Culturally appropriate spiritual care is increasingly recognised as a crucial component of spiritual care. As part of a larger study, we were interested in cultural and racial issues as experienced by spiritual carers in a hospice in Cape Town, South Africa. We conducted one-on-one interviews and focus group discussions with a cohort of spiritual care workers, who, being volunteers and relatively privileged South Africans, discussed their sensitivity to cultural issues, but also mentioned a host of political, racial and identity issues which profoundly affect their work. The data suggest that the concept of culturally appropriate care must be understood and acted on contextually. We note that the work of transformation of care cannot be separated from broader questions of social inequality and change.

文化上适当的精神关怀越来越被认为是精神关怀的重要组成部分。作为一项更大研究的一部分，我们对南非开普敦一家临终关怀中心的精神护理人员所经历的文化和种族问题感兴趣。我们与一群精神护理工作者进行了一对一的访谈和焦点小组讨论，他们是志愿者和相对享有特权的南非人，讨论了他们对文化问题的敏感性，但也提到了许多政治、种族和身份问题深刻地影响了他们的工作。数据表明，文化上适当的护理的概念必须根据上下文来理解和采取行动。我们注意到，护理转型的工作离不开更广泛的社会不平等和变革问题。