scholarly journals Illuminating Indigenous health care provider stories through forum theater

2021 ◽  
Vol 17 (1) ◽  
pp. 61-70
Author(s):  
Vanessa Van Bewer ◽  
Roberta L Woodgate ◽  
Donna Martin ◽  
Frank Deer
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Health Care Professionals ◽  
Indigenous Health ◽  
Indigenous Education ◽  
Cultural Safety ◽  
Lateral Violence ◽  
Indigenous Students ◽  
Current Context ◽  
Physical Spaces

Learning about the historical and current context of Indigenous peoples’ lives and building campus communities that value cultural safety remains at the heart of the Canadian educational agenda and have been enacted as priorities in the Manitoba Collaborative Indigenous Education Blueprint. A participatory approach informed by forum theater and Indigenous sharing circles involving collaboration between Indigenous and non-Indigenous health care professionals ( n = 8) was employed to explore the above priorities. Through the workshop activities, vignettes were created and performed to an audience of students and educators ( n = 7). The findings emerging from the workshop illuminated that Indigenous people in nursing and higher education face challenges with negotiating their identity, lateral violence and struggle to find safe spaces and people due to tokenism and a paucity of physical spaces dedicated to Indigenous students. This study contributed to provoking a greater understanding of Indigenous experiences in higher education and advancing reconciliation.

Cultural Safety: Let’s name it!

2003 ◽  
Vol 32 ◽  
pp. 21-28 ◽  
Author(s):  
Maryann Bin-Sallik
Keyword(s):  
Higher Education ◽  
Indigenous Health ◽  
Indigenous Education ◽  
Education Sector ◽  
Cultural Safety ◽  
Support Program ◽  
The Past ◽  
Whole Process ◽  
Indigenous Participation ◽  
Education Support

AbstractThis paper provides an overview of the Australian Indigenous higher education sector commencing from its development in the early 1970s to the present. It outlines how the first Indigenous higher education support program was developed, the reasons behind the development, and how and why it has been replicated across the Australian higher education sector. The whole process over the past 30 years of formal Indigenous participation within the higher education sector has been a very difficult process, despite the major gains. On reflection, I have come to believe that all the trials and tribulations have revolved around issues of “cultural safety”, but we have never named it as such. I believe that it is time that we formally named it as a genre in its own right within the education sector. We need to extend it from our psyches and put it out there to be developed, discussed, debated and evaluated. This is what is beginning to take place within Indigenous health - so why not Indigenous education?

Indigenous higher education sector: the evolution of recognised Indigenous Leaders within Australian Universities

2020 ◽  
pp. 1-7 ◽  
Author(s):  
Stacey Kim Coates ◽  
Michelle Trudgett ◽  
Susan Page
Keyword(s):  
Higher Education ◽  
Indigenous Education ◽  
Indigenous Australians ◽  
Access To Higher Education ◽  
Public Schooling ◽  
Indigenous Students ◽  
Early Experiences ◽  
Commonwealth Government ◽  
The 1960S ◽  
Over Time

Abstract There is clear evidence that Indigenous education has changed considerably over time. Indigenous Australians' early experiences of ‘colonialised education’ included missionary schools, segregated and mixed public schooling, total exclusion and ‘modified curriculum’ specifically for Indigenous students which focused on teaching manual labour skills (as opposed to literacy and numeracy skills). The historical inequalities left a legacy of educational disparity between Indigenous and non-Indigenous Australians. Following activist movements in the 1960s, the Commonwealth Government initiated a number of reviews and forged new policy directions with the aim of achieving parity of participation and outcomes in higher education between Indigenous and non-Indigenous Australians. Further reviews in the 1980s through to the new millennium produced recommendations specifically calling for Indigenous Australians to be given equality of access to higher education; for Indigenous Australians to be employed in higher education settings; and to be included in decisions regarding higher education. This paper aims to examine the evolution of Indigenous leaders in higher education from the period when we entered the space through to now. In doing so, it will examine the key documents to explore how the landscape has changed over time, eventually leading to a number of formal reviews, culminating in the Universities Australia 2017–2020 Indigenous Strategy (Universities Australia, 2017).

scholarly journals Academic Staff Perceptions of Factors Underlying Program Completion by Australian Indigenous Nursing Students

2014 ◽  
Author(s):  
Roianne West ◽  
Kim Usher ◽  
Kim Foster ◽  
Lee Stewart
Keyword(s):  
Nursing Students ◽  
Cultural Awareness ◽  
Indigenous Health ◽  
Academic Staff ◽  
Indigenous Education ◽  
Individual Student ◽  
Staff Perceptions ◽  
Indigenous Students ◽  
Undergraduate Nursing ◽  
Education Support

An increase in the number of Indigenous health professionals is one way to help reduce the poor health outcomes of Australia’s Indigenous people. However, while Indigenous students are enrolling in Australian tertiary undergraduate nursing courses in increasing numbers, their completion rates remain lower than non-Indigenous students and many barriers hinder course completion. This critical interpretive qualitative study explores academic staff perceptions of factors enabling successful course completions by Indigenous nursing students from universities in Queensland, Australia. Content analysis of data revealed five themes: (a) Individual student characteristics; (b) Institutional structures, systems, and processes; (c) Relationships, connections, and partnerships; (d) Family and community knowledge, awareness, and understanding; and (e) Academics’ knowledge, awareness, and understanding. To increase the number of Indigenous nurses, strategies such as appointing Indigenous nursing academics; partnerships between nursing schools and Indigenous Education Support Units, and the implementation of tailored cross-cultural awareness programs for nurse academics are proposed.

