Mater Research Institute-University of Queensland, Australia; Charles Darwin University, Australia.
Charles Darwin University, Australia.
Women Birth. 2019 Oct;32(5):449-459. doi: 10.1016/j.wombi.2019.06.019. Epub 2019 Jul 23.
It is not well known how to prepare new multidisciplinary teams aiming to provide culturally safe maternity care for Aboriginal and Torres Strait Islander families in an urban setting.
National policies recommend increasing the Aboriginal and Torres Strait Islander workforce and cultural competencies of the non-Indigenous workforce as key drivers of culturally safe care.
What are the key learnings from staff experiences establishing multidisciplinary teams aiming to provide culturally safe maternity care that aims to privilege Indigenous ways of knowing, being and doing?
As part of a larger participatory action research project, semi-structured qualitative interviews were conducted December 2014-April 2015 with 21 Aboriginal and Torres Strait Islander and non-Indigenous healthcare staff. Thematic analysis was used to identify learnings for practice.
Four key learnings were identified for forming new teams aiming to provide culturally safe care: (a) having a shared understanding of what characterises cultural safety in the local program context; (b) understanding and valuing different roles and knowledges people bring to the team; (c) acknowledging the influence of race and culture on staff behaviour; and (d) acting on individual and organisational responsibilities for continuous improvement towards cultural safety.
We present recommendations from our participatory action research approach to respond to these learnings in practice.
A deliberate workforce investment at the early stages of team development is crucial when aiming to provide culturally safe maternity care that can respond to the unique needs of Aboriginal and Torres Strait Islander women and families.
如何组建新的多学科团队，为城市中原住民和托雷斯海峡岛民家庭提供文化安全的孕产护理，这一点并不为人所知。
国家政策建议增加原住民和托雷斯海峡岛民劳动力，并提高非原住民劳动力的文化能力，以此作为提供文化安全护理的关键驱动力。
在建立旨在提供以原住民知识、存在和行为为中心的文化安全孕产护理的多学科团队方面，员工的经验中有哪些关键教训？
作为一项更大的参与式行动研究项目的一部分，2014 年 12 月至 2015 年 4 月期间，对 21 名原住民和托雷斯海峡岛民以及非原住民医疗保健人员进行了半结构化定性访谈。使用主题分析来确定实践中的学习成果。
确定了旨在提供文化安全护理的新团队组建的四个关键学习成果：(a)对当地项目背景下文化安全的特征有共同的理解；(b)理解和重视人们为团队带来的不同角色和知识；(c)承认种族和文化对员工行为的影响；(d)对个人和组织在文化安全方面的持续改进责任采取行动。
我们提出了我们参与式行动研究方法的建议，以在实践中应对这些学习成果。
在团队发展的早期阶段进行精心的劳动力投资对于提供能够满足原住民和托雷斯海峡岛民妇女和家庭独特需求的文化安全孕产护理至关重要。
