Arnold-Ujvari Melissa, Rix Elizabeth, O'Donnell Kim, Kelly Janet
Adelaide Nursing School, Faculty of Health and Medical Sciences, University of Adelaide, North Terrace, Adelaide, South Australia, Australia.
J Ren Care. 2025 Jun;51(2):e70023. doi: 10.1111/jorc.70023.
First Nations People receive clinical care by renal staff who may or may not have had access to cultural education. If they have, what this education involves and if it has been co-designed with First Nations People is unknown.
Conduct a scoping review to examine the range and types of cultural education provided to clinical and professional (nonclinical) renal staff caring for First Nations People in Australia and similarly other colonized countries {Aotearoa/New Zealand (NZ), Canada, and North America}.
Using the JBI methodology for scoping reviews a systematic search of 11 database (Australian Indigenous Health InfoNet, Scopus, APAIS-ATSIS (Informit), CINAHL (EBSCO), Embase (Ovid), Medline (Ovid), Health & Medical Collection (Proquest), Nursing & Allied Health Database (Proquest), Psychology Database (Proquest), Public Health Database (Proquest), and Sociology Database (Proquest) was undertaken. The search included studies published in English from January 1992 to September 2024.
Nineteen papers met the scoping review criteria identifying multiple barriers and effective staff cultural education in renal settings. Sixteen papers were from Australia. Only three papers undertook both cultural education and evaluation. Cultural safety emerged as an education and clinical approach increasingly used internationally to inform positive effects on both care recipients (First Nations People with kidney disease) and staff participants.
There is limited published literature regarding renal-specific cultural education for kidney care staff working with First Nations People. The extent to which First Nations recipients of care have been involved and education effectiveness evaluated is not evident.
原住民接受肾脏科工作人员提供的临床护理，这些工作人员可能接受过文化教育，也可能没有。如果他们接受过，这种教育的内容以及是否与原住民共同设计尚不清楚。
进行一项范围综述，以研究向澳大利亚以及其他类似的殖民地国家（新西兰、加拿大和北美）照顾原住民的临床和专业（非临床）肾脏科工作人员提供的文化教育的范围和类型。
采用JBI范围综述方法，对11个数据库（澳大利亚原住民健康信息网、Scopus、APAIS - ATSIS（Informit）、CINAHL（EBSCO）、Embase（Ovid）、Medline（Ovid）、健康与医学合集（Proquest）、护理与联合健康数据库（Proquest）、心理学数据库（Proquest）、公共卫生数据库（Proquest）和社会学数据库（Proquest））进行系统检索。检索范围包括1992年1月至2024年9月以英文发表的研究。
19篇论文符合范围综述标准，确定了肾脏护理环境中的多种障碍和有效的工作人员文化教育。16篇论文来自澳大利亚。只有3篇论文同时进行了文化教育和评估。文化安全作为一种教育和临床方法，在国际上越来越多地被采用，以对护理接受者（患有肾脏疾病的原住民）和工作人员参与者产生积极影响。
关于为照顾原住民的肾脏护理人员提供的肾脏专科文化教育的已发表文献有限。原住民护理接受者的参与程度和教育效果评估情况并不明显。
