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Primary care resident, faculty, and patient views of barriers to cultural competence, and the skills needed to overcome them.

机译:初级保健居民,教职员工和患者对文化能力障碍的看法以及克服这些障碍所需的技能。

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INTRODUCTION: Primary care residencies are expected to provide training in cultural competence. However, we have insufficient information about the perceptions of stakeholders actually involved in healthcare (i.e. residents, faculty and patients) regarding commonly encountered cross-cultural barriers and the skills required to overcome them. METHOD: This study used a total of 10 focus groups to explore resident, faculty and patient attitudes and beliefs about what culturally competent doctor-patient communication means, what obstacles impede or prevent culturally competent communication, and what kinds of skills are helpful in achieving cultural competence. A content analysis was performed to identify major themes. RESULTS: Residents and faculty defined culturally competent communication in terms of both generic and culture-specific elements, however, patients tended to emphasize only generic attitudes and skills. Residents and patients were liable to blame each other in explaining barriers; faculty were more likely to consider systemic influences contributing to resident-patient difficulties. All groups emphasized appropriate skill and attitude development in learners as the key to successful communication. However, residents were sceptical of sensitivity and communication skills training, and worried that didactic presentations would result in cultural stereotyping. DISCUSSION: All stakeholders recognized the importance of effective doctor-patient communication. Of concern was the tendency of various stakeholders to engage in person-blame models.
机译:简介:初级保健机构的驻留人员有望提供文化能力方面的培训。但是,我们缺乏有关实际参与医疗保健的利益相关者(即居民,教职员工和患者)对常见的跨文化障碍以及克服这些障碍所需技能的看法的信息。方法:本研究总共使用了10个焦点小组,探讨了居民,教职员工和患者对文化上有能力的医患沟通的含义,阻碍或阻止文化上的沟通的障碍以及哪些技能有助于实现文化上的沟通的态度和信念。权限。进行了内容分析以识别主要主题。结果:居民和教职员工根据通用和特定于文化的因素定义了具有文化能力的交流,但是,患者倾向于只强调通用的态度和技能。居民和患者在解释障碍时容易互相指责。教师更有可能考虑导致住院病人困难的系统性影响。所有小组都强调在学习者中适当的技能和态度发展是成功交流的关键。然而,居民对敏感性和沟通技巧培训持怀疑态度,并担心说教性演讲会导致文化成见。讨论:所有利益相关者都意识到有效的医患沟通的重要性。令人担忧的是,各种利益相关者倾向于以人为责的模式。

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