1,770 results
Search Results
2. Determinants of Mobile Learning in Indigenous/Cultural Contexts: The Phenomenon in Canadian First Nations
- Author
-
Akoh, Ben, Rannenberg, Kai, Editor-in-chief, Sakarovitch, Jacques, Series editor, Goedicke, Michael, Series editor, Tatnall, Arthur, Series editor, Neuhold, Erich J., Series editor, Pras, Aiko, Series editor, Tröltzsch, Fredi, Series editor, Pries-Heje, Jan, Series editor, Whitehouse, Diane, Series editor, Reis, Ricardo, Series editor, Furnell, Steven, Series editor, Furbach, Ulrich, Series editor, Winckler, Marco, Series editor, Rauterberg, Matthias, Series editor, and Webb, Mary, editor
- Published
- 2017
- Full Text
- View/download PDF
3. ICWES-XII: Ottawa, Canada, July 27–31, 2002
- Author
-
Frize, Monique, Deschênes, Claire, Heap, Ruby, Tietjen, Jill S., Series Editor, Frize, Monique, Deschênes, Claire, and Heap, Ruby
- Published
- 2024
- Full Text
- View/download PDF
4. Traces in a Lost Landscape: Aboriginal archaeological sites, Dyarubbin/Nepean River and contiguous areas, NSW, Australia (Data Paper)
- Author
-
Shawn Ross, Georgia Burnett, and Grace Karskens
- Subjects
Archeology ,Geography ,new south wales ,lcsh:Archaeology ,archaeology ,australia ,site location ,lcsh:CC1-960 ,dyarubbin ,nepean river ,Archaeology ,data paper ,aboriginal - Abstract
The Traces in a Lost Landscape: Aboriginal archaeological sites, Dyarubbin/Nepean River Project uses geospatial recording and analysis to recover, integrate, and map data from published and unpublished reports on Aboriginal archaeological sites on Dyarubbin/the Nepean River in New South Wales, Australia. This dataset consists of Australian Aboriginal archaeological locations of interest in the greater Nepean River area in New South Wales, Australia.
- Published
- 2019
5. Poetic inquiry: a tool for decolonising qualitative research
- Author
-
Cooms, Samantha and Saunders, Vicki
- Published
- 2024
- Full Text
- View/download PDF
6. Education to secure empire and self-government: civics textbooks in Australia and Aotearoa, New Zealand, from 1880 to 1920
- Author
-
Kusabs, Julian Rawiri
- Published
- 2023
- Full Text
- View/download PDF
7. Indigenous practices of accounting on the ground: a Bourdieusian perspective
- Author
-
Fukofuka, Peni, Scobie, Matthew, and Finau, Glenn
- Published
- 2023
- Full Text
- View/download PDF
8. Bilingual education, Aboriginal self-determination and Yolŋu control at Shepherdson College, 1972–1983
- Author
-
Thomas, Archie
- Published
- 2021
- Full Text
- View/download PDF
9. Colonial dominance and Indigenous resistance in Australian national education declarations.
- Author
-
Properjohn, Coralie, Grace, Rebekah, and Sullivan, Corrinne T.
- Subjects
MULTICULTURALISM ,EDUCATION policy ,AUSTRALIAN students ,INDIGENOUS peoples ,EDUCATION - Abstract
Australia first documented national goals for primary and secondary education in 1989 with the Hobart Declaration on Schooling. Since then, Australia's goals for the education of children have been updated in three subsequent National Education Declarations. Each of the Declarations includes specific goals for Indigenous Australian students, as well as goals for students to learn about Indigenous Australian peoples and cultures. Arranged into four thematic sections covering each Declaration, this paper traces colonial representation of Indigenous Australians in these policy documents. Each section discusses the socio-political factors that influenced education policy at the time each Declaration was written, and the socio-political priorities of Indigenous peoples in the same period. We argue that the evolution of representations of Indigenous peoples in education policy is evidence of the continued resistance of Indigenous peoples to colonial dominance in education policies. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
10. "Making Sure the Path Is Safe": A Case Study of the Influence of Aboriginal Elders on Non-Aboriginal Organisational Leadership.
- Author
-
Culbong, Tiana, McNamara, Uncle Albert, McNamara, Aunty Irene, Wilkes, Uncle Peter, Wilkes, Aunty Sandra, Munro, Adrian, Eades, Anne-Marie, O'Connell, Margaret, Fielder, John, and Wright, Michael
- Subjects
OLDER people ,INDIGENOUS peoples ,ORGANIZATIONAL change ,RESEARCH personnel ,FOCUS groups ,LEADERSHIP - Abstract
The question of how Aboriginal Elders influence the leadership of non-Aboriginal led service organisations when working biddiya to biddiya (boss to boss) emerged while conducting a qualitative analysis as part of the evaluation of the Looking Forward Moving Forward project. This project brought together non-Aboriginal service leaders, Aboriginal Elders and Aboriginal and non-Aboriginal researchers to implement and evaluate a framework for engagement to promote organisational change and transform the way in which services respond to Aboriginal people in need of mental health and drug and alcohol support in Perth, Western Australia. This paper uses a case study to demonstrate how Elders on Nyoongar Country have influenced one non-Aboriginal service leader. At the heart of this case study is a close examination of a recorded, semi-structured, in-depth focus group exchange between a non-Aboriginal leader, Elders and co-researchers. This exchange foregrounds the Elders' and co-researchers' voices, capturing the dialogic nuances and interplay of the interaction to provide a more detailed picture of how building long-term relationships with Elders influences leaders. A key theme to emerge from the data was the developmental change in leadership approaches resulting from the biddiya to biddiya working relationship between Elders and this non-Aboriginal leader. The data show that, along with their deepening relationship, the leader demonstrated an openness and humility to be teachable. This leader demonstrated how he applied his new learning, integrating new ways of working into his leadership practice to change the way his organisation responded to Aboriginal people seeking support and to enhance the organisation's cultural safety. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
11. Growing Our Own Rural, Remote and Aboriginal Health Workforce: Contributions made, approaches taken and lessons learnt by three rural Australian academic health departments.
- Author
-
Naden, Kathryn, Hampton, Denise, Walke, Emma, Pavlovic, Susan Parker, Graham, Siobahn, and Jones, Debra
- Subjects
ACADEMIC medical centers ,VOCATIONAL guidance ,RURAL conditions ,MEDICAL personnel ,LABOR demand ,LABOR supply ,HUMAN services programs ,HIGH school students - Abstract
Aims: This paper describes the investments made, approaches taken and lessons learnt by three rural Australian academic health departments engaged in the delivery of the Health Career Academy Program (HCAP). The program seeks to address the under‐representation of rural, remote and Aboriginal populations within Australia's health workforce. Context: Significant resources are directed towards rural practice exposure for metropolitan health students to address workforce shortages. Fewer resources are directed towards health career strategies that focus on the earlier engagement of rural, remote and Aboriginal secondary school students, those in Years 7–10. Best practice career development principles highlight the importance of earlier engagement in the promotion of health career aspirations and in influencing secondary school student career intentions and uptake of health professions. Approach: This paper describes: delivery contexts; the theory and evidence that has informed the HCAP; program design, adaptability and scalability; program focus on priming the rural health career pipeline; program alignment to best practice career development principles; enablers and barriers confronted in program delivery, and lessons learnt to inform rural health workforce policy and resourcing. Conclusion: There is a need to invest in programs that seek to attract rural, remote and Aboriginal secondary school students to health professions if Australia is to develop a sustainable rural health workforce. A failure to invest earlier undermines opportunities to engage diverse and aspiring youth in Australia's health workforce. Program contributions, approaches and lessons learnt can inform the work of other agencies seeking to include these populations in health career initiatives. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
12. "Strive with pride": the voices of Indigenous young people on identity, wellbeing, and schooling in Australia.
- Author
-
Shay, Marnee, Sarra, Grace, Proud, Denise, Blow, Iris-Jean, and Cobbo, Fred
- Subjects
INDIGENOUS peoples ,YOUTH ,WELL-being ,HIGHER education ,IDENTITY (Psychology) - Abstract
Indigenous Australian young people comprise over 50% of the total Indigenous population (Australian Bureau of Statistics, 2017). Yet, the voices of Indigenous young people are seldom centred in policy or scholarship (Shay & Sarra, 2021). This paper shares findings from a three-year national transdisciplinary, qualitative study that explored the identity and well-being of Indigenous young people in diverse school settings. The data told counter-stories through the lens of Indigenous young people currently absent in mental health and educational wellbeing scholarship. This article illustrates how the theoretical/methodological approach and data provide a strengths-based alternative to trauma-informed and medicalised mental health frameworks that dominate policy and practice approaches. This paper shares key findings from Indigenous young people who articulated their identities as underpinned by respect, pride and collectivism and shaped by culture, where you are from, physicality and role models. These expressions are clearly at odds with broader deficit discourses on Indigenous identity and have implications for health and schooling settings. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
