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通过原住民青年的声音解决原住民青年的健康和福祉问题:一项本土范围综述。

De-problematising Aboriginal young peoples' health and well-being through their voice: An Indigenous scoping review.

机构信息

School of Nursing and Midwifery, University of Technology Sydney, Sydney, New South Wales, Australia.

School of Health, University of New England, Armidale, New South Wales, Australia.

出版信息

J Clin Nurs. 2023 May;32(9-10):2086-2101. doi: 10.1111/jocn.16308. Epub 2022 Mar 29.

DOI:10.1111/jocn.16308
PMID:35352432
Abstract

BACKGROUND

The continued use of a deficit discourse when researching Aboriginal and Torres Strait Islander Peoples of Australia is problematic. Understanding and challenging the researchers position and the power of the words they use is important. It will ensure we do not persist in framing Aboriginal and Torres Strait Islander People as a problem to be solved.

DESIGN

Indigenist review of the evidence of Aboriginal young people's health and well-being.

METHODS

This review was conducted using an Indigenist approach to identify texts which amplified the voices of Aboriginal young people of Australia and presents a narrative summary of their accounts. This review is reported in line with the PRISMA-ScR reporting guidelines.

RESULTS

Culture and connection are critical components of Aboriginal young people's health and well-being. Aboriginal young people describe feeling of powerlessness to influence health and well-being of their community, and they understood the risks they and their communities faced. Young people identified the importance of connection to culture, community and Elders as crucial to their social and emotional well-being.

CONCLUSION

By harnessing an Indigenous analysis, we were able to reveal a strong counter narrative of strength and resilience within their historical, social, and political contexts through the storied accounts of Aboriginal young people.

RELEVANCE TO CLINICAL PRACTICE

Most of the currently available evidence about Aboriginal health and well-being is immersed in deficit discourse. Literature reviews being the foundation of research and informing nursing practice, we call for a purposeful shift towards the adoption of an Indigenist strength-based approach which emphasises the strength and resilience of Aboriginal young people.

摘要

背景

在研究澳大利亚原住民和托雷斯海峡岛民时,继续使用赤字话语是有问题的。理解和挑战研究人员的立场以及他们使用的词语的力量非常重要。这将确保我们不会坚持将原住民和托雷斯海峡岛民视为需要解决的问题。

设计

对澳大利亚原住民青年健康和福祉证据的本土主义审查。

方法

本审查采用本土主义方法进行,旨在确定放大澳大利亚原住民青年声音的文本,并对其叙述进行总结。本审查按照 PRISMA-ScR 报告准则进行报告。

结果

文化和联系是原住民青年健康和福祉的关键组成部分。原住民青年感到自己无力影响社区的健康和福祉,他们理解自己和社区面临的风险。年轻人认识到与文化、社区和长者联系的重要性,这对他们的社会和情感福祉至关重要。

结论

通过利用本土主义分析,我们能够在他们的历史、社会和政治背景下,通过原住民青年的故事,揭示出一种强烈的、强大的叙事。

临床实践相关性

关于原住民健康和福祉的大部分现有证据都沉浸在赤字话语中。文献综述是研究的基础,并为护理实践提供信息,因此,我们呼吁有意转向采用本土主义的以实力为基础的方法,强调原住民青年的实力和韧性。

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