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Copyright of Roca: Revista Científico-Educacional de la Provincia de Granma is the property of Universidad de Granma, Departamento Editorial 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.)

Background: Aboriginal culture stands as the oldest continuous culture in the world. It gives paramount importance to a harmonious balance between personal connections to the body, spirit, and mind, as well as collective relationships with family, land, and community, integral to the wellbeing of Aboriginal people. However, obstacles can emerge for patients due to language barriers, cultural differences, or a historical lack of trust in the healthcare system. The establishment of Aboriginal Community Controlled Health Organisations (ACCHOs) has undoubtedly improved the healthcare experience for Aboriginal patients, yet there is limited research on the specific approaches utilised by general practitioners (GPs) working in these clinics. Methods: Twelve semi-structured interviews were conducted with two groups of GPs working in Aboriginal health. Each GP was presented with three scenarios and asked questions related to each scenario. Braun and Clarke's method of thematic analysis was applied to transcribed interviews. Results: Patient-doctor relationship, health literacy, and engagement with the health system emerged as key factors influencing communication with Aboriginal patients. Experienced GPs, despite differing clinical backgrounds, shared concise yet similar ideas to their less experienced counterparts. Notably, experienced GPs prioritised non-medical conversations and mindful body language, emphasising the importance of building strong patient relationships over other consultation aspects. Conclusions: This research provides initial insights for GPs in Aboriginal health, comparing experienced GPs with more than 10 years experience to novices. However, further research involving Aboriginal patients is needed to validate GP strategies and understand their significance from the patients' perspective. Communicating health information can be a challenging skill to clinicians especially when working in Aboriginal health. Despite Aboriginal Health Community Controlled Health Organisations having enriched the experience of Aboriginal patients, there is limited research on the approaches adopted by general practitioners (GPs) working in these clinics. Our research combines thoughts from experienced and novice GPs who worked in Aboriginal Health, and shares some of their experiences related to communicating medical information with Aboriginal patients in this highly complex field. [ABSTRACT FROM AUTHOR]

This article reflects on collaborative research undertaken in Dawkins Park Reserve, NSW, Australia. The aim of the collaboration was to develop a local Indigenous cultural and educational outdoor precinct. Participants involved Aboriginal and Torres Strait Islander and non-Indigenous teachers and primary (Year 6) and secondary (Year 7) school students from three government schools and one catholic school. Fostering student knowledge of, and stewardship about, the reserve’s ecological biodiversity specific to climate change effects over time was the desired outcome. In this article, we share the successes and key challenges of using this park as a case study for outdoor learning as a case study for outdoor learning about climate change in an authentic, localised setting, and the contributions of Indigenous cultural and scientific knowledge to the development of the students’ understanding. Questionnaires and focus group discussions were undertaken with 174 students, while seven teachers engaged in focus group discussions. Quantitative data supported the significant increase in learning enjoyment outside the classroom and improved understanding of climate change at a local level. Conversely, departmental policy and COVID were identified as constraints for regular off-campus learning. [ABSTRACT FROM AUTHOR]