scholarly journals “We are everything to everyone”: a systematic review of factors influencing the accountability relationships of Aboriginal and Torres Strait Islander health workers (AHWs) in the Australian health system

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Stephanie M. Topp ◽  
Alexandra Edelman ◽  
Sean Taylor
Keyword(s):  
Systematic Review ◽  
Health System ◽  
Torres Strait Islander ◽  
Health Workers ◽  
Australian Health ◽  
Factors Influencing ◽  
Torres Strait ◽  
Torres Strait Islander Health

… but what about the Aboriginal and/or Torres Strait Islander Health Worker academic? Transcending the role of ‘unknowing assistant’ in health care and research through higher education: a personal journey

2020 ◽  
Vol 49 (2) ◽  
pp. 119-126
Author(s):  
Janet Stajic
Keyword(s):  
Higher Education ◽  
Health System ◽  
Health Worker ◽  
Indigenous Peoples ◽  
Torres Strait Islander ◽  
Clinical Skills ◽  
Educational Institutions ◽  
Australian Health ◽  
Torres Strait ◽  
Torres Strait Islander Health

AbstractThe Aboriginal and Torres Strait Islander Health Worker/Practitioner (A&TSIHW) workforce provides not only clinical skills but also responds to specific social and cultural needs of the communities they serve bringing knowledge derived from lived and embodied knowledges. The A&TSIHW is a recognised health professional within the Australian health system; however, this workforce continues to be under-supported, under-recognised and under-utilised. A common discourse in literature written about A&TSIHWs focused on the need to empower and enhance the A&TSIHW capabilities, or rendered the A&TSIHW as part of the problem in improving the health of Indigenous peoples. In contrast, articles written by A&TSIHWs, published in the Aboriginal and Islander Health Worker Journal, tell a different story, one about the limitations of the health system in its ability to care for Indigenous peoples, recognising A&TSIHW leadership. This paper deals with two interrelated tensions—the undervaluing of the A&TSIHW as a clinician and the undervaluing of the A&TSIHW as an academic—both of which the author has had to navigate. It explores the specific challenges of the A&TSIHW academic who too seeks recognition beyond that of ‘assistant’ within the research enterprise, drawing upon personal experiences and engagement with educational institutions, including higher education.

scholarly journals “My work? Well, I live it and breathe it”: The seamless connect between the professional and personal/community self in the Aboriginal and Torres Strait Islander health sector

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Michelle Dickson
Keyword(s):  
Health Worker ◽  
Health Professionals ◽  
Torres Strait Islander ◽  
Health Workers ◽  
Health Sector ◽  
Indigenous Research ◽  
Indigenous Australian ◽  
Team Members ◽  
Torres Strait ◽  
Torres Strait Islander Health

Abstract Background Australian Aboriginal and Torres Strait Islander health professionals often juggle the challenges of working and living in the same community in ways that are positive for both themselves and their clients. This study specifically examines the strategies Aboriginal and Torres Strait Islander health professionals have developed to enable them to feel empowered by the sense of being always visible or perceived as being always available. Findings provide examples of how participants (Team Members) established a seamless working self, including how they often held different perspectives to many work colleagues, how Team Members were always visible to community and how Team Members were comfortable to be seen as working when not at work. Methods This qualitative study engages an Indigenous research methodology and uses an Indigenous method, PhotoYarning, to explore lived experiences of a group (n = 15) of Aboriginal and Torres Strait Islander health workers as they worked in the Australian health sector. Results The analysis presented here comes from data generated through PhotoYarning sessions. Team Members in this study all work in health care settings in the communities in which they also live, they manage an extremely complex network of interactions and relationships in their daily working lives. They occupy an ambivalent, and sometimes ambiguous, position as representing both their health profession and their community. This article explores examples of what working with seamlessness involved, with findings citing four main themes: (1) Being fellow members of their cultural community, (2) the feeling of always being visible to community as a health worker, (3) the feeling of always being available as a health worker to community even when not at work and (4) the need to set an example. Conclusions While creating the seamlessness of working and living in the same community was not easy, Team Members considered it an important feature of the work they did and vital if they were to be able to provide quality health service to their community. However, they reported that the seamless working self was at odds with the way many of their non-Indigenous Australian colleagues worked and it was not well understood.

What constitutes ‘support’ for the role of the Aboriginal and Torres Strait Islander child health workforce?

