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The use of telepsychiatry during COVID-19 in Aotearoa New Zealand: experiences, learnings and cultural safety.
- Source :
- Journal of Mental Health Training, Education & Practice; 2024, Vol. 19 Issue 2, p86-95, 10p
- Publication Year :
- 2024
-
Abstract
- Purpose: Many psychiatrists and trainees in Aotearoa New Zealand used telepsychiatry during COVID-19 lockdowns, despite minimal experience and training in the area. Research on a culturally safe telepsychiatry framework is lacking in Aotearoa. This study aims to provide a better understanding of telepsychiatry in the Aotearoa context and identify potential gaps with the current practice, with a focus on exploring telepsychiatry use with Maori, Pacific peoples and Asians. Design/methodology/approach: This qualitative study was guided by the principles of the Kaupapa Maori methodology and the "Give Way Rule" from Pan-Pacific studies, to ensure culturally appropriate analysis and outcomes. Semi-structured interviews were conducted with a sample of psychiatrists and trainees recruited from Aotearoa members of the Royal Australian and New Zealand College of Psychiatrists. The qualitative data were then analysed using general inductive thematic analysis to identify the major themes. Findings: In total, 18 participants were interviewed. Three key themes were identified: cultural safety such as preparation for a telepsychiatry session, cultural practices and equity issues; clinical practice such as continuity of care, patient selection and limitations; and process of running a telepsychiatry service. Originality/value: The analysis of the main themes gives both practical ideas for providing a culturally safe telepsychiatry appointment, as well as a wider base for developing a telepsychiatry service that works particularly for Maori, Pacific and Asians mental health users. Issues around resources and expertise in the field are lacking and further frameworks to support infrastructure and training are needed. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL care use
CULTURAL identity
PATIENT selection
QUALITATIVE research
MENTAL health
RESEARCH funding
INTERVIEWING
TELEPSYCHIATRY
CONTINUUM of care
EXPERIENCE
THEMATIC analysis
RESEARCH methodology
LEARNING strategies
HEALTH of indigenous peoples
DATA analysis software
COVID-19 pandemic
TRANSCULTURAL medical care
Subjects
Details
- Language :
- English
- ISSN :
- 17556228
- Volume :
- 19
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Mental Health Training, Education & Practice
- Publication Type :
- Academic Journal
- Accession number :
- 176579063
- Full Text :
- https://doi.org/10.1108/JMHTEP-04-2023-0035