Cultural Sensitivity and Related Factors among Community Health Nurses

背景：社區衛生護理人員往往是在健康照護的最前線，護理人員對多元文化照護之認知與實踐，提供文化適切性的護理能力，可提昇新移民婦女及其家庭的健康照護品質。目的：本研究旨在探討護理人員文化敏感度之現況及影響社區衛生護理人員文化敏感度之相關因素。方法：本研究採橫斷式問卷調查法，以高屏社區衛生護理人員為收案對象，完成有效問卷230份。研究工具為結構式問卷，包括（1）文化敏感度量表、（2）多元文化資源量表、（3）多元文化訓練課程表、以及（4）基本資料表。資料以SPSS 14.0統計套裝軟體進行統計分析。結果：本研究結果顯示，社區衛生護理人員文化敏感度量表平均得分為49.41（SD = 7.48），指標分數為65.88分，顯示社區衛生護理人員文化敏感度低於指標分數，其中最低為互動信心。影響社區衛生護理人員文化敏感度的重要預測變項為「多元文化資源」、「自覺英文能力」、「多元文化訓練課程」、以及「有不同文化背景的朋友」，解釋變異量為34.9%。結論／實務應用：本研究結果可提供基層社區衛生護理人員在職課程與文化照護教育發展課程設計之參考，間接提高新對移民的健康照護品質。

關鍵字

新移民婦女；文化敏感度；文化照護

並列摘要

Background: Community health nurses are on the frontline of providing healthcare to multiethnic groups. Managing and providing effective, culture-specific healthcare can increase the health quality of Taiwan's recently immigrant women, a significant component of this country's population. Purpose: This study analyzes the cultural sensitivity of community health nurses and related factors. Methods: A cross-sectional survey was applied in this study. Participants were nurses who work at health centers in Kaohsiung City and Pingtung County. A total of 230 valid questionnaires were completed. Structure questionnaires used in this study included (a) scale of nurses' cultural sensitivity, (b) scale of multicultural sources, (c) scale of multicultural competence training programs, and (d) table of personal characteristics. Statistical software SPSS 14.0 was used for statistical analysis. Results: Survey results show an average score of community health nurse cultural sensitivity of 49.41 (SD = 7.48). The index score was 65.88. Thus, survey participants in this study earned a cultural sensitivity score below the index score. ”Interaction confidence” earned the lowest item score. ”Multicultural resources,” ”self-perceived English proficiency,” ”multicultural competence training programs,” and ”having friends with different cultural backgrounds” were significant predictor variables of cultural sensitivity and, together, explained 34.9% of total variance. Conclusions: Study results may be referenced in designing future in-service and cultural care education programs for community health nurses to improve healthcare quality for new immigrants.

並列關鍵字

new immigrant women ； cultural sensitivity ； cultural care

參考文獻

Allen, J.(2009).Improving cross-cultural care and antiracism in nursing education: A literature review.Nurse Education Today.30(4),314-320.

Google Scholar

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.

Google Scholar

Anderson, P. H.,Lawton, L.,Rexeisen, R. J.,Hubbard, A. C.(2006).Short-term study abroad and intercultural sensitivity: A pilot study.International Journal of Intercultural Relations.30(4),457-469.

Google Scholar

Baños, R. V.(2006).Intercultural sensitivity of teenagers: A study of educational necessities in Catalonia.Intercultural Communication Studies.15(2),16-22.