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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Cultural Security Is an On-Going Journey… Exploring Views from Staff Members on the Quality and Cultural Security of Services for Aboriginal Families in Western Australia
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Cultural Security Is an On-Going Journey… Exploring Views from Staff Members on the Quality and Cultural Security of Services for Aboriginal Families in Western Australia

机译：文化安全是一场旅行......探索工作人员对西澳大利亚西澳大利亚土着家庭服务质量和文化安全的意见

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Cultural security is a key element of accessible services for Indigenous peoples globally, although few studies have examined this empirically. We explored the scope, reach, quality, and cultural security of health and social services available to Aboriginal and/or Torres Strait Islander families in Western Australia (WA), from the point of view of staff from the services. We recruited staff from health and social services for Aboriginal people in the Perth, Kalgoorlie, Great Southern, and South West regions of WA between December 2015 and September 2017 to complete online surveys. We examined the proportions of participants that responded saying the service was culturally secure, the reasons for the response, and perceived factors related to a high-quality service. Sixty participants from 21 services responded to the survey. Seventy-three percent stated the service was culturally secure; however, only 36% stated that the staff employed at the service had sufficient knowledge on cultural security. Participants suggested having Aboriginal staff and better cultural awareness training as methods to improve cultural security within the service. Participants highlighted that staffing, funding for resources, and patient financial difficulties in accessing care as key areas for quality improvement. Much greater effort is required in improving knowledge through on-going training of staff in the practice of culturally safe care. Organisations must also be required to meet specific standards in cultural safety.
机译：文化安全是全球土着人民可访问的服务的关键因素，尽管很少有研究已经凭经验审查了这一目标。我们从服务员的角度来看，我们探讨了原住民和/或托雷斯海峡岛民家庭的健康和社会服务的范围，覆盖，质量和文化安全性。 2015年12月至2017年12月在2017年12月至2017年9月，我们招募了来自珀斯，Kalgoorlie，伟大的南部和南部的南部和南部西部地区的土着人民的卫生和社会服务。我们审查了答复的参与者的比例，答复说服务在文化上安全，反应的原因，以及与高质量服务相关的感知因素。来自21项服务的六十名参与者回应了调查。七十三个百分之表示，该服务在文化上是安全的;但是，只有36％的人表示，该服务的工作人员对文化安全有足够的了解。参与者建议具有土着人员和更好的文化意识培训作为改善服务内部文化安全的方法。与会者强调，为资源提供资金，资助资金，以及耐心财务困难，以护理为关键领域以质量改进。在进行文化安全护理的实践中，通过持续培训工作人员来提高知识需要更大的努力。还必须需要组织以满足文化安全的特定标准。

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