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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 3/2019

01-06-2019 | Review Paper

Healing Conversations: Developing a Practical Framework for Clinical Communication Between Aboriginal Communities and Healthcare Practitioners

Authors: Andrea McKivett, David Paul, Nicky Hudson

Published in: Journal of Immigrant and Minority Health | Issue 3/2019

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Abstract

In recognition of the ongoing health disparities experienced by Aboriginal and Torres Strait Islander peoples (hereafter Aboriginal), this scoping review explores the role and impact of the clinical communication process on Aboriginal healthcare provision. A medical education lens is applied, looking at the utility of a tailored clinical communication framework to assist health practitioners work more effectively with Aboriginal peoples and communities. The initial framework, building on existing communication guides, proposes four domains: content, process, relational and environmental. It places emphasis on critical self-reflection of the health practitioner’s own cultural identity and will be guided by collective Aboriginal worldviews in select Australian settings. Using a two-eyed seeing approach the framework will be developed and tested in health professional education. The aim of this research journey is to enable health practitioners to have more effective healthcare conversations with Aboriginal peoples, working toward more socially just and equitable healthcare interactions and outcomes
Literature
1.
Moreton-Robinson A. I still call Australia home: Indigenous belonging and place in a white postcolonising society. In uprootings/regroundings: questions of home and migration. New York: Berg; 2003.
2.
Purdie N, Dudgeon P, Walker R, et al., editors. Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice. Canberra: Department of Health and Ageing; 2010.
3.
Durey A, et al. Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians. Nurs Inq. 2012;19(2):144–52.PubMedCrossRef
4.
Gracey M, King M. Indigenous health part 1: determinants and disease patterns. Lancet. 2009;374(9683):65–75.PubMedCrossRef
5.
Brown A, et al. South Australian Aboriginal cardiovascular health profile for the South Australian Aboriginal Heart and stroke plan 2017–2021. Adelaide: SAHMRI; 2016.
6.
Australian Bureau of Statistics. Life tables for Aboriginal and Torres Strait Islander Australians 2010–2012. Canberra: Commonwealth of Australia; 2013.
7.
Askew D, et al. Understanding practitioner professionalism in Aboriginal and Torres Strait Islander health: lessons from student and registrar placements at an urban Aboriginal and Torres Strait Islander primary health care service. Aust J Prim Health. 2017;23(5):446–50.PubMedCrossRef
8.
Hambleton S. Achieving best practice in primary health care for Aboriginal and Torres Strait Islanders. Barton: Australian Medical Association; 2011.
9.
Smedley B, Stith A, Nelson A. Unequal treatment: confronting racial and ethnic disparities in health care. Washington National Academies Press: Washington, DC; 2009.
10.
Australian Medical Council. Standards for Assessment and Accreditation of Primary Medical Programs by the Australian Medical Council: Kingston ACT; 2012.
11.
Van Schaik K, Thompson S. Indigenous beliefs about biomedical and bush medicine treatment efficacy for indigenous cancer patients: a review of the literature. Int Med J. 2012;42(2):184–91.CrossRef
12.
Lie DA, et al. Does cultural competency training of health professionals improve patient outcomes? A systematic review and proposed algorithm for future research. J Gen Intern Med. 2011;26(3):317–25.PubMedCrossRef
13.
Grant J, Parry Y, Guerin P. An investigation of culturally competent terminology in healthcare policy finds ambiguity and lack of definition. Aust N Z J Public Health. 2013;37(3):250–6.PubMedCrossRef
14.
Paul D, Hill S, Ewen S. Revealing the (in) competency of “cultural competency” in medical education. AlterNative. 2012;8(3):318–28.CrossRef
15.
Jongen C, et al. Cultural competence in health: a review of the evidence. SpringerBriefs in Public Health. 2017.
16.
Ewen S, Paul D, Bloom G. Do indigenous health curricula in health science education reduce disparities in health care outcomes? Med J Aust. 2012;197(1):50–2.PubMedCrossRef
17.
Peiris D, Brown A, Cass A. Addressing inequities in access to quality health care for indigenous people. Can Med Assoc J. 2008;179(10):985–6.CrossRef
18.
Taylor JE, et al. Effective Aboriginal community involvement in health planning: a case study. ACT: National Rural Health Alliance; 2007.
19.
