Reference no: EM132327348 , Length: word count : 1500
Introduction
Despite relatively high standards of health and healthcare, Australia remains a country with significant health inequalities. Addressing the health disadvantage experienced by Aboriginal and Torres Strait Islander Australians is a national priority and is the responsibility of all levels of government and all levels of the healthcare system.
In this assignment you are required to discuss a range of strategies designed to address the health inequality experienced by Australia's First Nations people.
To maximise your marks carefully review the assignment instructions and the marking rubric to ensure you fully understand the requirements. You are encouraged to have the instructions/marking rubric in front of you as you work on assignments. Jrrelevant discussion which does not address the specific requirements of the assignment is simply wasting your word allowance on information that is not worth any marks.
The amount of discussion (number of words) for each section should match the marks allocated for that part of the assignment, ie each of the 3 parts for assignment 2 is worth 10 marks and therefore all parts should be approximately the same number of words (roughly 500 words for each part).
Before you commence writing your assignment please review e-workbook 1, page 3.1 as you will be expected to use correct terminology throughout your academic work. Marks will be deducted from the written ccimmunication section should incorrect terminology he used.
3. Describe the meaning of 'cultural safety' in relation to improving health outcomes for First Nations people and critically analyse how it influences effective nursing and midwifery practices, and health service delivery.
4. Engage in culturally appropriate communication that facilitates respectful therapeutic relationships, and supports effective partnerships with First Nations professionals, organisations and communities.
5. Outline the concepts of health inequality, the factors that contribute to it, and ways of redressing it to close the gap in health outcomes between Indigenous and non-Indigenous Australians.
Instructions
Part 1: The role of Aboriginal Community Controlled Health Services (ACCI-15) of a total of 40 Central to efforts to burg healthier communities is the Aboriginal Commurrity Controlled Health Service (AC H) sector: its focus on prevention. early Thtervention and comprehensive care has reduced barriers to access and unintentional racism. progressively Improving incfividual health outcomes for Aboriginal people.(Panaretto, K. S.: Wenitong, M, Button.. S., Ring, I .T. (2014). Aboriginal community controlled health services: leading the way in primary care. Medical Journal of Australia 200(11): p.649)
Part 1: The role of Aboriginal Community Controlled Health Services (ACCH5)
Central to efforts to build healthier communities is the Aboriginal Community Controlled Health Service (ACCHS) sector: its focus on prevention_ early intervention and comprehensive care has reduced barriers to access and unintentional racism. progressively improving individual health outcomes for Aboriginal people (Panaretto, K. S., Wenitong, M., Button, S., Ring, LT. (2014). Aboriginal community controlled health services: leading The way in primary care. Medical Journal of Australia 20001): p.649)
In Part I you are required to discuss the role Aboriginal Community Controlled Health Services {ACCHSs) play in reducing the health inequality experienced by Aboriginal and Torres Strait Islander Australians, Please review the e- workbook 5 prior to approaching this part.
a) Self-determination and ACCHSs
Self-determination is central to Indigenous rights and essential to addressing health disadvantage.
Define self-determination as it applies to Indigenous Australians and discuss how being able to exercise self-determination can lead to improved health outcomes for First Nations people.
Describe how Aboriginal Comirnunity Controlled Health Services are an example of local communities exercising self-determination.
Integrate material from credible published sources through effective paraphrasing to support your discussion.
b) ACCHSs improving local health outcomes
Choose one program provided by your local ACCHS*(see list below) and provide a descriptive overview (summary not a list) of what is involved and how the program is delivered.
Discuss how this program contributes to the health and wellbeing of the local Indigenous community.
Integrate material from credible published sources through effective paraphrasing to support your discussion.
The information relevant to this assignment can be found through desk-top research, in other words the information is readily available on the Internet You should not contact your local ACCHS directly for information.