13. Diverse research teams: A framework for research review.
- Author
-
Akbar, Skye, Greenacre, Luke, Defina, Rebecca, and Garay, Lorraine
- Subjects
INDIGENOUS peoples ,RESEARCH teams ,INDIGENOUS Australians ,LITERATURE reviews ,GROUP theory - Abstract
Indigenous groups voices have often been missing from the marketing research collegiate. The Aboriginal and Torres Strait Islander Peoples of the land now known as Australia, for example, are among the most researched peoples in the world (Martin & Mirraboopa, 2003), yet are underrepresented among research practitioners. The present underrepresentation among practitioners is only slowly, and occasionally haphazardly, being addressed by the growing number of more junior Indigenous researchers entering the field. Until greater representation among senior researchers is achieved, research teams are likely to include a mixture of Indigenous and non-Indigenous researchers. Such teams must therefore address a unique combination of power imbalance and minority inclusion in how they work. This need for inclusion can become more challenging for research teams when the research topic addresses issues impacting Indigenous peoples. And while numerous ethical and research guidelines exist for how researchers work with participants who are members of a minority group and are likely to have less power, there are few frameworks addressing how such challenges should be managed for the researchers within a research team. In this paper, we use an action research method to critically reflect on how to manage research teams that include more junior Indigenous researchers whose voices are vital to the research project. Reflexive and proactive processes were developed to ensure a culture of reflection both regarding interactions within the research team and in the project. To structure and share these reflections, the team developed and enunciated a fit-for-purpose framework. This framework was informed by the work of Narungga Professor Rigney (1999) that lists foundational Indigenist research methods. The framework also draws on the layers of reflexivity proposed by Nicholls (2009) and insider/outsider group theory previously advocated for (Ameka, 2018). [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
14. Connecting in the Gulf: exploring digital inclusion for Indigenous families on Mornington Island.
- Author
-
Marshall, Amber, Osman, Kim, Rogers, Jessa, Pham, Thu, and Babacan, Hurriyet
- Subjects
DIGITAL inclusion ,DIGITAL technology ,VIRTUAL communities ,INDIGENOUS children ,INDIGENOUS peoples ,FAMILIES ,DIGITAL images - Abstract
Digital inclusion research explores the complex inequalities among different societal groups that affect people's ability to fully participate in social, economic, and cultural life. Globally, digital inequalities exist between Indigenous and non-Indigenous people and this paper contributes to a growing body of literature focused on Indigenous digital inclusion in Australia. This paper outlines how a team of Indigenous and non-Indigenous researchers developed an Indigenous research methodology to investigate the digital inclusion challenges, and opportunities, for Aboriginal families living in a remote community on Mornington Island in the Gulf of Carpentaria. This methodology applies principles of decolonisation, through Indigenous yarning and photography, to foreground the voices of Indigenous people in articulating barriers and solutions to low levels of digital inclusion in their community. The findings detail the everyday and novel ways Indigenous families use the internet and digital devices, and how these insights might inform Indigenous-focused policy, practices and programs. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
15. Trauma then and now: Implications of adoption reform for First Nations children.
- Author
-
Turnbull‐Roberts, Vanessa, Salter, Michael, and Newton, B. J.
- Subjects
ADOPTION laws ,ATTITUDE (Psychology) ,HISTORICAL trauma ,GROUP identity ,ETHNOPSYCHOLOGY ,HEALTH care reform ,CHILD welfare ,AUTONOMY (Psychology) ,ABORIGINAL Australians ,THEMATIC analysis ,DATA analysis software ,CIVIL rights ,CHILDREN - Abstract
Currently, Aboriginal children are significantly over‐represented in the out‐of‐home‐care system. Drawing on Aboriginal trauma scholarship and decolonizing methodologies, this paper situates the contemporary state removal of Aboriginal children against the backdrop of historical policies that actively sought to disrupt Aboriginal kinship and communities. The paper draws on submissions to the 2018 Australian Senate Parliamentary Inquiry into Adoption Reform from Aboriginal community controlled organizations and highlights four common themes evident throughout these submissions: (i) the role of intergenerational trauma in high rates of Aboriginal child removal; (ii) the place of children within Aboriginal culture, kinship and identity; (iii) the centrality of the principles of self‐determination and autonomy for Aboriginal communities and (iv) Aboriginal community controlled alternatives to child removal. Acknowledging the failure of both federal and state reforms to address the issues raised in these submissions, the paper reflects on the marginalization of Aboriginal voices and solutions within contemporary efforts to address the multiple crises of the child protection system and the implications for the future of Aboriginal children. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
16. Walking side‐by‐side: Supporting Aboriginal and Torres Strait Islander Australians to lead the way in alcohol research.
- Author
-
Lee, K. S. Kylie, Wilson, Scott, Stearne, Annalee E., Hayman, Noel, Conigrave, James H., Doyle, Michael, Bullen, Lynette, Weatherall, Teagan J., James, Doug, Reynolds, Taleah, Perry, Jimmy, and Conigrave, Katherine M.
- Subjects
INDIGENOUS Australians ,TORRES Strait Islanders ,ALCOHOL - Abstract
Several initiatives have sought to increase the number of First Nations individuals with a higher degree in research (i.e., PhD or research masters)—in Australia and in similarly colonised countries. However, little has been written on day‐to‐day support structures and mechanisms that might help First Nations Australian candidates thrive in postgraduate research degrees and beyond. For sensitive research fields such as alcohol, emerging Aboriginal and Torres Strait Islander researchers must grapple with topics which are stigmatising and in some instances associated with traumatic associations. There is also a lack of studies internationally that describe optimal support for First Nations students undertaking a higher degree by research with a primary focus on alcohol. Here we discuss what we have learned from the support offered through the Centre of Research Excellence in Indigenous Health and Alcohol—from the perspective of academic staff, students, trainees and early career researchers. We consider what may be generalisable lessons from this experience. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
17. Indigenous capacity for collaboration in Canada’s energy, forestry and mining sectors: research metrics and trends.
- Author
-
Bullock, Ryan, Kirchhoff, Denis, Mauro, Ian, and Boerchers, Morrissa
- Subjects
NATURAL resources ,NATURAL resources management ,INDIGENOUS peoples - Abstract
This paper examines patterns in recently published research addressing Indigenous capacity for collaborative natural resource development in Canada’s forestry, energy, and mining sectors. As Indigenous involvement in natural resource development increases, so too does the body of associated scholarship. We gathered information on several core metrics (year of publication, authorship, and gender, author affiliation, journal titles, citation counts and impacts factors, and keywords) to analyze research output, trends, and gaps. Our bibliometric analysis of 49 articles from peer-reviewed journals confirms that Indigenous natural resource development and capacity research has steadily increased over the past decade in terms of the number and range of papers, authors, institutions, and cases examined. Research output peaked in 2013 and 2015. Authorship is distributed evenly between male and female lead researchers, with teams located across southern Canada, with highest concentrations in urban population centers of British Columbia, Manitoba, and Ontario. In contrast, the research sites are located in more northern, rural, and remote locations. That communities and projects under study are not currently matched with sites of research capacity raises questions about capacity building and the nature of research “on” versus “with” Indigenous peoples. Policies and programs designed to enhance Indigenous involvement and capacity must address these asymmetries in order to be representative, effective, and responsive to current Indigenous priorities. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
18. Memorial landscapes, recognition, and marginalisation: a critical assessment of Adelaide's 'cultural heart'.
- Author
-
Rofe, Matthew W.
- Subjects
BRITISH colonies ,POSTCOLONIAL literature ,STONE carving ,MEMORIALS ,INDIGENOUS peoples ,HEART - Abstract
Memorial landscapes are powerfully instructive. Cast in bronze or carved in stone, memorials speak to us of who and what we should admire and those characteristics we should aspire to emulate. As such, memorial landscapes are texts. However, memorial landscapes are equally about remembering and forgetting. Drawing upon a critical examination of the memorial landscape of Adelaide's cultural precinct this paper examines ongoing silences regarding Indigenous pre-history, the processes and impacts of British colonisation, and how these are remembered and/or silenced within this place. Framed by post-colonial literature, this paper reveals that notwithstanding movements towards reconciliation in Australia, Adelaide's cultural precinct firmly remains a settler landscape. Those few memorials raised to or acknowledging Indigenous people are pushed to the margins, poorly maintained, or framed through service to the Empire. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
19. Intersectional theory and disadvantage: a tool for decolonisation.
- Author
-
Cooms, Samantha, Muurlink, Olav, and Leroy-Dyer, Sharlene
- Subjects
- *
INDIGENOUS Australians , *EVALUATION of medical care , *RACE , *CULTURAL pluralism , *INTERSECTIONALITY , *DECOLONIZATION , *PEOPLE with disabilities - Abstract
It is widely recognised that First Nations peoples in Australia (also known as Aboriginal Australians) have some of the poorest health and social outcomes of any other group. This is evidenced in a number of areas including the disproportionately high rates of disability for First Nations peoples in Australia. This paper explores how the intersection of race and disability compounds disadvantage for First Nations peoples with disability in Australia. Additionally, it explores the conceptual diversity of disability and the role colonisation has played, and continues to play, in creating and maintaining high rates of disability for First Nations peoples in Australia. This paper argues for the decolonisation of the disability sector as a step towards improving outcomes for all. In particular, the use of intersectionality theory is examined as a potentially effective tool for mapping and enacting the decolonisation of the disability sector. First Nations peoples in Australia understand disability in a manner that differs from the mainstream dominant 'western' understanding, and this has huge implications for the disability sector. The dominant model focuses on people with disabilities as individuals who need to be 'treated' and 'supported' by health authorities. First Nations approach is community-based wherein everyone has abilities and responsibilities that are valued by the community – a culture of inclusion and connection that normalises and accepts people with disabilities. Routinely encountered racism and structural discrimination experienced by First Nations people compound discrimination commonly experienced by people with a disability. Intersectional theory identifies how disability and race combine in Australia to produce particularly poor outcomes for First Nations people with a disability, compared to their non-Indigenous peers. Decolonisation, the process of reversing the impact of the dominant way of thinking, is important to improving outcomes for First Nations people with a disability. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
20. The impact of climate change on country and community and the role of mental health professionals working with Aboriginal communities in recovery and promoting resilience.
- Author
-
Upward, K., Usher, K., and Saunders, V.
