Enhancing interprofessional practice through the co-design of a holistic culturally and developmentally informed First Nations child health assessment

Reid, Natasha; Liu, Wei; Morrissey, Shirley; Page, Marjad; McDonald, Theresa; Hawkins, Erinn; Wood, Andrew; Parker-Tomlin, Michelle; Myatt, Grace; Webster, Heidi; Greathead, Bridget; Shelton, Doug; Horton, Sarah; Katsikitis, Mary; Shanley, Dianne C.

doi:10.1071/py21293

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Previous work has described the development and implementation of community-based palliative care programs, in particular FN communities in Canada (Kelley et al, 2018;Nadin et al, 2018;Prince et al, 2019). Moreover, the process of co-design with Indigenous communities has been used in other health-related interventions, specifically in Australia and New Zealand, including diabetes and metabolic syndrome, stress reduction, food security, child health assessment, and children's nutrition (Ferguson et al, 2023;Lavrencic et al, 2021;Reid et al, 2022;Ryder et al, 2023;Verbiest et al, 2019). A 2021 study described the process of co-designing a stress reduction program with older FN Australians (Lavrencic et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Research has shown that interventions designed with Indigenous community members are more likely to have greater uptake and acceptability as their cultural determinants of health and wellbeing are respected (Lavrencic et al, 2021;Reid et al, 2022). We purposefully co-designed and enhanced the education with 12 FN health care providers to better meet the needs of interdisciplinary health care providers working in FN communities.…”

Section: Discussionmentioning

confidence: 99%

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Supporting the Journey Home: The Process of Co-designing an Education Program to Strengthen Palliative Care Capacity in First Nations Communities

Seow,

Vautour,

Bishop

et al. 2024

IJIH

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In Ontario, Canada, several training programs have been created to improve home-based palliative care in First Nations communities, though they primarily focus on meeting needs at end-of-life. Therefore, education focused on incorporating an early palliative care approach for community health-related workers is necessary. To address this gap, we tested the CAPACITI curriculum with 12 health care providers working in First Nations communities across Ontario, 11 of which were members of a First Nations community, and engaged them in a collaborative process to co-design an education program that they felt was representative of First Nations values and culture. The co-designers were trained as nurses (n=8), personal support workers (n=2), a social worker (n=1), and a physician (n=1). We met with them for 12 weekly one hour sessions. They completed a workbook of questions and recommendations to tailor the education to a First Nations community context. We incorporated these recommendations into the new education by reviewing existing material, making notes of suggested changes, and adding new content. We redesigned the education according to several themes: incorporating culture, recognizing First Nations health care workers and knowledge, and approaching education wholistically. The resulting program, Supporting the Journey Home: Growing the Community Bundle to Care for those with Serious Illness, gives First Nations health care providers practical resources to operationalize an early palliative care approach with community members. To our knowledge, this is the first study to describe the co-design process of an existing palliative care education program with First Nations health care providers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Supporting the Journey Home: The Process of Co-designing an Education Program to Strengthen Palliative Care Capacity in First Nations Communities

Seow,

Vautour,

Bishop

et al. 2024

IJIH

View full text Add to dashboard Cite

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“…Similar methods have been implemented in other Australian regions where the Victoria Fetal Alcohol Service (VicFAS), a state‐wide team that uses a flexible model of care, including telehealth, outreach clinics, school visits, and collaboration with community clinicians, have assisted local health services to provide supports to children with FASD and their families (Monash Health, 2022). These types of flexible service delivery approaches may help to better support individuals who live in rural and remote areas as more continuity of care can be provided by health professionals known to the individuals attending for assessment and their families (Reid, Liu, et al, 2023; Reid, Page, et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Exploring resource implications and models of care for assessment and diagnosis of fetal alcohol spectrum disorder: A scoping review

Kent,

Hayes,

Young

et al. 2023

Alcohol: Clinical and Experimental Research

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Previous reviews have examined annual mean costs of care for individuals with fetal alcohol spectrum disorder (FASD), costs of the health burden, costs to the justice system, productivity losses for caregivers, and both the monetary and nonmonetary costs of reduced quality of life. However, because there have been no published reviews focused on understanding the resource implications and specific service features for the assessment and diagnostic process for FASD, the current scoping review investigated the available evidence on these topics. Eligible studies were identified through a systematic search of six databases and included if they contained information on the potential costs or models of care associated with undertaking an assessment for FASD. Data were charted, underwent content analysis, and were reported according to the PRISMA extension for scoping reviews. Eleven studies were included in the final qualitative synthesis. The primary patient costs were attributed to the lengthy time required for diagnosis (up to 47 h). The primary service costs were attributed to costs of clinicians and support personnel and the involvement of multidisciplinary teams in the assessment process. Estimates of the specific dollar values of diagnostic costs were limited and varied between studies. Several models of care were explored, primarily in Canadian clinics, which aimed to capitalize on available services to improve accessibility and patient care and reduce service costs. This study provides important preliminary insights into the resource implications and models of care involved in the diagnostic assessment of FASD. However, the low number of available studies and variability in available data highlight the need for formal costing studies and detailed information gathering on available models of care to inform future clinical practice and policy development.

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Enhancing interprofessional practice through the co-design of a holistic culturally and developmentally informed First Nations child health assessment

Abstract: For full list of author affiliations and declarations see end of paperBackground. This qualitative study explored staff experiences of co-designing and implementing a novel interprofessional (IP) First Nations child health assessment (the helpful check), developed in

Cited by 2 publications

References 13 publications

Supporting the Journey Home: The Process of Co-designing an Education Program to Strengthen Palliative Care Capacity in First Nations Communities

Supporting the Journey Home: The Process of Co-designing an Education Program to Strengthen Palliative Care Capacity in First Nations Communities

Exploring resource implications and models of care for assessment and diagnosis of fetal alcohol spectrum disorder: A scoping review

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