文化適切性照護－－協助一位新移民母親之癌症學童返回校園

Culturally Competent Care: Helping an Immigrant Mother's Child with Cancer Return to Elementary School

跨國婚姻家庭中，新移民母親責無旁貸須擔任其罹病小孩的主要照顧者，而跨文化的醫療環境中，母親除了須成為醫療人員與家人間的溝通橋樑，在病童健康狀況穩定後，更需考慮病童的教育與發展，進而面臨家庭、醫院及學校之間的溝通協調的挑戰。對新移民母親而言，的確需要積極介入照護措施，始能協助病童順利完成治療並達成其發展任務。筆者以主護護理師的身份協助母親了解並照護病童，進而協調醫療人員、師長和家人並取得共識與合作，使病童成功返回校園。本文記錄病童返回校園的過程、返校後發生事件、護理措施與評值，讓病童能達到應有的發展任務，期望本文能提供臨床照護及相關研究之參考。

In bicultural families in Taiwan, women who have immigrated to Taiwan and married a Taiwanese husband are often obligated to be the primary caregiver for their sick children. Thus, in Taiwan's transcultural healthcare environment these mothers are an important communication bridge between healthcare professionals and families. As mothers consider the education and development of their children while the latter recover from illness, they bear primary responsibility for communicating and coordinating amongst the family, hospital and school. Active and comprehensive nursing plans are needed to assist immigrant mothers and their children to complete treatment plans. The author is a primary nurse who helped the mother to understand care methods and how to integrate medical professional, teacher, and family member resources to make her child's reentry school successful. This article described the process of school reentry, follow-ups, specific nursing intervention, and evaluation that contributed to the child achieving his developmental tasks. The author hopes this article can be a reference for clinical care and future research.