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首页> 外文期刊>Australian journal of primary health >The power of talk and power in talk: a systematic review of Indigenous narratives of culturally safe healthcare communication
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The power of talk and power in talk: a systematic review of Indigenous narratives of culturally safe healthcare communication

机译：谈话中谈话和权力的力量：对文化安全医疗沟通的土着叙事的系统审查

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摘要

The study aimed to explore Indigenous narrative accounts of healthcare access within qualitative research papers, to better understand Indigenous views on culturally safe healthcare and health communication represented in that literature. A systematic literature review of peer-reviewed academic qualitative studies identified 65 papers containing Indigenous respondents' views on accessing healthcare. Analysis included all Indigenous voice (primary quotations) and author findings describing healthcare access across these studies. Healthcare communication, or 'talk', emerged as a key theme. Indigenous clients valued talk within healthcare interactions; it was essential to their experience of care, having the power to foster relationships of trust, strengthen engagement and produce positive outcomes. By mediating the power differentials between health professionals and Indigenous clients, talk could either reinforce powerlessness, through judgmental down-talk, medical jargon or withholding of talk, or empower patients with good talk, delivered on the client's level. Good talk is a critical ingredient to improving Indigenous accessibility and engagement with healthcare services, having the ability to minimise the power differentials between Indigenous clients and the healthcare system.
机译：该研究旨在探讨定性研究论文中医疗保健机会的土着叙事叙述，更好地了解在该文献中代表的文化安全医疗保健和健康沟通的土着看法。对同行评审的学术定性研究的系统文献综述确定了有关接受医疗保健的土着受访者的65篇论文。分析包括描述这些研究中医疗机会的所有土着语音（主要报价）和作者调查结果。医疗沟通或“谈话”，作为一个关键主题。土着客户在医疗保健互动中讨论谈话;对他们的护理经验至关重要，具有促进信任关系，加强参与和产生积极成果的关系。通过调解卫生专业人员和土着客户之间的权力差异，通过判断唐谈，医学行话或扣除谈判，或者在客户的水平上提供良好的患者，可以加强无能为力。良好的谈话是提高土着可访问性和与医疗保健服务的接触的关键成分，能够最大限度地减少土着客户和医疗保健系统之间的权力差异。

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