The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings.

Flemington, T; Fraser, J; Gibbs, C; Shipp, J; Bryant, J; Ryan, A; Wijetilaka, D; Marks, S; Scarcella, M; Tzioumi, D; Ramanathan, S; Clague, L; Hartz, D; Lonne, B; Lock Ngiyampaa, M

The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings.

Flemington, T Fraser, J Gibbs, C Shipp, J Bryant, J Ryan, A Wijetilaka, D Marks, S Scarcella, M Tzioumi, D Ramanathan, S Clague, L Hartz, D Lonne, B Lock Ngiyampaa, M

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Publisher:: MDPI
Publication Type:: Journal Article
Citation:: Int J Environ Res Public Health, 2022, 19, (9), pp. 5381
Issue Date:: 2022-04-28

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Field	Value	Language
dc.contributor.author	Flemington, T
dc.contributor.author	Fraser, J
dc.contributor.author	Gibbs, C
dc.contributor.author	Shipp, J
dc.contributor.author	Bryant, J
dc.contributor.author	Ryan, A
dc.contributor.author	Wijetilaka, D
dc.contributor.author	Marks, S
dc.contributor.author	Scarcella, M
dc.contributor.author	Tzioumi, D
dc.contributor.author	Ramanathan, S
dc.contributor.author	Clague, L
dc.contributor.author	Hartz, D
dc.contributor.author	Lonne, B
dc.contributor.author	Lock Ngiyampaa, M
dc.date.accessioned	2022-07-26T07:51:25Z
dc.date.available	2022-04-08
dc.date.available	2022-07-26T07:51:25Z
dc.date.issued	2022-04-28
dc.identifier.citation	Int J Environ Res Public Health, 2022, 19, (9), pp. 5381
dc.identifier.issn	1661-7827
dc.identifier.issn	1660-4601
dc.identifier.uri	http://hdl.handle.net/10453/159174
dc.description.abstract	The aim of this paper is to describe the development of a model of care to embed cultural safety for Aboriginal children into paediatric hospital settings. The Daalbirrwirr Gamambigu (pronounced "Dahl-beer-weer gum-um-be-goo" in the Gumbaynggirr language means 'safe children') model encompasses child protection responses at clinical, managerial and organisational levels of health services. A review of scholarly articles and grey literature followed by qualitative interviews with Aboriginal health professionals formed the evidence base for the model, which then underwent rounds of consultation for cultural suitability and clinical utility. Culturally appropriate communication with children and their families using clinical yarning and a culturally adapted version of ISBAR (a mnemonic for Identify, Situation, Background, Assessment and Recommendation) for interprofessional communication is recommended. The model guides the development of a critical consciousness about cultural safety in health care settings, and privileges the cultural voices of many diverse Aboriginal peoples. When adapted appropriately for local clinical and cultural contexts, it will contribute to a patient journey experience of respect, dignity and empowerment.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI
dc.relation.ispartof	Int J Environ Res Public Health
dc.relation.isbasedon	10.3390/ijerph19095381
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	Toxicology
dc.subject.mesh	Australia
dc.subject.mesh	Child
dc.subject.mesh	Cultural Competency
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Hospitals
dc.subject.mesh	Humans
dc.subject.mesh	Indigenous Peoples
dc.subject.mesh	Native Hawaiian or Other Pacific Islander
dc.subject.mesh	Humans
dc.subject.mesh	Child
dc.subject.mesh	Hospitals
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Australia
dc.subject.mesh	Cultural Competency
dc.subject.mesh	Indigenous Peoples
dc.subject.mesh	Native Hawaiian or Other Pacific Islander
dc.title	The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	Switzerland
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
dc.date.updated	2022-07-26T07:51:23Z
pubs.issue	9
pubs.publication-status	Published online
pubs.volume	19
utslib.citation.issue	9

Abstract:

The aim of this paper is to describe the development of a model of care to embed cultural safety for Aboriginal children into paediatric hospital settings. The Daalbirrwirr Gamambigu (pronounced "Dahl-beer-weer gum-um-be-goo" in the Gumbaynggirr language means 'safe children') model encompasses child protection responses at clinical, managerial and organisational levels of health services. A review of scholarly articles and grey literature followed by qualitative interviews with Aboriginal health professionals formed the evidence base for the model, which then underwent rounds of consultation for cultural suitability and clinical utility. Culturally appropriate communication with children and their families using clinical yarning and a culturally adapted version of ISBAR (a mnemonic for Identify, Situation, Background, Assessment and Recommendation) for interprofessional communication is recommended. The model guides the development of a critical consciousness about cultural safety in health care settings, and privileges the cultural voices of many diverse Aboriginal peoples. When adapted appropriately for local clinical and cultural contexts, it will contribute to a patient journey experience of respect, dignity and empowerment.

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http://hdl.handle.net/10453/159174