College of Medicine and Public Health, Flinders University, South Australia.
Aboriginal Health Council of South Australia.
Aust N Z J Public Health. 2022 Oct;46(5):604-613. doi: 10.1111/1753-6405.13291. Epub 2022 Aug 4.
To identify and describe the involvement of Indigenous Health Workers within ear health screening programs for Indigenous Peoples in Australia, Canada, the US and New Zealand.
Peer-reviewed and grey literature sources were systematically searched to identify evidence. This scoping review was conducted in accordance with the scoping review extension of the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.
Forty pieces of evidence were included in this review. While almost all included studies identified the critical role of Indigenous Health Workers in ear and hearing health, Indigenous leadership and involvement in research projects and service delivery varied significantly and none of the included studies reported Indigenous health worker perspectives. Approximately half of the authorship teams had at least one Indigenous author.
There is a clear need for Indigenous leadership in ear and hearing health research and programming. Specialist teams involved in health service delivery and research need to enable this transition by understanding and privileging Indigenous leadership and investing in appropriate training for non-Indigenous specialists providing care in Indigenous health contexts.
These findings are discussed in terms of opportunities to improve Indigenous ear and hearing health research and programming.
识别并描述澳大利亚、加拿大、美国和新西兰的原住民健康工作者在原住民耳部健康筛查项目中的参与情况。
系统地检索了同行评议和灰色文献来源，以确定证据。本范围综述符合系统评价和荟萃分析指南扩展的范围综述的要求。
本综述纳入了 40 篇证据。虽然几乎所有纳入的研究都确定了原住民健康工作者在耳部和听力健康方面的关键作用，但原住民领导和参与研究项目和服务提供的情况差异很大，并且没有一项纳入的研究报告了原住民健康工作者的观点。大约一半的作者团队至少有一位原住民作者。
在耳部和听力健康研究和规划中，需要有明确的原住民领导。参与卫生服务提供和研究的专门团队需要通过理解和重视原住民领导，为在原住民健康环境中提供护理的非原住民专家提供适当的培训，从而实现这一转变。
根据这些发现，讨论了改善原住民耳部和听力健康研究和规划的机会。
