Patient Journey Mapping Project: Aboriginal Health Case Studies

This assignment is a patient journey mapping project, requiring students to analyze one of three Aboriginal health case studies. The project is divided into two parts: Part A involves narrative and visual mapping of the patient's journey, along with the completion of four tables assessing dimensions of health, underlying factors impacting care, multiple perspectives, and an action plan. Part B requires a critical discussion, guided by the tables, to address providing culturally safe and quality care for the patient, their family, and community. The assignment emphasizes the identification of gaps in healthcare and strategies to overcome them, with a focus on improving access and cultural safety in healthcare settings. The student has to provide a narrative from a nurse's perspective and create a visual map of the patient's journey, and then fill out tables with information from the case study, including the impact of care near home versus hospital care, underlying factors, multiple perspectives, and an action plan. The final discussion should use the tables to provide culturally safe and quality care for the patient, family, and community.

This is a 2000-word patient journey mapping activity, worth 50% of your overall
course grade. This activity will be done in pairs. You have been allocated a partner.
Working in collaboration and teamwork is 10% of this grade. No Introduction or
conclusion is required for this activity. This activity introduces a tool for use in future
clinical practice.
This activity involves exploring and critically analysing one of the following three
Aboriginal health case studies, which are included in your weekly readings:
1. Tieandra – a young woman with rheumatic heart disease who is initially
misdiagnosed, then travels to the city for surgery.
○ a video + additional background information is provided
1. Uncle Moogy – an Elder man who experiences an acute cardiac event
during a Welcome to County
○ a video + additional background information is provided
1. Jemma – a young Aboriginal woman who travels to have her baby and
finds she is bullied by midwives
○ an article+ additional background information is provided
Assignment description
The assignment has two parts:
Part A - MTWT Patient Journey Mapping Tools
● Narrative (10%)
Tell the story of what happened for the patient and their family, from the perspective
of a nurse who has gotten to know them and their story. (Approximately 1 page).
● Visual (10%)
Visually map their health care journey. Include the health care sites involved and
approximate distances between home and these health care locations. Your map
may be computer generated or hand drawn and scanned in. The emphasis is on
what the visual mapping shows, not technical expertise. Refer to examples of maps
in the MTWT readings.

● Tables 1, 2, 3, 4 (40%)
Fill in these tables using information from the case study video or article and
additional background information provided.
Table 1: Dimension s of health
Use dot points to identify how accessing care locally versus further away or in a
hospital, impacts on this person.
Dimensions of health Health care near
home
Hospital
care
Social & emotional wellbeing
Family & community commitments
Personal, spiritual & cultural
considerations
Physical and biological considerations
Table 2: Underlying factors impacting on access and quality of care
Use dot points to identify how accessing care locally versus further away or in a
hospital, impacts on this person.
Underlying factors Health care near
home
Hospital care
Location  The care facility was
not proper.
 The facility was
ignorant.
 The care was proper.
 They helped the patient
with rheumatic heart
disease with surgery.
Impact of illness or
condition
 The patient was
getting paler.
 She was also feeling
pain and could not
walk properly.
 The doctor stated
that there is no
abnormality in the X-
 The doctors took initiative
for the treatment of the
patient.
 The hospital facility worked
on the diagnosis and also
the operation procedure for
the patient.

ray of the patient (SA
Health, 2017).
Language and
communication
 Two doctors of the
facility were not
communicating
properly.
 The hospital facility was
helping the patient family
and also communicated the
proper information about
the patient’s condition.
Financial resources  NA  NA
Aspects of cultural safety  This factor was not
considered properly
in the local
healthcare facility
and the doctors of
this facility as well as
they neglected the
health factors and
also did not
communicate
properly (Foronda,
MacWilliam and
McArthur 2016).
 The facility focused on the
care process and the health
outcome of the patient. The
hospital in the city also
provided the proper support
to the patient and the family
properly.
Table 3: Multiple perspectives
With reference to table 1 and 2, consider how these factors impact across the entire
journey for this person, their family and health services. What strategies were put in
place to help overcome any gaps?
Perspective Patient
history
Diagnosis/
referral/transfer
In
hospit
al
Discharge /
transfer
Follo
w up
Patient’s
journey
Family/carer’s
journey
Patient’s

priorities,
concerns,
commitments
Health care
priorities
What
strategies
were put in
place to
overcome
any gaps?
Table 4: Action plan
What further actions could be taken to respond to the gaps identified in Table 3
What worked
well?
What didn't
work well?
Nursing actions
Service actions
– within a local
hospital or clinic.
System actions
– across wider
health system
PART B: Discussion (20%)
Use Table 3 and 4 to guide your critical discussion with regards to providing
culturally safe and quality care for this person and their family and community.

References
Foronda, C., MacWilliams, B. and McArthur, E., 2016. Interprofessional communication in
healthcare: An integrative review. Nurse education in practice, 19, pp.36-40.
SA Health (2017). Rheumatic heart disease. [video] Available at:
https://www.youtube.com/watch?time_continue=38&v=BrZLvBEHZjk [Accessed 27 Aug.
2019].