A Strategy for Translating Evidence Into Policy and Practice to Close the Gap - Developing Essential Service Standards for Aboriginal and Torres Strait Islander Cardiovascular Care

Brown, Alex; O'Shea, Rebekah; Mott, Kathy; McBride, Katharine; Lawson, Tony; Jennings, Garry

doi:10.1016/j.hlc.2014.09.020

Cited by 10 publications

(9 citation statements)

References 16 publications

(21 reference statements)

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“…Cardiovascular disease is a major contributor to the health gap between Aboriginal and non-Aboriginal Australians, and there is a corresponding national focus on developing a targeted approach to address this disparity. 1,2 Effective communication between staff, patients and their family members has been identified as crucial for ensuring quality healthcare and patient safety. 3 Following a cardiac event, mutual understanding of treatment options and informed consent are vital.…”

Section: Introductionmentioning

confidence: 99%

‘We get so task orientated at times that we forget the people’: staff communication experiences when caring for Aboriginal cardiac patients

Kelly

Dowling

McBride

et al. 2020

Aust. Health Review

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Objective The aim of this study was to describe the experiences of communication for staff providing cardiac care for Aboriginal and Torres Strait Islander patients in hospital and discuss potential improvements. Methods Focus group discussions were performed with 58 multidisciplinary staff who provide care for Aboriginal and Torres Strait Islander cardiac patients in two metropolitan and two regional hospitals in South Australia and Northern Territory. Inductive thematic analysis was undertaken to identify staff perceptions of communication challenges and strategies for improvement. Results There were five key themes: (1) communication is central to good care; (2) communication within busy clinical environments; (3) supporting a strong Aboriginal workforce; (4) a cultural as well as clinical focus; and (5) particular challenges working with patients from remote areas. Conclusions Providing effective communication that is both clinically and culturally appropriate is often challenging within a busy and non-adaptive hospital environment. Moving beyond clinical tasks, increased Aboriginal and Torres Strat Islander health workforce and cultural competency, supporting coordinated care and improved skills are required to meet the communication needs of Aboriginal and Torres Strait Islander patients. What is known about this topic? Communication between patients, their families and hospital staff is crucial for health care quality and safety. There is little understanding of the challenges and opportunities for staff to meet the communication needs of Aboriginal and Torres Strait Islander cardiac patients to address disparities in acute care settings. What does this paper add? This paper discusses the barriers and potential improvements, as identified by hospital staff providing care to Aboriginal and Torres Strait Islander cardiac patients in both metropolitan and regional settings. What are the implications for practitioners? Practitioners should be trained and supported in providing both clinically and culturally safe care for Aboriginal and Torres Strait Islander patients. This requires adequate time, two-way communication and resources to support and facilitate effective communication.

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Section: Introductionmentioning

confidence: 99%

‘We get so task orientated at times that we forget the people’: staff communication experiences when caring for Aboriginal cardiac patients

Kelly

Dowling

McBride

et al. 2020

Aust. Health Review

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“…Secondly, ESSENCE, was established as an exemplar approach to closing the life expectancy gap using cardiovascular disease as our focus, largely because of the strong evidence base to guide clinical management and its potential impact on life expectancy differentials [2,5].…”

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confidence: 99%

Response to Letter to the Editor: Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander people

Brown

Jennings

2015

Heart, Lung and Circulation

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“…The two papers in this edition of Heart Lung and Circulation describing the ESSENCE project Standards and the strategy for their development [1,2] are of the highest importance. They provide for the first time a broad ranging yet detailed description of the minimum standards of cardiovascular care that should be provided to Aboriginal and Torres Strait Islander people to ensure equity for all Australians.…”

mentioning

confidence: 99%

“…This discrepancy in cardiovascular outcomes is the result of complex interactions between multiple deficits in societal health, prevention of disease and its treatment [2], which are only recently being systematically addressed [3][4][5].…”

mentioning

confidence: 99%

“…How then, to ''distil the essence'' from this document? For the uninitiated, Figure 1 in paper 2 describing the continuum of care is an excellent place to start [2]. All providers of health care will feel comfortable with the notion that prevention, acute treatment and chronic treatment are all important for the five cardiovascular conditions targeted by the ESSENCE Much has already been said regarding the individual five key areas of cardiovascular disease of the ESSENCE project, identified because of their importance and impact on the Aboriginal and Torres Strait Islander populations, but just some reiteration of overall observations is pertinent.…”

mentioning

confidence: 99%

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Extracting the ESSENCE - Cardiovascular Health for Aboriginal and Torres Strait Islander Australians

Kritharides

Lowe

2015

Heart, Lung and Circulation

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A Strategy for Translating Evidence Into Policy and Practice to Close the Gap - Developing Essential Service Standards for Aboriginal and Torres Strait Islander Cardiovascular Care

Cited by 10 publications

References 16 publications

‘We get so task orientated at times that we forget the people’: staff communication experiences when caring for Aboriginal cardiac patients

‘We get so task orientated at times that we forget the people’: staff communication experiences when caring for Aboriginal cardiac patients

Response to Letter to the Editor: Essential Service Standards for Equitable National Cardiovascular Care for Aboriginal and Torres Strait Islander people

Extracting the ESSENCE - Cardiovascular Health for Aboriginal and Torres Strait Islander Australians

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