Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, Qld, Australia.
School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Brisbane, Qld, Australia.
J Clin Nurs. 2017 Dec;26(23-24):5052-5064. doi: 10.1111/jocn.14005. Epub 2017 Oct 11.
To explore Indigenous people's experiences of hospitalisation for acute cardiac care.
Indigenous Australians suffer a higher burden of cardiovascular ill health and hospitalisation rates in comparison with other Australians, but there is little research that explores their perspectives of hospitalisation.
Narrative inquiry.
Interviews were undertaken using storytelling to facilitate participants' descriptions of their hospital experience. Data were collected during 2014-2015. A purposive sample of Indigenous cardiac patients that were admitted to hospital and their relatives participated.
The narrative revealed three linked themes that characterised Indigenous people's hospitalisation experiences: The impact of the past; The reality of the present; and Anticipating the future. Hospitalisation was challenging for participants due to their sense of dislocation and disorientation, a lack of cultural and spiritual aspects to care practices, and the poor interpersonal relationships they experienced.
Findings revealed that there were many unmet needs during hospitalisation for Indigenous people. Past experiences and future expectations were connected in a way that impacted on participants' current hospitalisation experience. Understanding this context, with incorporation of cultural and spiritual aspects of care may help nurses and other healthcare professionals to provide more positive interactions that in turn may contribute to improved cardiac care experiences of Indigenous people during hospitalisation. Healthcare professionals need to be aware and focused on person-specific and contextualised aspects of Indigenous people's experience of hospitalisation for cardiac care in order to impact outcomes.
Healthcare professionals need to understand Indigenous people's perspectives that contribute to improved health outcomes. Stories of participants' experiences may assist in the identification of aspects which might further the development of culturally appropriate continuity models that could effectively provide support throughout Indigenous people's hospital journeys, and beyond the hospital, and help improve associated health outcomes.
探讨原住民在急性心脏护理方面住院的经历。
与其他澳大利亚人相比，澳大利亚原住民患心血管疾病和住院率的负担更高，但几乎没有研究探讨他们对住院的看法。
叙事探究。
使用讲故事的方式进行访谈，以促进参与者描述他们的住院经历。数据于 2014 年至 2015 年期间收集。选择了有原住民心脏病人和他们的亲属参与的有目的的样本。
叙事揭示了三个相互关联的主题，这些主题构成了原住民住院经历的特征：过去的影响；现在的现实；和对未来的期待。由于参与者感到流离失所和迷失方向、护理实践缺乏文化和精神方面、以及他们所经历的人际关系不佳，住院对他们来说是具有挑战性的。
研究结果表明，原住民在住院期间有许多未满足的需求。过去的经历和未来的期望以一种影响参与者当前住院经历的方式联系在一起。了解这种背景，结合护理的文化和精神方面，可能有助于护士和其他医疗保健专业人员提供更积极的互动，从而有助于改善原住民在住院期间的心脏护理体验。医疗保健专业人员需要意识到并关注原住民住院治疗心脏护理的个人和背景方面，以改善结果。
医疗保健专业人员需要了解原住民的观点，这有助于改善健康结果。参与者经历的故事可能有助于确定可以进一步发展文化上适当的连续性模式的方面，这些模式可以有效地为原住民的住院之旅提供支持，并超越医院，帮助改善相关的健康结果。
