School of Rural Health, University of Sydney, Dubbo, New South Wales.
Bangamalanha Centre, NSW Education, New South Wales.
Aust N Z J Public Health. 2022 Aug;46(4):517-523. doi: 10.1111/1753-6405.13245. Epub 2022 May 12.
Despite much effort and goodwill, the gap in health status between Aboriginal and non-Aboriginal Australians persists. Bringing Aboriginal cultural protocols and teaching strategies into healthcare could improve the fit between healthcare services provided and Aboriginal peoples. This approach to making healthcare more accessible has not been tested in mainstream health settings. This study aimed to introduce '8 Aboriginal Ways of Learning' to a mainstream health organisation and observe how learning about Aboriginal perspectives and processes shaped work-related project or program design.
Program and network coordinators (n=18) employed in a state-wide health organisation joined in-person workshops and virtual sessions. Participatory Action Research methods guided the process and framework analysis transformed data.
Introducing '8 Ways' generated conversations which went beyond deficits in Aboriginal health. Learning about cultural processes provided scaffolding to show how services and models of care can change.
This strategy demonstrated potential to improve approachability, acceptability and appropriateness of mainstream healthcare for Aboriginal peoples.
Introduction of Aboriginal pedagogies were welcomed by mainstream healthcare workers as they provided scaffolding and support to plan and work in new ways. Future studies could examine outcomes on program design and access to services for Aboriginal peoples.
尽管付出了大量努力和善意，但澳大利亚原住民和非原住民之间的健康状况差距仍然存在。将原住民文化规范和教学策略引入医疗保健领域，可以提高医疗服务与原住民之间的契合度。这种使医疗保健更容易获得的方法尚未在主流医疗环境中得到检验。本研究旨在向主流医疗组织介绍“8 种原住民学习方式”，并观察了解原住民观点和流程如何影响与工作相关的项目或计划设计。
在全州范围内从事医疗工作的项目和网络协调员（n=18）参加了现场研讨会和虚拟会议。参与式行动研究方法指导了整个过程，框架分析改变了数据。
引入“8 种方式”引发了超出原住民健康缺陷的对话。了解文化过程为展示服务和护理模式如何改变提供了支持。
这种策略显示出了改善主流医疗保健对原住民的可及性、可接受性和适宜性的潜力。
主流医疗保健工作者对原住民教学法的引入表示欢迎，因为它们为规划和以新方式工作提供了支撑和支持。未来的研究可以考察原住民服务项目设计和获取的结果。
