A call for culture-centred care: exploring health workers' perspectives of positive care experiences and culturally responsive care provision to Aboriginal women and their infants in mainstream health in South Australia

Health Research Policy and Systems

Research

Carolyn Gregoric¹  Nina Sivertsen²  Janiene Deverix³  Julian Grant⁴ 

[1] Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, 5001, Adelaide, SA, Australia;Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, 5001, Adelaide, SA, Australia;Department of Health and Care Sciences, UiT Arctic University of Norway, Campus Hammerfest/Kautokeino, Tromsø, Norway;Child and Family Health Service, Women’s Children’s Health Network, 295 South Terrace, 5000, Adelaide, SA, Australia;School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Panorama Ave, 2795, Bathurst, NSW, Australia;

关键词: Continuity of care;    Aboriginal;    Maternal–child health;    Prenatal care;    Antenatal care;    Infant;    First nations health;    Health systems;    Health services;   

DOI  :  10.1186/s12961-022-00936-w

 received in 2022-06-16, accepted in 2022-11-09,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundAboriginal women and their infants experience significant disadvantage in health outcomes compared to their non-Aboriginal counterparts. Access to timely, effective, and appropriate maternal and child health care can contribute to reducing these existing health disparities. This research sought to explore factors that contribute to continuity of care for Aboriginal women and their infants living in metropolitan South Australia. This paper reports on the perspectives of health care workers in mainstream health services from the antenatal period to the end of an infants’ second birthday. It explores health workers’ perspectives of what contributes to positive care experiences and satisfaction with care provided to Aboriginal women and their infants in mainstream health.MethodsEight focus groups were held with 52 health professionals. Participants included Aboriginal Cultural Child and Family Support Consultants (n = 7), Aboriginal Maternal Infant Care Workers (n = 3), Midwives (n = 3) and Child and Family Nurses (n = 39). Data was inductively coded and thematically analysed.ResultsThree key themes emerged: the system takes priority, culture is not central in approaches to care, and ‘we’ve got to be allowed to do it in a different way’.ConclusionsThis research highlights a lack of continuity of care for Aboriginal families accessing mainstream health services from the antenatal period through to an infants’ first 1000 days of life. This research has implications for communities, and it calls for strategies to enhance continuity, and healthcare services to provide appropriate and culturally safe care. Findings will inform and guide future changes to improve continuity of care for Aboriginal families and infants in the first 1000 days.

【 授权许可】

CC BY   
© The Author(s) 2022

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