Clinical Nurse Manager, Goldfields Population Health, Leonora, Western Australia, Australia.
School of Nursing, Midwifery and Paramedicine Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
Prim Health Care Res Dev. 2022 Aug 15;23:e47. doi: 10.1017/S1463423622000329.
The aim of this development paper is to inform the ongoing implementation of the partnership approach with Aboriginal families in Australia. As almost all Community Health Nurses employed by the Health Department of Western Australia, Country Health Service are non-Aboriginal, there are a number of factors that may, potentially, limit their capacity to work effectively with the primary caregivers of Aboriginal children.Historically, much that has been written about the health and development of Aboriginal people in Australia has been negative and derogatory with wide criticism for their non-participation with health services and healthy lifestyle activities. Not only has this "deficit discourse" approach proved to be unhelpful in terms of improving the health and well-being of Aboriginal people but also there is mounting evidence that it has been detrimental to mental and physical health and capacity to achieve autonomy in all aspects of life.In response to the voices of Aboriginal people, the partnership approach to care has been promoted for use by Community Health Nurses in Western Australia. However, the implementation of the approach is not always genuinely strength based, and it does not always focus on mutual goal setting within authentic partnership relationships. The partnership approach has the potential to improve the lives of Aboriginal people if it is implemented with appropriate cultural sensitivity, shared responsibility, dignity and respect.
本发展文件旨在为澳大利亚与原住民家庭合作关系的持续实施提供信息。由于西澳卫生署和乡村卫生局的社区护士几乎均为非原住民,他们在与原住民儿童的主要照顾者有效合作方面可能存在多种限制因素。从历史上看,有关澳大利亚原住民健康和发展的许多论述都是负面的、贬损性的,对他们不参与卫生服务和健康生活方式活动进行了广泛批评。这种“缺陷论”不仅无益于改善原住民的健康和福祉,而且越来越多的证据表明,它还损害了他们的身心健康和在生活各个方面实现自主的能力。为了回应原住民的声音,西澳的社区护士开始提倡采用合作护理模式。然而,该方法的实施并不总是真正以优势为基础,也不一定始终关注在真正的伙伴关系中共同设定目标。如果以适当的文化敏感性、共同责任、尊严和尊重来实施,合作关系方法有可能改善原住民的生活。