University of Wollongong, West Nowra, New South Wales, Australia.
University of Tasmania, Launceston, Tasmania, Australia.
Int J Ment Health Nurs. 2019 Aug;28(4):922-929. doi: 10.1111/inm.12592. Epub 2019 Apr 4.
This article presents findings from the multi-sited ethnography of mental health nursing practice as it relates to the care of Indigenous users of public mental health services in Australia. It provides an analysis of mental health nurses beliefs and ideas about Aboriginal and Torres Strait Islander people encountered over the course of this research. The Indigenous service user was positioned as Other to the non-Indigenous mental health nurse, and to non-Indigenous service users. Cultural difference and the legacy of colonization, including its impact on the health of Aboriginal and Torres Strait Islander peoples, contributed to these beliefs of alterity. Despite emphasizing the differences with Aboriginal and Torres Strait Islander people in mental health services, nurses did not clearly relate this to Indigenous ways of understanding ill health. While cultural differences were recognized, what they meant for the nurses or their nursing practice was interpreted in different ways. In these circumstances, approaches towards care for Aboriginal and Torres Strait Islander people varied between nurses.
本文介绍了一项针对心理健康护理实践的多地点民族志研究的结果，该研究涉及澳大利亚公共心理健康服务中对原住民使用者的护理。它分析了心理健康护士在研究过程中遇到的关于原住民和托雷斯海峡岛民的信仰和观念。在非原住民心理健康护士和非原住民服务使用者眼中，原住民服务使用者被定位为“他者”。文化差异和殖民化的遗产，包括其对原住民和托雷斯海峡岛民健康的影响，促成了这种他者观念。尽管在精神卫生服务中强调与原住民和托雷斯海峡岛民的差异，但护士并没有将这一点与原住民对健康不良的理解清楚地联系起来。虽然认识到了文化差异，但它们对护士或他们的护理实践意味着什么，却被以不同的方式解释。在这种情况下，护士对原住民和托雷斯海峡岛民的护理方法各不相同。
