我們一直沒放手──探討臺灣社區護理人員跨文化的健康照顧

Steadfast and Dependable: Trans-Cultural Community Healthcare in Taiwan

臺灣的社會風貌呈現多元化，促使護理教育與實務工作者需要積極面對跨文化健康照顧的議題。本文作者發現過去護理人員養成教育中，缺乏跨文化議題的省思，演變出社區護理與部落生活切割的無奈，新移民更有許多過去社區工作者未能掌握的照護挑戰。原住民與新移民對健康的定義及死亡的理解，因著文化差異，各有不同的詮釋。透過筆者於社區護理的實務經驗，將原住民及新移民族群在健康照護上，因文化的差異產生健康需求的調整加以分享期使護理專業人員能發展文化上的自我覺醒，進而培養文化的敏感度，了解個案族群文化，尊重、學習並欣賞其文化，如此才能進一步落實護理專業照護文化特質及跨文化評估。

Taiwan's multicultural population requires that nursing educators address and effectively manage trans-cultural healthcare issues. A longstanding lack of self-reflection on cultural issues has caused a gap between community nursing and the health needs of Taiwan's indigenous people. Taiwan's newer immigrant populations from Southeast Asia, Mainland China and elsewhere have added further cultural complexity to Taiwan's community healthcare landscape. In this paper, the authors apply their practical experience in community nursing to derive the special healthcare needs of indigenous and new immigrant populations based on the unique cultural attributes and health concepts of these populations. We hope to help nursing staff develop cultural self-awareness and sensitivity by admiring, respecting, and learning from their own culture while empathizing with and appreciating the cultures of their healthcare clients. By doing so, healthcare providers can further examine the cultural characteristics of the professional nursing system and conduct trans-cultural evaluations.