Chapman Rose, Smith Tammy, Martin Catherine
Monash Health, Dandenong, VIC, Australia, 2. Australian Catholic University, Fitzroy, VIC, Australia.
Contemp Nurse. 2014;48(1):48-58. doi: 10.1080/10376178.2014.11081926. Epub 2014 May 3.
Aboriginal and Torres Strait Islander (ATSI) people experience challenges when accessing health care from the emergency department (ED). The aim of this project was to identify the perceived barriers and enablers to accessing health care at one Victorian Emergency Department for the local ATSI community. This qualitative explorative study collected data using focus groups or yarns to investigate the perceptions of the ATSI community presentations to the ED. Data were analysed following the standards of qualitative data analysis procedure. Three themes emerged organisational process, staff interactions and strategies for improvement. Information from this study will assist hospital and ED executives and practitioners to collaborate with the ATSI community in developing and implementing policy and practice changes that enable Aboriginal patients to be identified and receive culturally appropriate care.
原住民和托雷斯海峡岛民（ATSI）在从急诊科（ED）获得医疗保健时面临挑战。该项目的目的是确定当地ATSI社区在维多利亚州一家急诊科获得医疗保健时所感知到的障碍和促进因素。这项定性探索性研究通过焦点小组或交流活动收集数据，以调查ATSI社区对前往急诊科就诊的看法。数据按照定性数据分析程序的标准进行分析。出现了三个主题：组织流程、员工互动和改进策略。这项研究的信息将帮助医院和急诊科管理人员及从业者与ATSI社区合作，制定和实施政策及实践变革，以使原住民患者能够被识别并获得符合其文化背景的护理。
