澳大利亚全科医院注册人员对土著患者文化安全的发展感知:一项定性研究
Kay Brumpton1,2,3, Hannah Woodall1,2,3, Rebecca Evans3
1Griffith University School of Medicine and Dentistry, Rural Clinical School, Toowoomba, Australia.
PloS one
|June 11, 2025
概括
一般实践注册人员通过生活经验,培训和反思来发展文化安全. 然而,他们经常依赖土著患者来纠正不安全的护理,突出了医疗教育的差距.
科学领域:
- 医学教育 医学教育
- 文化安全文化安全
- 土著健康土著健康
背景情况:
- 了解土著患者护理的一般实践注册人员在文化安全技能的发展是有限的.
- 卫生教育系统面临的挑战是赋予患者权力,使他们能够定义文化安全,而不会让他们承担教学或纠正的负担.
研究的目的:
- 探讨澳大利亚一般实践注册人员如何看待他们对文化安全的发展.
- 了解注册人员是否准备好与土著和托雷斯海峡岛民患者进行咨询.
主要方法:
- 采用务实哲学立场的定性研究.
- 通过调查和半结构面试收集的数据与澳大利亚昆士兰地区的普通医务注册人员 (2022年3月至8月).
- 用于转录解释的内容分析方法.
主要成果:
- 16名注册人员确定了文化安全发展的四个关键因素:共享生活经验,培训,体验式学习和批判性反思.
- 注册人员认为患者教育/纠正是可以接受的,但没有批判性地检查所涉及的权力动态.
- 报告指出,患者依赖患者来识别和纠正文化上不安全的做法.
结论:
- 文化安全是一个持续的学习过程,涉及自我反思和外部验证.
- 需要在医学教育中进行进一步的研究和课程审查,以解决文化安全发展的复杂性.
- 解决患者教育者关系中的权力不平衡对于有效的文化安全培训至关重要.
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