PDF(Pubmed)
Abstract：
UNASSIGNED: Western Australia has one of the highest rates of Aboriginal children entering out-of-home care in Australia. Kinship care is the preferred culturally safe out-of-home care option for Aboriginal children, yet all jurisdictions, including Western Australia, are far from meeting best-practice national standards. Intersectoral collaboration is a key primary healthcare principle and internationally recognized for improving health systems and outcomes. This paper presents findings from a qualitative research project investigating Aboriginal primary healthcare workers\' experiences of intersectoral collaboration challenges and strengthening opportunities.
UNASSIGNED: Constructivist grounded theory guided this research involving 55 semi-structured interviews and four focus group discussions with Aboriginal primary healthcare workers. The research was guided by Indigenous methodologies and led by Indigenous researchers Participants were recruited from seven Aboriginal Community Controlled Health Organisations located across Perth metro, Pilbara, Midwest/Gascoyne and Southwest regions in Western Australia.
UNASSIGNED: Key themes identified around intersectoral collaboration challenges were communication, including information sharing and interagency meetings, and the relationship with the government sector, including trust and the importance of the perception of Aboriginal health service independence. Key themes around strengthening areas to improve intersectoral collaboration included strengthening service resourcing and coverage, including the availability of services, and addressing high program turnover. The need for a shift in approach, including more emphasis on Aboriginal-led care and aligning approaches between sectors, was another area for strengthening.
UNASSIGNED: This study addresses a significant research gap concerning out-of-home care, kinship care, and intersectoral collaboration in an Australian Aboriginal context. Findings highlighted the need to review the out-of-home and kinship models of care to strengthen the system, including creating more formal and structured modes of collaborating and better resourcing family support and kinship care.
UNASSIGNED: Constructivist grounded theory guided this research involving 55 semi-structured interviews and four focus group discussions with Aboriginal primary healthcare workers. The research was guided by Indigenous methodologies and led by Indigenous researchers Participants were recruited from seven Aboriginal Community Controlled Health Organisations located across Perth metro, Pilbara, Midwest/Gascoyne and Southwest regions in Western Australia.
UNASSIGNED: Key themes identified around intersectoral collaboration challenges were communication, including information sharing and interagency meetings, and the relationship with the government sector, including trust and the importance of the perception of Aboriginal health service independence. Key themes around strengthening areas to improve intersectoral collaboration included strengthening service resourcing and coverage, including the availability of services, and addressing high program turnover. The need for a shift in approach, including more emphasis on Aboriginal-led care and aligning approaches between sectors, was another area for strengthening.
UNASSIGNED: This study addresses a significant research gap concerning out-of-home care, kinship care, and intersectoral collaboration in an Australian Aboriginal context. Findings highlighted the need to review the out-of-home and kinship models of care to strengthen the system, including creating more formal and structured modes of collaborating and better resourcing family support and kinship care.
摘要：
■西澳大利亚州是澳大利亚原住民儿童进入家庭外护理的比例最高的国家之一。亲属护理是土著儿童在文化上安全的首选家庭外护理选择，然而，所有司法管辖区，包括西澳大利亚,远未达到最佳实践国家标准。部门间合作是一项关键的初级卫生保健原则，也是国际公认的改善卫生系统和成果的原则。本文介绍了一项定性研究项目的结果，该项目调查了土著初级卫生保健工作者的部门间合作挑战和加强机会的经验。
■建构主义基础理论指导了这项研究，涉及55次半结构化访谈和四个与土著初级卫生保健工作者的焦点小组讨论。该研究以土著方法为指导，并由土著研究人员领导。参与者是从位于珀斯都会区的七个土著社区控制的健康组织中招募的。皮尔巴拉,西澳大利亚州的中西部/加斯科因和西南地区。
■围绕部门间合作挑战确定的关键主题是沟通，包括信息共享和机构间会议，以及与政府部门的关系，包括信任和土著卫生服务独立性的重要性。围绕加强领域以改善部门间合作的关键主题包括加强服务资源和覆盖面，包括服务的可用性，并解决高计划周转率的问题。需要改变方法，包括更加强调原住民主导的护理和部门之间的协调方法，是另一个需要加强的领域。
■这项研究解决了有关家庭外护理的重大研究空白，亲情关怀,以及澳大利亚原住民背景下的部门间合作。调查结果强调，需要审查家庭外和亲属关系的护理模式，以加强该系统，包括创建更正式和结构化的合作模式，以及更好的资源支持家庭和亲属关系。
■建构主义基础理论指导了这项研究，涉及55次半结构化访谈和四个与土著初级卫生保健工作者的焦点小组讨论。该研究以土著方法为指导，并由土著研究人员领导。参与者是从位于珀斯都会区的七个土著社区控制的健康组织中招募的。皮尔巴拉,西澳大利亚州的中西部/加斯科因和西南地区。
■围绕部门间合作挑战确定的关键主题是沟通，包括信息共享和机构间会议，以及与政府部门的关系，包括信任和土著卫生服务独立性的重要性。围绕加强领域以改善部门间合作的关键主题包括加强服务资源和覆盖面，包括服务的可用性，并解决高计划周转率的问题。需要改变方法，包括更加强调原住民主导的护理和部门之间的协调方法，是另一个需要加强的领域。
■这项研究解决了有关家庭外护理的重大研究空白，亲情关怀,以及澳大利亚原住民背景下的部门间合作。调查结果强调，需要审查家庭外和亲属关系的护理模式，以加强该系统，包括创建更正式和结构化的合作模式，以及更好的资源支持家庭和亲属关系。
