Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians
Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians
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DOI：
10.1111/j.1440-1800.2011.00546.x
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发表时间：
2012-06-01
期刊：
影响因子：
2.3
通讯作者：
Katzenellenbogen, Judith M.
中科院分区：
文献类型：
--
作者：
Durey, Angela;Wynaden, Dianne;Katzenellenbogen, Judith M.
DUREY A、WYNADEN D、THOMPSON SC、DAVIDSON PM、BESSARAB D 和 KATZENELLENBOGEN JM。护理探究2012； 19: 144152 [Epub 打印前] 拥有解决方案：提高澳大利亚原住民医院护理质量的协作模式 原住民和托雷斯海峡岛民（以下简称原住民）与非原住民澳大利亚人之间的健康差异有据可查，这是由复杂的历史和社会因素支撑的。尽管未被充分认识和报告，但包括种族主义在内的殖民化影响继续对原住民健康产生负面影响。许多原住民发现医院不受欢迎，并且不愿意去接受诊断和治疗，特别是这些机构雇用的原住民卫生专业人员很少。本文回顾了有关原住民医疗保健、方法论和跨文化教育的科学文献和报告，为基于医院的组织变革的协作模式提供信息。本文提出了一种护理协作模式，通过招聘更多原住民卫生专业人员、增加知识和技能以在非原住民护理提供者与原住民患者及其家人之间建立良好关系、提供尊重文化的优质护理和改善原住民健康结果，建设原住民和非原住民人员的能力，从而改善卫生服务的提供。模型设计、实施和评估的一个关键要素是批判性反思在系统、人际和以患者/家庭为中心的层面上提供尊重和文化安全的优质护理的障碍和促进因素。护士是解决当前不平等状况的核心，也是拟议模型中关键的变革推动者。
DUREY A, WYNADEN D, THOMPSON SC, DAVIDSON PM, BESSARAB D and KATZENELLENBOGEN JM. Nursing Inquiry 2012; 19: 144152 [Epub ahead of print] Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians Well-documented health disparities between Aboriginal and Torres Strait Islander (hereafter referred to as Aboriginal) and non-Aboriginal Australians are underpinned by complex historical and social factors. The effects of colonisation including racism continue to impact negatively on Aboriginal health outcomes, despite being under-recognised and under-reported. Many Aboriginal people find hospitals unwelcoming and are reluctant to attend for diagnosis and treatment, particularly with few Aboriginal health professionals employed on these facilities. In this paper, scientific literature and reports on Aboriginal health-care, methodology and cross-cultural education are reviewed to inform a collaborative model of hospital-based organisational change. The paper proposes a collaborative model of care to improve health service delivery by building capacity in Aboriginal and non-Aboriginal personnel by recruiting more Aboriginal health professionals, increasing knowledge and skills to establish good relationships between non-Aboriginal care providers and Aboriginal patients and their families, delivering quality care that is respectful of culture and improving Aboriginal health outcomes. A key element of model design, implementation and evaluation is critical reflection on barriers and facilitators to providing respectful and culturally safe quality care at systemic, interpersonal and patient/family-centred levels. Nurses are central to addressing the current state of inequity and are pivotal change agents within the proposed model.