Objectives:Among Aboriginal children, the year between birth and 1 year of age has the highest mortality rate compared with any other age. Prompt administration of cardiopulmonary resuscitation (CPR) leads to better outcomes and a lower likelihood of ongoing sequalae. Current education on infant CPR is not provided to parents except in certain circumstances in a neonatal intensive care unit. Currently, there are no identified CPR education courses specifically available for Aboriginal or Torres Strait Islander people, meaning that current infant CPR education courses are not culturally responsive.Design:Partnering with an Aboriginal community from the Bindjareb region of the Western Australian Noongar nation, the researchers used a co-design approach and an Aboriginal Participatory Action Research (APAR) design to explore how to deliver culturally safe and responsive infant CPR community education. This resulted in the development of the Koolangka Infant Life Saving Education Framework (KILSEF), which can be used to guide future planning and delivery of culturally safe and responsive community level infant CPR education.Results:The study findings identified that members of the Aboriginal community were very interested in receiving infant CPR education, but the barriers identified from mainstream CPR course delivery need to be removed for the community to benefit from culturally responsive ways of learning. Culturally responsive community CPR education should be provided in culturally safe places and the focus of learning should be on the practical applications of CPR and less on the academic pre-reading and written requirements. Explanations should be provided in lay terms and patience is required to communicate ideas in ways that facilitate understanding, and the course may need to be delivered over several days to accommodate community participant availability.Conclusion:Addressing Aboriginal community concerns and barriers allowed for the implementation of culturally responsive infant resuscitation education which was highly valued by community members and led to increased community confidence and participation in CPR education.

中文翻译：

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Koolangka 婴儿救生：针对澳大利亚原住民父母的文化响应式婴儿心肺复苏教育

目标：在原住民儿童中，与其他年龄段相比，出生至 1 岁这一年龄段的死亡率最高。及时进行心肺复苏 (CPR) 可带来更好的结果并降低持续后遗症的可能性。目前，除了在新生儿重症监护病房的某些情况外，不向父母提供有关婴儿心肺复苏的教育。目前，还没有专门针对原住民或托雷斯海峡岛民的心肺复苏教育课程，这意味着当前的婴儿心肺复苏教育课程不具有文化响应性。 设计：与西澳大利亚努恩加尔国家宾贾勒布地区的原住民社区合作，研究人员采用协同设计方法和原住民参与行动研究 (APAR) 设计来探索如何提供文化安全且响应迅速的婴儿心肺复苏社区教育。由此制定了库朗卡婴儿救生教育框架 (KILSEF)，该框架可用于指导未来规划和提供文化安全且响应迅速的社区级婴儿心肺复苏教育。 结果：研究结果表明，原住民社区成员对接受婴儿心肺复苏教育非常感兴趣，但需要消除主流心肺复苏课程交付中发现的障碍，以便社区从文化响应式学习方式中受益。应在文化安全的地方提供文化敏感的社区心肺复苏教育，学习的重点应放在心肺复苏的实际应用上，而不是学术预读和书面要求。应以通俗易懂的方式提供解释，并需要耐心以有助于理解的方式交流想法，并且课程可能需要在几天内提供，以适应社区参与者的可用性。 结论：解决原住民社区的担忧和实施障碍文化敏感的婴儿复苏教育受到社区成员的高度重视，并提高了社区对心肺复苏教育的信心和参与度。