College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
Aust J Rural Health. 2021 Apr;29(2):201-210. doi: 10.1111/ajr.12708. Epub 2021 Apr 1.
The aim of this study was to explore how nurses and midwives (trained at Flinders University in Adelaide) from rural, remote and urban locations view the impact of cultural safety training on their practice and the extent to which they incorporated cultural safety principles into their practice.
qualitative research study.
rural, remote and urban locations across Australia.
Nurses and midwives who had undertaken cultural safety training at Flinders University as part of their undergraduate degree.
Participants were recruited for semi-structured interviews. Interviews were recorded and transcribed verbatim. Transcripts were coded independently by members of the research team.
The use of cultural safety principles in participants' practice, and the extent to which they were applied, was determined. Barriers and enablers to enacting cultural safety in the workplace were also identified.
10 individuals participated in an interview (7 nurses and 3 midwives). The Modified Monash Model was used to classify participant location with the following observed: MM1, six; MM2, two; MM5, one; MM6, one. 3 participants were from the Northern Territory and 7 from South Australia. Participants were at varying stages in their journey of cultural safety, ranging from early stages to those able to embody the Cultural Safety Principles and negotiate barriers to provide culturally safe care. Educational strategies for participants to progress their cultural safety journey were also identified.
The extent to which cultural safety principles are applied in practice is diverse amongst the nurses and midwives that participated in this study, demonstrating that cultural safety is a journey and ongoing support is needed.
本研究旨在探讨来自农村、偏远和城市地区的护士和助产士（在阿德莱德弗林德斯大学接受培训）如何看待文化安全培训对其实践的影响，以及他们将文化安全原则融入实践的程度。
定性研究。
澳大利亚农村、偏远和城市地区。
在弗林德斯大学完成本科文化安全培训的护士和助产士。
参与者通过半结构式访谈招募。对访谈进行录音并逐字转录。研究团队成员独立对转录本进行编码。
确定参与者在实践中使用文化安全原则的程度及其应用程度，并确定在工作场所实施文化安全的障碍和促进因素。
10 名参与者参加了访谈（7 名护士和 3 名助产士）。使用改良的蒙纳士模型对参与者的位置进行分类，观察到以下情况：MM1，6 个；MM2，2 个；MM5，1 个；MM6，1 个。3 名参与者来自北领地，7 名来自南澳大利亚。参与者处于文化安全之旅的不同阶段，从早期阶段到能够体现文化安全原则并协商提供文化安全护理的障碍的阶段。还确定了参与者在文化安全之旅中取得进展的教育策略。
在本研究中参与的护士和助产士在实践中应用文化安全原则的程度各不相同，这表明文化安全是一个旅程，需要持续的支持。
