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Kulturella faktorer som påverkar vården: En litteraturstudie av sjuksköterskans erfarenheter
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Cultural factors that affect health care : A literature review of the nurse’s experiences (English)
Abstract [sv]

Bakgrund: I sjuksköterskans kompetensbeskrivning ingår att tillgodose patienters olika behov, däribland de kulturella behoven. Detta ställer höga krav på att sjuksköterskor ska besitta kulturell kompetens för att behärska att arbeta i den mångkulturella vården. God kommunikation mellan sjuksköterska och patient är grundläggande för en god omvårdnad. Syfte: Att beskriva sjuksköterskans erfarenheter av faktorer som påverkar ett kulturmöte mellan en sjuksköterska och patient. Metod: En litteraturstudie med grund i analys av kvalitativ forskning genomfördes. Resultat: Resultatet presenteras i tre kategorier och sju underkategorier: kommunikation med underkategorierna språkbarriärer och bristen på tolk, kulturskillnader med underkategorierna olika sätt att hantera traumatiska händelser, skilda matvanor, fördelar och nackdelar med anhörigas medverkan i omvårdnaden och sjuksköterskors upplevelser i vårdarroller med underkategorierna värdet av kulturell kompetens och kulturell medvetenhet hos sjuksköterskor och etnocentrism – ett hinder för individanpassad vård. Slutsats: De faktorer som präglade den mångkulturella vården var ofta kopplat till sjuksköterskors brist på kulturell kompetens. Denna studies resultat påvisar att språkbarriärer är det största hindret i kulturmöten, vilket bekräftas av tidigare studier. Klinisk betydelse: Sjuksköterskor möter dagligen patienter med annan kulturell bakgrund än sin egen. Detta ställer ökade krav på sjuksköterskor att de besitter kulturell kompetens för att kunna utföra en professionell omvårdnad oavsett patientens kulturella bakgrund.

Abstract [en]

Background: Included in the description of competence for registered nurses is catering to the different needs of patients including their cultural needs. This puts high demands on nurses to possess cultural competence in order to master working in multicultural health care. Good communication between nurse and patient is essential in order to provide good care. Aim: To describe the nurse’s experiences of factors affect encounters between a nurse and a patient from different cultures. Method: A literature review with a basis in qualitative analyses was conducted. Results: The results are presented in three main themes and seven sub themes: communication with sub themes language barriers and nurses' experiences of difficulties with interpreters, cultural differences with sub themes various ways of coping with traumatic events, cultural eating habits, the families participation in the care and nurses' experiences of being in the role of carer with sub themes the value of cultural competence and cultural awareness for nurses and ethnocentrism – an obstacle for individualized care. Conclusion: The factors that characterized the multicultural care were often related to nurses’ lack of cultural competence. This study shows that language barriers are the biggest obstacles in encounters with patients from different cultures, which is verified by previous studies. Clinical significance: On a daily basis nurses encounter patients with a different cultural background than their own. This puts increased demands on nurses to possess cultural competence in order to practice professional care regardless of the cultural background of the patient.

Place, publisher, year, edition, pages
2013. , 28 p.
Keyword [en]
cultural competence, cultural awareness, communication, nurses’ experiences
Keyword [sv]
kulturell kompetens, kulturell medvetenhet, kommunikation, sjuksköterskors upplevelser
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-694OAI: oai:DiVA.org:rkh-694DiVA: diva2:637306
Educational program
Sjuksköterskeprogrammet
Uppsok
Medicine
Available from: 2013-07-17 Created: 2013-07-17 Last updated: 2015-07-16Bibliographically approved

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