But I do care! Communication difficulties affecting the quality of care delivered to Aborigines

Mobbs, Robyn

doi:10.5694/j.1326-5377.1986.tb115952.x

Cited by 9 publications

(3 citation statements)

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“…Previous studies involving interviews with service providers and Aboriginal patients have identified significant concerns about communication 7 . ‐ 9 Some researchers have identified an acceptance, as the norm , of a grossly deficient standard of cross‐cultural communication 8 . We believe that previous studies, based as they have been on indirect reporting or simulated interactions 10 (rather than direct observation and analysis of the interaction itself), probably understate the degree of miscommunication.…”

mentioning

confidence: 99%

Sharing the true stories: improving communication between Aboriginal patients and healthcare workers

Cass¹,

Lowell²,

Christie³

et al. 2002

Medical Journal of Australia

236

204

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Objectives: To identify factors limiting the effectiveness of communication between Aboriginal patients with end‐stage renal disease and healthcare workers, and to identify strategies for improving communication. Design: Qualitative study, gathering data through (a) videotaped interactions between patients and staff, and (b) in‐depth interviews with all participants, in their first language, about their perceptions of the interaction, their interpretation of the video record and their broader experience with intercultural communication. Setting: A satellite dialysis unit in suburban Darwin, Northern Territory. The interactions occurred between March and July 2001. Participants: Aboriginal patients from the Yolngu language group of north‐east Arnhem Land and their medical, nursing and allied professional carers. Main outcome measures: Factors influencing the quality of communication. Results: A shared understanding of key concepts was rarely achieved. Miscommunication often went unrecognised. Sources of miscommunication included lack of patient control over the language, timing, content and circumstances of interactions; differing modes of discourse; dominance of biomedical knowledge and marginalisation of Yolngu knowledge; absence of opportunities and resources to construct a body of shared understanding; cultural and linguistic distance; lack of staff training in intercultural communication; and lack of involvement of trained interpreters. Conclusions: Miscommunication is pervasive. Trained interpreters provide only a partial solution. Fundamental change is required for Aboriginal patients to have significant input into the management of their illness. Educational resources are needed to facilitate a shared understanding, not only of renal physiology, disease and treatment, but also of the cultural, social and economic dimensions of the illness experience of Aboriginal people.

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confidence: 99%

Sharing the true stories: improving communication between Aboriginal patients and healthcare workers

Cass¹,

Lowell²,

Christie³

et al. 2002

Medical Journal of Australia

236

204

View full text Add to dashboard Cite

show abstract

“…These topics were addressed in the seminar through the monologue, which stressed the importance of being aware of the Aboriginal patient's collective social history beyond the immediate medical encounter. Ellerby et al 23 identified several qualities essential for effective communication and trust-building with Aboriginal patients including: understanding the histories and cultures of Aboriginal people; knowing the individual beyond the immediate medical issue(s); allowing the patient time to tell their story; booking longer visits to allow for more patient interaction; and physician education 12,24,25 . The present study has only assessed the first of these learning imperatives -that of Aboriginal history and culture.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of a 3-hour Aboriginal health teaching in the medical curriculum

Zhou

Boshart

Seelisch

et al. 2011

Health Education Journal

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There is national recognition of the need to incorporate Aboriginal health issues within the medical school curricula. This study aims to evaluate changes in medical students' knowledge and attitudes about Aboriginal health, and their preparedness to work in Aboriginal communities after attending a 3-hour Aboriginal health seminar. A cross-sectional survey was administered before and after the seminar for Year 1 and 2 medical students at the University of Western Ontario. The survey included four true or false questions and 24 questions using a seven-point Likert scale (1 -strongly disagree, 7 -strongly agree). Eighty two of 130 (64 per cent) Year 1 students and 55 of 86 (63 per cent) Year 2 students completed both questionnaires. Knowledge-based questions were answered correctly by most students before the seminar, with an increasing number of correct responses noted after the seminar (p < 0.05). Students' perceptions about sociocultural and economic factors affecting health showed uncertainty before the seminar, but changed towards greater agreement regarding its impact on health after the seminar (p < 0.05). Students initially felt unprepared to care for Aboriginal patients before the seminar, but felt more prepared after the seminar (p < 0.05). A 3-hour seminar using both didactic and non-traditional teaching methods appears to be effective in the short term in improving knowledge, changing attitudes and reversing some of the uncertainties medical students have about practicing in Aboriginal communities.

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“…None of this is particularly unique (see Mobbs 1986). The strong association between health and control, for example, is well known (Wilkinson 1996;Syme 1998).…”

Section: Discussion: Trudgen's Scholarshipmentioning

confidence: 99%

A Study in Neo‐conservative Populism: Richard Trudgen's Why Warriors Lie Down and Die

Mowbray

Senior

2006

Australian J of Anthropology

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First appearing in 2000, and with 20,000 copies sold as it entered its sixth printing in 2004, Richard Trudgen's Why Warriors Lie down and Die is a minor publishing phenomenon. Although scholarly forums have generally ignored the book, Christian media outlets, the popular press and neo‐conservative political activists have enthusiastically received and promoted it. An examination of the merits of Why Warriors Lie down and Die suggests that its popularity is only partly explained by original observations or insights on the part of the author. The most important explanation, and implication, of the book's remarkable take‐up lies in the opportune way in which it corresponds with now ascendant neo‐conservative political perspectives on indigenous policy.

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But I do care! Communication difficulties affecting the quality of care delivered to Aborigines

Cited by 9 publications

References 0 publications

Sharing the true stories: improving communication between Aboriginal patients and healthcare workers

Sharing the true stories: improving communication between Aboriginal patients and healthcare workers

Efficacy of a 3-hour Aboriginal health teaching in the medical curriculum

A Study in Neo‐conservative Populism: Richard Trudgen's Why Warriors Lie Down and Die

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