Livingston Gabrielle, Grant Julian, Sengstock Brian
Charles Sturt University, 7 Major Innes Drive, Port Macquarie, NSW, Australia.
Charles Sturt University, Panorama Avenue, Bathurst, NSW, Australia.
BMC Health Serv Res. 2025 May 6;25(1):647. doi: 10.1186/s12913-025-12813-7.
Aboriginal and Torres Strait Islander peoples experience persistent disadvantage and health inequity in today's society. It is widely accepted that this is resultant of Australia's colonial history. Current literature suggests that an increase in culturally safe care may assist in bettering the health outcomes of Aboriginal and Torres Strait Islander recipients of care. Research in nursing has suggested that cultural safety is largely misunderstood, however, there is no research into paramedic understanding of this approach.
A qualitative descriptive design was adopted for this pilot study. Semi-structured interviews were held with six paramedics from December 2022 - February 2023. Interviews were transcribed verbatim, and data was analysed using reflexive thematic analysis. Findings were then critiqued against the cultural safety framework and the democratic racism framework.
Data identified four major themes; characteristics of being culturally safe, approaches to clinical practice, inferiority stereotyping and education.
Limited understanding of cultural safety was identified in participant voices. Participants did not display critical cultural reflection, and instead discourses within a democratic racism framework were present. This suggests that for this small qualitative study, paramedic practice is not underpinned by the principles of cultural safety, thus questioning the provision of culturally safe care.
在当今社会，原住民和托雷斯海峡岛民一直处于不利地位且面临健康不平等问题。人们普遍认为，这是澳大利亚殖民历史造成的结果。当前文献表明，增加文化安全护理可能有助于改善原住民和托雷斯海峡岛民护理接受者的健康状况。护理领域的研究表明，文化安全在很大程度上被误解了，然而，对于护理人员对这种方法的理解却没有相关研究。
本试点研究采用定性描述性设计。2022年12月至2023年2月期间，对六名护理人员进行了半结构化访谈。访谈内容逐字转录，并使用反思性主题分析法对数据进行分析。然后根据文化安全框架和民主种族主义框架对研究结果进行批判。
数据确定了四个主要主题；文化安全的特征、临床实践方法、自卑刻板印象和教育。
从参与者的表述中可以看出，他们对文化安全的理解有限。参与者没有表现出批判性的文化反思，而是出现了民主种族主义框架内的话语。这表明，对于这项小型定性研究而言，护理人员的实践并非以文化安全原则为基础，从而对提供文化安全护理提出了质疑。
