比兰达鲁加诺拉:土著和托雷斯海峡岛民社区在新医院中需要什么? 一个定性研究研究
Elizabeth E Austin1, Ann Carrigan2, Narelle Holden3
1Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia elizabeth.austin@mq.edu.au.
BMJ open
|May 17, 2024
概括
原住民社区成员和医疗保健提供者希望有文化响应的医院空间,系统和护理模式. 共同设计是开发满足社区需求的创新医疗保健服务的关键.
科学领域:
- 土著健康土著健康
- 医疗保健模型 医疗保健模型
- 医院设计 医院设计
背景情况:
- 了解土著和托雷斯海峡岛民的医疗保健需求对于开发有效的医院服务至关重要.
- 以前的护理模式可能无法充分满足土著社区的文化和系统需求.
研究的目的:
- 从土著社区收集有关他们的文化和医疗保健需求的见解.
- 评估突出的和新兴的医疗保健模式,以评估它们在新医院环境中的适用性.
- 为共同设计一个新医院提供信息,该医院对文化有反应,并符合社区的期望.
主要方法:
- 一项与原住民团队成员共同设计和共同实施的横截面定性研究.
- 与土著和托雷斯海峡岛民医疗保健提供者和社区成员一起进行了圈.
- 诱导性分析来自圈的手写笔记,以确定关键主题和需求.
主要成果:
- 未来医院出现了三个主要主题:"文化响应空间"",文化响应系统"和"文化响应的护理模式".
- 对六种不同的护理模式确定了优势,障碍和推动因素,重点关注舒适性,等待时间,整体护理,物流,可访问性和沟通等方面.
- 社区成员和提供者强调了尊重,关系,伙伴关系和能力建设的重要性.
结论:
- 原住民和托雷斯海峡岛民社区渴望共同创建创新和综合医院服务.
- 开发和评估护理服务的关键考虑因素包括尊重,认可,关系,伙伴关系和能力建设.
- 参与者表示支持各种护理模式,强调了对可访问性和选择的担忧.
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