关键词: Cultural safety Māori qualitative rehabilitation scoping review

来  源:   DOI:10.1080/09638288.2024.2374494

Abstract:
UNASSIGNED: The purpose of this review was to explore what is currently known about Māori experiences of physical rehabilitation services in Aotearoa New Zealand.
UNASSIGNED: A scoping review was undertaken following steps described by the Joanna Briggs Institute. Databases and grey literature were searched for qualitative studies that included descriptions of Māori consumer experiences in their encounters with physical rehabilitation. Data relating to study characteristics were synthesised. Qualitative data were extracted and analysed using reflexive thematic analysis.
UNASSIGNED: Fourteen studies were included in this review. Four themes were generated that describe Māori experiences of rehabilitation. The first theme captures the expectations of receiving culturally unsafe care that become a reality for Māori during rehabilitation. The second theme describes whānau as crucial for navigating the culturally alien world of rehabilitation. The third theme offers solutions for the incorporation of culturally appropriate Māori practices. The final theme encompasses solutions for the provision of rehabilitation that empowers Māori.
UNASSIGNED: This scoping review highlights ongoing inequities experienced by Māori when engaging with rehabilitation services. Strategies for facilitating culturally safe rehabilitation for Māori have been proposed. It is essential that rehabilitation clinicians and policymakers implement culturally safe approaches to rehabilitation with a view to eliminating inequities in care provision and outcomes for Māori.
Māori experiences of physical rehabilitation are comparable to the negative experiences they have in other health contexts.Although there are pockets of optimism, the results of this scoping review indicate that the delivery of culturally safe rehabilitation is inconsistent in Aotearoa New Zealand.A whānau-centred approach to rehabilitation is key to recovery and healing for Māori.There are opportunities for clinicians to disrupt the culturally unsafe care experienced by Māori by facilitating rehabilitation that normalises Māori cultural practices and embeds Māori approaches to health and wellbeing.
摘要:
这项审查的目的是探索目前在新西兰奥特罗阿的毛利人康复服务经验。
按照乔安娜·布里格斯研究所描述的步骤进行了范围审查。在数据库和灰色文献中进行了定性研究,其中包括对毛利人消费者在身体康复中的经历的描述。合成了与研究特征有关的数据。使用反身主题分析提取和分析定性数据。
本综述包括14项研究。产生了四个主题,描述了毛利人的康复经验。第一个主题反映了毛利人在康复期间接受文化上不安全护理的期望。第二个主题将whānau描述为在文化上陌生的康复世界中航行至关重要。第三个主题为纳入文化上适当的毛利人做法提供了解决方案。最后主题包括提供赋予毛利人权力的康复解决方案。
本范围审查强调了毛利人在从事康复服务时遇到的持续不平等现象。已经提出了促进毛利人文化安全康复的战略。至关重要的是,康复临床医生和决策者应采取文化上安全的康复方法,以消除毛利人在护理提供和结果方面的不平等。
毛利人的身体康复经历与他们在其他健康环境中的负面经历相当。尽管有一些乐观情绪,这项范围界定审查的结果表明,在新西兰奥特亚罗阿,提供文化安全的康复服务不一致.以whānau为中心的康复方法是毛利人康复和康复的关键。临床医生有机会通过促进康复来破坏毛利人在文化上不安全的护理,使毛利人的文化习俗正常化,并嵌入毛利人的健康和福祉方法。
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