原住民和/或托雷斯海峡岛民助产专业学生及助产士有哪些经历？一项范围综述。
What are the experiences of Aboriginal and/or Torres Strait Islander midwifery students and midwives? A scoping review.
作者信息
Hartz Donna L, Coleman Renae, Butcher Stacey, McGrath Leona, Buzzacott Cherisse, Williams Karel, Coe Angela, Kosiak Machelee
机构信息
Western Sydney University, Australia; Western Sydney Local Health District, Australia; Rhodanthe Lipsett Indigenous Midwifery Trust, Australia; Molly Wardaguga Research Institute, Charles Darwin University, Australia.
Western Sydney University, Australia; Rhodanthe Lipsett Indigenous Midwifery Trust, Australia.
出版信息
Women Birth. 2025 Jan;38(1):101856. doi: 10.1016/j.wombi.2024.101856. Epub 2025 Jan 2.
BACKGROUND
Aboriginal and/or Torres Strait Islander midwives are underrepresented within the midwifery workforce and is likely compounded by lower graduate rates. This review is a part of the Midwifery Futures Project. It explores the experiences of Aboriginal and/or Torres Strait Islander midwives and midwifery students to illuminate issues impacting work and study and uncover successful strategies towards addressing current disparities.
METHODS
A scoping review was guided by the Joanna Briggs Institute framework. Literature searching identified 1311 papers. Eleven papers, four qualitative research studies, and seven grey papers met the inclusion criteria: published academic journals, book publishers or key professional organisations; focused on the professional experiences of Aboriginal and/or Torres Strait Islander midwives or the learning experiences; written in English; and published 2004 onwards (inclusive). The papers were analysed using inductive thematic analysis.
RESULTS
Three interconnected themes emerged: connection and kinship, racism and balancing responsibilities.
CONCLUSION
Culture, connection and kinship are foundational in providing experiences for Aboriginal and/or Torres Strait Islander midwives and midwifery students that are clinically and academically transformational, culturally safe and promote resilience for Aboriginal and/or Torres Strait Islander midwives and midwifery students. Midwives and midwifery students need to connect with each other and value working with Aboriginal and/or Torres Strait Islander women, clinicians and academics. Strategies that balance work, study and life responsibilities promote retention and resilience. Clinical, work and study contexts must be culturally safe by respecting and embracing Aboriginal and/or Torres Strait Islander cultures and actively opposing racism in the personal, Community and organisational interfaces.
背景
在助产士劳动力队伍中，原住民和/或托雷斯海峡岛民助产士的代表性不足，而较低的毕业率可能使这一情况更加严重。本综述是助产士未来项目的一部分。它探讨了原住民和/或托雷斯海峡岛民助产士及助产专业学生的经历，以阐明影响工作和学习的问题，并揭示解决当前差距的成功策略。
方法
一项范围综述以乔安娜·布里格斯研究所的框架为指导。文献检索共识别出1311篇论文。11篇论文、4项定性研究和7篇灰色文献符合纳入标准：发表于学术期刊、图书出版商或主要专业组织；聚焦于原住民和/或托雷斯海峡岛民助产士的专业经历或学习经历；用英文撰写；2004年及以后发表（含2004年）。使用归纳主题分析法对这些论文进行分析。
结果
出现了三个相互关联的主题：联系与亲属关系、种族主义以及平衡责任。
结论
文化、联系和亲属关系是为原住民和/或托雷斯海峡岛民助产士及助产专业学生提供临床和学术变革性、文化安全且能增强其复原力的经历的基础。助产士和助产专业学生需要相互联系，并重视与原住民和/或托雷斯海峡岛民女性、临床医生及学者合作。平衡工作、学习和生活责任的策略有助于留住人才并增强复原力。临床、工作和学习环境必须通过尊重和接纳原住民和/或托雷斯海峡岛民文化，并在个人、社区和组织层面积极反对种族主义，从而实现文化安全。
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