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“我的工作?嗯,我全身心投入其中”:原住民及托雷斯海峡岛民卫生领域中专业自我与个人/社区自我的无缝连接。

"My work? Well, I live it and breathe it": The seamless connect between the professional and personal/community self in the Aboriginal and Torres Strait Islander health sector.

作者信息

Dickson Michelle

机构信息

Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building, Sydney, New South Wales, 2006, Australia.

出版信息

BMC Health Serv Res. 2020 Oct 23;20(1):972. doi: 10.1186/s12913-020-05804-3.

Abstract

BACKGROUND

Australian Aboriginal and Torres Strait Islander health professionals often juggle the challenges of working and living in the same community in ways that are positive for both themselves and their clients. This study specifically examines the strategies Aboriginal and Torres Strait Islander health professionals have developed to enable them to feel empowered by the sense of being always visible or perceived as being always available. Findings provide examples of how participants (Team Members) established a seamless working self, including how they often held different perspectives to many work colleagues, how Team Members were always visible to community and how Team Members were comfortable to be seen as working when not at work.

METHODS

This qualitative study engages an Indigenous research methodology and uses an Indigenous method, PhotoYarning, to explore lived experiences of a group (n = 15) of Aboriginal and Torres Strait Islander health workers as they worked in the Australian health sector.

RESULTS

The analysis presented here comes from data generated through PhotoYarning sessions. Team Members in this study all work in health care settings in the communities in which they also live, they manage an extremely complex network of interactions and relationships in their daily working lives. They occupy an ambivalent, and sometimes ambiguous, position as representing both their health profession and their community. This article explores examples of what working with seamlessness involved, with findings citing four main themes: (1) Being fellow members of their cultural community, (2) the feeling of always being visible to community as a health worker, (3) the feeling of always being available as a health worker to community even when not at work and (4) the need to set an example.

CONCLUSIONS

While creating the seamlessness of working and living in the same community was not easy, Team Members considered it an important feature of the work they did and vital if they were to be able to provide quality health service to their community. However, they reported that the seamless working self was at odds with the way many of their non-Indigenous Australian colleagues worked and it was not well understood.

摘要

背景

澳大利亚原住民和托雷斯海峡岛民卫生专业人员常常以对自身和客户都有益的方式应对在同一社区工作和生活的挑战。本研究具体考察了原住民和托雷斯海峡岛民卫生专业人员制定的策略,以使他们因始终被看到或被视为随时可及而感到有力量。研究结果提供了参与者(团队成员)如何建立无缝工作自我的示例,包括他们如何常常与许多同事持有不同观点,团队成员如何始终在社区中可见,以及团队成员如何乐于在非工作时间也被视为在工作。

方法

本定性研究采用本土研究方法,并使用一种本土方法——照片讲述法,来探索一组(n = 15)在澳大利亚卫生部门工作的原住民和托雷斯海峡岛民卫生工作者的生活经历。

结果

此处呈现的分析来自通过照片讲述环节产生的数据。本研究中的团队成员都在他们所居住的社区的医疗环境中工作,他们在日常工作生活中管理着极其复杂的互动和关系网络。他们作为卫生专业人员和社区的代表,处于一种矛盾且有时模糊的位置。本文探讨了无缝工作涉及的示例,研究结果引用了四个主要主题:(1)作为其文化社区的成员,(2)作为卫生工作者在社区中始终可见的感觉,(3)即使在非工作时间作为卫生工作者对社区也始终可及的感觉,以及(4)树立榜样的必要性。

结论

虽然在同一社区实现工作和生活的无缝对接并非易事,但团队成员认为这是他们工作的一个重要特征,并且如果他们要能够为社区提供优质的卫生服务,这至关重要。然而,他们报告说,无缝工作自我与他们许多澳大利亚非原住民同事的工作方式不一致,并且没有得到很好的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2d/7583312/5e4f50fbbf9d/12913_2020_5804_Fig1_HTML.jpg

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