Bennett Jessica, Bryant Jamie, Booth Kade, Kennedy Michelle
School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia.
John Hunter Children's Hospital, Hunter New England Health, New Lambton Heights, NSW 2305, Australia.
Int J Environ Res Public Health. 2025 Apr 3;22(4):554. doi: 10.3390/ijerph22040554.
Aboriginal parents experience neonatal intensive care settings at a higher rate than non-Indigenous parents. We sought to explore Aboriginal parents' experiences of having a gaaynggal (baby) admitted to a neonatal intensive care unit (NICU) in order to improve culturally safe neonatal care environments. The yarning method was used to collect the qualitative data of 15 Aboriginal parents' stories. Thematic analysis and collaborative yarning were used to determine themes. The themes emerging from the stories included Trauma and its triggers in the NICU; Aboriginal cultural caring practices are not upheld in the NICU; Covert racism and biases impact culturally safe experiences; Health provider communication can obstruct parents' experience of cultural safety; and Recommendations to uphold culturally safe care in NICU. Culturally safe care practices have been identified as needed, to improve cultural safety in neonatal settings. Through further education and training, the facilitation of Aboriginal family connections and support groups, culturally inclusive spaces for parents and their kinship systems, and increasing Aboriginal staff representations across all levels of health professional experience, cultural safety for Aboriginal parents and gaaynggal can be increased.
原住民父母进入新生儿重症监护病房的比例高于非原住民父母。我们试图探索原住民父母在孩子（婴儿）入住新生儿重症监护病房（NICU）时的经历，以改善具有文化安全性的新生儿护理环境。采用了交流访谈法收集15位原住民父母故事的定性数据。通过主题分析和协作式交流访谈来确定主题。这些故事中出现的主题包括：NICU中的创伤及其触发因素；NICU中未遵循原住民文化关怀做法；隐性种族主义和偏见影响文化安全体验；医疗服务提供者的沟通会妨碍父母的文化安全体验；以及在NICU中坚持文化安全护理的建议。已确定需要采取具有文化安全性的护理措施，以提高新生儿护理环境中的文化安全性。通过进一步的教育和培训、促进原住民家庭联系和支持团体、为父母及其亲属系统提供具有文化包容性的空间，以及增加各级医疗专业经验中原住民工作人员的比例，可以提高原住民父母和婴儿的文化安全性。
