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Journal article
Understanding the needs and preferences for cancer care among First Nations people: An integrative review
Journal of advanced nursing, Vol.80(5), pp.1776-1812
2024
PMID: 38018290
Abstract
Aim
This systematic review aimed to identify the needs and preferences for cancer care services among Australian First Nations people.
Design
Integrative review.
Data Sources
An integrative review was conducted. A wide range of search terms were used to increase the sensitivity and specificity of the searches in electronic databases. Methodological quality assessment, data extraction, was conducted independently by two reviewers, and a narrative synthesis was conducted.
Results
Forty-two studies were included. A total of 2965 Australian First Nations adults, both men and women of various ages across the lifespan, were represented; no First Nations children affected by cancer were represented in the studies. Three themes emerged which included: (1) discrimination, racism and trauma, resulting from colonization, directly impacted First National people's cancer care experience; (2) cultural ways of knowing, being and doing are fundamental to how First Nations people engage with cancer care services; and (3) First Nations people need culturally safe person-centred cancer care services that address practical needs.
Conclusion
Most participants represented in this review experienced discrimination, racism and trauma, resulting from colonization, which directly negatively impacted Aboriginal peoples' cancer care experience. While the Optimal Cancer Pathway (OCP) was launched in Australia several years ago, people with cancer may continue to experience distressing unmet care needs.
Patient or Public Contribution
Our team includes both First Nations people, non-First Nations researchers and healthcare professionals with expertise in cancer care. The researchers employed decolonizing restorative approaches to ensure voice, respect, accountability and reciprocity in this review work.
Implications for Nursing Practice
Members of the multidisciplinary team including nurses and policymakers should reflect on these findings, ensure that they have up-to-date cultural safety training and stand together with Indigenous and non-Indigenous cancer leaders to take proactive steps to stamp out and dismantle oppression in health, and safely implement the OCP.
Details
- Title
- Understanding the needs and preferences for cancer care among First Nations people: An integrative review
- Authors/Creators
- C. Paterson - Flinders UniversityChris Roberts - University of CanberraJ. Blackburn - University of CanberraN. Jojo - University of CanberraH. L. Northam - University of CanberraE. Wallis - University of CanberraA. Hind - University of CanberraRebecca CaulfieldM. Barratt - ACT GovernmentK. Toohey - University of CanberraP.S. Kavanagh - University of CanberraR. Bacon - University of CanberraR. L. Wilson - Gosford Hospital
- Publication Details
- Journal of advanced nursing, Vol.80(5), pp.1776-1812
- Publisher
- John Wiley & Sons Ltd.
- Number of pages
- 37
- Identifiers
- 991005810545307891
- Copyright
- © 2023 The Authors.
- Murdoch Affiliation
- School of Nursing
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.119 Breast Cancer Scanning
- 1.119.454 Screening Disparities
- Web Of Science research areas
- Nursing
- ESI research areas
- Clinical Medicine