Contemporary Indigenous Health and Wellbeing Assessment
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Running head: CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT Name of the Student Name of the University Author Note
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1 CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT Section 1 Aboriginal people of Australia are the backward class due to the lack of knowledge, socio-economic status and the population can be marked as minority as the number of people is very low. The health care framework that is present in Australia is actually comprised of discriminative behaviour towards aboriginal people. Hence, the attitude of the health care workers should be changed regarding the health care delivery to the Aboriginal people. Based on this factor in the following section I will develop a reflection regarding the behavioural change processes towards the Aboriginal people of the country from the health care workers. Section 2 Activity 1: As most other people I also have a stereotypical attitude towards the aboriginal people that is the discriminative approach towards them. However, attending the classes and the recent studies I have understood the life struggle of the Aboriginal people. I have found that the people from this community have been discriminated from others and also they do not have the knowledge or the access to the health care facilities (Paternotteet al.2017). Hence, it can be started that the racism of White people lead to this condition and left them vulnerable to the negative health other social factors. Based on this conceptual knowledge development and the analysis of the situation I have identified some critical behavioural approach that affect the health care process of the people from the Aboriginal community (Dureyet al.2016). Hence, I can reflect that the change in the situation should be considered for the improvement of the health condition of these people. It has been seen that the Aboriginal people has a lower life expectancy rate that is 71.6 and 75.6 for the males and females respectively(Abs.gov.au, 2018). It can also
2 CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT be found that the non-Aboriginal people have a higher rate of life expectancy up to 11.8 years for the women and 8.6 years for the males(Poole, 2019). Based on these data I can also state that the process of the health care is very much discriminative towards the Aboriginal people and they do not have the proper access to the health care. The lower socio-economic status, lack of education, unemployment and other social, cultural and the environmental conditions of these people also affectthehealthoutcomes.Thus,Ithinkthepatientcentredcaredeliveryandproper communication with these people without any negative and discriminative approach would be more effective in the improvement of the health condition of these people (Iverset al.2019). However, the development of the health literacy among these people by the implementation of the health promotion programs would be effective in terms of the health outcome improvement. Activity 2: After the education I can also develop the skills regarding the intercultural care delivery to the Aboriginal people. I can state that the change of the attitude can be achieved with the help of the interaction with the people from the Aboriginal community. I can state that the health promotion for the education and literacy development regarding the health to the Aboriginal people would be one of the most effective interacting processes which can develop the understanding about these people (Younget al.2017). Observing the life style of these people also can help in the interaction development and improvement of the health care delivery process towards these people. I found that direct interaction with the people of the Aboriginal community would be very much effective for the development of the bonding with these people and this will also help in the therapeutic relationship development. Thus, the improvement of the professional development would lead to the improvement of the care delivery and also eliminate the negative discriminative attitude of the health care professionals. In this context, I can also help the people
3 CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT to understand the needs and the processes that can improve the health condition of these people (Nursingmidwiferyboard.gov.au, 2017). Moreover, I can also state that the focus on the NMBA standard of care should be improved. Patient centred care delivery process and the standard of the patient safety along with the cultural competence should be implemented by the care professionals so that the care process for the Aboriginal people would be improved and the negative attitudes can be eliminated. Hence, I found that the professional standard following and also interacting with the people of the Aboriginal community can improve the health care and health outcome of the people (Hillet al.2018). Moreover, I feel that the improving the care delivery skills and the cultural competence can improve the health care of the Aboriginal people in a positive direction and in a very imperative manner as well. Activity 3: Based on the above reflection I can develop the idea about the improvement of the care delivery process and also identify the future improvement aspect in the professional career. I can found that the improvement should be focused on the care attitude improvement significantly. Moreover, the factor of the NMBA nursing standards of practice should be considered for the implementation in the care procedures such as the patient safety, patient centred care and cultural competence improvement. In this context I can also found that the reflection helps me in the identificationoftherequiredimprovingfactorsinmyhealthcaredeliveryprocesses. Furthermore, I can also state that the process of the reflection and the study regarding the Aboriginal health care helped me in the development of knowledge which would be helpful in the future career aspects (D'Apranoet al.2016). Moreover, the factor of the improvement would be considered for the positive growth of the career and the providing proper care to the people of the Aboriginal as well as the non-Aboriginal people. Hence, I found that the professional
