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

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dc.contributor.author Durey, A
dc.contributor.author Wynaden, D
dc.contributor.author Thompson, SC
dc.contributor.author Davidson, PM
dc.contributor.author Bessarab, D
dc.contributor.author Katzenellenbogen, JM
dc.date.accessioned 2012-03-19T04:28:09Z
dc.date.issued 2012-06
dc.identifier.citation Nursing Inquiry, 2012, 19 (2), pp. 144 - 152
dc.identifier.issn 1320-7881
dc.identifier.other C5 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 health-care, 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. © 2011 Blackwell Publishing Ltd.
dc.language eng
dc.relation.isbasedon 10.1111/j.1440-1800.2011.00546.x
dc.subject Aboriginal health, Collaboration, Nurse-patient relationships, Organisational development, Racism, Reflective practice, Humans, Prejudice, Cooperative Behavior, Nursing Staff, Hospital, Oceanic Ancestry Group, Health Status Disparities, Models, Organizational, Nurse-Patient Relations, Models, Nursing, Culture, Quality of Health Care, Quality Improvement, Australia, Australia, Cooperative Behavior, Culture, Health Status Disparities, Humans, Models, Nursing, Models, Organizational, Nurse-Patient Relations, Nursing Staff, Hospital, Oceanic Ancestry Group, Prejudice, Quality Improvement, Quality of Health Care, Aboriginal health, collaboration, nursepatient relationships, organisational development, reflective practice, racism, Nursing
dc.subject Aboriginal health; Collaboration; Nurse-patient relationships; Organisational development; Racism; Reflective practice; Humans; Prejudice; Cooperative Behavior; Nursing Staff, Hospital; Oceanic Ancestry Group; Health Status Disparities; Models, Organizational; Nurse-Patient Relations; Models, Nursing; Culture; Quality of Health Care; Quality Improvement; Australia; Australia; Cooperative Behavior; Culture; Health Status Disparities; Humans; Models, Nursing; Models, Organizational; Nurse-Patient Relations; Nursing Staff, Hospital; Oceanic Ancestry Group; Prejudice; Quality Improvement; Quality of Health Care; Aboriginal health, collaboration, nursepatient relationships, organisational development, reflective practice, racism; Nursing
dc.title Owning solutions: A collaborative model to improve quality in hospital care for Aboriginal Australians
dc.type Journal Article
dc.parent Nursing Inquiry
dc.journal.volume 2
dc.journal.volume 19
dc.journal.number 2011 en_US
dc.publocation United Kingdom en_US
dc.publocation Sydney
dc.identifier.startpage 1 en_US
dc.identifier.endpage 9 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111701 Aboriginal and Torres Strait Islander Health
dc.personcode 0000071382 en_US
dc.personcode 0000071383 en_US
dc.personcode 0000066065 en_US
dc.personcode 110950 en_US
dc.personcode 0000071384 en_US
dc.personcode 0000071385 en_US
dc.percentage 100 en_US
dc.classification.name Aboriginal and Torres Strait Islander Health en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Aboriginal health, collaboration, nurse?patient relationships, organisational development, reflective practice, racism en_US
dc.description.keywords Aboriginal health
dc.description.keywords Aboriginal health
dc.description.keywords Collaboration
dc.description.keywords Collaboration
dc.description.keywords Nurse-patient relationships
dc.description.keywords Nurse-patient relationships
dc.description.keywords Organisational development
dc.description.keywords Organisational development
dc.description.keywords Racism
dc.description.keywords Racism
dc.description.keywords Reflective practice
dc.description.keywords Reflective practice
dc.description.keywords Aboriginal health
dc.description.keywords Collaboration
dc.description.keywords Nurse-patient relationships
dc.description.keywords Organisational development
dc.description.keywords Racism
dc.description.keywords Reflective practice
dc.description.keywords Aboriginal health
dc.description.keywords Collaboration
dc.description.keywords Nurse-patient relationships
dc.description.keywords Organisational development
dc.description.keywords Racism
dc.description.keywords Reflective practice
pubs.embargo.period Not known
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 - Health Services and Practice Research


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