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在澳大利亚和新西兰的视光学学校中发展文化安全教育实践。

Developing culturally safe education practices in optometry schools across Australia and Aotearoa New Zealand.

机构信息

Optometry and Vision Science, Flinders University, Adelaide, Australia.

Division of Optometry, University of Western Australia, Perth, Australia.

出版信息

Clin Exp Optom. 2023 Mar;106(2):110-118. doi: 10.1080/08164622.2022.2136514. Epub 2022 Nov 6.

Abstract

Access to culturally safe health services is a basic human right, however through the lasting effects of colonisation, oppression, and systemic racism, the individual and community health of Indigenous peoples in Australia and Aotearoa New Zealand have been severely impacted. The Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy of the Australian Health Practitioners Regulation Agency, and the Standards of Cultural Competence and Cultural Safety of the Optometrists and Dispensing Opticians Board of New Zealand, recognise the importance of access to safe health care for Aboriginal, Torres Strait Islander and Māori patients, which encompasses both clinical competency and cultural safety. Universities have an ongoing responsibility to ensure their learning and teaching activities result in graduates being able to provide culturally safe practice. This article highlights the emergence of culturally safe practices in the Australian and Aotearoa New Zealand optometry curricula over the last five years incorporating Indigenous ways of knowing, being and doing into the curricula, understanding the local Indigenous histories and contexts, the adoption of online cultural education modules, and clinical placement partnerships with local Indigenous communities. Whilst there is still much work to do to achieve the goal of graduating culturally safe optometrists, this paper focuses on features that enable or impede progress in the development of culturally safe practices within the optometry programmes to improve eye health equity for Indigenous recognise the diversity of Indigenous cultures across Australia and NZ.

摘要

获得文化安全的卫生服务是一项基本人权,然而,由于殖民、压迫和系统性种族主义的持久影响,澳大利亚和新西兰的土著人民的个人和社区健康受到了严重影响。澳大利亚卫生从业人员监管局的《原住民和托雷斯海峡岛民健康和文化安全战略》以及新西兰视光师和配镜师委员会的《文化能力和文化安全标准》都认识到为原住民、托雷斯海峡岛民和毛利人患者提供安全的医疗保健的重要性,其中包括临床能力和文化安全。大学有持续的责任确保其学习和教学活动使毕业生能够提供文化安全的实践。本文重点介绍了过去五年中澳大利亚和新西兰视光学课程中文化安全实践的出现,即将本土的知识、存在和实践融入课程,了解当地的土著历史和背景,采用在线文化教育模块,以及与当地土著社区建立临床实习伙伴关系。尽管要实现培养文化安全的视光师的目标还有很多工作要做,但本文侧重于在视光课程中发展文化安全实践的促进或阻碍因素,以改善澳大利亚和新西兰的土著人眼健康公平。

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