Indigenous cultural training for health workers in Australia
Indigenous cultural training for health workers in Australia
复制标题
DOI：
10.1093/intqhc/mzr008
复制
发表时间：
2011-06-01
影响因子：
2.6
通讯作者：
Paradies, Yin
中科院分区：
文献类型：
--
作者：
Downing, Rosie;Kowal, Emma;Paradies, Yin
文化上不适当的保健服务助长了持续的保健不平等。本文回顾了对卫生工作者进行土著文化培训的方法，并评估了如何有效地将这些方法转化为澳大利亚境内的培训方案。CINAHL PLUS， MEDLINE, Wiley InterScience， ATSIHealth和ProQuest。审查的重点是在选定的移民-殖民国家对保健工作者进行土著文化培训的概念性和经验性文献，以及对澳大利亚这类培训方案发表的评价。对支撑训练的概念模型信息进行描述性提取。从已发表的评价中提取作者、年份、调查地区、参与者群体、评价方法及相关发现等详细信息。本文将与文化培训相关的六个模型定位并组织成一个概念图式（文化能力、跨文化关怀、文化安全、文化意识、文化安全和文化尊重）。澳大利亚的土著文化培训通常以文化意识模式为基础。列出了9份已发表的澳大利亚土著文化保健工作者培训方案评价报告。在评估多个时间点变化的三项研究中，有两项发现了积极的变化。然而，唯一一项包括对照组的研究没有发现任何影响。这项审查表明，证明澳大利亚土著文化培训方案有效性的证据不足。土著和非土著学者对文化培训的批评表明，文化安全模式可能最有可能提高土著澳大利亚人保健服务的效力。
Culturally inappropriate health services contribute to persistent health inequalities. This article reviews approaches to indigenous cultural training for health workers and assesses how effectively they have been translated into training programmes within Australia.CINAHL PLUS, MEDLINE, Wiley InterScience, ATSIHealth and ProQuest.The review focuses on the conceptual and empirical literature on indigenous cultural training for health workers within selected settler-colonial countries, together with published evaluations of such training programmes in Australia.Information on conceptual models underpinning training was extracted descriptively. Details of authors, year, area of investigation, participant group, evaluation method and relevant findings were extracted from published evaluations.Six models relevant to cultural training were located and organized into a conceptual schema (ocultural competence, transcultural care, cultural safety, cultural awareness, cultural security and cultural respect'). Indigenous cultural training in Australia is most commonly based on a ocultural awareness' model. Nine published evaluations of Australian indigenous cultural training programmes for health workers were located. Of the three studies that assessed change at multiple points in time, two found positive changes. However, the only study to include a control group found no effect.This review shows that the evidence for the effectiveness of indigenous cultural training programmes in Australia is poor. Critiques of cultural training from indigenous and non-indigenous scholars suggest that a ocultural safety' model may offer the most potential to improve the effectiveness of health services for indigenous Australians.