Barton Sylvia S
Faculty of Nursing, University of Alberta, Edmonton, Canada.
Can J Nurs Res. 2008 Dec;40(4):26-54.
Promoting culturally competent care for diabetes is critical to addressing the health inequities of indigenous peoples. Based on a review of studies published between 1995 and 2007, the author presents a descriptive analysis of Aboriginal diabetes knowledge guiding the involvement of advanced practice nurses in programs of care. While the literature review is not systematic, it is sufficiently comprehensive to provide a theoretical backdrop to Aboriginal diabetes programs of practice and research. In terms of a particular area of Aboriginal diabetes literature, it also provides a snapshot of community-based diabetes research focused on holistic methodologies historically used in the Canadian context. The Aboriginal diabetes literature is found to be a source of rich information. Analysis of holistic methodologies, however, reveals underdevelopment of research and limited use of key holistic guidelines for Aboriginal policy research.
促进对糖尿病的文化胜任护理对于解决原住民的健康不平等问题至关重要。基于对1995年至2007年间发表的研究的回顾,作者对指导高级实践护士参与护理项目的原住民糖尿病知识进行了描述性分析。虽然文献综述并不系统,但它足够全面,可为原住民糖尿病实践和研究项目提供理论背景。就原住民糖尿病文献的一个特定领域而言,它还提供了一份以加拿大背景下历史上使用的整体方法为重点的社区糖尿病研究的简要情况。人们发现原住民糖尿病文献是丰富信息的来源。然而,对整体方法的分析表明,研究不够完善,且在原住民政策研究中对关键整体指导方针的使用有限。