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具备文化能力且文化安全:原住民助产专业学生对原住民妇女的个案管理照护

Culturally capable and culturally safe: Caseload care for Indigenous women by Indigenous midwifery students.

作者信息

West R, Gamble J, Kelly J, Milne T, Duffy E, Sidebotham M

机构信息

Menzies Health Institute Queensland, First Peoples Health Unit Griffith University, Australia; Griffith Health Centre (G40) 8.36 School of Medicine, Gold Coast Campus, Griffith University Parklands Drive, Southport, QLD 4222, Australia.

Menzies Health Institute Queensland, School of Nursing & Midwifery, Griffith University, Australia.

出版信息

Women Birth. 2016 Dec;29(6):524-530. doi: 10.1016/j.wombi.2016.05.003. Epub 2016 Jul 5.

Abstract

BACKGROUND

Evidence is emerging of the benefits to students of providing continuity of midwifery care as a learning strategy in midwifery education, however little is known about the value of this strategy for midwifery students.

AIM

To explore Indigenous students' perceptions of providing continuity of midwifery care to Indigenous women whilst undertaking a Bachelor of Midwifery.

METHODS

Indigenous Bachelor of Midwifery students' experiences of providing continuity of midwifery care to Indigenous childbearing women were explored within an Indigenous research approach using a narrative inquiry framework. Participants were three Indigenous midwifery students who provided continuity of care to Indigenous women.

FINDINGS

Three interconnected themes; facilitating connection, being connected, and journeying with the woman. These themes contribute to the overarching finding that the experience of providing continuity of care for Indigenous women creates a sense of personal affirmation, purpose and a validation of cultural identity in Indigenous students.

DISCUSSION AND CONCLUSIONS

Midwifery philosophy aligns strongly with the Indigenous health philosophy and this provides a learning platform for Indigenous student midwives. Privileging Indigenous culture within midwifery education programs assists students develop a sense of purpose and affirms them in their emerging professional role and within their community. The findings from this study illustrate the demand for, and pertinence of, continuity of care midwifery experiences with Indigenous women as fundamental to increasing the Indigenous midwifery workforce in Australia. Australian universities should provide this experience for Indigenous student midwives.

摘要

背景

越来越多的证据表明,在助产士教育中,为学生提供连续性的助产护理作为一种学习策略是有益的,然而,对于这种策略对助产专业学生的价值却知之甚少。

目的

探讨本土学生在攻读助产士学士学位期间,对为本土女性提供连续性助产护理的看法。

方法

采用叙事探究框架,通过本土研究方法,探讨了攻读助产士学士学位的本土学生为本土生育女性提供连续性助产护理的经历。参与者是三名曾为本土女性提供连续性护理的本土助产士学生。

研究结果

出现了三个相互关联的主题:促进联系、建立联系以及与女性同行。这些主题共同促成了一个总体发现,即为本土女性提供连续性护理的经历,让本土学生产生了个人认同感、使命感以及对文化身份的认同。

讨论与结论

助产理念与本土健康理念高度契合,这为本土助产专业学生提供了一个学习平台。在助产士教育项目中重视本土文化,有助于学生树立使命感,并在其新兴的专业角色以及所在社区中得到认可。本研究结果表明,与本土女性进行连续性护理助产体验的需求和相关性,对于增加澳大利亚本土助产士劳动力至关重要。澳大利亚的大学应为本土助产专业学生提供这种体验。

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