Quality and cultural safety in burns care for Aboriginal and Torres Strait Islander children

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Fraser, Sarah
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Flinders University
Copyright © 2018 the author. All rights reserved.
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Burn injury is a significant burden across Australia; especially for Aboriginal children. Gaps concerning quality and cultural safety of existing models of care that prescribe best practice are evident. It is not clear if or how these models of care inform practice, nor what other constructs contribute, and whether these are best for care of Aboriginal children. This study investigates factors informing burn care and explores how clinicians in burn teams use guidance documents and if so whether they are appropriate for care of Aboriginal children. Interface research methodology in a qualitative study design, incorporating both Indigenous and Western biomedical knowledges was used to guide this research. Semi-structured interviews were conducted with individuals in burn teams in six sites across Australia. Interviews were audio recorded and transcribed. Aboriginal and non-Indigenous researchers analysed data. We found burn care in Australia is informed by complex factors including evidence, resources and resourcing, clinician decision making processes and beliefs, and models of care. A Western biomedical health paradigm governs policy for burn care, that participants report is not always aligned with Aboriginal families' concepts of health. Within this paradigm, allocation of resources informs the provision (or not) of care; as does expert information and direction from senior clinicians. Participants reported jurisdictional specific models of burn care developed using service and team experience, population data and other scientific evidence inform care. There is a need for changes in the way evidence informs policy and practice in burn care for Aboriginal children so it incorporates Indigenous constructs of health and wellbeing. Attributing importance to cultural competence with explicit guidance in documents that guide burn care may support service and clinician cultural competence. System resources targeting good burn care for Aboriginal children are required.
This abstract was prepared for the inaugural 'HDR Student Conference', Flinders University, November 2018. Copyright © the author
Aboriginal, Burn, Quality, Safety
Fraser, Sarah (2018, November) Quality and cultural safety in burns care for Aboriginal and Torres Strait Islander children Paper presented at 'HDR Student conference', Flinders University, Bedford Park.