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Batji-Gum Dilba (Good Talk Medicine) : = Improving Culturally Safe Communication Between Doctors and Aboriginal Patients in the Northern Territory of Australia.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Batji-Gum Dilba (Good Talk Medicine) :/
其他題名:	Improving Culturally Safe Communication Between Doctors and Aboriginal Patients in the Northern Territory of Australia.
作者:	Kerrigan, Vicki.
面頁冊數:	1 online resource (253 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-04, Section: B.
Contained By:	Dissertations Abstracts International84-04B.
標題:	Health sciences. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29402098click for full text (PQDT)
ISBN:	9798352644782

Batji-Gum Dilba (Good Talk Medicine) : = Improving Culturally Safe Communication Between Doctors and Aboriginal Patients in the Northern Territory of Australia.
Kerrigan, Vicki.

Batji-Gum Dilba (Good Talk Medicine) :Improving Culturally Safe Communication Between Doctors and Aboriginal Patients in the Northern Territory of Australia. - 1 online resource (253 pages)

Source: Dissertations Abstracts International, Volume: 84-04, Section: B.

Thesis (Ph.D.)--Charles Darwin University (Australia), 2022.

Includes bibliographical references

In Australia's Northern Territory (NT) the repercussions of colonisation on Aboriginal peoples, the oldest continuous cultures on earth, are evident in healthcare. Most people who access NT hospitals are Aboriginal and most doctors are White. Many doctors struggle to communicate effectively and respectfully with patients. Poor communication is a common way patients experience racism and has resulted in patients dying. Miscommunication is also a major stressor for doctors, who often feel unprepared to work in the NT. Conducted on Larrakia country, this Participatory Action Research is based on qualitative data from White and Aboriginal doctors, Aboriginal patients, and Aboriginal language interpreters regarding culturally safe communication at Royal Darwin Hospital (RDH). Cultural safety aims to dismantle the power imbalance present in clinical interactions; it places the onus for change onto the health professionals who hold power. To be a culturally safe practitionerdoctors must develop their critical consciousness, which may be fostered by listening to Aboriginal people's stories outside power-laden clinical interactions. The concept of critical consciousness and the power of stories to address racism links cultural safety with Freirean pedagogy and Critical Race Theory. These three decolonising philosophies provide the research framework. Australian governments have committed to addressing racism in health care by endorsing culturally safe care. However, a policy-practice gap exists. The purpose of this thesis is to provide evidence regarding the challenges and opportunities to improve culturally safe communication in the NT. A baseline evaluation of more than 600 cultural awareness training feedback forms from NT healthcare providers informed two interventions. The evaluation revealed that training was considered an invaluable entry point and the personal stories shared by Aboriginal educators was a highlight. Healthcare providers wanted more opportunities to improve their communication skills and critically reflect on their own bias. The first intervention aimed to improve culturally safe communication by embedding a Yolnu Matha and Tiwi interpreter in an RDH medical team for 4 weeks. After having consistent access to trusted interpreters, patients who had felt "stuck" became satisfied with care. Aboriginal interpreters who previously felt unwelcome at RDH reported feeling valued as skilled professionals. Doctors developed critical consciousness, which led to them adapting work routines to better suit patient needs and ensure collaborative relationships with interpreters. The second intervention built on and extended the baseline cultural awareness training. I created and evaluated a podcast: Ask the Specialist: Larrakia, Tiwi and Yolnu stories to inspire better healthcare in which Aboriginal leaders answer doctors' questions about working with Aboriginal patients. After listening to the podcast, doctors changed their communication style with patients and were better equipped to recognise system failures. This cultural education, which addressed issues specific to the local context and delivered "counterstories" from Aboriginal peoples, encouraged critical consciousness. This thesis demonstrates that locally designed, clinically relevant interventions created together with Aboriginal stakeholders and health services can support the development of critically conscious doctors. When doctors become critically conscious, they change their behaviour which leads to a more culturally safe health service. Scaling up findings from RDH, to implementation across the NT health service, is the current focus of ongoing collaborative research.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798352644782Subjects--Topical Terms:

3168359
Health sciences.
Index Terms--Genre/Form:

542853
Electronic books.

Batji-Gum Dilba (Good Talk Medicine) : = Improving Culturally Safe Communication Between Doctors and Aboriginal Patients in the Northern Territory of Australia.
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