Cultural safety in telehealth consultations with Indigenous people: A scoping review of global literature

Terrill, Kirsty, Woodall, Hannah, Evans, Rebecca, Sen Gupta, Tarun, Ward, Raelene, and Brumpton, Kay (2024) Cultural safety in telehealth consultations with Indigenous people: A scoping review of global literature. Journal of Telemedicine and Telecare. (In Press)

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Introduction: Telehealth has become increasingly routine within healthcare and has potential to reduce barriers to care, including for Indigenous populations. However, it is crucial for practitioners to first ensure that their telehealth practice is culturally safe. This review aims to describe the attributes of culturally safe telehealth consultations for Indigenous people as well as strategies that could promote cultural safety.

Methods: A scoping review was conducted on key features of cultural safety in telehealth for Indigenous people using the Johanna Briggs Institute (JBI) guidelines and PRISMA-ScR checklist. Five electronic databases were searched, and additional literature was identified through handsearching.

Results: A total of 649 articles were screened resulting in 17 articles included in the review. The central themes related to the provision of culturally safe telehealth refer to attributes of the practitioner: cultural and community knowledge, communication skills and the building and maintenance of patient–provider relationships. These practitioner attributes are modified and shaped by external environmental factors: technology, the availability of support staff and the telehealth setting.

Discussion: This review identified practitioner-led features which enhance cultural safety but also recognised the structural factors that can contribute, both positively and negatively, to the cultural safety of a telehealth interaction. For some individuals, telehealth is not a comfortable or acceptable form of care. However, if strategies are undertaken to make telehealth more culturally safe, it has the potential to increase opportunities for access to care and thus contribute towards reducing health inequalities faced by Indigenous peoples.

Item ID: 80879
Item Type: Article (Research - C1)
ISSN: 1758-1109
Keywords: cultural safety, Indigenous peoples, scoping review, telehealth
Copyright Information: © The Author(s) 2023
Date Deposited: 31 Oct 2023 02:13
FoR Codes: 45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450409 Aboriginal and Torres Strait Islander health services @ 50%
42 HEALTH SCIENCES > 4203 Health services and systems > 420399 Health services and systems not elsewhere classified @ 50%
SEO Codes: 20 HEALTH > 2002 Evaluation of health and support services > 200208 Telehealth @ 50%
21 INDIGENOUS > 2103 Aboriginal and Torres Strait Islander health > 210399 Aboriginal and Torres Strait Islander health not elsewhere classified @ 50%
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