School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD 4006, Australia.
Yardhura Walani, The Australian National University, Canberra, ACT 2601, Australia.
Int J Environ Res Public Health. 2024 Sep 13;21(9):1208. doi: 10.3390/ijerph21091208.
Despite the increasing overrepresentation of Aboriginal and Torres Strait Islander (hereafter respectfully referred to as First Nations) children living in out-of-home care (OOHC) in Australia, little is known about their wellbeing needs. This comprehensive literature review aimed to identify these needs and the features of care required to meet them.
MEDLINE, CINAHL, Scopus, Informit, PsycINFO, and Embase databases and relevant grey literature were searched from inception to December 2023 for articles presenting qualitative accounts and perspectives relevant to the wellbeing needs of First Nations children in OOHC. These included reports from First Nations children in OOHC; First Nations adults with lived experience of OOHC; carers, caseworkers, and organizational stakeholders; and First Nations community members with relevant lived and/or professional experience. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Braun and Clarke's reflexive thematic analysis method for data analysis.
Thirty-five articles (19 peer-reviewed, 16 grey literature) met the inclusion criteria. Our analysis revealed six wellbeing needs of First Nations children in OOHC: . A range of features of OOHC were also identified as critical for supporting these needs.
Our findings suggest that First Nations children in OOHC have unique wellbeing needs in addition to safety, security, and health. Attention to the development and maintenance of social and cultural connections is an important concern that must be addressed by OOHC providers (caseworkers and organizations) and carers and supported by OOHC policy and the associated systems in Australia as part of providing culturally safe and supportive care.
尽管澳大利亚生活在机构照料（OOHC）中的原住民和托雷斯海峡岛民（以下简称第一民族）儿童的代表性越来越高，但他们的福利需求知之甚少。这项全面的文献综述旨在确定这些需求以及满足这些需求所需的护理特点。
从开始到 2023 年 12 月，在 MEDLINE、CINAHL、Scopus、Informit、PsycINFO 和 Embase 数据库以及相关灰色文献中搜索了与生活在 OOHC 中的第一民族儿童福利需求相关的定性描述和观点的文章。这些文章包括生活在 OOHC 中的第一民族儿童的报告；有 OOHC 生活经历的第一民族成年人；照顾者、案件工作者和组织利益相关者；以及具有相关生活和/或专业经验的第一民族社区成员。我们使用了系统评价和荟萃分析的首选报告项目（PRISMA）指南和 Braun 和 Clarke 的反思性主题分析方法进行数据分析。
35 篇文章（19 篇同行评议，16 篇灰色文献）符合纳入标准。我们的分析揭示了生活在 OOHC 中的第一民族儿童的六种福利需求：。还确定了一系列 OOHC 的特点，这些特点对于支持这些需求至关重要。
我们的研究结果表明，生活在 OOHC 中的第一民族儿童除了安全、保障和健康之外，还有独特的福利需求。关注社会和文化联系的发展和维护是一个重要的关注点，必须由 OOHC 提供者（案件工作者和组织）和照顾者来解决，并得到澳大利亚的 OOHC 政策和相关系统的支持，作为提供文化上安全和支持性护理的一部分。
