Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians

Durey, A; Wynaden, D; Thompson, SC; Davidson, PM; Bessarab, D; Katzenellenbogen, J

Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians

Durey, A Wynaden, D Thompson, SC Davidson, PM Bessarab, D Katzenellenbogen, J

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Publisher:: Wiley-Blackwell Publishing Ltd.
Publication Type:: Journal Article
Citation:: Nursing Inquiry, 2011, July (2011), pp. 1 - 9
Issue Date:: 2011-01

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Field	Value	Language
dc.contributor.author	Durey, A	en_US
dc.contributor.author	Wynaden, D	en_US
dc.contributor.author	Thompson, SC	en_US
dc.contributor.author	Davidson, PM	en_US
dc.contributor.author	Bessarab, D	en_US
dc.contributor.author	Katzenellenbogen, J	en_US
dc.date.issued	2011-01	en_US
dc.identifier.citation	Nursing Inquiry, 2011, July (2011), pp. 1 - 9	en_US
dc.identifier.issn	1320-7881	en_US
dc.identifier.uri	http://hdl.handle.net/10453/17664
dc.description.abstract	Well-documented health disparities between Aboriginal and Torres Strait Islander (hereafter referred to as Aboriginal) and non-Aboriginal Australians are underpinned by complex historical and social factors. The effects of colonisation including racism continue to impact negatively on Aboriginal health outcomes, despite being under-recognised and under-reported. Many Aboriginal people find hospitals unwelcoming and are reluctant to attend for diagnosis and treatment, particularly with few Aboriginal health professionals employed on these facilities. In this paper, scientific literature and reports on Aboriginal healthcare, methodology and cross-cultural education are reviewed to inform a collaborative model of hospital-based organisational change. The paper proposes a collaborative model of care to improve health service delivery by building capacity in Aboriginal and non-Aboriginal personnel by recruiting more Aboriginal health professionals, increasing knowledge and skills to establish good relationships between non-Aboriginal care providers and Aboriginal patients and their families, delivering quality care that is respectful of culture and improving Aboriginal health outcomes. A key element of model design, implementation and evaluation is critical reflection on barriers and facilitators to providing respectful and culturally safe quality care at systemic, interpersonal and patient . family-centred levels. Nurses are central to addressing the current state of inequity and are pivotal change agents within the proposed model.	en_US
dc.format	JR	en_US
dc.publisher	Wiley-Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Nursing Inquiry	en_US
dc.relation.isbasedon	10.1111/j.1440-1800.2011.00546.x	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Cooperative Behavior	en_US
dc.subject.mesh	Nurse-Patient Relations	en_US
dc.subject.mesh	Prejudice	en_US
dc.subject.mesh	Models, Nursing	en_US
dc.subject.mesh	Models, Organizational	en_US
dc.subject.mesh	Culture	en_US
dc.subject.mesh	Nursing Staff, Hospital	en_US
dc.subject.mesh	Oceanic Ancestry Group	en_US
dc.subject.mesh	Quality of Health Care	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Health Status Disparities	en_US
dc.subject.mesh	Quality Improvement	en_US
dc.title	Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians	en_US
dc.type	Journal Article
utslib.citation.volume	2011	en_US
utslib.citation.volume	July	en_US
utslib.for	111701 Aboriginal and Torres Strait Islander Health	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - AAI - Advanced Analytics Institute Research Centre
utslib.copyright.status	closed_access
pubs.consider-herdc	false	en_US
pubs.issue	2011	en_US
pubs.volume	July	en_US

Abstract:

Well-documented health disparities between Aboriginal and Torres Strait Islander (hereafter referred to as Aboriginal) and non-Aboriginal Australians are underpinned by complex historical and social factors. The effects of colonisation including racism continue to impact negatively on Aboriginal health outcomes, despite being under-recognised and under-reported. Many Aboriginal people find hospitals unwelcoming and are reluctant to attend for diagnosis and treatment, particularly with few Aboriginal health professionals employed on these facilities. In this paper, scientific literature and reports on Aboriginal healthcare, methodology and cross-cultural education are reviewed to inform a collaborative model of hospital-based organisational change. The paper proposes a collaborative model of care to improve health service delivery by building capacity in Aboriginal and non-Aboriginal personnel by recruiting more Aboriginal health professionals, increasing knowledge and skills to establish good relationships between non-Aboriginal care providers and Aboriginal patients and their families, delivering quality care that is respectful of culture and improving Aboriginal health outcomes. A key element of model design, implementation and evaluation is critical reflection on barriers and facilitators to providing respectful and culturally safe quality care at systemic, interpersonal and patient . family-centred levels. Nurses are central to addressing the current state of inequity and are pivotal change agents within the proposed model.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/17664