一个新的范式:为土著医疗保健提供具有文化能力的领导
Courtney Hamby1, Carissa R Smock2, Rick Wallace1
1Department of Marketing and Management, Northeastern State University, Broken Arrow, Oklahoma, USA.
本研究介绍了一种适应的土著领导概念框架 (AILCF),以改善土著社区的健康准入. 通过结合文化能力和历史创伤意识,AILCF解决了西方模式的差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 领导力研究 领导力研究
- 土著健康土著健康
背景情况:
- 以西方为中心的领导模式往往未能解决土著医疗保健的独特需求和背景.
- 对于具有文化能力的领导框架来改善土著社区的健康准入和结果,这是非常必要的.
研究的目的:
- 引入适应的,具备文化能力的领导概念框架,专门用于土著医疗保健.
- 加强医疗保健的获取和解决在土著卫生环境中的西方领导模式现有的差距.
主要方法:
- 对32篇同行评审文章进行了系统的文献审查.
- 以变革和文化敏感性框架为指导的专题分析被用来调整概念模型.
- 该过程的重点是确定与支持土著社区获得健康相关的主题.
主要成果:
- 适应的土著领导概念框架 (AILCF) 包含11个相互关联的领导主题.
- 关键主题包括远见,支持,适应,道德,沟通和勇敢的领导力,以及文化能力和社区参与.
- 该框架整合了历史创伤,愈合,结构变化和危机领导力,通过转型和文化敏感的镜头来看.
结论:
- 该AILCF促进在土著卫生组织内文化调整的领导力发展和实践,促进平等的健康获取.
- 这种框架与西方模式形成鲜明对比,因为它结合了历史创伤,关系问责制和文化调整.
- AILCF将领导力重新定义为一种以文化为基础,以治疗为中心的实践,为土著医疗保健提供颠覆性和包容性的理解.
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