原住民社区围产期健康计划中的自决:系统性审查
Kim Ann Beadman1, Juanita Sherwood2, Paul Gray2
1Discipline of Clinical Psychology, Graduate School of Health, Faculty of Health, University of Technology Sydney, Australia; UTS: Family Child Behavior Clinic, Graduate School of Health, Faculty of Health, University of Technology Sydney, Australia.
Australian and New Zealand journal of public health
|July 27, 2024
概括
自决对于恢复澳大利亚第一民族人民的福祉至关重要. 文化安全的产周护理计划必须让土著社区参与规划和交付,以获得有效的结果.
科学领域:
- 土著健康土著健康
- 孕产妇和儿童的健康
- 公共卫生政策 公共卫生政策
背景情况:
- 自决权对于澳大利亚第一民族人民的福祉至关重要.
- 殖民化拆除了土著的孕产妇和产周护理实践,对健康和文化产生了负面影响.
- 恢复原住民对医疗保健的控制对于文化连续性至关重要.
研究的目的:
- 系统地审查对土著和托雷斯海峡岛民妇女和儿童的分娩和产前护理计划.
- 评估这些计划的文化背景,发展和交付.
- 评估程序组件的文化适应性.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA) 准则的首选报告项目.
- 在SCOPUS,PsycINFO,Medline和CINAHL搜索同行评审研究 (2000-2023年).
- 评估方法学,分娩支持,围产和护理连续性的特点.
主要成果:
- 二十八个出版物符合纳入标准.
- 项目显示在满足妇女,儿童和社区的文化需求方面存在局限性.
- 原住民社区参与计划的确定,交付和审查受到限制.
结论:
- 自决是保持土著文化的关键,并发展文化安全的产周护理.
- 计划和服务必须在规划,交付和审查的各个阶段都涉及土著人民和社区.
- 文化安全最好通过服务用户的生活经验来确定.
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