Brockie Teresa, Clark Terryann C, Best Odette, Power Tamara, Bourque Bearskin Lisa, Kurtz Donna L M, Lowe John, Wilson Denise
Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Johns Hopkins Bloomberg School of Public Health, Center for American Indian Health, Baltimore, MD, USA.
J Clin Nurs. 2023 Feb;32(3-4):610-624. doi: 10.1111/jocn.15801. Epub 2021 May 4.
This discursive paper provides a call to action from an international collective of Indigenous nurse academics from Australia, Canada, Aotearoa New Zealand and the USA, for nurses to be allies in supporting policies and resources necessary to equitably promote Indigenous health outcomes.
Indigenous Peoples with experiences of colonisation have poorer health compared to other groups, as health systems have failed to address their needs and preferences. Achieving health equity will require leadership from Indigenous nurses to develop and implement new systems of care delivery. However, little is known about how Indigenous nurses influence health systems as levers for change.
A Kaupapa Māori case study design.
Using a Kaupapa Māori case study methodology, coupled with expert Indigenous nursing knowledge, we developed a consensus on key themes. Themes were derived from three questions posed across the four countries. Themes were collated to illustrate how Indigenous nurses have provided nursing leadership to redress colonial injustices, contribute to models of care and enhance the Indigenous workforce.
These case studies highlight Indigenous nurses provide strong leadership to influence outcomes for Indigenous Peoples. Five strategies were noted across the four countries: (1) Indigenous nationhood and reconciliation as levers for change, (2) Indigenous nursing leadership, (3) Indigenous workforce strategies, (4) Development of culturally safe practice and Indigenous models of care and (5) Indigenous nurse activism.
In light of 2020 declared International Year of the Nurse and Midwife, we assert Indigenous nurses' work must be visible to support development of strategic approaches for improving health outcomes, including resources for workforce expansion and for implementing new care models.
Curating strategies to promote Indigenous nurse leaders around the world is essential for improving models of healthcare delivery and health outcomes for Indigenous Peoples.
这篇论述性论文是来自澳大利亚、加拿大、新西兰和美国的原住民护士学者国际团体发出的行动呼吁，呼吁护士成为盟友，支持公平促进原住民健康成果所需的政策和资源。
与其他群体相比，有殖民经历的原住民健康状况更差，因为卫生系统未能满足他们的需求和偏好。实现健康公平需要原住民护士发挥领导作用，以开发和实施新的护理服务体系。然而，对于原住民护士如何影响卫生系统作为变革杠杆的情况，我们知之甚少。
一种毛利人 kaupapa 案例研究设计。
运用毛利人 kaupapa 案例研究方法，结合原住民护士的专业知识，我们就关键主题达成了共识。主题源自四个国家提出的三个问题。对主题进行整理，以说明原住民护士如何提供护理领导，纠正殖民时期的不公正现象，为护理模式做出贡献，并增加原住民劳动力。
这些案例研究突出了原住民护士发挥强大领导作用，影响原住民的健康成果。在四个国家发现了五项策略：（1）将原住民国家地位与和解作为变革杠杆，（2）原住民护理领导，（3）原住民劳动力策略，（4）发展文化安全实践和原住民护理模式，以及（5）原住民护士行动主义。
鉴于 2020 年被宣布为国际护士和助产士年，我们断言，必须让原住民护士的工作得到关注，以支持制定改善健康成果的战略方法，包括用于扩大劳动力和实施新护理模式的资源。
策划促进全球原住民护士领导者的策略，对于改善原住民的医疗服务模式和健康成果至关重要。
