探索阿尔伯塔省第一民族的护理护理:一个定性研究
John G Taplin1, Lea Bill1, Ian E Blanchard1
1Alberta First Nations Information Governance Centre (Taplin, Bill); Department of Community Health Sciences (Taplin, Blanchard, Barnabe), University of Calgary; Emergency Medical Services (Taplin, Blanchard), Alberta Health Services; Department of Medicine (Barnabe), University of Calgary, Calgary, Alta.; Department of Emergency Medicine (Holroyd, McLane), University of Alberta; Emergency Strategic Clinical Network (Holroyd, McLane), Alberta Health Services, Edmonton, Alta.; Blackfoot Confederacy Tribal Council (Healy), Stand Off, Alta.
当使用护理人员服务时,第一民族患者经历了种族主义和系统障碍. 解决方案涉及到第一民族领导服务设计,并将文化视角纳入护理人员.
科学领域:
- 土著健康土著健康
- 紧急医疗服务 紧急医疗服务
- 健康 公平 卫生 公平
背景情况:
- 在阿尔伯塔省,第一民族患者不成比例地使用救护车服务到达急诊室.
- 现有研究强调了土著人口获得医疗保健的差异.
研究的目的:
- 探索第一民族对涉及护理人员的护理过渡的观点.
- 了解护理人员为第一民族社区服务的经验.
主要方法:
- 使用有目的抽样进行的参与性定性研究.
- 四个虚拟的分享圈与第一民族参与者进行.
- 数据的专题分析,由土著研究人员进行审查.
主要成果:
- 确定了种族主义的主题,系统障碍,并提出了解决方案.
- 原住民参与者报告说,护理人员和急救人员对他们的刻板印象和歧视.
- 护理人员经历了道德困扰,并观察到歧视影响患者护理.
结论:
- 最初的民族个人面临歧视和医疗护理部门的系统障碍.
- 建议包括第一民族在服务设计中的自决权和整合文化培训.
- 扩大护理人员的角色以纳入第一民族的观点至关重要.
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