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原住民和托雷斯海峡岛民社区行动研究的最佳实践原则:安全婴儿睡眠策略案例研究。

Best practice principles for research with Aboriginal and Torres Strait Islander communities in action: Case study of a safe infant sleep strategy.

机构信息

School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Australia.

School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Australia.

出版信息

Women Birth. 2019 Oct;32(5):460-465. doi: 10.1016/j.wombi.2019.06.022. Epub 2019 Jul 12.

DOI:10.1016/j.wombi.2019.06.022
PMID:31303540
Abstract

BACKGROUND

Approaches to health promotion that are collaborative, support strengths inherent in Aboriginal and Torres Strait Islander culture, and demonstrate respect and understanding for individual communities, have achieved the most positive outcomes to date.

AIM

To illustrate how the implementation and evaluation of a safe infant sleep health promotion strategy was facilitated by embedding recognised best practice principles for the conduct of research with Aboriginal and Torres Strait Islander peoples and communities.

METHODS

The Pēpi-Pod Program was introduced across rural, remote and metropolitan locations in Queensland between 2013 and 2017. This case study discusses the partnership between the Pēpi-Pod Program and one community-controlled maternal and child health service that employed an Aboriginal Health Worker led model of maternal and child health care for remote regions of Queensland.

FINDINGS

Best practice principles were embedded within the program design and adaptation, and in the approach to community consultation prior to program implementation. Collaborative partnerships based on trust, which established stakeholder expectations through transparent communication processes, together with effective engagement in achieving program goals, led to the implementation of this evidence-based health promotion initiative as intended. Consideration for locally relevant and culturally competent program delivery was key to success. The integrity of the program was maintained and embedded into ongoing service delivery.

CONCLUSIONS

Through adherence to best practice principles for research with Aboriginal and Torres Strait Islander communities, implementation and evaluation of health promotion programs can be conducted in mutually acceptable, feasible and sustainable ways that develop capacity within participating health services.

摘要

背景

迄今为止,最有效的促进健康方法是具有协作性的、支持澳大拉西亚原住民和托雷斯海峡岛民文化固有优势的、并对各个社区表现出尊重和理解的方法。

目的

展示如何通过嵌入公认的最佳实践原则来促进和评估与澳大拉西亚原住民和托雷斯海峡岛民合作的研究,从而实施安全婴儿睡眠健康促进策略。

方法

2013 年至 2017 年期间,“Pēpi-Pod 计划”在昆士兰州的农村、偏远和大都市地区推出。本案例研究讨论了“Pēpi-Pod 计划”与一家社区控制的母婴健康服务机构之间的伙伴关系,该机构在昆士兰州偏远地区采用了由土著卫生工作者主导的母婴保健模式。

发现

最佳实践原则被嵌入到项目设计和适应中,并在项目实施前的社区咨询方法中得到应用。基于信任的合作伙伴关系,通过透明的沟通流程建立利益相关者的期望,并共同努力实现项目目标,这导致了该循证健康促进计划的成功实施。考虑到本地相关和文化上合适的项目交付是成功的关键。该计划的完整性得以保持,并嵌入到持续的服务提供中。

结论

通过坚持与澳大拉西亚原住民和托雷斯海峡岛民社区合作的最佳实践原则,可以以相互接受、可行和可持续的方式实施和评估健康促进计划,从而在参与的卫生服务中发展能力。

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