Strategies for culturally safe research with Native American communities: an integrative review.

Strategies for culturally safe research with Native American communities: an integrative review.
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DOI:
10.1080/10376178.2021.2015414
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发表时间:
2022-02
期刊:
影响因子:
1.6
通讯作者:
Him, Deana Around
Him, Deana Around
中科院分区:
医学4区
文献类型:
--
作者:
Brockie, Teresa N.;Hill, Kyle;Davidson, Patricia M.;Decker, Ellie;Krienke, Lydia Koh;Nelson, Katie E.;Nicholson, Natalie;Werk, Alicia M.;Wilson, Deborah;Him, Deana Around

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不道德的研究和基于赤字的范式的历史,导致了美洲原住民之间的研究深刻的不信任,作为一个重要的行动呼吁。在与美洲原住民的研究中缺乏文化安全限制了文化和背景知识的整合,这对于理解挑战和朝着可持续变革取得进展是有价值的。 确定战略,促进文化安全,问责制和可持续性的研究与美洲原住民社区。采用综合审查方法,进行了三个不同的过程:(1)同行评审文献(Scopus,PubMed和ProQuest)的评估,(2)灰色文献(例如政策文件和指南)的审查,以及(3)促进文化安全的建议的综合。共筛选了378篇文章以纳入,提取了55篇同行评审和灰色文献文章进行全面综述。纳入的文章中的建议被综合成与八个主题领域相一致的战略,以提高与美洲原住民社区研究的文化安全。旨在理解,尊重和承认部落主权,解决历史创伤和支持土著方法的研究至关重要。与美洲原住民社区进行文化上适当的、以社区为基础的和参与性的研究合作,可以标志着一种修复性的努力,重新建立信任,并为务实的解决方案提供信息。由美洲原住民领导的严格研究对于解决美洲原住民社区面临的共同和复杂的健康挑战至关重要。尊重和严格的方法确保了与美洲原住民研究的文化安全,问责制和可持续性。
A history of unethical research and deficit-based paradigms have contributed to profound mistrust of research among Native Americans, serving as an important call to action. Lack of cultural safety in research with Native Americans limits integration of cultural and contextual knowledge that is valuable for understanding challenges and making progress toward sustainable change. To identify strategies for promoting cultural safety, accountability, and sustainability in research with Native American communities. Using an integrative review approach, three distinct processes were carried out: (1) appraisal of peer-reviewed literature (Scopus, PubMed, and ProQuest), (2) review of grey literature (e.g. policy documents and guidelines), and (3) synthesis of recommendations for promoting cultural safety. A total of 378 articles were screened for inclusion, with 55 peer-reviewed and grey literature articles extracted for full review. Recommendations from included articles were synthesised into strategies aligned with eight thematic areas for improving cultural safety in research with Native American communities. Research aiming to understand, respect, and acknowledge tribal sovereignty, address historical trauma, and endorse Indigenous methods is essential. Culturally appropriate, community-based and -engaged research collaborations with Native American communities can signal a reparative effort, re-establish trust, and inform pragmatic solutions. Rigorous research led by Native American people is critical to address common and complex health challenges faced by Native American communities. Respect and rigorous methods ensure cultural safety, accountability, and sustainability in research with Native Americans.
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