2013 ◽  
Vol 37 (1) ◽  
pp. 112 ◽  
Author(s):  
Karen Watson ◽  
Jeanine Young ◽  
Margaret Barnes
Keyword(s):  
Child Health ◽  
Health Services ◽  
Cultural Awareness ◽  
Torres Strait Islander ◽  
Health Workers ◽  
Overall Acceptability ◽  
Torres Strait ◽  
Use Of Health Services ◽  
Torres Strait Islander Health

As well as providing primary health care services, Aboriginal and Torres Strait Islander health workers are known to significantly contribute to the overall acceptability, access and use of health services through their role of cultural brokerage in the communities within which they work. As such they are uniquely positioned to positively influence health improvements for this vulnerable population. This study sought to identify key areas that both Aboriginal and Torres Strait Islander and non-Indigenous health professionals working within Indigenous communities felt were important in providing support for their roles. This group of workers require support within their roles particularly in relation to cultural awareness and capability, resource provision, educational opportunities, collaboration with colleagues and peers, and professional mentorship. What is known about the topic? Aboriginal and Torres Strait Islander health workers are known to significantly contribute to the overall acceptability, access and use of health services in the communities within which they work. As such they are uniquely positioned to positively influence health improvements for this population. What does this paper add? Through consultation with a sample of Indigenous child health workers and child health workers key areas necessary to provide support for the individuals working in these roles have been identified. What are the implications for practitioners? The findings from this study will inform policy and program development in order to more comprehensively support health workers in the community and contribute towards workforce development and satisfaction, recruitment and retention.

scholarly journals A national profile of Aboriginal and Torres Strait Islander Health Workers, 2006–2016

2019 ◽  
Vol 43 (1) ◽  
pp. 24-26 ◽  
Author(s):  
Alyson Wright ◽  
Karl Briscoe ◽  
Ray Lovett
Keyword(s):  
Torres Strait Islander ◽  
Health Workers ◽  
Torres Strait ◽  
National Profile ◽  
Torres Strait Islander Health

scholarly journals An education intervention for childhood asthma by Aboriginal and Torres Strait Islander health workers: a randomised controlled trial

2010 ◽  
Vol 192 (10) ◽  
pp. 574-579 ◽  
Author(s):  
Patricia C Valery ◽  
Ian B Masters ◽  
Brett Taylor ◽  
Yancy Laifoo ◽  
Peter K O'Rourke ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Childhood Asthma ◽  
Torres Strait Islander ◽  
Health Workers ◽  
Controlled Trial ◽  
Education Intervention ◽  
Torres Strait ◽  
Randomised Controlled ◽  
Torres Strait Islander Health

scholarly journals Seldom heard voices: a meta-narrative systematic review of Aboriginal and Torres Strait Islander peoples healthcare experiences

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Benjamin Jones ◽  
David Heslop ◽  
Reema Harrison
Keyword(s):  
Health System ◽  
Patient Experience ◽  
Torres Strait Islander ◽  
Healthcare Quality ◽  
Health Inequities ◽  
Patient Experiences ◽  
Healthcare Provision ◽  
Australian Health ◽  
Healthcare Experiences ◽  
Torres Strait

Abstract Background It is well established that Aboriginal and Torres Strait Islander populations face considerable health inequities, exacerbated by poorer healthcare quality. Patient experience is recognised as a major contributing factor to healthcare quality and outcomes, therefore, enriched knowledge of the patient experiences of Aboriginal and Torres Strait Islander populations is critical to redress health inequities. This review synthesises evidence of the healthcare experiences amongst Aboriginal and Torres Strait Islander patients through a metanarrative synthesis of qualitative literature. Methods A systematic search strategy was developed and applied to six electronic databases between January 2000 and July 2019. Titles and abstracts were screened before applying the inclusion criteria to full text articles. A meta-narrative synthesis was undertaken. Results Fifty-four publications were identified from four research traditions; each with a unique conceptualisation of patient experience. Three themes emerged that demonstrate Aboriginal and Torres Strait Islander patient experiences are informed by 1) beliefs about wellbeing and healthcare provision, 2) their level of trust in the healthcare system, and 3) individual and community health system interactions. The findings highlight a range of aspects of patient experience that were important to participating Aboriginal and Torres Strait Islanders in the included studies but not captured currently in health system surveys. Conclusion This review highlights the influence of beliefs about health and wellbeing on the patient experience amongst Aboriginal and Torres Strait Islander populations in the Australian health system. Patient experiences were informed by past experience and their trust in the health system. The different factors influencing patient experience and the gravity of their influence must be considered in current approaches to capturing patient experience data collection methods. Trial registration PROSPERO (ID: CRD42019134765).

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