- Subjects
- *
WELL-being , *OCCUPATIONAL roles , *PSYCHIATRIC nursing , *HEALTH services accessibility , *RURAL health services , *CONVALESCENCE , *MEDICAL personnel , *DIARY (Literary form) , *PSYCHOSOCIAL factors , *PSYCHOLOGY of women , *NATURAL disasters , *ABORIGINAL Australians , *RURAL health , *COMMUNITY mental health personnel , *CLIMATE change , *PSYCHOLOGICAL resilience , *MEDICAL needs assessment - Abstract
This paper emerged from discussions between the authors about our shared and different perspectives of climate change and its impact on the social, emotional, physical, spiritual and cultural wellbeing of Aboriginal Peoples and mental health services in a rural region, heavily impacted in recent years by bushfires and floods. Here we discuss, from the lead authors personal perspective as a Gamilaraay Woman, the experience of Solastalgia as a critical impact of climate change on wellbeing. Specifically, we discuss the relationship of a connection to country from a Gamilaraay, first person perspective through a series of diary entries from the lead author. Authors are researchers from different cultural backgrounds, connected through a medical research futures fund research project, to promote resilience within Aboriginal communities and the health services sector in the New England, North West region. The lead author has cultural connections to some of the communities we work with and our work is informed by these connections. While this paper was written to express an Aboriginal perspective on climate change and wellbeing, it reflects our shared perspectives of how disasters such as bushfires impact the wellbeing of Aboriginal peoples. We also explore the connection between the impact of localised, recurring natural disasters and the increasing demands on mental health services in regional and rural areas and discuss what this means with Aboriginal and non‐Indigenous mental health nurses and researchers working in regional and rural areas where access to mental health services often poses considerable challenges. From our perspective, mental health research and nursing play an important role in walking alongside Aboriginal Peoples as we explore, respond and create resilience to the ever‐present influence that climate change is having on our lives, communities, country and workplaces. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
21. Usage and Acceptability of the iBobbly App: Pilot Trial for Suicide Prevention in Aboriginal and Torres Strait Islander Youth
- Author
-
Fiona Shand, Taylor Jai McAlister, Andrew Mackinnon, Joseph Tighe, Helen Christensen, and Kathy McKay
- Subjects
Gerontology ,020205 medical informatics ,apps ,Psychological intervention ,02 engineering and technology ,Suicide prevention ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,mental disorders ,0202 electrical engineering, electronic engineering, information engineering ,eHealth ,030212 general & internal medicine ,Mental health literacy ,mHealth ,Aboriginal ,suicide ,First Nations ,Original Paper ,Mental health ,Indigenous ,Psychiatry and Mental health ,suicide ideation ,depression ,Thematic analysis ,Psychology ,mental health - Abstract
Background The proliferation of mental health apps purporting to target and improve psychological wellbeing is ever-growing and also concerning: Few apps have been rigorously evaluated, and, indeed, the safety of the vast majority of them has not been determined. Over 10,000 self-help apps exist but most are not used much after being downloaded. Gathering and analyzing usage data and the acceptability of apps are critical to inform consumers, researchers, and app developers. Objective This paper presents pilot usage and acceptability data from the iBobbly suicide prevention app, an app distributed through a randomized controlled trial. Methods Aboriginal and Torres Strait Islander participants from the Kimberley region of Western Australia completed a survey measuring their technology use in general (n=13), and data on their experiences with and views of the iBobbly app were also collected in semistructured interviews (n=13) and thematically analyzed. Finally, engagement with the app, such as the number of sessions completed and time spent on various acceptance-based therapeutic activities, was analyzed (n=18). Both groups were participants in the iBobbly app pilot randomized controlled trial (n=61) completed in 2015. Results Regression analysis indicated that app use improved psychological outcomes, although only minimally, and effects were not significant. However, results of the thematic analysis indicated that the iBobbly app was deemed effective, acceptable, and culturally appropriate by those interviewed. Conclusions There is a scarcity of randomized controlled trials and eHealth interventions in Indigenous communities, while extremely high rates of psychological distress and suicide persist. In this environment, studies that can add evidence from mixed-methods approaches are important. While the regression analysis in this study did not indicate a significant effect of app use on psychological wellbeing, this was predictable considering the small sample size (n=18) and typically brief app use. The results on engagement with the iBobbly app were however positive. This study showed that Indigenous youth are early and frequent users of technology in general, and they regarded the iBobbly app to be culturally safe and of therapeutic value. Qualitative analyses demonstrated that iBobbly app use was associated with self-reported improvements in psychological wellbeing, mental health literacy, and reductions in shame. Importantly, participants reported that they would recommend other similar apps if available to their peers.
- Published
- 2019
22. Researching Adverse Childhood Experiences in the Youth Justice System: Reflections on Methodology From a Members of a Non-Indigenous Research Team.
- Author
-
Day, Andrew and Malvaso, Catia
- Subjects
ADVERSE childhood experiences ,JUSTICE administration ,RESEARCH teams ,JUVENILE offenders ,CRIMINAL justice system - Abstract
Understanding the impacts of Adverse Childhood Experiences (ACEs) has rapidly emerged as an important area of research that has implications for those who work in youth justice settings. This paper identifies a series of considerations facing those who work in jurisdictions where Indigenous or First Nations peoples have much higher levels of contact with both child protection and criminal justice systems than other population groups. It presents some reflections from members of a non-Indigenous research team about their efforts to engage with cultural perspectives on ACEs research in a way that facilitates further discussion within the research community about the methodological decisions that are made when investigating issues that are of importance to members of minority culture communities. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
23. Aboriginal cultural educators teaching the teachers: mobilisng a collaborative cultural mentoring program to affect change.
- Author
-
Burgess, Cathie and Harwood, Valerie
- Subjects
MENTORING ,TEACHER educators ,CULTURALLY relevant education ,INDIGENOUS peoples ,CULTURAL centers ,LEARNING - Abstract
This paper discusses an Aboriginal cultural mentoring project for non-Aboriginal teachers that positions Aboriginal people front and centre as cultural and educational experts. In so doing it sets out to contribute to work in Australia that challenges 'common' understandings about mentoring in educational contexts where the expert is usually a western-educated non-Aboriginal teacher. In this project, non-Aboriginal teachers are supported in implementing culturally responsive curriculum and pedagogies into their classroom through building relationships with Aboriginal mentors and students. Analysis of thirteen pre and post surveys, four mentee interviews and one mentee focus group, illuminated the emergence of collaborative cultural mentoring processes, where teachers developed trusting, reciprocal and respectful relationships with Aboriginal people. We argue that a systematic, well-supported Aboriginal cultural mentoring program can be used to create and convert new knowledge into practice, and that this can have a positive impact on teachers' understanding of teaching/learning processes thereby contributing to Aboriginal student engagement in their learning. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
24. Risk and resilience: a mixed methods investigation of Aboriginal Australian women's perinatal mental health screening assessments
- Author
-
Erica Spry, Julia V. Marley, Kimberley H. Seear, Katherine Ferrari, David Atkinson, and Emma Carlin
- Subjects
medicine.medical_specialty ,Health (social science) ,Native Hawaiian or Other Pacific Islander ,Social Psychology ,Epidemiology ,Perinatal ,03 medical and health sciences ,0302 clinical medicine ,Risk and resilience ,Pregnancy ,Environmental health ,medicine ,Resiliency ,Humans ,030212 general & internal medicine ,Aboriginal ,Depression (differential diagnoses) ,Retrospective Studies ,Original Paper ,business.industry ,Australia ,Mental health ,Indigenous ,030227 psychiatry ,Psychiatry and Mental health ,Cross-Sectional Studies ,Mental Health ,Protective factors ,Anxiety ,Women's Health ,Female ,medicine.symptom ,Risk assessment ,business ,Psychosocial ,Perinatal Depression - Abstract
Purpose To describe the psychosocial protective and risk factors for perinatal mental health identified in a sample of Aboriginal women’s Kimberley Mum’s Mood Scale (KMMS) assessments and explore the role of these factors in their screening assessment and diagnostic outcome. Methods We used a mixed methods approach to retrospectively analyse a cross-sectional study dataset of 91 completed KMMS assessments. This included: categorising the clinical notes from the KMMS psychosocial yarn into ‘risk’ and ‘protective’ factors and describing these categories, describing the number and type of risk and protective factors associated with different KMMS risk assessment categories (no, low, medium, high), and exploring relationships between these risk and protective factors and diagnosis of perinatal depression and/or anxiety. Results Protective factors were recorded for the vast majority of the women; the most prominent was positive family relationships. When protective and risk factors were stratified by KMMS risk category, women in the higher risk group less commonly had specific protective factors (11–33% high vs 61–100% no risk) and more commonly had risk factors (22–67% high vs 6–28% no risk) than women with lower KMMS assessed risk. The average number of protective factors decreased with increasing KMMS risk category (4.9 ± 1.1 to 1.6 ± 1.3), with the inverse pattern for risk factors (1.1 ± 1.1 to 3.8 ± 1.0). Having protective factors also appeared to reduce the risk of developing clinical depression or anxiety. Conclusion Assessing protective factors in mental health screening for perinatal Aboriginal women increases the effectiveness of screening and provides a foundation for the delivery of local structured psychosocial care.