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4 CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT standard following and also interacting with the people of the Aboriginal community can improve the health care and health outcome of the people. Moreover, I feel that the improving the care delivery skills and the cultural competence can improve the health care of the Aboriginal people in a positive direction (Crawford, Candlin and Roger 2017). Thus, I can also state that the process of the care delivery should not be discriminative and focus on the improvement of the health condition of the patient. In this context, I can also reflect that the study and the knowledge regarding the concept of the aboriginal care would help me in improving the health of the people of the remote area people and subsequently improving the health account of the country people collectively. Hence, I should improve the knowledge level and the skills regarding the cultural competence and provide improved care with the consideration of the patient centred care approach. Section 3 From the above experiences, I can also state that the change of the situation regarding the effects of the health outcome would also be dependent on the improvement of the knowledge and the attitude of the health care professionals (Crosset al.2017) and it is vital understand the needs of the community and the individuals on a pertinent basis. I can also state that the improvement would be achieved through the proper knowledge development and the insight change of the care professionals. I can reflect that after the education on this subject changed my attitude and thought process regarding the care procedure of the Aboriginal people. Thus, I can also state that the process of the care delivery should not be discriminative and focus on the improvement of the health condition of the patient (Guoet al.2017). Thus, the focus of the care should also be same for the people of the Aboriginal people. Based on this reflection I can found that the improvement of the health outcome of the Aboriginal people should be considered by the health
5 CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT care professionals and the government as well for improving the overall health condition of the country. Thus, I should focus on delivering discrimination less care to the people of the Aboriginal community. Moreover, the improvement of the professional standards would be helpful for me to develop the care competences regarding the health care delivery so that the improvement can be achieved in an effective way. Thus, I can also found that the health care professional responsibility is to develop the health of the people without any discrimination. Hence, the discriminative approach should be eliminated with the consideration of the nursing standards developed by the NMBA. Moreover, educating the aboriginal people about aboriginal healthiscriticalandcreatingawarenessisaveryimportantinterventionaswell. Communication, collaboration and the various types of way that translates theoretical framework into practical knowledge is critical in the development of aboriginal health and culture. Cultural competence is an important aspect of the social and health care provided to the community. I have learned that collaborating with the community leaders is a very vital aspect of the nursing, medical and holistic care being delivered to the nurses in the community setting. Conclusion Based on the above reflection I can conclude that the improvement of the health care delivery quality and the process can improve the health outcome of the people from the Aboriginalcommunity.Moreover,theimprovementwouldbehelpfulformycareer development. Hence, the education and the improvement in the skill for the nursing competence development should be considered with priority. Furthermore, the factor of the improvement and the interactions with the Aboriginal people without any discriminative approach would be important for the positive care and positive health outcome achievement. Hence, I can also state
6 CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT that the interaction with the people of the Aboriginal community can help me understanding the needs of these people. Hence, it is critical that the various aspects of the nursing care is delivered with effective cultural communication, professional competence that is through the appropriate demonstration of nursing principles and skills. Indigenous cultural respect is an important aspect of the care.
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7 CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT References Abs.gov.au. 2018,3302.0.55.003 - Life Tables for Aboriginal and Torres Strait Islander Australians,2015-2017.Viewed4February2020, https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/3302.0.55.003~2015- 2017~Media%20Release~Life%20expectancy%20lowest%20in%20remote%20and %20very%20remote%20areas%20(Media%20Release)~15 Crawford, T., Candlin, S., & Roger, P. 2017, New perspectives on understanding cultural diversity in nurse–patient communication.Collegian,24(1), 63-69. Cross, M., Sculthorpe, J., Barnett, T., & Dennis, S. 2017, Preparing students for placement in Aboriginal health services using online virtual orientation tours: A Participatory action approach.Australian Indigenous Health Bulletin,17(2), 1-7. D'Aprano, A., Silburn, S., Johnston, V., Bailie, R., Mensah, F., Oberklaid, F., & Robinson, G. 2016, Challenges in monitoring the development of young children in remote Aboriginal health services: clinical audit findings and recommendations for improving practice. Durey, A., McEvoy, S., Swift-Otero, V., Taylor, K., Katzenellenbogen, J., & Bessarab, D. 2016, Improving healthcare for Aboriginal Australians through effective engagement between community and health services.BMC health services research,16(1), 224. Guo, F., Norton, A. R., Fuchs, E. L., Hirth, J. M., Garcia-Blanco, M. A., & Berenson, A. B. 2017, Provider-patient communication about Zika during prenatal visits.Preventive medicine reports,7, 26-29. Hill, I., Johnson, D., Scrimgeour, D., & McDermott, R. 2018, Accuracy of national key performance indicator reporting from two Aboriginal medical services: potential to
8 CONTEMPORARY INDIGENOUS HEALTH AND WELLBEING ASSESSMENT underestimate the performance of primary health care.Australian Health Review,42(4), 453-460. Ivers, R., Jackson, B., Levett, T., Wallace, K., & Winch, S. 2019, Home to health care to hospital: Evaluation of a cancer care team based in Australian Aboriginal primary care. Australian Journal of Rural Health,27(1), 88-92. Nursingmidwiferyboard.gov.au. 2017,Nursing and Midwifery Board of Australia - Registered nursestandardsforpractice.Viewed4February2020, https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional- standards/registered-nurse-standards-for-practice.aspx Paternotte, E., van Dulmen, S., Bank, L., Seeleman, C., Scherpbier, A., & Scheele, F. 2017, Intercultural communication through the eyes of patients: experiences and preferences. International journal of medical education,8, 170. Poole, G. 2019,Close the Gap: 3 quick facts about Indigenous male life expectancy. Viewed 4 February2020, https://www.amhf.org.au/close_the_gap_3_quick_facts_about_indigenous_male_life_exp ectancy Young, C., Tong, A., Gunasekera, H., Sherriff, S., Kalucy, D., Fernando, P., & Craig, J. C. 2017, Health professional and communityperspectiveson reducing barriers to accessing specialisthealthcareinmetropolitanAboriginalcommunities:Asemi‐structured interview study.Journal of paediatrics and child health,53(3), 277-282.