Building readiness for inclusive practice in mainstream health services: A pre-inclusion framework to deconstruct exclusion

Bourke, Lisa; Mitchell, Olivia; Shaburdin, Zubaidah Mohamed; Malatzky, Christina; Anam, Mujibul; Farmer, Jane

doi:10.1016/j.socscimed.2021.114449

Cited by 6 publications

(5 citation statements)

References 38 publications

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“…Service B is not alone in this, with many busy services wishing to perform better, but struggling to make the investments of time, funding and resources required to bring meaningful change to Indigenous health [ 19 ]. For services to make real progress, strong leadership is required by the health service executive and the commitment to Indigenous health needs to be prioritised in the service’s values or mission statement, as was observed with Services A and C and has been reported previously [ 35 , 36 , 37 ].…”

Section: Discussionmentioning

confidence: 92%

Putting Policy into Practice: How Three Cancer Services Perform against Indigenous Health and Cancer Frameworks

Taylor

Lyford

Parsons

et al. 2022

IJERPH

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Improving cancer outcomes for Indigenous people by providing culturally safe, patient-centred care is a critical challenge for health services worldwide. This article explores how three Australian cancer services perform when compared to two national best practice guidelines: the National Aboriginal and Torres Strait Islander Cancer Framework (Cancer Framework) and the National Safety and Quality Health Service (NSQHS) User Guide for Aboriginal and Torres Strait Islander Health (User Guide). The services were identified through a nationwide project undertaken to identify cancer services providing treatment to Indigenous cancer patients. A small number of services which were identified as particularly focused on providing culturally safe cancer care participated in case studies. Interviews were conducted with 35 hospital staff (Indigenous and non-Indigenous) and 8 Indigenous people affected by cancer from the three services. The interviews were analysed and scored using a traffic light system according to the seven priorities of the Cancer Framework and the six actions of the NSQHS User Guide. While two services performed well against the User Guide, all three struggled with the upstream elements of the Cancer Framework, suggesting that the treatment-focused Optimal Care Pathway for Aboriginal and Torres Strait Islander People with Cancer (Cancer Pathway) may be a more appropriate framework for tertiary services. This article highlights the importance of a whole-of-organisation approach when addressing and embedding the six actions of the User Guide. Health services which have successfully implemented the User Guide are in a stronger position to implement the Cancer Framework and Cancer Pathway.

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Section: Discussionmentioning

confidence: 92%

Putting Policy into Practice: How Three Cancer Services Perform against Indigenous Health and Cancer Frameworks

Taylor

Lyford

Parsons

et al. 2022

IJERPH

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“…Exclusion is a “multi-dimensional, dynamic, relational” (Bourke et al, 2021, p. 2) non-inviting process reinforced by unequal power relations. A detrimental consequence of exclusion is social oppression which contributes to unhealthy social relationships that can hinder belongingness (Shore & Chung, 2021).…”

Section: Deconstructing Exclusion For Inclusive Leadershipmentioning

confidence: 99%

An Inclusive Leadership Model Insights From the Tech Industry

Booker

Williams

2022

Advances in Developing Human Resources

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Problem Inclusive leadership models have been introduced to represent a shift from traditional leadership approaches. However, missing from these models are principles of social justice and forward-thinking outcomes for building human relations. An examination of the detrimental consequences of exclusion is needed to realize the benefits of inclusion. Solution The Deconstructing Exclusion for Inclusive Leadership model, a framework for practice, is offered as a practical guide for deconstructing exclusionary practices and building positive, healthy human relations. The model is supported by affective behaviors and traits and cognitive competencies that inclusive leaders need to discourage exclusion and advocate for more inclusive relationships and social justice outcomes. Stakeholders Leaders, managers, practitioners, human resource development scholars, researchers, and educators.

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“…Two decades before the Commission, recommendations had been made to the finance industry on providing more equitable services to Indigenous customers through engaging in community-led activities, making long term commitments for change, increasing collaboration and partnerships for achieving cultural awareness, facilitating improvements to financial literacy, and financial inclusion; in short inclusive practice (Altman & Taylor, 2002 ; Banking Code Compliance Monitoring Committee, 2017 ). Whilst inclusive practice is a new concept for finance, health practitioners have considered the importance of inclusive practice for decades understanding a long term, people centred approach that is culturally focused, particularly for those who are hard to reach, is paramount (Bourke et al, 2021 ; Reserve Bank of Australia, 2021 ). The Commission found only 4% of branch buildings are located in regional and remote locations, yet 28% of Australians live there, which includes a number of Indigenous communities (Hayne, 2018 ).…”

Section: Literature Reviewmentioning

confidence: 99%

Ethical Decision-Making in Indigenous Financial Services: QSuper Case Study

et al. 2022

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This case study details how and why integrating storytelling, empathy, and inclusive practice shifted QSuper, a large Australian finance organisation, from minimal awareness to moral awareness then moral capability in the delivery of services to Indigenous customers. During the Royal Commission into Misconduct in the Banking, Superannuation, and Financial Services Industry, QSuper were recognised for their exemplary service with Indigenous customers (Hayne, Interim report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2018; Transcript of Proceedings, 13 August, Commonwealth of Australia, 2018). This position was in stark contrast to the inaccessible service offerings of other financial organisations where some used predatory practices to sell unethical financial products to Indigenous Australians (Hayne, Interim report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2018; Hayne, Final report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2019a). Storytelling garned from visiting customers in remote communities and other meaningful activities involving inclusive practice to facilitate ethical decision-making in finance is different to standard functionalist finance approaches (Schinckus, Int Rev Financ Anal 40:103–106, 2015). Two empathetic questions asked within QSuper complementing the storytelling, were: “What is the right thing to do by the customer?” and “How would I feel if this were my mother?” Exploration into the lived reality of moral capacity is important based on the Commission finding many of the 490,000 finance staff do not know how to provide ethical services to vulnerable customers, in particular remote Indigenous customers (Australian Bureau of Statistics. Labour force, Australia, detailed. ABS. Retrieved from https://www.abs.gov.au/statistics/labour/employment-and-unemployment/labour-force-australia-detailed/latest-release, 2021; Hayne, Final report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2019a). Furthermore, there is minimal literature on the role of Indigenous storytelling to heighten moral awareness in the finance industry which was found to lead to better ethical outcomes.

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Building readiness for inclusive practice in mainstream health services: A pre-inclusion framework to deconstruct exclusion

Cited by 6 publications

References 38 publications

Putting Policy into Practice: How Three Cancer Services Perform against Indigenous Health and Cancer Frameworks

Putting Policy into Practice: How Three Cancer Services Perform against Indigenous Health and Cancer Frameworks

An Inclusive Leadership Model Insights From the Tech Industry

Ethical Decision-Making in Indigenous Financial Services: QSuper Case Study

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