- Published
- 2020
25. Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in Context
- Author
-
Helen Mills, Lisa G. Smithers, John Broughton, Xiangqun Ju, Herenia P. Lawrence, Kostas Kapellas, Lisa Jamieson, Joanne Hedges, and Eleanor J Parker
- Subjects
medicine.medical_specialty ,Motivational interviewing ,law.invention ,Treatment and control groups ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Oral and maxillofacial pathology ,Medicine ,030212 general & internal medicine ,Aboriginal ,Randomised controlled trial ,Pregnancy ,lcsh:R5-920 ,business.industry ,Fluoride varnish ,030206 dentistry ,General Medicine ,medicine.disease ,3. Good health ,Clinical trial ,stomatognathic diseases ,Family medicine ,Early childhood caries ,business ,lcsh:Medicine (General) ,Research Paper ,Oral health promotion - Abstract
Background: Dental disease has far-reaching impacts on child health and wellbeing. We worked with Aboriginal Australian communities to develop a multifaceted oral health promotion initiative to reduce children's experience of dental disease at age 2 years. Methods: This was a single-blind, parallel-arm, randomised controlled trial. Participants were recruited from health service providers across South Australia. Women pregnant with an Aboriginal child were eligible. The intervention comprised: (1) provision of dental care to mothers during pregnancy; (2) application of fluoride varnish to teeth of children at ages 6, 12 and 18 months; (3) motivational interviewing delivered in conjunction with; (4) anticipatory guidance. The primary outcome was untreated dental decay as assessed by the number of teeth with cavitated and non-cavitated carious lesions (mean dt) at child age 24 months. Analyses followed intention-to-treat principles. The RCT was registered with the Australian and New Zealand Clinical Trial Registry, ACTRN12611000111976. Findings: Women (n = 448) were recruited from February 2011 to May 2012, resulting in 223 children in the treatment group and 225 in the control. Mean dt at age two years was 0.62 (95% CI 0.59 to 0.65) for the intervention group and 0.89 (95% CI 0.85 to 0.92) for the control group (mean difference −0.27 (95% CI −0.31, −0.22)). Interpretation: A culturally-appropriate intervention at four time-points from pregnancy through to 18-months resulted in improvements in the oral health of Aboriginal children. Further consultation with Aboriginal communities is essential for understanding how to best sustain these oral health improvements for young Aboriginal children. Keywords: Early childhood caries, Aboriginal, Randomised controlled trial, Oral health promotion
- Published
- 2018
26. Gambling Interventions in Indigenous Communities, from Theory to Practice: A Rapid Qualitative Review of the Literature.
- Author
-
Saunders, Paul and Doyle, Kerrie
- Subjects
COMPULSIVE gambling ,GAMBLING behavior ,CAPACITY building ,LITERATURE reviews ,THEORY-practice relationship ,INDIGENOUS peoples ,INDIGENOUS Australians ,COMMUNITIES - Abstract
Indigenous populations globally experience problem gambling at higher rates than mainstream communities, often leading to adverse outcomes in social, cultural, and health domains (The term 'indigenous' within this paper refers to all first nations people from the specified countries. When capitalised, this refers to Australian Indigenous people specifically.). Problem gambling in indigenous communities has been linked to relative poverty and social disadvantage. The sweeping impacts of problem gambling for indigenous communities are holistic in nature and are felt throughout many aspects of the community, including the local economy, education, employment, and cultural kinship obligations. The social links inherent in many gambling activities in addition to the motivations of players and complex socio-cultural milieu can make it very difficult to renounce the practice. This paper aims to evaluate the indigenous gambling literature to discern appropriate and effective principles to guide intervention development in the context of problem gambling pertaining to the Australian Indigenous population. A rapid review will be undertaken to gather, analyse, and interpret appropriate theoretical and empirical literature relating to gambling interventions for indigenous populations. Papers from Canada, Australia, New Zealand, and U.S.A (CANZUS) will be considered in the review and thematic analysis will be undertaken to ascertain a broad understanding of effective and appropriate problem gambling intervention principles applicable to these population groups. Despite the relative dearth of empirical evidence within this field, approaches to problem gambling intervention within indigenous populations must be culturally-centred and underpinned by a public health framework that considers the broad socio-politico-cultural context of the whole community. The importance of community-control, collaboration, community capacity building, workforce competence, a holistic approach, and gambling regulation cannot be overstated. The available literature focusses on an alternative approach to addressing problem gambling in indigenous communities, with much of the findings highlighting key indigenist principles within a context-based method of engagement and intervention, including addressing the social, political, and cultural determinants of problem gambling at a community-level. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
27. The Westerman Aboriginal Symptom Checklist – Youth Version: national data from a clinical sample of Aboriginal youth.
- Author
-
Westerman, Tracy G. and Dear, Greg E.
- Subjects
- *
INDIGENOUS youth , *SUICIDE victims , *MENTAL health services , *MENTAL health screening , *SUICIDE risk factors , *SUICIDE statistics , *ATTEMPTED suicide , *SUICIDAL ideation - Abstract
ObjectivesMethodResultsConclusions\nKey PointsTo produce national clinical norms for WASC-Y, examine the internal consistency of the WASC-Y scales, compare scores from a clinical sample with previously published community sample data, and test the degree to which other scales predict the Suicide Scale.We analysed WASC-Y data from 1226 Aboriginal youth who had presented to mental health services between 2007 and 2022 and compared their scores to the original community norms.Our sample shows a higher level of mental health risk than does the normative sample that varied according to gender. We found high levels of suicidal behaviour in the clinical sample: 41.5% admitted to thoughts of suicide and 25.0% reported one or more suicide attempts. One in 23 reported a high likelihood that they would attempt suicide again. Knowing someone who has suicided was associated with higher Suicide Risk. Linear modelling showed that Suicide Risk is predicted by a combination of all other WASC-Y scales and gender, with females at higher risk than males. There is emerging evidence that Cultural Resilience provides some mitigation of Suicide Risk.Our data provide the first culturally and psychometrically valid national mental health profile of Aboriginal youth accessing mental health services, including separate clinical norms for males and females. Aboriginal youth present with serious levels of suicide and mental health risk that urgently require improved access to clinically and culturally competent services. Our findings provide evidence of construct validity, in that scale scores showed meaningful associations with each other and with other variables in expected ways.
What is already known about this topic: The WASC-Y stands alone as a culturally valid, psychometrically sound, and clinically valid screening tool to assess Aboriginal youths’ suicide risk, mental health risk, and cultural resilience.WASC-Y norms were derived from a non-clinical sample of 13- to 17-year-old school students in Western Australia.Clinical norms for WASC-Y are needed.The WASC-Y stands alone as a culturally valid, psychometrically sound, and clinically valid screening tool to assess Aboriginal youths’ suicide risk, mental health risk, and cultural resilience.WASC-Y norms were derived from a non-clinical sample of 13- to 17-year-old school students in Western Australia.Clinical norms for WASC-Y are needed.What this paper adds: We now have separate clinical norms for male and female Aboriginal youth that show high rates of suicidal ideation and behaviour.Suicidal ideation and behaviour are significantly higher among Aboriginal youth who know someone close to them who has suicided than among those who do not.Linear modelling indicates that scores on the Suicide Scale are best predicted by a combination of all other WASC-Y scales and gender.We now have separate clinical norms for male and female Aboriginal youth that show high rates of suicidal ideation and behaviour.Suicidal ideation and behaviour are significantly higher among Aboriginal youth who know someone close to them who has suicided than among those who do not.Linear modelling indicates that scores on the Suicide Scale are best predicted by a combination of all other WASC-Y scales and gender. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
28. Yarning as a method for building sexual wellbeing among urban Aboriginal young people in Australia.
- Author
-
Bryant, Joanne, Bolt, Reuben, Martin, Kacey, Beadman, Mitchell, Doyle, Michael, Treloar, Carla, Bell, Stephen, Murphy, Dean, Newman, Christy, Browne, Annette, Aggleton, Peter, Beetson, Karen, Brooks, Megan, Wilms, Jessica, Leece, Bronwyn, Stanbury, Linda, Botfield, Jessica, Davis, Ben, and Graham, Simon
- Subjects
- *
ABORIGINAL Australians , *YOUNG adults , *SEXUAL health , *INDIGENOUS peoples , *YARN - Abstract
This paper describes the strategies used by Aboriginal young people to build positive relationships and sexual wellbeing. It does so to counter the risk-focussed narratives present in much existing research and to showcase the resourcefulness of Aboriginal young people. We used peer-interview methods to collect qualitative data from 52 Aboriginal young people living in western Sydney, Australia. Participants reported a strong desire to stay safe and healthy in their sexual relationships and to achieve this they relied heavily on oral communication and yarning strategies. Participants viewed communication as a way to gain or give advice (about bodies, infections, pregnancy, relationships); to assess the acceptability and safety of potential partners; to negotiate consent with partners; to build positive relationships; and to get themselves out of unhealthy relationships. Participants also discussed 'self-talk' as a strategy for building sexual wellbeing, referring to narratives of self-respect and pride in culture as important in establishing Aboriginal young people's positive views of self and as deserving of respectful and safe sexual relationships. These findings suggest that future programmes and interventions based on yarning could be well-regarded, given it is a cultural form of pedagogy and a strategy Aboriginal young people already use to build positive relationships and identities. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
29. 'Walking in two worlds': A qualitative review of income management in Cape York.