Culturally safe health care practice for Indigenous Peoples in Australia: A systematic meta-ethnographic review

2021 ◽  
pp. 135581962110418
Author(s):  
Stephanie De Zilva ◽  
Troy Walker ◽  
Claire Palermo ◽  
Julie Brimblecombe
Keyword(s):  
Health Care ◽  
Indigenous Peoples ◽  
Health Care Services ◽  
Torres Strait Islander ◽  
Indigenous Health ◽  
Cultural Knowledge ◽  
Cultural Safety ◽  
Care Practice ◽  
Health Care Practice ◽  
Torres Strait

Objectives Culturally safe health care services contribute to improved health outcomes for Aboriginal and Torres Strait Islander Peoples in Australia. Yet there has been no comprehensive systematic review of the literature on what constitutes culturally safe health care practice. This gap in knowledge contributes to ongoing challenges providing culturally safe health services and policy. This review explores culturally safe health care practice from the perspective of Indigenous Peoples as recipients of health care in Western high-income countries, with a specific focus on Australian Aboriginal and Torres Strait Islander Peoples. Methods A systematic meta-ethnographic review of peer-reviewed literature was undertaken across five databases: Ovid MEDLINE, Scopus, PsychINFO, CINAHL Plus and Informit. Eligible studies included Aboriginal and Torres Strait Islander Peoples receiving health care in Australia, had a focus on exploring health care experiences, and a qualitative component to study design. Two authors independently determined study eligibility (5554 articles screened). Study characteristics and results were extracted and quality appraisal was conducted. Data synthesis was conducted using meta-ethnography methodology, contextualised by health care setting. Results Thirty-four eligible studies were identified. Elements of culturally safe health care identified were inter-related and included personable two-way communication, a well-resourced Indigenous health workforce, trusting relationships and supportive health care systems that are responsive to Indigenous Peoples’ cultural knowledge, beliefs and values. Conclusions These elements can form the basis of interventions and strategies to promote culturally safe health care practice and systems in Australia. Future cultural safety interventions need to be rigorously evaluated to explore their impact on Indigenous Peoples’ satisfaction with health care and improvements in health care outcomes.

From the Ordinary to Corruption in Higher Education

2016 ◽  
Vol 26 (3) ◽  
pp. 270-279 ◽  
Author(s):  
Mildred A. Schwartz
Keyword(s):  
Higher Education ◽  
United States ◽  
Health Care ◽  
Health Care Professionals ◽  
Environmental Changes ◽  
The United States ◽  
Large State ◽  
Formal Organizations ◽  
Low Levels

Major environmental changes and recurring pressures have made universities in the United States that educate health care professionals vulnerable to corruption. Based on the experiences of one large, state-supported university, this essay argues that, in adapting to pressures, universities rely on the ordinary structures and processes characteristic of large formal organizations. Hierarchy becomes an opening to corruption when it is associated with low levels of transparency, a culture of deference that discourages questioning, and the absence of countervailing centers of authority. Where the need for resources is great and access is uncertain, these can become incentives to ensure access through corrupt means. Embeddedness opens opportunities for misconduct by fostering relations based on narrow loyalties. The ordinariness of the pathways to corruption in higher education can obscure timely recognition of misconduct even by members working in affected organizations. But, once recognized, it is also possible to find equally ordinary solutions.

scholarly journals THE EXPERIENCES OF THE REORIENTATION PROGRAM FOR PROFESSIONAL TRAINING IN NURSING - ADVANCES AND CHALLENGES

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Laura Cavalcanti de Farias Brehmer ◽  
Flávia Regina Souza Ramos
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Qualitative Research ◽  
Primary Health Care ◽  
Health Care Professionals ◽  
Professional Training ◽  
Primary Health ◽  
Nursing Courses ◽  
And Training

ABSTRACT Objective: to analyze the perceptions of professors, students and service professionals of primary health care, regarding their experiences in the Reorientation Program for Professional Training in Health in the Nursing Courses. Method: this is a qualitative research, in the form of a case study. The scenarios consisted of five nursing courses in higher education institutions, in the state of Santa Catarina. Twenty-two teachers and fourteen Primary Health Care professionals were interviewed. In order to understand the students' perception five focus groups were developed. Results: are presented from three general categories called: Pró-Saúde: evaluations about the experiences, Pró-Saúde - considerations about the advances and Pró-Saúde - considerations about the challenges. Conclusion: there are positive advances motivated by the Program throughout a contextual movement by an articulated, reflexive and critical training to the reality of health. However, there are challenges to reduce the gaps between services and training objectives.

