BACKGROUND The health and aged care workforce must understand and support the diverse needs of older people to enhance their care experience. We previously identified five principles of diversity training for this workforce: awareness of unconscious bias and prejudice; promotion of inclusion; access and equity; appropriate engagement; and intersectionality. This study aims to explore how these principles are considered from the perspectives of older Australians. METHODS Older people (≥65 years) receiving home care and nursing services based in Victoria, Australia were invited to participate in a home-based semi-structured interview about their experience of, or with, diversity. Interviews were thematically analysed using a priori categories based on our previous work on principles of diversity training, and themes were interpreted and expanded upon based on the participants' experiences and understanding of diversity concepts and their care needs. RESULTS Fifteen older people (seven female, eight male), mean age 76 years (range 71-85 years), were interviewed. Five themes were drawn from the data. It was found that human connection through building (1) trust and rapport was highly valued as an approach by older people, crucial as a first step to understanding what is important to the older person. Identifying with (2) intersectionality, that is, the different intersecting aspects of who they are and their experiences was understood by the participants as an important framework to meet their needs. The participants were aware of (3) unconscious bias and prejudice by health professionals and its impact on their care. Participants also noted that (4) promotion of inclusion through language was important to for a positive relationship with the healthcare worker. The participants understood that to facilitate human connection, these four principles of human interaction were critical, underpinned by (5) access and equity of the system. A model articulating these relationships was developed. CONCLUSION Health and aged care training should incorporate the five diversity principles to support older people to participate in their own care.

中文翻译：

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促进老年人更多地参与其照料的多样性原则之间的相互关系：一项定性研究。

背景技术健康和老年护理人员必须理解并支持老年人的多样化需求以增强他们的护理体验。我们先前为该员工确定了五项多元化培训原则：对无意识偏见和偏见的意识；促进包容性；获取和公平；适当的参与；和交叉性。这项研究旨在探讨如何从澳大利亚老年人的角度考虑这些原则。方法应邀在澳大利亚维多利亚州接受老年人家庭护理和护理服务的65岁以上的老年人参加关于他们在多样性方面的经验的家庭半结构访谈。根据我们先前关于多样性培训原则的工作，使用先验类别对访谈进行了专题分析，根据参与者的经验以及对多样性概念及其护理需求的理解，对主题进行解释和扩展。结果采访了15名老年人（七名女性，八名男性），平均年龄76岁（范围71-85岁）。从数据中得出了五个主题。人们发现，通过建立（1）信任和融洽的人际关系被老年人高度重视，这对于理解对老年人重要的第一步至关重要。通过（2）交叉性来识别，即参与者和他们的经历的不同交叉方面被参与者理解为满足他们需求的重要框架。参与者意识到（3）卫生专业人员的无意识偏见和偏见及其对他们护理的影响。与会者还指出（4）通过语言促进包容性对于与医护人员建立积极关系至关重要。参与者了解到，为了促进人与人之间的联系，人与人之间的这四个原则至关重要，并以（5）系统的访问和公平为基础。建立了阐明这些关系的模型。结论健康和老年护理培训应纳入五项多元化原则，以支持老年人参与自己的护理。建立了阐明这些关系的模型。结论健康和老年护理培训应纳入五项多元化原则，以支持老年人参与自己的护理。建立了阐明这些关系的模型。结论健康和老年护理培训应纳入五项多元化原则，以支持老年人参与自己的护理。