- Author
-
Scott, John, Staines, Zoe, Higginson, Angela, Lauchs, Mark, Ryan, Vanessa, and Zhen, Liuissa
- Subjects
SOCIAL norms ,PUBLIC welfare ,SOCIAL support ,FEDERAL government - Abstract
The Cape York Welfare Reform (CYWR) initiative aims to reduce 'passive dependence' on welfare and restore 'positive social norms' to revitalise cultural and social networks and support economic engagement in Indigenous communities in the Cape York Region of Australia. Critics of the initiative and, in particular, its income management (IM) policies have associated it with a broader neoliberal reform agenda that delineates social 'problems' from their historical and structural context. This paper discusses key qualitative findings from a strategic review of CYWR, paying particular attention to the ways in which Cape York IM (CYIM) straddles both Indigenous and settler social norms, while perpetuating neoliberal conceptualisations of welfare 'dependency'. We situate these findings within the existing literature on Australia's other IM models and also consider them in relation to subsequent government responses to the review and associated policies. We argue that CYIM represents a unique initiative, the subtle nuances of which have been largely ignored or misunderstood by critics. Further, we conclude that any extension or revision of this initiative should be considered with respect to deep and wide‐ranging consultation of the Indigenous communities subject to CYWR. However, such consultation has not been the standard practice in Australian contexts. The paper presents the qualitative findings of a Federal Government review of Cape York Income Management (CYIM). We argue that although CYIM shares a common ideological foundation with Australia's other IM policies, it is also distinct from these alternative forms of IM, particularly in terms of its evolution, high‐level of targeting, and delivery mechanism. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
30. Deep Listening and Relationality: Cross-cultural Reflections on Practice With Young Women Who Use Violence.
- Author
-
Blakemore, Tamara, Randall, Elsie, Rak, Louise, and Cocuzzoli, Felicity
- Subjects
PROFESSIONAL practice ,VIOLENCE ,SOCIAL services ,REFLECTION (Philosophy) ,WOMEN'S health - Abstract
Young women who use violence in their interpersonal, family, and domestic relationships commonly exist as a cross-over cohort, simultaneously victims and perpetrators, characteristically disadvantaged and disengaged and lacking accessible trauma-informed and culturally responsive interventions. This paper presents cross-cultural reflections on work with Aboriginal and non-Aboriginal young women who use violence. It explores the tensions in this work of honouring histories and context and acknowledging female agency, choice and control. Informed by Yarning processes, the paper intentionally foregrounds Aboriginal knowledge and experience. In doing so, it highlights the power and potential of Deep Listening and relational practice for recognising the impact(s) of trauma resulting from intergenerational intersections of gendered oppression, structural racism, and social inequalities as drivers of female violence. IMPLICATIONS Aboriginal ways of knowing and doing have important contributions to make to practice with young female perpetrators of violence Deep Listening and relational approaches can support safety and connection necessary for healing, change, and growth. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
31. Building a Nyoongar work practice model for Aboriginal youth mental health: prioritising trust, culture and spirit, and new ways of working.
- Author
-
Culbong, Tiana, Crisp, Nikayla, Biedermann, Britta, Lin, Ashleigh, Pearson, Glenn, Eades, Anne-Marie, and Wright, Michael
- Subjects
CONSENSUS (Social sciences) ,CULTURE ,HEALTH services accessibility ,COMMUNITIES ,MENTAL health ,MEDICAL care research ,CONCEPTUAL structures ,ABORIGINAL Australians ,SOCIAL skills ,STATISTICAL models ,MEDICAL care of indigenous peoples ,MENTAL health services ,DIFFUSION of innovations ,TRUST ,SPIRITUAL care (Medical care) - Abstract
Mainstream youth mental health services struggle to comprehend the connection between colonisation and service provision for Aboriginal young people. This is the consensus agreed by Aboriginal Elders from Perth, Western Australia and young Aboriginal leaders within their communities (Wright, Culbong, Crisp, Biedermann, & Lin (2019). 1–7). What is required is a more nuanced, culturally relevant approach to both an understanding of the impact of colonisation on mental health and help-seeking behaviour if they are to provide equitable access for Aboriginal young people. In this paper, we report on a three-year participatory action research (PAR) project conducted on Whadjuk Nyoongar country in Perth, Western Australia. An innovative model of care framework developed from the project and described in this paper, focuses on key components that both inform and assist service providers in improving service provision to Aboriginal young people. The model, depicted as a tree, symbolises strength and growth, with the 'roots' of the tree, holding trust, culture and spirit. This paper details a culturally-safe co-design process that was held and directed with Elders, in partnership with young people, youth mental health service staff and youth policy staff. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
32. A scoping review to inform the use of continuous quality improvement in Australian Aboriginal oral health care.
- Author
-
Patel, Jilen, Durey, Angela, Naoum, Steven, Kruger, Estie, and Slack-Smith, Linda
- Subjects
ONLINE information services ,CINAHL database ,MEDICAL information storage & retrieval systems ,ORAL health ,SYSTEMATIC reviews ,PHYSICIAN-patient relations ,QUALITY assurance ,ABORIGINAL Australians ,LITERATURE reviews ,MEDLINE ,MEDICAL practice ,EVALUATION - Abstract
Objective: The need to improve existing services to Aboriginal communities is prioritised by Australia's National Oral Health Plan. Although only an emerging area in dentistry, continuous quality improvement (CQI) approaches have positively impacted the delivery of primary health services to Aboriginal communities. This scoping review maps the applicability of CQI strategies to Aboriginal Australian oral healthcare services. Methods: A scoping review was conducted and studies that reported using CQI approaches to improve existing oral health services or quality of care deemed relevant to Aboriginal Australian communities were included. Results: A total of 73 articles were retrieved and eight articles were included in the final synthesis. Several CQI tools were identified, including: plan–do–study–act cycles, dental quality alliance measures, prioritisation matrices, causal mapping and the use of collective impact methodology. Conclusion: Data exploring CQI in the context of Aboriginal oral health is scarce. The plan–do–study–act cycle and its variations show potential applicability to Aboriginal oral health care. However, for CQI approaches to be adequately implemented, the prevailing model of dental care requires a paradigm shift from quality assurance to quality improvement, acknowledging the impact of structural and process elements on care. What is known about the topic? Continuous quality improvement strategies (CQI) have been widely used in primary health care to successfully manage chronic disease. What does this paper add? This paper highlights the scarcity of evidence around CQI initiatives in Aboriginal oral health care and identifies CQI tools such as plan–do–study–act cycles, causal mapping, driver diagrams and prioritisation matrices that can be translated to improve oral health outcomes among Aboriginal communities. What are the implications for practitioners? This paper presents a variety of CQI strategies and foundational elements required for practitioners to adopt in clinical practice. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
33. Use of traditional therapies in palliative care for Australian First Nations peoples: An integrative review.
- Author
-
Rooney, Erin Joanne, Johnson, Amanda, Jeong, Sarah Yeun‐Sim, and Wilson, Rhonda L.
- Subjects
INDIGENOUS Australians ,CINAHL database ,ONLINE information services ,SYSTEMATIC reviews ,MEDICAL care use ,DESCRIPTIVE statistics ,ALTERNATIVE medicine ,MEDLINE ,THEMATIC analysis ,DATA analysis software ,PALLIATIVE treatment - Abstract
Aims and objectives: To conduct an integrative review of the literature to understand how the incorporation of traditional therapies affect First Nations people's utilisation of palliative care services. Background: First Nations peoples face many barriers related to accessing and utilising specialised health services such as palliative care. Whilst culturally appropriate care has been shown to improve these outcomes, there is little evidence regarding how this may be achieved. Design: Integrative review. Methods: A systematic search was conducted using electronic databases CINAHL, Joanna Briggs, Medline, Scopus, ScienceDirect InformitHealth and ProQuest between the years of 2005‐2021 databases were searched for papers with full text available and published in English. Papers were included if they were primary‐based research and focused on the topics of the use of traditional therapies in a palliative care context by First Nations persons. The Critical Appraisal Skills Programme principles were used to assess the methodological quality of the selected articles. Results: Seven studies met the inclusion criteria and were included in the review. The review included six qualitative studies and one quantitative study. From these studies, five themes were identified in the literature: supporting a holistic approach, developing culturally appropriate care, conflict within a Western medical model, regulatory issues, and geographical barriers. Conclusion: There is a dearth of current literature available discussing the utilization of traditional therapies in palliative care. From the literature analysed, the benefits of including traditional therapies are overall positive, however, there are barriers including conflict with the Western model of medicine and regulation. More research is required in the provision of traditional therapies in palliative care. Relevance to Clinical Practice: The incorporation of traditional medicines within a palliative care setting could help nurses provide holistic and culturally appropriate care, especially in rural and remote areas where they make up the majority of the healthcare force. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
34. Traditional Knowledge for ethical reporting on Indigenous communities: A cultural compass for social justice.
- Author
-
Auman, Ann and Kanahele, Alana Pollack
- Subjects
TRADITIONAL knowledge ,JOURNALISM ,JOURNALISTS ,SOCIAL justice ,STORYTELLING - Abstract
This study suggests ways to improve reporting on Indigenous communities by including information about Traditional Knowledge (TK) labels in guidebooks, ethics codes and journalistic training. These labels will help journalists respect Indigenous cultures, knowledge and protocol. The paper draws on reporting guides on Indigenous peoples as well as TK labels developed by cultural preservationists that identify Indigenous knowledge and materials. These labels educate people about Indigenous information, visuals and artifacts and help set the record straight. This study embraces TK labels as a practical way to apply theories of 'open ethics' and 'listening' in order to foster an open mindset among journalists. TK labels could guide journalists by being a 'cultural compass' in their storytelling, thus serving the news media's social justice role and strengthening the voice of Indigenous people. [ABSTRACT FROM AUTHOR]
- Published
- 2021
35. Sexually transmissible infections (STI) and HIV testing and diagnosis among Aboriginal and non-Aboriginal adolescents in contact with the Australian justice system: a cross-sectional study.
