(2006)。Cultural sensitivity mental health care:a module for 21st century education and practice。Int J Psychiatr Nurs Res，11，1310-1321。  new window
24.Lee, C. A.、Anderson, M. A.、Hill, P. D.(2006)。Cultural sensitivity education for nurse: a pilot study。J Contin Educ Nurs，37，137-141。  new window
25.Hu, Y. T.、Chen, S. M.(2003)。Transcultural nursing experience of caring a Philippine woman with leukemia。Tzu Chi Nurs J，2，87-95。  new window
26.Delbar, V.(1999)。From the desert: transcultural aspects of cancer nursing care in Israel。Cancer Nurs，22，45-51。  new window
27.Quist, R. M.、Law, A. V.(2006)。Cultural Competency: Agenda for Cultural Competency Using Literature and Evidence。Research in Social and Administrative Pharmacy，2(3)，420-438。  new window
28.Yang, Y. M.、Wang, H. H.(2003)。Life and Health concerns of Indonesian women in transnational marriage in Taiwan。Journal of Nursing Research，11(3)，167-176。  new window
29.Altshuler, L.、Sussman, N. M.、Kachur, E.(2003)。Assessing changes in intercultural sensitivity among physician trainees using the intercultural development inventory。International Journal of Intercultural Relations，27(4)，387-401。  new window
30.張慧盈、楊詠梅、郭雅玲(20130300)。Cultural Sensitivity and Related Factors Among Community Health Nurses。The Journal of Nursing Research，21(1)，67-73。new window  new window
31.王秀紅、楊詠梅(20020400)。東南亞跨國婚姻婦女的健康。護理雜誌，49(2)，35-41。new window  延伸查詢new window
32.吳姿蓉、鄧慶華、池美華、曾淑梅、袁素娟(20071200)。某醫學中心護理人員護理能力及其相關因素之探討。中山醫學雜誌，18(2)，303-316。  延伸查詢new window
33.Baumgartner, Hans、Homburg, Christian(1996)。Applications of Structural Equation Modeling in Marketing and Consumer Research: A Review。International Journal of Research in Marketing，13(2)，139-161。  new window
學位論文
1.張慧盈(2011)。衛生所護理人員文化敏感度及其相關因素之探討(碩士論文)。高雄醫學大學。  延伸查詢new window
圖書
1.Chaney, L. H.、Martin, J. S.(2007)。Intercultural business communication。Upper Saddle River, NJ：Prentice-Hall, Inc.。  new window
2.Fejos, P.(1959)。Man, magic, and medicine。Medicine and Anthropology。New York：International University Press。  new window
3.黃美智、王瑤華、林秀娟、林佳蓉(2010)。護理人員對多元文化照護的認知與實踐。台北：衛生福利部。  延伸查詢new window
4.Leininger, M.、McFarland, M. R.、王世麗、吳陳怡懋、曾文培、蔡宜珊(2007)。跨文化護理：概念、理論、研究與實務。五南圖書。  延伸查詢new window
5.Liebert, R. M.、Wicks-Nelson, R.(1981)。Developmental Psychology。Englewood Cliffs, New Jersey：Prentice-Hall。  new window
6.吳明隆(2013)。結構方程模式AMOS的操作與應用。台北：五南圖書。  延伸查詢new window
其他
1.American Psychological Association(2009)。Guidelines on multicultural education, training, research, practice, and organizational change for psychologists，http://www.apa.org/pi/multiculturalguidelines/definitions.html， 2009/08/09。  new window
圖書論文
1.詹秀員(2006)。從多元文化教育觀點探討外籍配偶社區教育之理念與策略。外籍配偶與社區學習。台北：師大書苑。  延伸查詢new window
2.Chan, H. Y.(2006)。An investigation into the concept of and a strategy for community education of foreign spouses from a multicultural educational perspective。Foreign Spouses and Community Learning。Taipei：Shtabook。  new window
3.Leininger, M. M.(2002)。Essential transcultural nursing care concepts, principles, examples, and policy statements。Transcultural Nursing: Concepts, Theories, Research and Practice。New York, NY：McGraw-Hill。  new window
 
 
 
 
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