Lock M. Aboriginal holistic health: a critical review. Casuarina: Cooperative Research Centre for Aboriginal Health; 2007.
20.
National Aboriginal Health Strategy Working Group. A national aboriginal health strategy. Canberra. 1989.
21.
Alford V, et al. Communication in Indigenous healthcare: extending the discourse into the physiotherapy domain. J Physiother. 2014;60(2):63–5.PubMedCrossRef
22.
Forbes D, Wongthongtham P. Ontology based intercultural patient practitioner assistive communications from qualitative gap analysis. Inf Technol People. 2016;29(2):280–317.CrossRef
23.
Neuliep JW. Intercultural communication: a contextual approach. Los Angeles: Sage; 2017.
24.
25.
Sakamoto I, Pitner RO. Use of critical consciousness in anti-oppressive social work practice: disentangling power dynamics at personal and structural levels. Br J Soc Work. 2005;35(4):435–52.CrossRef
26.
27.
Buluş M, Atan A, Sarıkaya HE. Effective communication skills: a new conceptual framework and scale development study. Int Online J Educ Sci. 2017;9(2):1–16.
28.
Gudykunst WB, Mody B. Handbook of international and intercultural communication. Los Angeles: Sage; 2002.
29.
Paternotte E, et al. Factors influencing intercultural doctor–patient communication: a realist review. Patient Educ Couns. 2015;98(4):420–45.PubMedCrossRef
30.
Alden DL, et al. Who decides: me or we? Family involvement in medical decision making in Eastern and Western countries. Med Decis Mak. 2017;38(1):14–25.CrossRef
31.
Haynes E, et al. Examining the potential contribution of social theory to developing and supporting Australian Indigenous-mainstream health service partnerships. Int J Equity Health. 2014;13(1):75.PubMedPubMedCentralCrossRef
32.
Miller K. Balancing individualism and collectivism in an Australian Aboriginal context. In: McIntyre-Mills J, Romm N, Corcoran-Nantes Y, editors. Balancing individualism and collectivism: social and environmental justice; Cham: Springer; 2018.
33.
Donkin A, Allen GP, Nathanson J, Marmot V. M,. Global action on the social determinants of health. BMJ Glob Health. 2017;2(e000603):1–7.
34.
Lin I, et al. ‘I can sit and talk to her’: Aboriginal people, chronic low back pain and heathcare practitioner communication. Aust Fam Physician. 2014;43(5):320–4.PubMed
35.
Hayman N, White N, Spurling G. Improving Indigenous patients’ access to mainstream health services: the Inala experience. Med J Aust. 2009;190(10):604–6.PubMedCrossRef
36.
Franks C, Curr B Keeping company: An inter-cultural conversation. Centre for Indigenous Development Education and Research, University of Wollongong. 1996.
37.
Street RL. How clinician–patient communication contributes to health improvement: modeling pathways from talk to outcome. Patient Educ Couns. 2013;92(3):286–91.PubMedCrossRef
38.
Schirmer JM, et al. Assessing communication competence: a review of current tools. Fam Med. 2005;37(3):184–92.PubMed
39.
Haq C, et al. Integrating the art and science of medical practice: innovations in teaching medical communication skills. Fam Med. 2004;36(sup1):43–50.
40.
Simmenroth-Nayda A, et al. Do communication training programs improve students’ communication skills?-a follow-up study. BMC Res Notes. 2012;5(1):486.PubMedPubMedCentralCrossRef
41.
Elwyn G, et al. Shared decision making: a model for clinical practice. J Gen Int Med. 2012;27(10):1361–7.CrossRef
42.
Kurtz S, et al. Marrying content and process in clinical method teaching: enhancing the Calgary–Cambridge guides. Acad Med. 2003;78(8):802–9.PubMedCrossRef
43.
Mccormack LA, et al. Measuring patient-centered communication in cancer care: a literature review and the development of a systematic approach. Soc Sci Med. 2011;72(7):1085–95.PubMedCrossRef
44.
Alyami H, et al. Teaching medical students history taking content: a systematic review. Am J Educ Res. 2016;4(3):227–33.
45.
Hausberg MC, et al. Enhancing medical students’ communication skills: development and evaluation of an undergraduate training program. BMC Med Educ. 2012;12(1):16.PubMedPubMedCentralCrossRef
46.
Pitama S, Huria T, Lacey C. Improving Maori health through clinical assessment: Waikare o te Waka o Meihana. N Z Med J. 2014;127(1393):107–19.PubMed
47.
Pitama S, et al. Meihana model: a clinical assessment framework. N Z J Psychol. 2007;36(3):118–25.
48.
Al-Busaidi I, et al. Māori Indigenous Health Framework in action: addressing ethnic disparities in healthcare. N Z Med J. 2018;131(1470):89–93.PubMed
49.
Foucault M. Beyond structuralism and hermeneutics. Sussex: Harvester Press; 1982.
50.
Cass A, et al. Sharing the true stories: improving communication between Aboriginal patients and healthcare workers. Med J Aust. 2002;176(10):466–71.PubMedCrossRef
51.
