School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia.
National Drug Research Institute, Curtin University, Perth, Western Australia, Australia.
Int J Ment Health Nurs. 2018 Feb;27(1):204-213. doi: 10.1111/inm.12310. Epub 2017 Feb 6.
The need for mental health clinicians to practice cultural safety is vital in ensuring meaningful care and in moving towards improving the mental health outcomes for Aboriginal people. The concept of cultural safety is particularly relevant to mental health professionals as it seeks to promote cultural integrity and the promotion of social justice, equity and respect. A substantive theory that explained the experience of providing cultural safety in mental health care to Aboriginal patients was developed using grounded theory methodology. Mental health professionals engaged in a social psychological process, called seeking solutions by navigating the labyrinth to overcome the experience of being unprepared. During this process participants moved from a state of being unprepared to one where they began to navigate the pathway of cultural safety. The findings of this research suggest health professionals have a limited understanding of the concept of cultural safety. The experience of providing cultural safety has not been adequately addressed by organizations, health services, governments, educational providers and policy makers. Health services, organizations and government agencies must work with Aboriginal people to progress strategies that inform and empower staff to practice cultural safety.
心理健康临床医生需要实践文化安全，这对于确保有意义的护理以及改善原住民的心理健康结果至关重要。文化安全的概念对于心理健康专业人员特别相关，因为它旨在促进文化完整性和促进社会正义、公平和尊重。使用扎根理论方法，发展了一种解释在心理健康护理中为原住民患者提供文化安全的经验的实质性理论。心理健康专业人员参与了一种社会心理过程，称为通过导航迷宫寻找解决方案来克服准备不足的体验。在这个过程中，参与者从准备不足的状态转变为开始导航文化安全途径的状态。这项研究的结果表明，卫生专业人员对文化安全的概念理解有限。组织、卫生服务、政府、教育提供者和政策制定者没有充分解决提供文化安全的经验。卫生服务、组织和政府机构必须与原住民合作，推进战略，为工作人员提供信息并赋予他们实践文化安全的权力。
