Culturally Specific Process Measures to Improve Mental Health Clinical Practice: Indigenous Focus

O’Brien, Anthony; Boddy, Julie; Hardy, Derrylea J.

doi:10.1080/00048670701449211

Cited by 15 publications

(18 citation statements)

References 8 publications

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“…Display the Aboriginal Flag, and art pieces as a sign of respect 30 Seek local community advice on undertaking respectful ‘storytelling’ 30,36 Encourage conversation with local elders and the resident to better understand their lifestyle and culture 36 …”

Section: Resultsmentioning

confidence: 99%

“…Seek local community advice on undertaking respectful ‘storytelling’ 30,36 Encourage conversation with local elders and the resident to better understand their lifestyle and culture 36 Acknowledge and participate in National Aboriginal and Islander Day Observance Committee Week which his traditionally the first week in July 37 …”

Section: Resultsmentioning

confidence: 99%

“…Encourage conversation with local elders and the resident to better understand their lifestyle and culture 36 …”

Section: Resultsmentioning

confidence: 99%

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Needs of Aboriginal and Torres Strait Islander clients residing in Australian residential aged-care facilities

Brooke

2011

Australian Journal of Rural Health

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This review was undertaken to identify evidence-based practice guidelines to support the care needs of Aboriginal and Torres Strait Islander clients residing in residential aged-care facilities. A systematic literature review was undertaken. An electronic search of online databases and subsequent manual retrieval process was undertaken to identify relevant reports and studies that explored interventions for care of an Aboriginal and Torres Strait Islander person. Very limited published material identified strategies necessary within residential aged care. Sixty-seven articles were considered for inclusion, and a subsequent review resulted in 34 being included due to direct alignment with the study aim. Strategies recommended within the review cover areas such as care, communication, palliative care, activities and the environment. Care for an Aboriginal and Torres Strait Islander person in an Australian residential aged-care facility requires a collaborative and individual approach. Cultural safety principles should be maintained across a culturally competent workforce. Aboriginal and Torres Strait Islander persons in care is a significant experience that should not be considered 'routine' as there is much to consider in the care of this person and their community.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Needs of Aboriginal and Torres Strait Islander clients residing in Australian residential aged-care facilities

Brooke

2011

Australian Journal of Rural Health

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“…Mean scores were above the midrange on all organisational readiness to change measures.Organisational readiness to change. Included items relating to AI/AN veterans’ services and projects.Adapted Organisational Readiness to Change Assessment survey (needs, leadership, resources, and organisational climate scales).WeakO'Brien, Boddy [39] PaperNZ (but includes Australian standards) Maori and non- Maori mental health clientsMental health services and mental health nursingHealth service audit measure using bicultural indicators for clinical records and cultural competence.Wide variation across services, especially in informed consent, information about legal rights, and culturally safe and recovery-focussed care.Health service Consumer Notes Clinical Indicators (CNCI) audit tool.Four phased design: 1) focus groups with expert mental health nurses; 2) Delphi surveys; 3) a pilot study; 4) national audit of mental health services.ModerateO'Brien, Boddy [40] PaperNZ and Australia Indigenous peoplesMental health careHealth service audit measure using bicultural indicators for clinical records and cultural competence -Ascertaining the degree to which quality improvement and monitoring systems are enhancing professional practice and client outcomes.Variation in cultural competence of nursing practice across mental health services. The way in which services were delivered impacted upon clients’ ability to engage in the treatment processes and ultimately in their recovery; clients became more involved in their own care; kin and community became more involved in care.…”

Section: Methodsmentioning

confidence: 99%

Organisational systems’ approaches to improving cultural competence in healthcare: a systematic scoping review of the literature

McCalman

Jongen

Bainbridge

2017

Int J Equity Health

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IntroductionHealthcare organisations serve clients from diverse Indigenous and other ethnic and racial groups on a daily basis, and require appropriate client-centred systems and services for provision of optimal healthcare. Despite advocacy for systems-level approaches to cultural competence, the primary focus in the literature remains on competency strategies aimed at health promotion initiatives, workforce development and student education. This paper aims to bridge the gap in available evidence about systems approaches to cultural competence by systematically mapping key concepts, types of evidence, and gaps in research.MethodsA literature search was completed as part of a larger systematic search of evaluations and measures of cultural competence interventions in health care in Canada, the United States, Australia and New Zealand. Seventeen peer-reviewed databases, 13 websites and clearinghouses, and 11 literature reviews were searched from 2002 to 2015. Overall, 109 studies were found, with 15 evaluating systems-level interventions or describing measurements. Thematic analysis was used to identify key implementation principles, intervention strategies and outcomes reported.ResultsTwelve intervention and three measurement studies met our inclusion criteria. Key principles for implementing systems approaches were: user engagement, organisational readiness, and delivery across multiple sites. Two key types of intervention strategies to embed cultural competence within health systems were: audit and quality improvement approaches and service-level policies or strategies. Outcomes were found for organisational systems, the client/practitioner encounter, health, and at national policy level.Discussion and implicationsWe could not determine the overall effectiveness of systems-level interventions to reform health systems because interventions were context-specific, there were too few comparative studies and studies did not use the same outcome measures. However, examined together, the intervention and measurement principles, strategies and outcomes provide a preliminary framework for implementation and evaluation of systems-level interventions to improve cultural competence. Identified gaps in the literature included a need for cost and effectiveness studies of systems approaches and explication of the effects of cultural competence on client experience. Further research is needed to explore the extent to which cultural competence improves health outcomes and reduces ethnic and racially-based healthcare disparities.

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“…The level of competency and cultural awareness of non‐Aboriginal health professionals remains problematic (O'Brien et al . ) and quality care is compromised when discriminating against others, however unintentionally, based on race or culture (Henry et al . ).…”

Section: Discussionmentioning

confidence: 99%

Experience of providing cultural safety in mental health to Aboriginal patients: A grounded theory study

McGough

Wynaden

Wright

2017

Int J Mental Health Nurs

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ABSTRACT:The need for mental health clinicians to practice cultural safety is vital in ensuring meaningful care and in moving towards improving the mental health outcomes for Aboriginal people. The concept of cultural safety is particularly relevant to mental health professionals as it seeks to promote cultural integrity and the promotion of social justice, equity and respect. A substantive theory that explained the experience of providing cultural safety in mental health care to Aboriginal patients was developed using grounded theory methodology. Mental health professionals engaged in a social psychological process, called seeking solutions by navigating the labyrinth to overcome the experience of being unprepared. During this process participants moved from a state of being unprepared to one where they began to navigate the pathway of cultural safety. The findings of this research suggest health professionals have a limited understanding of the concept of cultural safety. The experience of providing cultural safety has not been adequately addressed by organizations, health services, governments, educational providers and policy makers. Health services, organizations and government agencies must work with Aboriginal people to progress strategies that inform and empower staff to practice cultural safety.

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Culturally Specific Process Measures to Improve Mental Health Clinical Practice: Indigenous Focus

Cited by 15 publications

References 8 publications

Needs of Aboriginal and Torres Strait Islander clients residing in Australian residential aged-care facilities

Needs of Aboriginal and Torres Strait Islander clients residing in Australian residential aged-care facilities

Organisational systems’ approaches to improving cultural competence in healthcare: a systematic scoping review of the literature

Experience of providing cultural safety in mental health to Aboriginal patients: A grounded theory study

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