Paisley Kate, Sadler Sean, West Wiradjuri Matthew, Gerrard James, Wilson Wiradjuri Rhonda, Searle Angela, Chuter Vivienne
Discipline of Podiatry, University of Newcastle, Darkinjung (Ourimbah), New South Wales, Australia.
Discipline of Podiatry, School of Health Science, Western Sydney University, Dharawal (Campbelltown), New South Wales, Australia.
J Foot Ankle Res. 2024 Dec;17(4):e70017. doi: 10.1002/jfa2.70017.
Collective evaluation of studies assessing students' self-perceived cultural capability following clinical placement is required to help inform future cultural capability training for both university and healthcare service environments. Therefore, the aim of this systematic review was to evaluate studies investigating health professional students' self-perceived cultural capability following participation in a clinical placement with First Nations Peoples.
Electronic database searchers were conducted in MEDLINE, EMBASE, AMED, PsychINFO, Pubmed, CINAHL and Informit. Hand Searches of grey literature were conducted including Lowitja institute, Australian Indigenous HealthInfoNet, Menzies School of Health Research, Services for Australian Rural and Remote Allied Health, and the Australian Institute of Health and Welfare. Studies published in English that investigated health professional students' self-perceived cultural capability before and after clinical placement undertaken with First Nations people in Australia were eligible for inclusion. Two authors independently screened potentially eligible studies and performed quality appraisal and data extraction.
A total of 14 studies were included (n = 307 participants). Studies included undergraduate students from podiatry, medicine, nursing, pharmacy, and mixed health professions. The results of this systematic review suggest that clinical placements in health services or settings for Aboriginal and Torres Strait Islander Peoples that involve elements of co-design are effective in increasing aspects of health professional students' self-perceived cultural capability. This outcome was consistent across studies regardless of the location of clinical placements (urban or rural), type of clinical placement (health setting or Community), or length of placement.
The findings from this systematic review suggest that clinical placement in health services or settings for Aboriginal and Torres Strait Islander Peoples may contribute to increased self-perceived cultural capability in health professions graduates. However, the impact of the placements on the cultural safety of student-led care, from a First Nations perspective, remains to be established.
需要对评估学生在临床实习后自我感知的文化能力的研究进行综合评价，以为大学和医疗服务环境未来的文化能力培训提供参考。因此，本系统评价的目的是评估调查健康专业学生在与原住民进行临床实习后自我感知的文化能力的研究。
在MEDLINE、EMBASE、AMED、PsychINFO、Pubmed、CINAHL和Informit数据库中进行电子检索。对手稿进行手工检索，包括洛维贾研究所、澳大利亚土著健康信息网、孟席斯健康研究学院、澳大利亚农村和偏远联合健康服务机构以及澳大利亚卫生与福利研究所。纳入以英文发表的、调查澳大利亚健康专业学生在与原住民进行临床实习前后自我感知的文化能力的研究。两位作者独立筛选潜在符合条件的研究，并进行质量评估和数据提取。
共纳入14项研究（n = 307名参与者）。研究包括来自足病学、医学、护理学、药学和综合健康专业的本科生。本系统评价的结果表明，在涉及共同设计元素的原住民和托雷斯海峡岛民的卫生服务或环境中进行临床实习，可有效提高健康专业学生自我感知的文化能力的各个方面。无论临床实习地点（城市或农村）、临床实习类型（卫生机构或社区）或实习时长如何，各项研究的这一结果均一致。
本系统评价的结果表明，在为原住民和托雷斯海峡岛民提供的卫生服务或环境中进行临床实习，可能有助于提高卫生专业毕业生自我感知的文化能力。然而，从原住民的角度来看，这些实习对学生主导护理的文化安全性的影响仍有待确定。
