通过更大的文化安全和更好的沟通,改善住院的第一民族人民的结果:Communicate Study Partnership研究协议研究协议
Anna P Ralph1,2, Stuart Yiwarr McGrath3, Emily Armstrong3,4
1Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia. anna.ralph@menzies.edu.au.
这项研究旨在通过实施培训和口译服务来改善澳大利亚第一民族人民的文化安全医疗保健. 目标是增强患者体验和住院结果.
科学领域:
- 土著健康土著健康
- 医疗保健系统转型 医疗保健系统转型
- 文化安全文化安全
背景情况:
- 澳大利亚北部地区的殖民化不成比例地影响了第一民族人民的住院治疗结果.
- 第一民族人民是大多数医疗保健用户,但在北领地,提供者是少数人.
- 对于第一民族人民来说,不良的住院结果需要文化安全的护理转型.
研究的目的:
- 改变医疗保健系统,为第一民族人民提供文化安全的护理.
- 测试假设文化安全策略可以被教导和系统改进的假设.
- 评估第一民族语言的文化安全医疗是否能改善住院体验和结果.
主要方法:
- 在三个医院进行了为期四年的多元干预,包括文化安全培训 ("Ask the Specialist Plus"与播客) 和改善对原住民语言口译人员的访问.
- 通过"行为变化轮"和对口译员的供需模式进行干预,这些干预基于批判性种族理论,自由主义教学和文化安全.
- 共同初级的定性和定量结果:第一民族人民经历的文化安全和自我解脱率. 量化措施包括语言文档,口译员接收,再接收,逗留时间和成本效益分析. 使用RE-AIM框架进行计划评估.
主要成果:
- 干预组件是创新的,可持续的,并成功试点.
- 该项目旨在改进和扩大有效策略.
- 有潜力显著改变第一民族患者的护理经验和健康结果.
结论:
- 通过有针对性的干预,可以实现文化安全的护理.
- 改善语言获取和文化能力可以提高患者的护理.
- 系统性变化对于为第一民族人民提供公平的医疗保健结果至关重要.
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