Indigenous Australians and Ageing: Responding to Diversity in Policy and Practice

Clapham, Kathleen; Duncan, Cathy

doi:10.1007/978-1-4939-6466-6_7

Cited by 7 publications

(7 citation statements)

References 21 publications

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“…Another methodological observation is that both Aboriginal interviewers are male. Due to the gendered roles that Aboriginal people assume as they age and generational knowledge being transmitted along gender lines [ 9 ], this might have influenced the nature and/or depth of the conversations with female participants. Although the first author (TM) identifies as a non-Indigenous person, the close collaboration between the first and senior author (KC), an Aboriginal person, and the discussions with both Aboriginal interviewers during the data collection and analysis stage ensured the research remained Indigenous-centred.…”

Section: Discussionmentioning

confidence: 99%

“…The Australian Indigenous population, the Aboriginal and Torres Strait Islander peoples, is a broad heterogeneous group within which exists enormous cultural, social, linguistic, and geographical diversity [ 9 ]. The vast majority (79%) of Aboriginal and Torres Strait Islander people live in urban areas [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Importantly, these implications do not only impact the lives of Aboriginal people, as individuals, but rather touch entire communities. This may especially be so when older Aboriginal people are unable to travel when and where needed without difficulty, as they play pivotal roles in maintaining the wellbeing of their families and communities and have important cultural responsibilities to fulfill that require their mobility, such as volunteering at schools or attending committee meetings [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Experiences of Older Aboriginal People in Navigating Transport Systems in an Urban Setting: An Indigenous Perspective on Transport Access, a Social Determinant of Health

Ivers

Solar

et al. 2022

IJERPH

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Background: In Australia, Aboriginal people are underserved by the transport system and are less able to easily get to places they need to go than others. This is a part of a larger pattern of exclusion and inequity for Aboriginal people which affects their health, wellbeing, and social participation. Guided by a decolonising framework, this research explored how older Aboriginal people, whose pivotal roles in their families and communities require their mobility, experience the transportation system, providing an Indigenous-centred view of the accessibility of transportation options in society. Methods: Interviews drawing from the yarning technique were conducted with ten older Aboriginal people living in Greater Western Sydney and analysed qualitatively. Results: In addition to the cognitive labour required to decipher the rules of the transport system and organise commitments to match the scheduling of transport services, older Aboriginal people in this study experienced stigmatising attitudes and condescending treatment from service professionals and the public when traveling. Conclusions: This study suggests three potential ways that the current trajectory that underserves older Aboriginal people could be disrupted, relating to service design, the diversity and inclusion agenda, and the social determinants of Indigenous health.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Experiences of Older Aboriginal People in Navigating Transport Systems in an Urban Setting: An Indigenous Perspective on Transport Access, a Social Determinant of Health

Ivers

Solar

et al. 2022

IJERPH

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“…A suitably skilled workforce equipped with skills, attitudes, and knowledge to ensure culturally appropriate care was seen as critical to achieving high-quality and culturally safe care for Indigenous or First Nations people in LTC. Workers involved in service delivery must receive adequate education and training in Indigenous history, culture, specific local knowledge, and necessary communication skills, tied to the needs and perspectives of the local population ( Clapham, 2017 ). While some of the reviewed papers talked about “cultural competency training,” no definition of what was meant by this “cultural competency” in Indigenous matters was provided.…”

Section: Discussionmentioning

confidence: 99%

Elements of Long-Term Care That Promote Quality of Life for Indigenous and First Nations Peoples: A Mixed Methods Systematic Review

et al. 2022

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Background and Objectives Little is known about elements of long-term care (LTC) that promote quality of life (QoL) for older Indigenous and First Nations peoples. This systematic review aimed to extend understanding of those deemed most important. Research Design and Methods Following PRISMA guidelines, systematic database and hand-searching were used to find published and unpublished qualitative studies and textual reports. A convergent integrated approach was used to synthesize data, according to the Joanna Briggs Institute methodology for mixed methods systematic reviews. Results Included papers (11 qualitative; 7 reports) explored views and experiences of Indigenous residents, families, and LTC staff from North America (8), South Africa (1), Norway (1), New Zealand (1), and Australia (7). Elements of care included: i) co-designing and collaborating with Indigenous and First Nations communities and organizations to promote culturally safe care; ii) embedding trauma-informed care policies and practices, and staff training to deliver culturally safe services; iii) being respectful of individual needs, and upholding cultural, spiritual and religious beliefs, traditional activities and practices; iv) promoting connection to culture and sense of belonging through sustained connection with family, kin and Indigenous and First Nations communities. Discussion and Implications This review identifies elements or models of care that promote QoL for Indigenous and First Nations peoples in LTC. While included papers were mostly from the United States and Australia, the congruence of elements promoting QoL was evident across all population groups. Findings may be used to inform standards specific to the care of Indigenous and First Nations peoples.

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“…19 The ongoing impact of colonisation has meant older First Nations Australians have borne the burden of health and social inequalities, 20 and as a consequence experience lower life expectancy and high rates of communicable and non-communicable diseases. 21 Further, the complex policy environment surrounding First Nations health more broadly 22 has seen a persistent shortage of First Nations peoples involved in aged care policy development and decision-making. 23 Policy and program deficiencies, particularly with regards to aged care and homecare packages, suggest the need for greater First Nations involvement and control given the significant increase in future demand on the Australian aged care system.…”

Section: Introductionmentioning

confidence: 99%

Experiences and perceptions of ageing among older First Nations Australians: A rapid review

et al. 2021

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Objective: To identify and describe articles reporting the experiences and perceptions of ageing among older First Nations Australians.Methods: Following rapid review and PRISMA guidelines, we searched five databases for peer-reviewed articles published prior to October 2019 that reported qualitative accounts of ageing among older (≥ 45 years) First Nations Australians.Data were extracted and synthesised thematically. Results: Twenty-one articles were included in the final synthesis. Priorities in ageing highlighted the role of Elders, family, community, culture and connection to ancestral lands. Experiences and perceptions of ageing reflected cultural marginalisation in aged and health care services, and highlighted the importance of cultural identity, resilience and survival as key to ageing well. Conclusions:Our review suggests that mainstream ageing frameworks do not fully reflect the priorities of older First Nations Australians. This has important implications for ageing policy and the design and delivery of culturally safe aged and health care services.

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Indigenous Australians and Ageing: Responding to Diversity in Policy and Practice

Cited by 7 publications

References 21 publications

Experiences of Older Aboriginal People in Navigating Transport Systems in an Urban Setting: An Indigenous Perspective on Transport Access, a Social Determinant of Health

Experiences of Older Aboriginal People in Navigating Transport Systems in an Urban Setting: An Indigenous Perspective on Transport Access, a Social Determinant of Health

Elements of Long-Term Care That Promote Quality of Life for Indigenous and First Nations Peoples: A Mixed Methods Systematic Review

Experiences and perceptions of ageing among older First Nations Australians: A rapid review

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