Wilson Denise
School of Health Sciences, Massey University, Auckland, New Zealand.
Contemp Nurse. 2008 Apr;28(1-2):173-88. doi: 10.5172/conu.673.28.1-2.173.
A culturally appropriate health service is contingent on the inclusion of client's cultural beliefs and practices into intervention plans. Not establishing key cultural beliefs and practices risks providing a health service that lacks relevance and compromises its efficacy for its recipients. Anecdotally, cultural appropriateness and acceptability of health services is often lacking for Māori women (indigenous to Aotearoa New Zealand), hindering positive health experiences and outcomes. This paper explores an aspect of findings of research undertaken with Māori women to discover what was important for their health and well-being, and their interactions with mainstream health services. Data from semi-structured interviews with 38 Māori women was used to generate a Glaserian grounded theory informed by a Māori-centred approach to explain the weaving of their health and well-being. It explains, in part, the importance of determining Māori women's cultural worldviews and practices when assessing and planning effective interventions. Cultural safety and cultural competence will be explored as vehicles to improve culturally appropriate and acceptable health care for indigenous women.
一种符合文化背景的健康服务取决于将服务对象的文化信仰和习俗纳入干预计划。不确立关键的文化信仰和习俗,就有可能提供一种缺乏相关性且会损害其对接受者疗效的健康服务。据传闻,毛利女性(新西兰奥特亚罗瓦的原住民)往往缺乏健康服务的文化适宜性和可接受性,这阻碍了积极的健康体验和结果。本文探讨了对毛利女性进行研究的部分结果,以发现对她们的健康和幸福以及她们与主流健康服务机构互动而言重要的因素。对38名毛利女性进行半结构化访谈所得的数据,被用于生成一种基于格拉斯理论的扎根理论,该理论以毛利中心方法为指导,用以解释她们的健康与幸福的交织情况。它部分解释了在评估和规划有效干预措施时确定毛利女性文化世界观和习俗的重要性。文化安全和文化能力将作为改善针对原住民女性的文化适宜且可接受的医疗保健的手段进行探讨。