了解第一民族人对癌症护理的需求和偏好:综合性审查
C Paterson1,2,3,4, C Roberts3, J Blackburn3
1Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia.
Journal of advanced nursing
|November 29, 2023
概括
澳大利亚原住民需要文化安全的癌症护理,以解决歧视和创伤. 解决这些需求对于改善他们的医疗保健经验和结果至关重要.
科学领域:
- 土著健康土著健康
- 癌症护理 癌症护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 澳大利亚的癌症护理服务往往无法满足第一民族人民的需求.
- 殖民化导致了歧视,种族主义和创伤,影响了澳大利亚土著人的癌症护理经历.
研究的目的:
- 确定澳大利亚原住民对癌症护理服务的具体需求和偏好.
- 了解澳大利亚原住民有效癌症护理的障碍和促进因素.
主要方法:
- 在电子数据库中使用广泛的搜索术语进行了综合性审查.
- 评估了方法质量,两个独立审稿人提取了数据,并以叙事方式综合了研究结果.
主要成果:
- 42项研究包括2965名成年第一民族参与者;没有儿童参与.
- 确定了关键主题:与殖民有关的歧视,种族主义和创伤的影响;文化认识,存在和行动方式的重要性;需要文化安全,以个人为中心的护理,解决实际需求.
结论:
- 歧视,种族主义和创伤对澳大利亚原住民的癌症护理经历产生了重大影响.
- 尽管有像最佳癌症途径 (OCP) 这样的倡议,但仍然存在未满足的护理需求.
- 多学科团队必须优先考虑文化安全培训,积极拆除压迫,以改善癌症护理.
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