Lowell A, et al. “Hiding the story”: Indigenous consumer concerns about communication related to chronic disease in one remote region of Australia. Int J Speech-Lang Pathol. 2012;14(3):200–8.PubMedCrossRef
52.
Shahid S, et al. Identifying barriers and improving communication between cancer service providers and Aboriginal patients and their families: the perspective of service providers. BMC Health Serv Res. 2013;13(1):460.PubMedPubMedCentralCrossRef
53.
Towle A, Godolphin W, Alexander T. Doctor–patient communications in the Aboriginal community: towards the development of educational programs. Patient Educ Couns. 2006;62(3):340–6.PubMedCrossRef
54.
Amery R. Recognising the communication gap in indigenous health care. Med J Aust. 2017;207(1):13–5.PubMedCrossRef
55.
Lowell A. Communication and cultural knowledge in aboriginal health care, in Cooperative Research Centre for Aboriginal and Tropical Health. Casuarina NT: 2001.
56.
Zuckermann G, Walsh M. Language reclamation and mental health: Revivalistics in the service of the wellbeing of Indigenous people. In Day D, Rewi P, Higgins R editors, The journeys of besieged languages. Cambridge: Cambridge Scholars Publishing. 2016: 94–122.
57.
Anderson K, et al. “All they said was my kidneys were dead”: Indigenous Australian patients’ understanding of their chronic kidney disease. Med J Aust. 2008;189(9):499–503.PubMedCrossRef
58.
Christie M, Verran H. The touch pad body: a generative transcultural digital device interrupting received ideas and practices in Aboriginal health. Societies. 2014;4(2):256–64.CrossRef
59.
Janca A, Bullen C. The Aboriginal concept of time and its mental health implications. Aust Psychiatry. 2003;11(sup1):40–4.CrossRef
60.
Bartlett C, et al. Integrative science and two-eyed seeing: Enriching the discussion framework for healthy communities. In: Hallstrom L, Guehlstorf N, Parkes M, editors. Beyond Intractability: convergence and opportunity at the interface of environmental, health and social issues. Vancouver: UBC Press; 2012.
61.
Pitner RO, Sakamoto I. The role of critical consciousness in multicultural practice: examining how its strength becomes its limitation. Am J Orthopsychiatry. 2005;75(4):684–94.PubMedCrossRef
62.
Mckenna V, Anderson K. Kimberley Dreaming: old law, new ways—finding new meaning. In Presentation to World Congress for Psychotherapy, Sydney. 2011.
63.
64.
Yap M, Yu E. Operationalising the capability approach: developing culturally relevant indicators of indigenous wellbeing—an Australian example. Oxf Dev Stud. 2016;44(3):315–31.CrossRef
65.
Brown N. Exploring Cultural determinants of health and wellbeing. Carlton South: Lowitja Institute Roundtable; 2014.
66.
Lin I, Green C, Bessarab D. ‘Yarn with me’: applying clinical yarning to improve clinician–patient communication in Aboriginal health care. Aust J Prim Health. 2016;22(5):377–82.PubMedCrossRef
67.
Carter C, et al. Urban first nations men: narratives of positive identity and implications for culturally safe care. J Transcult Nurs. 2016;28(5):445–54.PubMedCrossRef
68.
69.
Rider EA, Keefer CH. Communication skills competencies: definitions and a teaching toolbox. Med Educ. 2006;40(7):624–9.PubMedCrossRef
70.
Hill S, et al. Can my mechanic fix blue cars? A discussion of health clinicians’ interactions with Aboriginal Australian clients. Aust J Rural Health. 2017;25(3):189–92.PubMedCrossRef
71.
Panzironi F. Hand-in-hand. Report on Aboriginal Traditional Medicine. 2013.
72.
Marsh TN, et al. The application of two-eyed seeing decolonizing methodology in qualitative and quantitative research for the treatment of intergenerational trauma and substance use disorders. Int J Qual Methods. 2015;14(5):317–25.CrossRef
73.
Abbott P, et al. What do GPs need to work more effectively with Aboriginal patients?: views of Aboriginal cultural mentors and health workers. Aust Fam Physician. 2014;43(1/2):58–63.PubMed
74.
The Wardliparingga Aboriginal Research Unit of the South Australian Health and Medical Research Institute. National safety and quality health service standards user guide for Aboriginal and Torres Strait Islander health. Sydney: Australian Commission on Safety and Quality in Health Care; 2017.
75.
Truong M, Paradies Y, Priest N. Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Serv Res. 2014;14(99):1–17.
Metadata
Title
Healing Conversations: Developing a Practical Framework for Clinical Communication Between Aboriginal Communities and Healthcare Practitioners
Authors
Andrea McKivett
David Paul
Nicky Hudson
Publication date
01-06-2019
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 3/2019
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-018-0793-7

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