Barriers and enablers to Aboriginal and Torres Strait Islander careers in health: A qualitative, multisector study in western New South Wales

Bailey, Jannine; Blignault, Ilse; Renata, Pamela; Naden, Phil; Nathan, Sally; Newman, Jamie

doi:10.1111/ajr.12764

Cited by 3 publications

(3 citation statements)

References 13 publications

(15 reference statements)

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“…Participants also highlighted the importance of receiving mentorship from faculty and senior trainees who could intimately identify with their experiences as an Indigenous person navigating a career in medicine. Our data substantiate previous findings in the literature that access to diverse mentors provides crucial academic support and personal affirmation to racial and ethnic minority medical trainees as they navigate the sometimes unfamiliar world of academic medicine 48–51 . By virtue of being a medical trainee, often studying far away from their home community, many Indigenous learners can feel disconnected from their friends and family, missing out on important life events and ceremonies.…”

Section: Discussionsupporting

confidence: 86%

“…Our data substantiate previous findings in the literature that access to diverse mentors provides crucial academic support and personal affirmation to racial and ethnic minority medical trainees as they navigate the sometimes unfamiliar world of academic medicine. [48][49][50][51] By virtue of being a medical trainee, often studying far away from their home community, many Indigenous learners can feel disconnected from their friends and family, missing out on important life events and ceremonies. By accessing Indigenous mentors and cultural supports, learners maintain a fundamental sense of community, alongside other Indigenous health care professionals with whom they may relate and celebrate their identity.…”

Section: Discussionmentioning

confidence: 99%

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Navigating the burden of proof and responsibility: A narrative inquiry into Indigenous medical learners' experiences

et al. 2022

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Introduction Many medical schools have well‐established admission pathways and programming to support Indigenous medical workforce development. Ideally, these efforts should contribute to attracting highly qualified Indigenous applicants which, in turn, may improve accessible, quality care for Indigenous people. However, it is difficult to evolve and tailor these approaches without a situated understanding of Indigenous learners' experiences. In this paper, we focus on the Canadian context, sharing Indigenous learners' stories about their journey towards and throughout medical training. Methods The conceptual underpinnings of narrative inquiry and key principles from Indigenous methodologies were drawn upon throughout both data collection and analysis. Participants were Indigenous learners (medical students and residents) and a recently graduated physician (n = 5) from one Canadian medical school. Both spoken (formal recorded interviews) and visual (photographs) texts were used to make meaning of participants' experiences. Results Participants' experiences during medical training showed a striking resemblance at three points in their transition to, and progression through, medical education: preparing for and applying to medical school, completing undergraduate medical training and determining specialty choice. Participants' stories revealed a tug‐of‐war between their identities as an Indigenous person and as a medical trainee, with these tensions sometimes compromising their perceived sense of belonging within both Indigenous and academic circles, creating, at times, a heavy burden to shoulder. Conclusion Meaningful representation of Indigenous people in the medical workforce is about more than training additional health care providers; it requires understanding Indigenous learners and recently graduated physicians' experiences as they enter and navigate the medical profession. By amplifying their voices, we stand to gain a more holistic representation of the factors that contribute to and potentially impede the recruitment and retention of Indigenous people into the medical profession.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Navigating the burden of proof and responsibility: A narrative inquiry into Indigenous medical learners' experiences

et al. 2022

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“…There have been several initiatives and frameworks to build the capacity of Aboriginal health professionals in the Australian context [38]. Supporting and developing a suitably skilled Aboriginal health workforce leads to improved health outcomes for communities through the provision of culturally safe, person-centred, and holistic care [49]. Local policies providing greater flexibility and varied employment arrangements may increase Aboriginal staff working in ACCHSs by overcoming many of the factors that can have an impact on employment, such as family and caring responsibilities.…”

Section: Discussionmentioning

confidence: 99%

Attitudes to Short-Term Staffing and Workforce Priorities of Community Users of Remote Aboriginal Community-Controlled Health Services: A Qualitative Study

Liddle,

Fitts,

Bourke

et al. 2024

IJERPH

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In recent years, there has been an increasing trend of short-term staffing in remote health services, including Aboriginal Community-Controlled Health Services (ACCHSs). This paper explores the perceptions of clinic users’ experiences at their local clinic and how short-term staffing impacts the quality of service, acceptability, cultural safety, and continuity of care in ACCHSs in remote communities. Using purposeful and convenience sampling, community users (aged 18+) of the eleven partnering ACCHSs were invited to provide feedback about their experiences through an interview or focus group. Between February 2020 and October 2021, 331 participants from the Northern Territory and Western Australia were recruited to participate in the study. Audio recordings were transcribed verbatim, and written notes and transcriptions were analysed deductively. Overall, community users felt that their ACCHS provided comprehensive healthcare that was responsive to their health needs and was delivered by well-trained staff. In general, community users expressed concern over the high turnover of staff. Recognising the challenges of attracting and retaining staff in remote Australia, community users were accepting of rotation and job-sharing arrangements, whereby staff return periodically to the same community, as this facilitated trusting relationships. Increased support for local employment pathways, the use of interpreters to enhance communication with healthcare services, and services for men delivered by men were priorities for clinic users.

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Indigenous people in vocational education and training from a social justice perspective: an overview of international literature

Joncas

Edward

Moisan

et al. 2022

Journal of Vocational Education & Training

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Barriers and enablers to Aboriginal and Torres Strait Islander careers in health: A qualitative, multisector study in western New South Wales

Cited by 3 publications

References 13 publications

Navigating the burden of proof and responsibility: A narrative inquiry into Indigenous medical learners' experiences

Navigating the burden of proof and responsibility: A narrative inquiry into Indigenous medical learners' experiences

Attitudes to Short-Term Staffing and Workforce Priorities of Community Users of Remote Aboriginal Community-Controlled Health Services: A Qualitative Study

Indigenous people in vocational education and training from a social justice perspective: an overview of international literature

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