scholarly journals Building Indigenous health workforce capacity and capability through leadership – the Miwatj health leadership model

2021 ◽  
Vol 22 ◽  
Author(s):  
Stephen Harfield ◽  
Carol Davy ◽  
Anna Dawson ◽  
Eddie Mulholland ◽  
Annette Braunack-Mayer ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Indigenous Health ◽  
Cultural Safety ◽  
Structured Interviews ◽  
Indigenous Leadership ◽  
Health Care Organisation ◽  
Leadership Model ◽  
Care Services ◽  
Formal Leadership

Abstract Aim: In the crowded field of leadership research, Indigenous leadership remains under-researched. This article explores the Leadership Model of an Aboriginal Community Controlled Primary Health Care Organisation providing services to the Yolngu people of remote northern Australia: the Miwatj Health Aboriginal Corporation (Miwatj). Background: The limited research which does exist on Indigenous leadership points to unique challenges for Indigenous leaders. These challenges relate to fostering self-determination in their communities, managing significant community expectations, and navigating a path between culturally divergent approaches to management and leadership. Methods: Guided by Indigenous methodology and using a mixed methods approach, semi-structured interviews, self-reported health service data, organisational and publicly available documents, and literature were analysed using a framework method of thematic analysis to identify key themes of the Miwatj Leadership Model. Findings: The Miwatj Leadership Model is underpinned by three distinctive elements: it offers Yolngu people employment opportunities; it supports staff who want to move into leadership positions and provides capacity building through certificates and diplomas; and it provides for the physical, emotional, and cultural wellbeing of all Yolngu staff. Furthermore, the model respects traditional Yolngu forms of authority and empowers the community to develop, manage and sustain their own health. The Miwatj Leadership Model has been successful in providing formal pathways to support Indigenous staff to take on leadership roles, and has improved the accessibility and acceptability of health care services as a result of Yolngu employment and improved cultural safety. Conclusions: Translating the Miwatj Leadership Model into other health services will require considerable thought and commitment. The Miwatj Leadership Model can be adapted to meet the needs of other health care services in consideration of the unique context within which they operate. This study has demonstrated the importance of having a formal leadership model that promotes recruitment, retention, and career progression for Indigenous staff.

scholarly journals OBJECTIVE STRUCTURED PRACTICAL EXAMINATION ON DISCIPLINE “UKRAINIAN LANGUAGE AS FOREIGN LANGUAGE” AS TOOL TO ASSESS COMMUNICATIVE COMPETENCIES OF INTERNATIONAL MEDICAL SDTUDENTS

2020 ◽  
Vol 20 (2) ◽  
pp. 227-232
Author(s):  
M. Zhovnir
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Foreign Language ◽  
Health Care System ◽  
Clinical Examination ◽  
Health Care Professionals ◽  
Public Intellectual ◽  
Objective Structured Clinical Examination ◽  
Practical Examination ◽  
Care System

High quality higher education is a solid basis of individual and public intellectual property. It is also an integrated part of standard of living and citizens’ welfare. Finally, the mission of higher education is to offer competitive priority to its receivers now and in the future. So, we need to pay our attention on the quality of education. This article focuses on the evaluation of language and communicative competencies of future health care professionals. Health care system is of exceptional importance because the existence and further development of the state institution as a whole is impossible without the full and harmonious functioning of the health care system. The author highlights approaches to monitor students’ knowledge and speaking skills as well as behaviour, attitude. Applying Objective Structured Practical Examination (OSPE) at a medical university, especially at the non-clinical departments has been proven as an effective tool to assess these abilities, describes the design, preparation and procedure of this examination. Some themes within the scope of the material checked («At the hospital admission office. Primary patient assessment. General complaints of the patient»», III year, medical faculty) have been presented and analyzed in details in the context of this examination. Experimental Stations of the Objective Structured Clinical Examination on the discipline «Ukrainian as a Foreign Language» is one of the modern way to evaluate how effectively medical students can communicate and apply language knowledge when simulating commonly encountered scenarios at medical settings. Moreover, the Objective Structured Practical Examination (OSPE) can be used for checking of students’ communicative skills. Thus, there are some differences between the Objective Structured Practical Examination (OSPE) and the Objective Structured Clinical Examination (OSCE). The study has been presented within the anthropocentric scientific paradigm. The methodology included descriptive analytical methods, general linguistic methods, modern methods of comparison, discourse analysis.

scholarly journals BURNOUT AND ITS CORRELATES − AN EMPIRICAL STUDY CONDUCTED AMONG EDUCATION, HIGHER EDUCATION AND HEALTH CARE PROFESSIONALS

Econometrics ◽  
2018 ◽  
Vol 22 (1) ◽  
pp. 26-38
Author(s):  
Urszula Załuska ◽  
Magdalena Ślazyk-Sobol ◽  
Dorota Kwiatkowska-Ciotucha
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Empirical Study ◽  
Health Care Professionals ◽  
Education And Health
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