School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia. Email:
Faculty of Arts and Education, Deakin University, 221 Burwood Highway, Burwood, Vic. 3125, Australia. Email:
Aust Health Rev. 2020 Apr;44(2):205-211. doi: 10.1071/AH19227.
Objective The aim of the present study was to develop a scale to measure cultural safety in hospitals from an Aboriginal patient perspective. Methods The Cultural Safety Survey was designed to measure five key characteristics of cultural safety that contribute to positive hospital experiences among Aboriginal hospital patients. Investigators developed a range of different methods to assess the validity and reliability of the scale using a sample of 316 participants who had attended a New South Wales hospital in the past 12 months. Targeted recruitment was conducted at two hospital sites. Opportunistic recruitment took place through a local health district, discharge follow-up service and online via social media. Results The Cultural Safety Survey Scale was a robust measurement tool that demonstrated a high level of content and construct validity. Conclusion The Cultural Safety Survey Scale could be a useful tool for measuring cultural safety in hospitals from the Aboriginal patient perspective. What is known about the topic? There are increasing calls by governments around the world for health institutions to enhance the cultural safety of their services as one way of removing access barriers and increasing health equity. However, currently there are no critical indicators or systematic methods of measuring cultural safety from the patient perspective. What does this paper add? The cultural safety scale, an Australian first, presents the first empirically validated tool that measures cultural safety from the Aboriginal patient perspective. What are the implications for practitioners? This measurement model will allow hospitals to measure the cultural safety of their services and ascertain whether current efforts aimed to improve cultural safety are resulting in Aboriginal patients reporting more culturally safe experiences. Over time it is hoped that the tool will be used to benchmark performance and eventually be adopted as a performance measure for hospitals across New South Wales.
目的 本研究旨在从原住民患者的角度开发一种衡量医院文化安全性的量表。
方法 文化安全调查量表旨在衡量文化安全的五个关键特征，这些特征有助于原住民住院患者获得积极的医院体验。研究人员采用了一系列不同的方法，使用过去 12 个月内在新南威尔士州医院就诊的 316 名参与者的样本来评估该量表的有效性和可靠性。目标招募在两个医院进行。在当地卫生区、出院后随访服务和社交媒体上进行机会性招募。
结果 文化安全调查量表是一种强大的测量工具，具有高度的内容和结构有效性。
结论 文化安全调查量表可以成为一种有用的工具，从原住民患者的角度衡量医院的文化安全性。
主题已知内容 世界各国政府越来越多地呼吁医疗机构提高其服务的文化安全性，以此作为消除获取障碍和提高健康公平性的一种方式。然而，目前还没有从患者角度衡量文化安全性的关键指标或系统方法。
本文增加了什么？ 文化安全量表是澳大利亚首创的，它提供了第一个从原住民患者角度衡量文化安全性的经验验证工具。
对从业者的影响是什么？ 该测量模型将允许医院衡量其服务的文化安全性，并确定旨在提高文化安全性的当前努力是否导致原住民患者报告更多文化安全的体验。随着时间的推移，人们希望该工具将被用于基准绩效，最终被新南威尔士州的医院采用作为绩效衡量标准。
