University of Montana School of Social Work, Missoula, MT, USA.
Independent Researcher, New York City, USA.
J Holist Nurs. 2024 Mar;42(1):34-48. doi: 10.1177/08980101231169867. Epub 2023 Apr 25.
Health disparities between Native Americans and white Americans persist due to a variety of factors, including colonization, poverty, and racism. Racist interpersonal interactions between nurses and other healthcare providers and tribal members may also contribute to reluctance among Native Americans to engage with Western healthcare systems. The purpose of this study was to better understand the healthcare experiences of members of a state-recognized Gulf Coast tribe. In partnership with a community advisory board, 31 semistructured interviews were conducted, transcribed, and analyzed utilizing a qualitative description approach. All participants mentioned their preferences, views about, or experiences of using natural or traditional medicine approaches (referenced 65 times). Emergent themes include (a) preference for and use of traditional medicine; (b) resistance to western healthcare systems; (c) preference for holistic approaches to health; and (d) negative provider interpersonal interactions contributing to reluctance in seeking care. These findings suggest that integrating a holistic conceptualization of health and traditional medicine practices into Western healthcare settings would benefit Native Americans.
由于多种因素，包括殖民、贫困和种族主义，美国原住民与白人之间的健康差距仍然存在。护士和其他医疗保健提供者与部落成员之间的种族主义人际互动，也可能导致美国原住民不愿意接受西方医疗保健系统。本研究的目的是更好地了解一个得到州政府认可的墨西哥湾沿岸部落成员的医疗保健经历。通过与社区咨询委员会合作，进行了 31 次半结构化访谈，转录并利用定性描述方法进行了分析。所有参与者都提到了他们对自然或传统医学方法的偏好、看法或使用经验（被引用 65 次）。出现的主题包括：(a) 对传统医学的偏好和使用；(b) 对西方医疗保健系统的抵制；(c) 对整体健康方法的偏好；以及(d) 负面的提供者人际互动，导致不愿意寻求护理。这些发现表明，将健康的整体概念和传统医学实践融入西方医疗保健环境将使美国原住民受益。