Melbourne students: you can choose either
Victorian Aboriginal Health Service (VAHS)
Dandenong & District Aborigines Co-operative Ltd (DDACL)
Bendigo & Districts Aboriginal Co-operative (BDAC)
Malice District Aboriginal Services (MDAS)
Rumbalara Aboriginal Co-operative (RAC)
Albury Wodonga Aboriginal Health Service (AWAHS)
Mungabareena Aboriginal Corporation
Part 2: The role of hospitals
The NSOHS Standards provide a nationally consistent statement of the level of care consumers can expect from health service organisations regardless of where they live. The eight standards were developed to protect members of the public form harm and to enhance the quality of health services. Each standard consists of a set of action items. The second edition of the Standards, released in 2017, include actions designed to ensure that healthcare is tailored to the unique needs of Aboriginal and Torres Strait Islander people.
In Part 2 you are required to discuss how the implementation of the NSQHS standards in hospitals can contribute to reducing the health inequality experienced by First Nations Australians,
Of course, all NSQHS Standards should be applied to all patients but there are specific standards and actions that relate directly to improving the care provided to Aboriginal & Torres Strait Islander peoples
These specific standards and actions are
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Standard
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Actions
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1. Clinical Governance Leaders of a health service organisation have a responsibility to the community for continuous improvement of the safety and quality of their services, and ensuring that they are person centred, safe and effective.
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Action 1.2: The governing body ensures that the organisation's safety and quality priorities address the specific health needs of Aboriginal and Torres Strait Islander people
Action 1.4: The health service organisation implements and monitors strategies to rneet the organisation's safety and quality priorities for Aboriginal and Imes Strait islander people
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Action 1.21: The health service organisation has strategies to improve the cultural awareness and cultural competency of the workforce to meet the needs of its Aboriginal and Torres Strait islander patients
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Action 1.33: The health service organisation
demonstrates a welcoming environment that recognises the importance of the cultural beliefs and practices of Aboriginal and Torres Strait Islander people
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2. Partnering with Consumers
Leaders of a health service organisation develop,
implement and maintain systems to partner with consumers. These partnerships relate to the planning, design, delivery, measurement and evaluation of care. The workforce uses these systems to partner with consumers.
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Action 2.13: The health service organisation works in partnership with Aboriginal and Torres Strait Islander communities to meet their healthcare needs
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S. Comprehensive Care
Leaders of a health service organisation set up and maintain systems and processes to support clinicians to deliver comprehensive care. They also set up and maintain systems to prevent and manage specific risks of harm to
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Action S.A: The health service organisation has processes to routinely ask patients if they identify as being of Aboriginal and/or Torres Strait Islander origin, and to record this information in administrative and clinical information systems
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Supporting literature can include peer-reviewed journals articles highly recommended as they are the strongest form of evidence), relevant textbooks, credible websites and grey literature reports. Ensure you appropriately acknowledge your sources of information with in-text referencing. Direct quotes can be included but take care not to overuse; APA guidelines suggest that direct quotes should make up no more than 10% of your discussion on a particular topic.
Part 3: The role of individual nurses and midwives
(of a total of 4C Aborigfnal and Torres Strait Islander peoples experience poorer health outcomes than non- Indigenous peoples. Cultural safety /s a proven way for nurses and mldwives to contribute to better
health outcomes and experiences for Aboriginal and/or Torres Strait Islander peoples.
(Nursing & Midwifery Board of Australia, 2018, Fact Sheet: Code of conduct for nurses and Code of conduct for midwives}.
In part 3 you are required to discusshow individual nurses and midwives can deliver culturally safe and contribute to reducing the health inequality experienced by Aboriginal and Torres Strait Islander Australians.
Best (Best & Fredericks, 2017} describes 5 principles of cultural safety as follows:
1. Reflect on your own practice
2. Seek to minimise power differentials
3. Engage in discourse with the client
4. Undertake the process of decolonisation
5. Ensure that you do not diminish, demean or disempower through your actions
Choose two (2} of these principles of cultural safety. Describe strategies individual nurses and midwives can use to incorporate these principles into the care they provide and discuss how these strategies can improve patient outcomes for Indigenous Australians.