Rissel Chris, Liddle Lynette, Ryder Courtney, Wilson Annabelle, Richards Barbara, Bower Madeleine
Rural and Remote Health Northern Territory, Flinders University, Royal Darwin Hospital campus, Rocklands Drive, Tiwi, NT 0810, Australia.
Rural and Remote Health Northern Territory, Flinders University, PO Box 4066, Alice Springs, NT 0871, Australia.
Aust J Prim Health. 2023 Apr;29(2):101-116. doi: 10.1071/PY22020.
Cultural competency is often promoted as a strategy to address health inequities; however, there is little evidence linking cultural competency with improved patient outcomes. This article describes the characteristics of recent educational interventions designed to improve cultural competency in healthcare workers for First Nations peoples of Australia, New Zealand, Canada and the USA.
In total, 13 electronic databases and 14 websites for the period from January 2015 to May 2021 were searched. Information on the characteristics and methodological quality of included studies was extracted using standardised assessment tools.
Thirteen published evaluations were identified; 10 for Australian Aboriginal and Torres Strait Islander peoples. The main positive outcomes reported were improvements in health professionals' attitudes and knowledge, and improved confidence in working with First Nations patients. The methodological quality of evaluations and the reporting of methodological criteria were moderate.
Cultural competency education programs can improve knowledge, attitudes and confidence of healthcare workers to improve the health of First Nations peoples. Providing culturally safe health care should be routine practice, particularly in places where there are concentrations of First Nations peoples, yet there is relatively little research in this area. There remains limited evidence of the effectiveness of cultural education programs alone on community or patient outcomes.
文化能力常被作为一种解决健康不平等问题的策略加以推广；然而，几乎没有证据表明文化能力与改善患者结局之间存在关联。本文描述了近期旨在提高澳大利亚、新西兰、加拿大和美国原住民医护人员文化能力的教育干预措施的特点。
检索了2015年1月至2021年5月期间的13个电子数据库和14个网站。使用标准化评估工具提取纳入研究的特征和方法学质量信息。
共确定了13项已发表的评估；其中10项针对澳大利亚原住民和托雷斯海峡岛民。报告的主要积极成果包括卫生专业人员态度和知识的改善，以及与原住民患者合作时信心的增强。评估的方法学质量和方法学标准的报告情况中等。
文化能力教育项目可以提高医护人员的知识、态度和信心，从而改善原住民的健康状况。提供具有文化安全性的医疗保健应该成为常规做法，尤其是在原住民集中的地区，但该领域的研究相对较少。仅文化教育项目对社区或患者结局有效性的证据仍然有限。