- Author
-
Taflan, Patricia, Simpson, Paul L., Wilson, Mandy, Jones, Jocelyn, Donovan, Basil, Amin, Janaki, Nathan, Sally, and Butler, Tony
- Subjects
SEXUALLY transmitted diseases ,DIAGNOSIS of HIV infections ,INDIGENOUS Australians ,HUMAN sexuality ,TEENAGE boys - Abstract
Background: It is unclear what factors are associated with sexually transmissible infections (STI) and HIV testing and diagnosis among justice-involved adolescents, and if these differ for Aboriginal or Torres Strait Islander peoples. Methods: A cross-sectional survey of 465 justice-involved adolescents (aged 14–17 years) from Australia was conducted between 2016 and 2018. Participants were asked about sexual behaviours, STI/HIV knowledge, and prior STI diagnoses and testing. Results: Approximately 38% (n = 130) of those sexually active had ever been screened for STI/HIV and 17.8% (n = 23) had been diagnosed with an STI. No participant reported living with HIV. For Aboriginal participants, being male (aOR 3.6, 95% CI 1.3–10.1) and having under three sexual partners in the past 12 months (aOR 3.1, 95% CI 1.2–8.0) was associated with never having had an STI/HIV test. For non-Aboriginal participants, being male (aOR 2.7, 95%CI 1.2–5.7), single (aOR 2.4, 95% CI 1.2–4.9), attending school (aOR 2.4, 95% CI 1.1–5.1), not having sought sexual health information (aOR 2.8, 95% CI 1.4–5.8), and having a lower STI/HIV knowledge score (aOR 2.3, 95% CI 1.1–5.0) were associated with never having had an STI/HIV test. Factors associated with STI diagnosis were non-heterosexual sexual orientation (aOR 5.6, 95% CI 1.1–28.2), transactional sex (aOR 11.2, 95% CI 3.0–41.3), and having sought sexual health information (aOR 3.5, 95% CI 1.0–12.5). Conclusions: Males, particularly Aboriginal male adolescents, should be engaged with sexual health promotion and testing services as soon as they come into contact with the justice system. Approaches should consider different cultural, gender and sexual orientations. This paper reports on the sexual behaviours of Aboriginal and non-Aboriginal adolescents who have come into contact with the Australian justice system and looks at factors associated with testing for sexually transmissible infections (STI) and HIV, and diagnosis of sexually transmissible infections. Findings suggest there are different factors associated with STI/HIV testing for Aboriginal and non-Aboriginal justice-involved adolescents. Sexual health education should start early and consider gender, cultural and sexual orientation differences. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
36. Normalising sex and resisting shame: young Aboriginal women’s views on sex and relationships in an urban setting in Australia.
- Author
-
Martin, Kacey, Bryant, Joanne, Beetson, Karen, Wilms, Jessica, Briggs, Tamika, Treloar, Carla, and Newman, Christy
- Abstract
This paper explores young Aboriginal women’s views on sex and relationships in Australia – including their beliefs about broader social attitudes relating to sexuality, gender, and well-being – and how these understandings can impact young women’s sexual health. The project adopted a strengths-based approach and used peer interviewing to investigate how Aboriginal young people in urban settings develop and manage their sexual well-being. The findings draw on interviews with 35 Aboriginal young women, between 16 and 26 years old and living in Western Sydney, Australia. Although the young women’s views and experiences were broad and diverse, several key themes were identified. In this paper, we explore how young women’s understandings and experiences of sexual shame were gendered and racialised, how they reconciled shame-inducing discourses by embracing more open and positive views about sexuality and how they drew on various sources to foster self-worth and sexual agency. Moreover, the paper describes what young women saw as the defining features of positive sexual relationships which, in their views, included love, connection, respect, consent, trust, honesty and responsibility. Implications for how young women’s ties to family, community and culture supported them in fostering sexual well-being are also discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
37. Discharge interventions for First Nations people with a chronic condition or injury: a systematic review.
- Author
-
Coombes, Julieann, Holland, Andrew J.A, Ryder, Courtney, Finlay, Summer May, Hunter, Kate, Bennett-Brook, Keziah, Orcher, Phillip, Scarcella, Michele, Briscoe, Karl, Forbes, Dale, Jacques, Madeleine, Maze, Deborah, Porykali, Bobby, Bourke, Elizabeth, and Kairuz Santos, Camila A.
- Subjects
INDIGENOUS Australians ,CHRONIC diseases ,MEDICAL personnel ,DISCHARGE planning ,LENGTH of stay in hospitals ,PATIENT discharge instructions - Abstract
Background: Aboriginal and Torres Strait Islander peoples have a unique place in Australia as the original inhabitants of the land. Similar to other First Nations people globally, they experience a disproportionate burden of injury and chronic health conditions. Discharge planning ensures ongoing care to avoid complications and achieve better health outcomes. Analysing discharge interventions that have been implemented and evaluated globally for First Nations people with an injury or chronic conditions can inform the implementation of strategies to ensure optimal ongoing care for Aboriginal and Torres Strait Islander people. Methods: A systematic review was conducted to analyse discharge interventions conducted globally among First Nations people who sustained an injury or suffered from a chronic condition. We included documents published in English between January 2010 and July 2022. We followed the reporting guidelines and criteria set in Preferred Reporting Items for Systematic Review (PRISMA). Two independent reviewers screened the articles and extracted data from eligible papers. A quality appraisal of the studies was conducted using the Mixed Methods Appraisal Tool and the CONSIDER statement. Results: Four quantitative and one qualitative study out of 4504 records met inclusion criteria. Three studies used interventions involving trained health professionals coordinating follow-up appointments, linkage with community care services and patient training. One study used 48-hour post discharge telephone follow-up and the other text messages with prompts to attend check-ups. The studies that included health professional coordination of follow-up, linkage with community care and patient education resulted in decreased readmissions, emergency presentations, hospital length of stay and unattended appointments. Conclusion: Further research on the field is needed to inform the design and delivery of effective programs to ensure quality health aftercare for First Nations people. We observed that discharge interventions in line with the principal domains of First Nations models of care including First Nations health workforce, accessible health services, holistic care, and self-determination were associated with better health outcomes. Registration: This study was prospectively registered in PROSPERO (ID CRD42021254718). [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
38. Understanding camp dogs: the relationship between Aboriginal culture and western welfare.
- Author
-
Bennett, Bindi and Archer-Lean, Clare
- Subjects
WESTERN civilization ,AUSTRALIAN animals ,ANIMAL welfare ,DOGS ,COMMUNITIES - Abstract
This article examines how rising concern for animal welfare in Australia is manifested in increased media coverage of these topics, including growing coverage of animal sentience, rights, and welfare. In Australia, canine existence is often determined by their positioning within cultural frames. Dogs have been integral to Aboriginal social, family, and environmental relationships for generations; however, colonisation brought fundamental changes to these established relationships, with ramifications that have prompted welfare concerns about camp dog populations. The goal of this article is to review existing research discourses and epistemological positioning of the supposed camp dog problem. We are not assessing individual programmes or reporting on fieldwork conducted with communities. Instead, this initial paper reviews some of the current literature to identify ways forward in facilitating Aboriginal self-determining of camp dog interactions in communities. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
39. Strengths-Based Nursing to Combat Common Infectious Diseases in Indigenous Australians.
- Author
-
Cheluvappa, Rajkumar and Selvendran, Selwyn
- Subjects
COMMUNICABLE disease treatment ,COMMUNICABLE disease epidemiology ,INDIGENOUS Australians ,MEDICAL quality control ,ONLINE information services ,HIV infections ,NURSING ,SYPHILIS ,DISEASE incidence ,SEXUALLY transmitted diseases ,NURSING practice ,DISEASE prevalence ,MEDLINE - Abstract
(1) Problem: The increasing incidence and prevalence of infectious diseases in Indigenous Australians (Aboriginal groups and Torres Strait Islanders) are concerning. Indigenous Australians experience the burden of infectious diseases disproportionately when compared to non-Indigenous Australians. (2) Aim: Our report aims to describe how to apply Strengths-Based Nursing (SBN) to ameliorate the impact of the most common infectious diseases in Indigenous Australians. Specifically, we aim to describe how nurses can use SBN to partner with Indigenous Australian communities to remediate, control, and mollify the impact of the most common infectious diseases encountered by them using their limited resources. (3) Methods: Meticulous PubMed, Google Scholar, and web searches were conducted pertaining to Strengths-Based Nursing and common infectious diseases in Indigenous Australians. (4) Findings: The two groups of infectious diseases considered are sexually transmitted infections (STIs) and infectious skin diseases (including parasitic infestations). The prevalence of these infectious diseases in Indigenous Australians is deliberated on, with data when possible, or known trends and impacts. Finally, existing, evidence-based, prudent, and possible SBN approaches are discussed towards tackling these infectious diseases judiciously with available local resources, in conjunction with the support of impacted people, their families, and their communities. (5) Discussion and Conclusion: The SBN approach is a relatively new perspective/approach to clinical and nursing care. In contradistinction to the commonly utilised medical model, SBN pits strengths against deficits, available resources against professional judgment, solutions against unavailable items, and collaborations against hierarchy. In light of the current situation/data, several SBN approaches to combat STIs and skin infections in Indigenous Australians were identified and discussed for the first time in the "Results" section of this paper. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
40. The hookworm
- Author
-
Felicity A, Smout, Lee F, Skerratt, James R A, Butler, Christopher N, Johnson, Bradley C, Congdon, and R C Andrew, Thompson
- Subjects
Hookworm ,Zoonosis ,Dogs ,parasitic diseases ,Ancylostoma ceylanicum ,Aboriginal ,Research Paper ,Canine - Abstract
Ancylostoma ceylanicum is the common hookworm of domestic dogs and cats throughout Asia, and is an emerging but little understood public health risk in tropical northern Australia. We investigated the prevalence of A. ceylanicum in soil and free-ranging domestic dogs at six rainforest locations in Far North Queensland that are Indigenous Australian communities and popular tourist attractions within the Wet Tropics World Heritage Area. By combining PCR-based techniques with traditional methods of hookworm species identification, we found the prevalence of hookworm in Indigenous community dogs was high (96.3% and 91.9% from necropsy and faecal samples, respectively). The majority of these infections were A. caninum. We also observed, for the first time, the presence of A. ceylanicum infection in domestic dogs (21.7%) and soil (55.6%) in an Indigenous community. A. ceylanicum was present in soil samples from two out of the three popular tourist locations sampled. Our results contribute to the understanding of dogs as a public health risk to Indigenous communities and tourists in the Wet Tropics. Dog health needs to be more fully addressed as part of the Australian Government's commitments to “closing the gap” in chronic disease between Indigenous and other Australians, and encouraging tourism in similar locations., Graphical abstract Image 1, Highlights • Ancylostoma ceylanicum is the common hookworm of domestic dogs and cats throughout Asia. • A. ceylanicum is an emerging public health risk in tropical northern Australia. • A first time account of A. ceylanicum infection in domestic dogs in an Indigenous community. • A. ceylanicum was present in soil samples from two out of three popular tourist locations sampled. • Dogs may be a public health risk to Indigenous communities and tourists in the Wet Tropics.
