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首页> 外文期刊>BMC Pediatrics >Deficiencies in culturally competent asthma care for ethnic minority children: a qualitative assessment among care providers
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Deficiencies in culturally competent asthma care for ethnic minority children: a qualitative assessment among care providers

机译：对少数族裔儿童具有文化背景的哮喘护理的不足：护理人员之间的定性评估

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Background Asthma outcomes are generally worse for ethnic minority children. Cultural competence training is an instrument for improving healthcare for ethnic minority patients. To develop effective training, we explored the mechanisms in paediatric asthma care for ethnic minority patients that lead to deficiencies in the care process. Methods We conducted semi-structured interviews on care for ethnic minority children with asthma (aged 4-10 years) with paediatricians (n?=?13) and nurses (n?=?3) in three hospitals. Interviews were analysed qualitatively with a framework method, using a cultural competence model. Results Respondents mentioned patient non-adherence as the central problem in asthma care. They related non-adherence in children from ethnic minority backgrounds to social context factors, difficulties in understanding the chronic nature of asthma, and parents’ language barriers. Reactions reported by respondents to patients’ non-adherence included retrieving additional information, providing biomedical information, occasionally providing referrals for social context issues, and using informal interpreters. Conclusions This study provides keys to improve the quality of specialist paediatric asthma care to ethnic minority children, mainly related to non-adherence. Care providers do not consciously recognise all the mechanisms that lead to deficiencies in culturally competent asthma care they provide to ethnic minority children (e.g. communicating mainly from a biomedical perspective and using mostly informal interpreters). Therefore, the learning objectives of cultural competence training should reflect issues that care providers are aware of as well as issues they are unaware of.
机译：背景少数民族儿童的哮喘病结局通常较差。文化能力培训是改善少数民族患者医疗保健的一种手段。为了开发有效的培训，我们探索了针对少数族裔患者的小儿哮喘护理机制，该机制导致护理过程中的缺陷。方法我们对三所医院的儿科医生（n = 13）和护士（n = 3）进行了关于哮喘（4-10岁）少数民族儿童的护理的半结构式访谈。使用文化能力模型，采用框架方法对访谈进行定性分析。结果受访者提到患者的不依从是哮喘护理中的主要问题。他们将来自少数民族背景的儿童的不依从与社会背景因素，难以理解哮喘的慢性性质以及父母的语言障碍联系起来。受访者报告的患者不依从的反应包括检索其他信息，提供生物医学信息，偶尔提供针对社会背景问题的推荐以及使用非正式口译员。结论本研究为提高少数民族儿童小儿哮喘专科护理质量提供了关键，主要与不依从有关。护理提供者并没有自觉地意识到导致他们向少数族裔儿童提供具有文化适应能力的哮喘护理的所有机制的不足（例如，主要是从生物医学的角度进行交流，并且大多使用非正式的口译员）。因此，文化能力培训的学习目标应反映护理人员意识到的问题以及他们不知道的问题。

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