Meechan, Elizabeth, Geia, Lynore, Taylor, Marayah, Murray, Donna, Stothers, Kylie, Gibson, Paul, Devine, Sue, and Barker, Ruth (2024) Culturally responsive occupational therapy practice with First Nations Peoples—A scoping review. Australian Journal of Rural Health. (In Press)

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Abstract

Introduction: First Nations Peoples consistently demonstrate strength and resilience in navigating systemic health care inequities. Acknowledging racism as a health determinant underscores the urgent need for a counterforce—cultural safety. Indigenous Allied Health Australia (IAHA) contends that with cultural responsiveness, the health workforce can take action to create a culturally safe environment.

Objective: To explore features of culturally responsive occupational therapy (OT) practice when providing a service with First Nations People and examine alignment of those features with the IAHA Cultural Responsiveness in Action Framework.

Design: A systematic scoping review was undertaken using CINAHL, Emcare, MEDLINE, PsychInfo and Scopus databases. Examples of culturally responsive OT practice with First Nations Peoples were mapped to the six IAHA Framework capabilities and confirmed by First Nations co-authors.

Findings: OT practice with First Nations Peoples aligned with the six capabilities to varying degrees. The importance of OTs establishing relationships with First Nations People, applying self-reflection to uncover cultural biases, and addressing limitations of the profession's Western foundations was evident.

Discussion: Recognising the interrelatedness of the six capabilities, the absence of some may result in a culturally unsafe experience for First Nations People. OTs must acknowledge the leadership of First Nations Peoples by privileging their voices and consider how established practices may reinforce oppressive systems.

Conclusion: To ensure a culturally safe environment for First Nations People, the OT profession must respect the leadership of First Nations Peoples and address the limitations of the profession's Western foundations to uphold the profession's core value of client-centred care.

Item ID:	82989
Item Type:	Article (Research - C1)
ISSN:	1440-1584
Copyright Information:	© 2024 National Rural Health Alliance Ltd.
Date Deposited:	19 Jun 2024 23:17
FoR Codes:	42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420104 Occupational therapy @ 50% 42 HEALTH SCIENCES > 4206 Public health > 420602 Health equity @ 50%
SEO Codes:	20 HEALTH > 2003 Provision of health and support services > 200301 Allied health therapies (excl. mental health services) @ 60% 20 HEALTH > 2004 Public health (excl. specific population health) > 200499 Public health (excl. specific population health) not elsewhere classified @ 40%
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