594 KB51 KB199420252022Halbwachs, Helena KristinaOvsenik, Marijaštevilka:2letnik:56str. 105-116DOI:10.14528/snr.2022.56.2.3149COBISSID:112534531ISSN:1318-2951URN:URN:NBN:SI:doc-SVYFGWT2slZbornica zdravstvene negeObzornik zdravstvene negebolnišnicekulturni vidik prehraneprehranaraznolikostrazvojKulturna kompetentnost v slovenski bolnišnični prehrani| a qualitative descriptive study| Cultural competence in Slovenian hospital nutrition| kvalitativna opisna raziskava|Introduction: Adherence to dietary restrictions and principles related to the cultural background of patients is important in hospital nutrition, as nutrition has an impact on health outcomes, as well as on the length and cost of hospitalisation. This approach requires organisational and individual cultural competence. The purpose of the study was to explore the perspective of those responsible for hospital nutrition on cultural competence, assess whether hospital nutrition is adapted to patients' cultural background and identify the challenges in this area. Methods: A qualitative research using semi-structured interviews was conducted. We interviewed 14 food service managers and nutritionists from eight Slovenian hospitals. The data were analysed using a deductive content analysis within Atlas.ti software. Results: The respondents were aware of the diversity of the patients and the importance of adapting the diet to the cultural background, although the concept of cultural competence is unfamiliar. There are limitations in adapting diets. Knowledge on cultural aspects of nutrition is scarce and training in this area is almost unavailable. Other challenges such as organisational, technological and communication challenges hinder the development of cultural competence. Discussion and conclusion: Similar challenges to ours are also faced abroad. Although, according to the respondents, patients have many possibilities to adapt their diet, it would be difficult to claim that cultural competence exists, as this concept encompasses other skills as well. Further research, educational opportunities on the cultural aspects of nutrition and awareness of the importance of nutritional services at all levels in the healthcare system are needed to further develop cultural competence in this areaUvod: Upoštevanje prehranskih omejitev in načel v zvezi s kulturnim ozadjem pacientov je v bolnišnični prehrani pomembno, saj prehrana vpliva na zdravstvene izide in dolžino in stroške hospitalizacije. Ta način zahteva organizacijsko in individualno kulturno kompetentnost. Namen raziskave je bil preučiti pogled odgovornih s področja bolnišnične prehrane na kulturno kompetentnost, oceniti, ali se prehrana v bolnišnicah prilagaja kulturnemu ozadju pacientov, in identificirati izzive na tem področju.Metode: Opravljena je bila kvalitativna raziskava z delno strukturiranimi intervjuji. Intervjuvanih je bilo štirinajst vodstvenih kadrov (vodij prehranskih služb) in drugih strokovnjakov s področja prehrane (dietetikov) iz osmih slovenskih bolnišnic. Pridobljeni podatki so bili analizirani z deduktivno vsebinsko analizo v programu Atlas.ti. Rezultati: Sogovorniki so se zavedali raznolikosti pacientov in pomena prilagajanja prehrane kulturnemu ozadju, čeprav je koncept kulturne kompetentnosti nepoznan. Pri prilagajanju prehrane obstajajo omejitve. Znanja o kulturnih vidikih prehrane so pomanjkljiva, izobraževanja s tega področja komajda obstajajo. Razvoj kulturne kompetentnosti onemogočajo še drugi izzivi, kot so organizacijski, tehnološki in komunikacijski izzivi.Diskusija in zaključek: S podobnimi izzivi, kot se pri nas, se srečujejo tudi v tujini. Ne glede na to, da imajo po mnenju sogovornikov pacienti v preučevanih bolnišnicah na razpolago veliko možnosti za prilagajanje prehrane, o kulturni kompetentnosti še ne moremo govoriti, saj ta koncept zajema tudi druge veščine. Za razvoj kulturne kompetentnosti tega področja se zahtevajo dodatne raziskave, možnosti izobraževanja o kulturnih vidikih prehranjevanja in zavedanje o pomembnosti storitev prehrane na vseh ravneh zdravstvenega sistemaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaZbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije