Secondary Prophylaxis Among First Nations People With Acute Rheumatic Fever in Australia: An Integrative Review ...

• Main Authors: Govender, Kerissa, Müller, Amanda
• Format: Article in Journal/Newspaper
• Language: unknown
• Published: SAGE Journals 2023
• Subjects: Nursing not elsewhere classified; Briggs; First Nations
• Online Access: https://dx.doi.org/10.25384/sage.c.6787597.v1; https://sage.figshare.com/collections/Secondary_Prophylaxis_Among_First_Nations_People_With_Acute_Rheumatic_Fever_in_Australia_An_Integrative_Review/6787597/1

Introduction:The prevalence of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) among Australia’s First Nations populations are some of the highest in the world, accounting for 95% of the 2,244 ARF notifications between 2015 and 2019 in Australia. A key issue in treating ARF is long-term secondary prophylaxis, yet only one in five patients received treatment in 2019. This review identifies barriers to secondary prophylaxis of ARF in Australia’s First Nations people.Methods:An integrative review was undertaken utilizing PubMed, CINAHL, ProQuest, and Wiley Online. Joanna Briggs Institute critical appraisal tools were used, followed by thematic analysis.Results:The key themes uncovered included: issues with database and recall systems, patient/family characteristics, service delivery location and site, pain of injection, education (including language barriers), and patient-clinician relationship.Conclusions:A national RHD register, change in operation model, improved pain management, improved ...