文化安全實踐—臺灣多元族群的護理照護.

With the increasing pace of globalization and transnational migration, healthcare systems are becoming more culturally diverse. In Taiwan, demographic changes have introduced increasing numbers of patients from diverse cultural backgrounds into clinical care environments, presenting new challenges f...

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Publicado en:Journal of Nursing Vol. 73; no. 3; pp. 1 - 8
Autor principal: FU, Shiu-Yun
Formato: Journal Article
Publicado: Taiwan Nurses Association Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
      vid: 73
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      pub: Taiwan Nurses Association
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        10.6224/JN.26303
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        atl: 文化安全實踐—臺灣多元族群的護理照護.
      aug:
        au: FU, Shiu-Yun
        affil: Department of Nursing, College of Medicine, Fu Jen Catholic University
      sug:
        subj:
          Cultural Safety
          Nursing Practice
          Transcultural Nursing Taiwan
          Taiwan
          Indigenous Peoples
          Migrants
          Blue Collar Workers
          Sexual and Gender Minorities
          Communication Barriers
          Health Literacy
          Health Beliefs
          Support, Social
          Health Inequities
          Trust
          Patient Centered Care
          Decision Making
          Patient Compliance
          Patient Care
          Conceptual Framework
          Health Promotion
          Diversity, Equity, Inclusion
          Health Services Accessibility
          Quality Improvement
      ab: With the increasing pace of globalization and transnational migration, healthcare systems are becoming more culturally diverse. In Taiwan, demographic changes have introduced increasing numbers of patients from diverse cultural backgrounds into clinical care environments, presenting new challenges for nursing practice. Cultural safety has emerged as an important framework for promoting equitable healthcare and improving the quality of patient care. Under this concept, patients' lived experiences and perceptions of care are used as central indicators of healthcare quality, and healthcare professionals are encouraged to reflect critically on the power dynamics and institutional biases within their healthcare interactions. In this article, the practical implications of cultural safety in nursing practice are discussed in the context of four culturally diverse populations in Taiwan: indigenous residents, migrant workers and other expatriates, sexual and gender minorities, and non-Taiwanese spouses and new immigrants. Language barriers, varied levels of health literacy, culturally shaped health beliefs, and limited social support are all factors that may influence patient trust, engagement in care, and adherence to treatment. When healthcare providers lack cultural sensitivity and reflective awareness, communication gaps and subtle forms of exclusion may occur in clinical encounters. Strengthening cross-cultural communication, encouraging patient participation in decision-making, fostering professional self-reflection, and creating institutional environments that support culturally safe practice are essential strategies to improving care. Therefore, cultural safety offers an important framework for developing strategies to enhance patient trust, improve care experiences, and advance health equity in multicultural healthcare settings.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: Chinese
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