- Published
- 2016
41. Hospital pharmacy services supporting Aboriginal or Torres Strait Islander peoples in Australia: a systematic review.
- Author
-
Welch, Susan, McMillan, Faye, and Moles, Rebekah
- Subjects
ABORIGINAL Australians ,CONTINUUM of care ,HOSPITAL pharmacies ,HOSPITALS ,MEDICAL information storage & retrieval systems ,MATHEMATICAL models ,MEDICAL care ,MEDLINE ,ONLINE information services ,PATIENTS ,RURAL conditions ,SYSTEMATIC reviews ,THEORY - Abstract
Aim: To systematically review the literature to investigate the role of the hospital pharmacist and the services provided for Aboriginal and/or Torres Strait Islander people. Methods: A systematic literature review was performed following a search from inception to present of MEDLINE, International Pharmaceutical Abstracts (IPA), EMBASE, Scopus and Pubmed, in accordance with PRISMA guidelines. All forms of published literature were included. Aboriginal and/or Torres Strait Islander people and hospital pharmacists/pharmacy department services in Australia were the populations included. Results: 1592 studies were identified. After removal of duplicates and application of inclusion and exclusion criteria, 16 papers underwent full text review, with 7 papers included in the final review. No high‐level evidence articles were found. Joanna Briggs Institute Levels of Evidence for meaningfulness were low. Settings were varied and included rural, remote and urban sites. Five articles were allocated a Donabedian Model level where the structure was described. Two papers described structure and process. None described outcomes. Hospital pharmacy services included development of models for patient care, partnerships and resource sharing in rural and remote areas and ensuring continuity of care. Conclusion: Systematic review of the literature to determine the role of hospital pharmacy services for Aboriginal and/or Torres Strait Islander people produced limited publications for review. From these, roles identified included: development of models for patient care, partnerships and resource sharing in rural and remote areas and ensuring continuity of care. Future research and publication of work by hospital pharmacists nurturing and developing relationships in partnership with Aboriginal and Torres Strait Islander communities is encouraged. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
42. "This is an Indigenous city; why don't we see it?" Indigenous urbanism and spatial production in Winnipeg.
- Author
-
Nejad, Sarem, Walker, Ryan, Macdougall, Brenda, Belanger, Yale, and Newhouse, David
- Subjects
CITIES & towns ,CITY dwellers ,BUILT environment ,SEMI-structured interviews ,INDIGENOUS peoples - Abstract
Copyright of Canadian Geographer is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
43. Uncovering Indigenous perspectives in the Australian engineering curriculum: a systematic literature review of practical examples.
- Author
-
Stephensen, Rani and Cunningham, Samuel
- Subjects
- *
TORRES Strait Islanders , *ABORIGINAL Australians , *ENGINEERING education , *INDIGENOUS Australians , *ERGONOMICS , *INDIGENOUS children - Abstract
This paper documents and shares findings from a Systematic Literature Review (SLR) that was conducted to explore what published evidence exists of how Indigenous perspectives have been incorporated into the Australian tertiary engineering curriculum. The importance of embedding these perspectives into engineering education is known as it provides holistic and authentic learning experiences, reflects real world and industry practices, and better equips graduates. Engineers must competently demonstrate understanding of, and ethical conduct for, social and community duties. In order to provide graduates with the knowledge and awareness of how engineering practices affect human, societal, and environmental demands, it is becoming increasingly important to emphasise the human elements of engineering. The SLR resulted in 27 included results which highlighted six reoccurring themes, vital for the shared success when embedding Indigenous perspectives. This included community engagement, capacity building for engineering educators, resource repository, storytelling, use of frameworks, and projects. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
44. Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data.
- Author
-
de Silva, Andrea M., Martin-Kerry, Jacqueline M., McKee, Katherine, and Cole, Deborah
- Subjects
RISK factors of periodontal disease ,INDIGENOUS Australians ,DENTAL caries ,MEDLINE ,ORAL hygiene ,ONLINE information services ,PERIODONTAL disease ,SEVERITY of illness index - Abstract
Objective. The aim of the present study was to identify all evidence about the prevalence and severity of clinically measured caries and periodontal disease in Indigenous adults in Australia published in peer-reviewed journals and to summarise trends over time. In addition, we examined whether the studies investigated associations between putative risk factors and levels of caries and periodontal disease. Methods. PubMed was searched in September 2014, with no date limitations, for published peer-reviewed articles reporting the prevalence rates and/or severity of caries and periodontal disease in Indigenous adults living in Australia. Articles were excluded if measurement was not based on clinical assessment and if oral disease was reported only in a specific or targeted sample, and not the general population. Results. The search identified 18 papers (reporting on 10 primary studies) that met the inclusion criteria. The studies published clinical data about dental caries and/or periodontal disease in Australian Indigenous adults. The studies reported on oral health for Indigenous adults living in rural (40%), urban (10%) and both urban and rural (50%) locations. Included studies showed that virtually all Indigenous adults living in rural locations had periodontal disease. The data also showed caries prevalence ranged from 46%to 93%. Although 10 studies were identified, the peer-reviewed literature was extremely limited and no published studies were identified that provided statistics for a significant proportion of Australia (Victoria, Tasmania, Queensland or the Australian Capital Territory). There were also inconsistencies in how the data were reported between studies, making comparisons difficult. Conclusions. This review highlights a lack of robust and contemporary data to inform the development of policies and programs to address the disparities in oral health in Indigenous populations living in many parts of Australia. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
45. Access to primary health care services for Indigenous peoples: A framework synthesis.
- Author
-
Davy, Carol, Harfield, Stephen, McArthur, Alexa, Munn, Zachary, and Brown, Alex
- Abstract
Background: Indigenous peoples often find it difficult to access appropriate mainstream primary health care services. Securing access to primary health care services requires more than just services that are situated within easy reach. Ensuring the accessibility of health care for Indigenous peoples who are often faced with a vast array of additional barriers including experiences of discrimination and racism, can be complex. This framework synthesis aimed to identify issues that hindered Indigenous peoples from accessing primary health care and then explore how, if at all, these were addressed by Indigenous health care services. Methods: To be included in this framework synthesis papers must have presented findings focused on access to (factors relating to Indigenous peoples, their families and their communities) or accessibility of Indigenous primary health care services. Findings were imported into NVivo and a framework analysis undertaken whereby findings were coded to and then thematically analysed using Levesque and colleague's accessibility framework. Results: Issues relating to the cultural and social determinants of health such as unemployment and low levels of education influenced whether Indigenous patients, their families and communities were able to access health care. Indigenous health care services addressed these issues in a number of ways including the provision of transport to and from appointments, a reduction in health care costs for people on low incomes and close consultation with, if not the direct involvement of, community members in identifying and then addressing health care needs. Conclusions: Indigenous health care services appear to be best placed to overcome both the social and cultural determinants of health which hamper Indigenous peoples from accessing health care. Findings of this synthesis also suggest that Levesque and colleague's accessibility framework should be broadened to include factors related to the health care system such as funding. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
