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Leadership enhancing culturally safe models of care in a Western Australian Aboriginal community context: A qualitative investigation

  • Ailsa Munns
    Correspondence
    Corresponding author.
    Affiliations
    Curtin School of Nursing, Curtin University, GPO Box U1987, Perth 6845, Australia

    Child and Adolescent Health Services, Western Australian Department of Health, 15 Hospital Avenue, Nedlands, WA 6009, Australia
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  • Roz Walker
    Affiliations
    Poche Centre for Indigenous Health, School of Indigenous Studies, University of Western Australia, Bilya Marlee, Hackett Ave, Nedlands WA 6009, Australia
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      Abstract

      Background

      Models of care for community health nursing need to address social determinants of health for families, requiring community health nurse leaders to encourage all nurses to facilitate culturally safe models of care, particularly for vulnerable and underserved populations. Many challenges impact on provision of support for a range of population groups, with increasing attention focusing on how community health nurses lead equitable health activities for Aboriginal Australian families.

      Aim

      The aims of this study were to investigate the suitability, feasibility and acceptability of parent support, informing a culturally safe model for a peer-led support program for Aboriginal families.

      Methods

      Participatory action research enabled Aboriginal peer support workers and parents, community agencies and a child health researcher to collaboratively review cultural safety, suitability, and progress of the program. Qualitative data were analysed through thematic analysis.

      Findings

      The Australian Health Practitioner Regulatory Agency's cultural safety framework guided four themes: Acknowledgement of colonisation, racism, and social determinants of health; recognition of influences of personal racism and power differentials; recognising importance of partnership approaches to care and collaboration with individuals and families to ensure appropriate and acceptable care; and promotion of safe working environments.

      Discussion

      Community-based initiatives informed by Aboriginal perspectives are needed to support Aboriginal families. Participatory action research enables community health nurse leaders to engage with Aboriginal participants, facilitating co-design of culturally safe models of care.

      Conclusion

      Reflections on culturally safe strategies enabled development of peer-led support for Aboriginal families, focusing on self-determination, empowerment, and equity. Acceptability of the strategies has contributed to an emerging culturally safe model of care. Indigenous Australian peoples are people who identify as Aboriginal or Torres Strait Islander. Respectfully, throughout this paper, they will be described as Aboriginal.

      Keywords

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