School of Nursing, Johns Hopkins University, 525 N Wolfe St., Baltimore, MD 21205, USA; Auckland University of Technology, 90 Akoranga Drive, Auckland 0627, New Zealand.
University of Colorado Anschutz Medical Campus, Colorado School of Public Health, Centers for American Indian and Alaska Native Health, USA.
Arch Psychiatr Nurs. 2024 Aug;51:246-258. doi: 10.1016/j.apnu.2024.06.008. Epub 2024 Jul 1.
Native Americans residing in remote reservation communities find strength in connection to place, culture, language, and sovereignty; they also face challenges as their communities struggle with historical and contemporary traumas that have resulted in poverty, high crime and suicide rates and drug misuse. The psychological well-being of Head Start teachers who teach and support the needs of Native American children, is overlooked.
Qualitative interviews (n = 18) and focus groups (n = 9) were conducted with Head Start teachers, supervisors, parents, and ancillary staff to identify risk and protective factors at each level of the socioecological model (individual, relationships, community, society). Using content analysis and F4 analyse software two coders identified recurring themes.
Individually teachers are resilient, focused more on the children's well-being than their own. Family was both significant support and stressor. Community struggles with drug and alcohol misuse and homelessness were the most frequent stressors. Workplace support included their supervisors and the mentorship they provided each other. Spirituality in the form traditional cultural practices, prayer and Christen faith were important sources of support and well-being.
This paper provides insight into the stress and coping mechanisms of reservation-based Head Start teachers, identifying ways to protect and promote their health and well-being. It is important to provide support at all levels of the socioecological model to enable these teachers to strengthen their physical and psychological health and wellbeing so that they may support the children and families of Head Start to help strengthen Native American health overall.
居住在偏远保留地社区的美洲原住民在与地点、文化、语言和主权的联系中找到了力量;他们的社区也面临着挑战,因为这些社区一直在努力应对导致贫困、高犯罪率和自杀率以及药物滥用的历史和当代创伤。教授和支持美洲原住民儿童的“Head Start”教师的心理健康被忽视了。
对“Head Start”教师、主管、家长和辅助工作人员进行了定性访谈(n=18)和焦点小组(n=9),以确定社会生态模式(个体、关系、社区、社会)各个层面的风险和保护因素。使用内容分析和 F4 分析软件,两名编码员确定了反复出现的主题。
个体教师具有弹性,更关注孩子的幸福,而不是自己的幸福。家庭既是重要的支持也是压力源。社区面临着毒品和酒精滥用以及无家可归的问题,这是最常见的压力源。工作场所的支持包括主管和他们之间的指导关系。以传统文化习俗、祈祷和基督教信仰形式表现出的宗教信仰是重要的支持和幸福的来源。
本文深入探讨了基于保留地的“Head Start”教师的压力和应对机制,确定了保护和促进他们健康和幸福的方法。在社会生态模式的各个层面提供支持,对于使这些教师能够加强他们的身心健康,并支持 Head Start 的儿童和家庭,从而整体上加强美洲原住民的健康,是非常重要的。