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Abstract：
OBJECTIVE: This discursive paper provides a call to action from an international collective of Indigenous nurse academics from Australia, Canada, Aotearoa New Zealand and the USA, for nurses to be allies in supporting policies and resources necessary to equitably promote Indigenous health outcomes.
BACKGROUND: Indigenous Peoples with experiences of colonisation have poorer health compared to other groups, as health systems have failed to address their needs and preferences. Achieving health equity will require leadership from Indigenous nurses to develop and implement new systems of care delivery. However, little is known about how Indigenous nurses influence health systems as levers for change.
METHODS: A Kaupapa Māori case study design.
METHODS: Using a Kaupapa Māori case study methodology, coupled with expert Indigenous nursing knowledge, we developed a consensus on key themes. Themes were derived from three questions posed across the four countries. Themes were collated to illustrate how Indigenous nurses have provided nursing leadership to redress colonial injustices, contribute to models of care and enhance the Indigenous workforce.
RESULTS: These case studies highlight Indigenous nurses provide strong leadership to influence outcomes for Indigenous Peoples. Five strategies were noted across the four countries: (1) Indigenous nationhood and reconciliation as levers for change, (2) Indigenous nursing leadership, (3) Indigenous workforce strategies, (4) Development of culturally safe practice and Indigenous models of care and (5) Indigenous nurse activism.
CONCLUSIONS: In light of 2020 declared International Year of the Nurse and Midwife, we assert Indigenous nurses\' work must be visible to support development of strategic approaches for improving health outcomes, including resources for workforce expansion and for implementing new care models.
CONCLUSIONS: Curating strategies to promote Indigenous nurse leaders around the world is essential for improving models of healthcare delivery and health outcomes for Indigenous Peoples.
BACKGROUND: Indigenous Peoples with experiences of colonisation have poorer health compared to other groups, as health systems have failed to address their needs and preferences. Achieving health equity will require leadership from Indigenous nurses to develop and implement new systems of care delivery. However, little is known about how Indigenous nurses influence health systems as levers for change.
METHODS: A Kaupapa Māori case study design.
METHODS: Using a Kaupapa Māori case study methodology, coupled with expert Indigenous nursing knowledge, we developed a consensus on key themes. Themes were derived from three questions posed across the four countries. Themes were collated to illustrate how Indigenous nurses have provided nursing leadership to redress colonial injustices, contribute to models of care and enhance the Indigenous workforce.
RESULTS: These case studies highlight Indigenous nurses provide strong leadership to influence outcomes for Indigenous Peoples. Five strategies were noted across the four countries: (1) Indigenous nationhood and reconciliation as levers for change, (2) Indigenous nursing leadership, (3) Indigenous workforce strategies, (4) Development of culturally safe practice and Indigenous models of care and (5) Indigenous nurse activism.
CONCLUSIONS: In light of 2020 declared International Year of the Nurse and Midwife, we assert Indigenous nurses\' work must be visible to support development of strategic approaches for improving health outcomes, including resources for workforce expansion and for implementing new care models.
CONCLUSIONS: Curating strategies to promote Indigenous nurse leaders around the world is essential for improving models of healthcare delivery and health outcomes for Indigenous Peoples.
摘要：
目的：这篇话语性论文呼吁澳大利亚土著护士学者国际集体采取行动，加拿大,Aotearoa新西兰和美国，让护士成为支持公平促进土著健康成果所需政策和资源的盟友。
背景：与其他群体相比，有殖民经历的土著人民的健康状况较差，因为卫生系统未能满足他们的需求和偏好。实现健康公平将需要土著护士的领导，以开发和实施新的护理服务系统。然而,人们对土著护士如何影响卫生系统作为变革的杠杆知之甚少。
方法：Kaupapa毛利人案例研究设计。
方法：使用Kaupapa毛利人案例研究方法，加上专家的土著护理知识，我们就关键主题达成了共识。主题来自四个国家提出的三个问题。对主题进行了整理，以说明土著护士如何提供护理领导来纠正殖民地的不公正现象，为护理模式做出贡献，增强土著劳动力。
结果：这些案例研究强调土著护士为影响土著人民的结果提供了强有力的领导。四个国家注意到五项战略:(1)土著民族与和解作为变革的杠杆，（2）土著护理领导，(3)土著劳动力战略，（4）发展文化安全实践和土著护理模式，以及（5）土著护士行动主义。
结论：鉴于2020年宣布的国际护士和助产士年，我们断言土著护士的工作必须是可见的，以支持战略方法的发展，以改善健康结果，包括用于扩大劳动力和实施新护理模式的资源。
结论：在世界各地推广土著护士领导者的策划策略对于改善土著人民的医疗服务模式和健康结果至关重要。
背景：与其他群体相比，有殖民经历的土著人民的健康状况较差，因为卫生系统未能满足他们的需求和偏好。实现健康公平将需要土著护士的领导，以开发和实施新的护理服务系统。然而,人们对土著护士如何影响卫生系统作为变革的杠杆知之甚少。
方法：Kaupapa毛利人案例研究设计。
方法：使用Kaupapa毛利人案例研究方法，加上专家的土著护理知识，我们就关键主题达成了共识。主题来自四个国家提出的三个问题。对主题进行了整理，以说明土著护士如何提供护理领导来纠正殖民地的不公正现象，为护理模式做出贡献，增强土著劳动力。
结果：这些案例研究强调土著护士为影响土著人民的结果提供了强有力的领导。四个国家注意到五项战略:(1)土著民族与和解作为变革的杠杆，（2）土著护理领导，(3)土著劳动力战略，（4）发展文化安全实践和土著护理模式，以及（5）土著护士行动主义。
结论：鉴于2020年宣布的国际护士和助产士年，我们断言土著护士的工作必须是可见的，以支持战略方法的发展，以改善健康结果，包括用于扩大劳动力和实施新护理模式的资源。
结论：在世界各地推广土著护士领导者的策划策略对于改善土著人民的医疗服务模式和健康结果至关重要。
