Improving Cultural Safety of Diabetes Care in Indigenous Populations of Canada, Australia, New Zealand and the United States: A Systematic Rapid Review
| Autor: | Maman Joyce Dogba, Teegwendé V. Porgo, Marie-Claude Tremblay, Johann M. I. Graham, Jean-Sébastien Paquette, Emmanuelle Careau, Holly O. Witteman |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Canada Cultural safety Endocrinology Diabetes and Metabolism Health Personnel Psychological intervention MEDLINE 030209 endocrinology & metabolism CINAHL Indigenous 03 medical and health sciences 0302 clinical medicine Endocrinology Population Groups Health care Internal Medicine medicine Diabetes Mellitus Humans 030212 general & internal medicine Cultural Competency business.industry Clinical study design Australia General Medicine Prognosis United States Family medicine Workforce business Delivery of Health Care New Zealand |
| Zdroj: | Canadian journal of diabetes. 44(7) |
| ISSN: | 2352-3840 |
| Popis: | Objective To identify interventions that improve cultural safety for Indigenous people living with diabetes in the health care setting, and their potential impact on patients and health care professionals. Methods Using a systematic approach, we conducted a rapid review of quantitative, qualitative and mixed studies between January 2000 and February 2018 in Medline, Embase, Web of Science, ERIC, CINAHL, and PsycINFO. Two reviewers independently identified, selected and reviewed studies relating to cultural safety in diabetes care for Indigenous populations in Canada, New Zealand, Australia, and the USA. Results Out of the 406 studies identified, we retained 7 articles (2 strong quality, 5 moderate quality) for analysis. Included studies evaluated three main types of strategies to improve cultural safety: educating health professionals, fostering culturally safe practices by modifying clinical environments, and integrating Indigenous health professionals in the workforce. Studies showed that culturally safe interventions had positive effects on clinical outcomes for patients, increased patient’s satisfaction and health professional confidence in providing care, as well as patient access to health care. Conclusions While based on a small number of studies, the review establishes moderate evidence that interventions to improve cultural safety can have positive effects on the treatment of diabetes in Indigenous populations. Further research with stronger study designs should be conducted to further validate the present conclusions. |
| Databáze: | OpenAIRE |
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