Abstract：
BACKGROUND: First Nations Peoples consistently demonstrate strength and resilience in navigating systemic health care inequities. Acknowledging racism as a health determinant underscores the urgent need for a counterforce-cultural safety. Indigenous Allied Health Australia (IAHA) contends that with cultural responsiveness, the health workforce can take action to create a culturally safe environment.
OBJECTIVE: To explore features of culturally responsive occupational therapy (OT) practice when providing a service with First Nations People and examine alignment of those features with the IAHA Cultural Responsiveness in Action Framework.
METHODS: A systematic scoping review was undertaken using CINAHL, Emcare, MEDLINE, PsychInfo and Scopus databases. Examples of culturally responsive OT practice with First Nations Peoples were mapped to the six IAHA Framework capabilities and confirmed by First Nations co-authors.
RESULTS: OT practice with First Nations Peoples aligned with the six capabilities to varying degrees. The importance of OTs establishing relationships with First Nations People, applying self-reflection to uncover cultural biases, and addressing limitations of the profession\'s Western foundations was evident.
CONCLUSIONS: Recognising the interrelatedness of the six capabilities, the absence of some may result in a culturally unsafe experience for First Nations People. OTs must acknowledge the leadership of First Nations Peoples by privileging their voices and consider how established practices may reinforce oppressive systems.
CONCLUSIONS: To ensure a culturally safe environment for First Nations People, the OT profession must respect the leadership of First Nations Peoples and address the limitations of the profession\'s Western foundations to uphold the profession\'s core value of client-centred care.
OBJECTIVE: To explore features of culturally responsive occupational therapy (OT) practice when providing a service with First Nations People and examine alignment of those features with the IAHA Cultural Responsiveness in Action Framework.
METHODS: A systematic scoping review was undertaken using CINAHL, Emcare, MEDLINE, PsychInfo and Scopus databases. Examples of culturally responsive OT practice with First Nations Peoples were mapped to the six IAHA Framework capabilities and confirmed by First Nations co-authors.
RESULTS: OT practice with First Nations Peoples aligned with the six capabilities to varying degrees. The importance of OTs establishing relationships with First Nations People, applying self-reflection to uncover cultural biases, and addressing limitations of the profession\'s Western foundations was evident.
CONCLUSIONS: Recognising the interrelatedness of the six capabilities, the absence of some may result in a culturally unsafe experience for First Nations People. OTs must acknowledge the leadership of First Nations Peoples by privileging their voices and consider how established practices may reinforce oppressive systems.
CONCLUSIONS: To ensure a culturally safe environment for First Nations People, the OT profession must respect the leadership of First Nations Peoples and address the limitations of the profession\'s Western foundations to uphold the profession\'s core value of client-centred care.
摘要：
背景：原住民在应对系统性医疗保健不平等方面始终表现出力量和韧性。承认种族主义是健康的决定因素，这突显了迫切需要一种反文化安全。澳大利亚土著联合健康组织(IAHA)认为，在文化反应方面，卫生工作人员可以采取行动创造一个文化安全的环境。
目的：在为原住民提供服务时，探索文化响应性职业治疗（OT）实践的特征，并研究这些特征与IAHA行动框架中的文化响应性的一致性。
方法：使用CINAHL进行了系统范围审查，Emcare,MEDLINE,PsychInfo和Scopus数据库。与第一民族人民进行文化响应的OT实践的示例已映射到IAHA框架的六个功能，并由第一民族共同作者确认。
结果：与第一民族的OT实践在不同程度上与六种能力保持一致。OTS与第一民族人民建立关系的重要性，运用自我反省来发现文化偏见，解决该行业的西方基础的局限性是显而易见的。
结论：认识到六种功能的相互关联性，一些人的缺席可能会导致第一民族人民在文化上不安全的经历。OTS必须通过赋予他们的声音来承认第一民族人民的领导地位，并考虑既定的做法如何加强压迫制度。
结论：为了确保原住民的文化安全环境，OT行业必须尊重原住民的领导，并解决该行业的西方基础的局限性，以维护该行业以客户为中心的护理的核心价值。
目的：在为原住民提供服务时，探索文化响应性职业治疗（OT）实践的特征，并研究这些特征与IAHA行动框架中的文化响应性的一致性。
方法：使用CINAHL进行了系统范围审查，Emcare,MEDLINE,PsychInfo和Scopus数据库。与第一民族人民进行文化响应的OT实践的示例已映射到IAHA框架的六个功能，并由第一民族共同作者确认。
结果：与第一民族的OT实践在不同程度上与六种能力保持一致。OTS与第一民族人民建立关系的重要性，运用自我反省来发现文化偏见，解决该行业的西方基础的局限性是显而易见的。
结论：认识到六种功能的相互关联性，一些人的缺席可能会导致第一民族人民在文化上不安全的经历。OTS必须通过赋予他们的声音来承认第一民族人民的领导地位，并考虑既定的做法如何加强压迫制度。
结论：为了确保原住民的文化安全环境，OT行业必须尊重原住民的领导，并解决该行业的西方基础的局限性，以维护该行业以客户为中心的护理的核心价值。