46. Participatory Action Research-Dadirri-Ganma, using Yarning: methodology co-design with Aboriginal community members.
- Author
-
Sharmil, Hepsibah, Kelly, Janet, Bowden, Margaret, Galletly, Cherrie, Cairney, Imelda, Wilson, Coral, Hahn, Lisa, Liu, Dennis, Elliot, Paul, Else, Joanne, Warrior, Trevor, Wanganeen, Trevor, Taylor, Robert, Wanganeen, Frank, Madrid, Jodus, Warner, Lisa, Brown, Mandy, and de Crespigny, Charlotte
- Subjects
HEALTH of indigenous peoples ,DOCTORAL programs ,ACTION research ,ABORIGINAL Australians - Abstract
Background: Appropriate choice of research design is essential to rightly understand the research problem and derive optimal solutions. The Comorbidity Action in the North project sought to better meet the needs of local people affected by drug, alcohol and mental health comorbidity. The aim of the study focused on the needs of Aboriginal peoples and on developing a truly representative research process. A methodology evolved that best suited working with members of a marginalised Aboriginal community. This paper discusses the process of co-design of a Western methodology (participatory action research) in conjunction with the Indigenous methodologies Dadirri and Ganma. This co-design enabled an international PhD student to work respectfully with Aboriginal community members and Elders, health professionals and consumers, and non-Indigenous service providers in a drug and alcohol and mental health comorbidity project in Adelaide, South Australia. Methods: The PhD student, Aboriginal Elder mentor, Aboriginal Working Party, and supervisors (the research team) sought to co-design a methodology and applied it to address the following challenges: the PhD student was an international student with no existing relationship with local Aboriginal community members; many Aboriginal people deeply distrust Western research due to past poor practices and a lack of implementation of findings into practice; Aboriginal people often remain unheard, unacknowledged and unrecognised in research projects; drug and alcohol and mental health comorbidity experiences are often distressing for Aboriginal community members and their families; attempts to access comorbidity care often result in limited or no access; and Aboriginal community members experience acts of racism and discrimination as health professionals and consumers of health and support services. The research team considered deeply how knowledge is shared, interpreted, owned and controlled, by whom and how, within research, co-morbidity care and community settings. The PhD student was supported to co-design a methodology that was equitable, democratic, liberating and life-enhancing, with real potential to develop feasible solutions. Results: The resulting combined Participatory Action Research (PAR)-Dadirri-Ganma methodology sought to create a bridge across Western and Aboriginal knowledges, understanding and experiences. Foundation pillars of this bridge were mentoring of the PhD student by senior Elders, who explained and demonstrated the critical importance of Yarning (consulting) and Indigenous methodologies of Dadirri (deep listening) and Ganma (two-way knowledge sharing), and discussions among all involved about the principles of Western PAR. Conclusions: Concepts within this paper are shared from the perspective of the PhD student with the permission and support of local Elders and Working Group members. The intention is to share what was learned for the benefit of other students, research projects and community members who are beginning a similar journey. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
47. 'Don't make me play house-n***er': Indigenous academic women treated as 'black performer' within higher education.
- Author
-
Thunig, Amy and Jones, Tiffany
- Subjects
INDIGENOUS women ,HIGHER education ,SUPPLY & demand ,UNIVERSITIES & colleges ,WOMEN'S roles ,EDUCATIONAL equalization - Abstract
In an era where higher education institutions appear increasingly committed to what Sara Ahmed calls 'speech acts' whereby declared goodwill, through stated commitments to diversity, equity, and increasing Indigenous student enrolment and completion have been made; it is undeniable that Indigenous academics are in high demand. With fewer than 430 Indigenous academics currently employed here on the continent now commonly referred to as 'Australia', and 69% of that cohort identifying as female, what does it look like to experience this demand as an Indigenous academic woman? Drawing on data collected from a Nation-wide study in 2019 of 17 one-on-one, face-to-face interviews with Indigenous academic women, using Indigenous research methodologies and poetic transcription, this paper explores the experiences and relational aspects of Indigenous academic women's roles in Australian higher education. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
48. Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period.
- Author
-
Jones, Jocelyn, Durey, Angela, Strobel, Natalie, McAuley, Kimberley, Edmond, Karen, Coffin, Juli, and McAullay, Daniel
- Subjects
PUERPERIUM ,MEDICAL care ,MOTHERS ,POSTNATAL care ,PRIMARY health care ,NEONATAL nursing ,NURSE-patient ratio - Abstract
Background: Evidence suggests that Aboriginal babies in Western Australia are not receiving adequate primary health care in their first 3 months of life, leading to questions about enablers and constraints to delivering such care. This paper presents findings from a qualitative research project investigating health providers' perceptions and experiences of best and current practice in discharge planning, postnatal care and health education for Aboriginal mothers and their newborn babies. Methods: Constructivist grounded theory guided this research involving 58 semi-structured interviews conducted with health providers who deliver care to Aboriginal mothers and infants. Participants were recruited from hospital-based and primary health sites in metropolitan Perth, and regional and remote locations in Western Australia. Results: Structural factors enabling best practice in discharge planning, postnatal care, and health education for mothers included health providers following best practice guidelines and adequate staffing levels. Organisational enablers included continuity of care throughout pregnancy, birth and postnatally. In particular, good communication between services around discharge planning, birth notifications, and training in culturally respectful care. Structural and organisational constraints to delivering best practice and compromising continuity of care were identified as beyond individual control. These included poor communication between different health and social services, insufficient hospital staffing levels leading to early discharge, inadequate cultural training, delayed receipt of birth notifications and discharge summaries received by Aboriginal primary health services. Conclusion: Findings highlight the importance of examining current policies and practices to promote best practice in postnatal care to improve health outcomes for mothers and their Aboriginal babies. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
49. Attendance at, and experiences of, urban hospital outpatient appointments: informing a new model of care for urban-dwelling Aboriginal and Torres Strait Islander patients.
- Author
-
Wynter, Karen, Mullan, Leanne, Druce, Tanya, Freeman, Gilbert, Maguire, Graeme, Davidson, Lauren, Karunajeewa, Harin, Crowe, Shane, and Rasmussen, Bodil
- Subjects
STATISTICS ,RELATIVE medical risk ,TORRES Strait Islanders ,HEALTH services accessibility ,CONFIDENCE intervals ,CROSS-sectional method ,RESEARCH methodology ,INTERVIEWING ,EXPERIENCE ,QUALITATIVE research ,PSYCHOSOCIAL factors ,CHI-squared test ,DESCRIPTIVE statistics ,ABORIGINAL Australians ,MEDICAL appointments ,METROPOLITAN areas ,DATA analysis software ,THEMATIC analysis ,OUTPATIENT services in hospitals - Abstract
Objectives: To compare outpatient attendance rates for Aboriginal and Torres Strait Islander ('Aboriginal') and non-Aboriginal patients at a large metropolitan health service in Melbourne, Australia, and to describe the barriers and enablers experienced by urban-dwelling Aboriginal patients in attending hospital outpatient appointments. Methods: This study used a mixed-method approach. Proportions of referred patients who booked and attended outpatient appointments were extracted from a health service database. Aboriginal versus non-Aboriginal cohorts were compared using chi-squared tests. Eleven patients, one parent of a patient and two community nurses were interviewed by telephone to investigate perceived barriers and enablers to attending outpatient appointments among Aboriginal patients. Results: Outpatient referrals were greater among Aboriginal than non-Aboriginal people; however, referrals were significantly less likely to result in an outpatient clinic booking and attendance for Aboriginal compared to non-Aboriginal people. Interview participants reported several barriers to attending appointments, related to logistical, quality of care and cultural factors. Suggested facilitators to make appointment attendance easier included: provision of transport support, improving clinic scheduling, utilising a variety of appointment reminder formats, providing food in waiting rooms, flexible appointment timing options, outreach services, access to Aboriginal support workers, improving communication and relationships with Aboriginal people, cultural awareness training for staff and the provision of culturally appropriate spaces. Conclusion: Some barriers faced by Aboriginal patients in attending hospital outpatient appointments in urban areas can be addressed through implementation of enablers suggested by participants. Data have informed the development of a tailored, inclusive, culturally and consumer-focused appropriate hospital outpatient service model of care. What is known about the topic? Health outcomes are poorer and burden of disease greater among Aboriginal and Torres Strait Islander people than non-Aboriginal and Torres Strait Islander people. What does this paper add? Compared to non-Aboriginal and Torres Strait Islander people, among Aboriginal and Torres Strait Islander people in urban settings, more outpatient referrals are made, but these referrals are significantly less likely to result in an outpatient clinic booking and attendance. Barriers and enablers to urban-dwelling Aboriginal and Torres Strait Islander people attending outpatient hospital appointments relate to logistical, quality of care and cultural factors. What are the implications for practitioners? Identifying and understanding the barriers and enablers to healthcare access for urban-dwelling Aboriginal and Torres Strait Islander people provides a foundation on which practitioners and organisations can facilitate urban hospital outpatient service development, with the aim to better support healthcare engagement and appointment attendance. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
50. A call for culture-centred care: exploring health workers' perspectives of positive care experiences and culturally responsive care provision to Aboriginal women and their infants in mainstream health in South Australia.
- Author
-
Sivertsen, Nina, Deverix, Janiene, Gregoric, Carolyn, and Grant, Julian
- Subjects
MEDICAL personnel ,INDIGENOUS women ,INFANT health ,INFANT care ,MATERNAL health services ,CONTINUUM of care - Abstract
Background: Aboriginal women and their infants experience significant disadvantage in health outcomes compared to their non-Aboriginal counterparts. Access to timely, effective, and appropriate maternal and child health care can contribute to reducing these existing health disparities. This research sought to explore factors that contribute to continuity of care for Aboriginal women and their infants living in metropolitan South Australia. This paper reports on the perspectives of health care workers in mainstream health services from the antenatal period to the end of an infants' second birthday. It explores health workers' perspectives of what contributes to positive care experiences and satisfaction with care provided to Aboriginal women and their infants in mainstream health. Methods: Eight focus groups were held with 52 health professionals. Participants included Aboriginal Cultural Child and Family Support Consultants (n = 7), Aboriginal Maternal Infant Care Workers (n = 3), Midwives (n = 3) and Child and Family Nurses (n = 39). Data was inductively coded and thematically analysed. Results: Three key themes emerged: the system takes priority, culture is not central in approaches to care, and 'we've got to be allowed to do it in a different way'. Conclusions: This research highlights a lack of continuity of care for Aboriginal families accessing mainstream health services from the antenatal period through to an infants' first 1000 days of life. This research has implications for communities, and it calls for strategies to enhance continuity, and healthcare services to provide appropriate and culturally safe care. Findings will inform and guide future changes to improve continuity of care for Aboriginal families and infants in the first 1000 days. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.