目标:自决在恢复澳大利亚原住民福祉中的重要性正在逐渐被理解。几千年来,土著妇女生下了乡村和祖母的传说和妇女的生意促进了地球上最古老的生活文明的生存。殖民之后,然而,土著和托雷斯海峡岛民的孕产妇和围产期护理做法被积极废除,土著人民的自决被摧毁。这对原住民和托雷斯海峡岛民的福祉及其文化和习俗具有重大影响。
方法:对澳大利亚原住民和托雷斯海峡岛民妇女及其子女的分娩和围产期保健计划研究进行系统评价和荟萃分析的首选报告项目。审查的主要目的是评估项目开发和交付的文化背景,其次要目的是评估方案组成部分的文化适用性。电子数据库SCOPUS,PsycINFO,Medline,我们在2000年至2023年间在澳大利亚以英语发表的同行评审研究中搜索了CINAHL。
结果:28篇出版物符合纳入标准。纳入研究的方法学特征进行了评估,生育支持特征,围产期护理和连续性护理的特点。总的来说,方案在满足妇女的文化需求方面受到限制,孩子们,个人社区。土著社区在识别,交付,审查方案也很有限。
结论:研究结果阐明了自决在维持强大的土著文化和为土著妇女制定和提供文化上安全的围产期护理方案方面的重要性,孩子们,和社区。
结论:供土著和托雷斯海峡岛民使用的方案和服务必须让土著和托雷斯海峡岛民及其社区参与方案规划进程,delivery,和审查。将计划或服务评估为“文化安全”代表服务用户根据其对该计划或服务的经验最适当地做出的决定。
OBJECTIVE: The importance of self-determination in restoring the wellbeing of Australian First Nations peoples is becoming understood. For thousands of years, Aboriginal women gave birth on Country and Grandmothers\' Lore and Women\'s Business facilitated the survival of the oldest living civilisations on earth. Following colonisation, however, Aboriginal and Torres Strait Islander practices of maternal and perinatal care were actively dismantled, and self-determination by Aboriginal people was destroyed. This had significant implications for the wellbeing of Aboriginal and Torres Strait Islander people and their Cultures and practices.
METHODS: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-based systematic review of research about programmes of birthing and perinatal health care for Australian Aboriginal and Torres Strait Islander women and their children was undertaken. The review\'s primary aim was to assess the Cultural context of programme development and delivery, its secondary aim was to assess the Cultural appropriateness of programme components. Electronic databases SCOPUS, PsycINFO, Medline, and CINAHL were searched for peer-reviewed studies published in English in Australia between 2000 and 2023.
RESULTS: Twenty-eight publications met inclusion criteria. Included studies were assessed for their methodological characteristics, birthing-support characteristics, perinatal care and continuity of care characteristics. Overall, programmes were limited in meeting the Cultural needs of women, children, and individual Communities. The role of Aboriginal Communities in identifying, delivering, and reviewing programmes was also limited.
CONCLUSIONS: Findings articulate the importance of self-determination in maintaining strong Indigenous Cultures and informing the Culturally appropriate development and delivery of Culturally safe programmes of perinatal care for Aboriginal women, children, and Communities.
CONCLUSIONS: Programmes and services for use by Aboriginal and Torres Strait Islander people must involve Aboriginal and Torres Strait Islander people and their Communities in processes of programme planning, delivery, and review. The evaluation of a programme or service as \"Culturally safe\" represents a determination that is most appropriately made by service users based on their experience of that programme or service.