文化响应性职业治疗实践与第一民族人民-A范围审查
Elizabeth Meechan1, Lynore Geia2, Marayah Taylor3
1James Cook University, Douglas, Queensland, Australia.
The Australian journal of rural health
|June 18, 2024
概括
对文化敏感的职业治疗 (OT) 需要承认种族主义,并优先考虑第一民族人民的领导. 解决西方偏见对于创造安全,以客户为中心的护理环境至关重要.
科学领域:
- 卫生公平和土著健康.
- 职业治疗实践和文化安全.
- 健康和反种族主义的社会决定因素.
背景情况:
- 第一民族人民面临着系统性的健康不平等,需要文化安全作为对抗力量.
- 种族主义是一个重要的健康决定因素,需要主动干预.
- 澳大利亚土著联合健康 (IAHA) 促进文化响应,以促进安全的医疗保健环境.
研究的目的:
- 确定与第一民族人民的文化响应性职业治疗 (OT) 实践的特点.
- 评估这些OT实践与IAHA"文化响应在行动框架"的协调程度.
主要方法:
- 一个对多个数据库 (CINAHL,Emcare,MEDLINE,PsychInfo,Scopus) 的系统范围审查.
- 将文化响应性OT实践的示例映射到IAHA框架的六个能力中.
- 原住民共同作者证实了研究结果.
主要成果:
- 职业治疗 (OT) 实践表明与六个IAHA能力的不同对齐.
- 主要发现包括建立关系的重要性,对文化偏见的自我反思,以及解决西方实践的局限性.
- 优先考虑第一民族人民的声音和领导力至关重要.
结论:
- 对IAHA能力的不一致应用可能会导致第一民族人民的文化不安全体验.
- 职业治疗师 (OT) 必须批判性地检查他们的实践,以检查潜在的强化压迫系统.
- 维护以客户为中心的护理需要尊重第一民族的领导和解殖OT基金会.
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