Contemporary nursePub Date : 2023-08-01Epub Date: 2023-11-30DOI: 10.1080/10376178.2023.2276718
Erin J Rooney, Rhonda L Wilson, Amanda Johnson
{"title":"Integration of traditional therapies for first nations people within western healthcare: an integrative review.","authors":"Erin J Rooney, Rhonda L Wilson, Amanda Johnson","doi":"10.1080/10376178.2023.2276718","DOIUrl":"10.1080/10376178.2023.2276718","url":null,"abstract":"<p><strong>Aims: </strong>To conduct an integrative literature review to reveal any evidence supportive of the integration of traditional therapies for First Nations peoples in Australia within a western healthcare model, and to identify which, if any, of these therapies have been linked to better health outcomes and culturally safe and appropriate care for First Nations peoples. If so, are there indications by First Nations peoples in Australia that these have been effective in providing culturally safe care or the decolonisation of western healthcare practices.</p><p><strong>Design: </strong>Integrative literature review of peer-reviewed literature.</p><p><strong>Data sources: </strong>Online databases searched included CINAHL, Medline, Scopus, ScienceDirect InformitHealth, and ProQuest.</p><p><strong>Review methods: </strong>Databases were searched for papers with full text available and published in English with no date parameter set. The PRISMA guidelines were used during the literature review and the literature was critiqued using the Critical Appraisal Skills tool.</p><p><strong>Results: </strong>Seven articles met the inclusion criteria and were included in the review. Four articles selected were qualitative, two used a mixed method design, and one used a quantitative method. Six themes arose: (i) bush medicine, (ii) traditional healers, (iii) traditional healing practices, (iv) bush tucker, (v) spiritual healing, and (vi) therapies that connected to cultures such as yarning and storytelling.</p><p><strong>Conclusion: </strong>There is limited literature discussing the use of traditional therapies in Western healthcare settings. A need exists to include traditional therapies within a Western healthcare system. Creating a culturally safer and appropriate healthcare experience for First Nations people in Australia and will contribute to advancement in the decolonisation of current healthcare models.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"294-310"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Contemporary nursePub Date : 2023-08-01Epub Date: 2023-11-30DOI: 10.1080/10376178.2023.2259495
Chia-Mei Tsai, Tzu-Chi Hsu, Chia-Jung Hsieh
{"title":"A virtual reality intervention to improve formal caregivers' understanding of community-dwelling people with dementia: a pilot study.","authors":"Chia-Mei Tsai, Tzu-Chi Hsu, Chia-Jung Hsieh","doi":"10.1080/10376178.2023.2259495","DOIUrl":"10.1080/10376178.2023.2259495","url":null,"abstract":"<p><strong>Background: </strong>The optimum approach to enhance the understanding toward dementia is to experience how patients feel as they experience the manifestations of the disease. The application of virtual reality (VR) and relevant innovative technologies for developing caregiver training programs allows caregivers to better understand dementia and empathize with patients.</p><p><strong>Objectives: </strong>To develop a VR-based experiential training course on individualized care for the behavioral and psychological symptoms of dementia (BPSD).</p><p><strong>Methods: </strong>The participants were caregivers of patients with dementia. They assessed the usability of the VR product after the intervention and the VR experience as a preliminary measure of the effectiveness of the intervention using a usability scale and a self-reported appraisal scale, respectively.</p><p><strong>Results and conclusion: </strong>Ten in-service and in-home caregivers completed the VR training course. The course yielded a usability score of 74.06 points, indicating excellent usability. The content validity index (CVI) of the self-reported VR experience appraisal scale ranged from 0.8-1, scale-level CVI was 0.81, and reliability (Cronbach's α) was 0.929. The mean score of the overall scale was 4.67 ± 0.33. These findings suggest that the VR-based experiential training course enabled the home caregivers to deepen their understanding of the BPSD shown by community-dwelling patients and, therefore, to provide better care services. The course developed in this study is the first VR course directed toward dementia care in Taiwan. Given its excellent usability, as well as the effectiveness of the VR experience appraisal scale for deepening the caregivers' skills in managing patients' BPSD symptoms, the course can be promoted and applied in caregiver training programs for dementia in the future.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"334-343"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Contemporary nursePub Date : 2023-08-01Epub Date: 2023-11-30DOI: 10.1080/10376178.2023.2271576
Ali Moloney, Lynne Stuart, Yingyan Chen, Frances Lin
{"title":"Healthcare professionals' cultural safety practices for indigenous peoples in the acute care setting - a scoping review.","authors":"Ali Moloney, Lynne Stuart, Yingyan Chen, Frances Lin","doi":"10.1080/10376178.2023.2271576","DOIUrl":"10.1080/10376178.2023.2271576","url":null,"abstract":"<p><strong>Background: </strong>For Indigenous Peoples the disparities in health status are largely associated with the direct social determinants of invasion and colonisation, marginalisation, intergenerational traumas, and lack of conscious government policy to address these ongoing effects. There is currently limited evidence in the literature on what Cultural Safety practices mean in acute care settings.</p><p><strong>Objective: </strong>We aimed to understand the extent and type of evidence in relation to current knowledge and evidence regarding Cultural Safety practices for Indigenous Peoples in acute care settings.</p><p><strong>Design: </strong>This is a scoping review.</p><p><strong>Methods: </strong>We searched six databases in consultation with a librarian experienced in health research.</p><p><strong>Results: </strong>A total of 16 papers were included in the scoping review. Four main barriers to Cultural Safety in practice were identified; Among the included studies, only one quality improvement study reported an intervention, which improved culturally safe care.</p><p><strong>Conclusion: </strong>The four barriers identified each have a variable impact on Indigenous Peoples' health outcomes and are dependent upon the circumstances and experiences of both Indigenous Peoples and healthcare professionals.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"272-293"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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