Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol.
BACKGROUND: The Communicate Study is a partnership project which aims to transform the culture of healthcare systems to achieve excellence in culturally safe care for First Nations people. It responds to the ongoing impact of colonisation which results in First Nations peoples experiencing adverse o...
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England
2023
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Online Access: | https://hdl.handle.net/10137/12500 https://doi.org/10.1186/s13012-023-01276-1 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37349837 |
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ftnorthernterhls:oai:digitallibrary.health.nt.gov.au:10137/12500 2023-07-30T04:03:30+02:00 Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol. Ralph, A McGrath, S Armstrong, E Herdman, R Ginnivan, L Lowell, A Lee, B Gorham, G Taylor, S Hefler, M Kerrigan, V 2023-06 23 https://hdl.handle.net/10137/12500 https://doi.org/10.1186/s13012-023-01276-1 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37349837 eng eng England © 2023. The Author(s). Implement Sci. 2023 Jun 22;18(1):23. doi:10.1186/s13012-023-01276-1. 101258411 https://hdl.handle.net/10137/12500 Implementation science : IS doi:10.1186/s13012-023-01276-1 23 orcid:0000-0002-2253-5749 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37349837 18 Humans Allied Health Personnel *Communication *Delivery of Health Care Health Personnel Hospitals Multicenter Studies as Topic Clinical Trial Protocol Journal Article 2023 ftnorthernterhls https://doi.org/10.1186/s13012-023-01276-1 2023-07-17T22:15:57Z BACKGROUND: The Communicate Study is a partnership project which aims to transform the culture of healthcare systems to achieve excellence in culturally safe care for First Nations people. It responds to the ongoing impact of colonisation which results in First Nations peoples experiencing adverse outcomes of hospitalisation in Australia's Northern Territory. In this setting, the majority of healthcare users are First Nations peoples, but the majority of healthcare providers are not. Our hypotheses are that strategies to ensure cultural safety can be effectively taught, systems can become culturally safe and that the provision of culturally safe healthcare in first languages will improve experiences and outcomes of hospitalisation. METHODS: We will implement a multicomponent intervention at three hospitals over 4 years. The main intervention components are as follows: cultural safety training called 'Ask the Specialist Plus' which incorporates a locally developed, purpose-built podcast, developing a community of practice in cultural safety and improving access to and uptake of Aboriginal language interpreters. Intervention components are informed by the 'behaviour change wheel' and address a supply-demand model for interpreters. The philosophical underpinnings are critical race theory, Freirean pedagogy and cultural safety. There are co-primary qualitative and quantitative outcome measures: cultural safety, as experienced by First Nations peoples at participating hospitals, and proportion of admitted First Nations patients who self-discharge. Qualitative measures of patient and provider experience, and patient-provider interactions, will be examined through interviews and observational data. Quantitative outcomes (documentation of language, uptake of interpreters (booked and completed), proportion of admissions ending in self-discharge, unplanned readmission, hospital length of stay, costs and cost benefits of interpreter use) will be measured using time-series analysis. Continuous quality improvement will use ... Article in Journal/Newspaper First Nations Northern Territory Government Health Library Services ePublications Implementation Science 18 1 |
institution |
Open Polar |
collection |
Northern Territory Government Health Library Services ePublications |
op_collection_id |
ftnorthernterhls |
language |
English |
topic |
Humans Allied Health Personnel *Communication *Delivery of Health Care Health Personnel Hospitals Multicenter Studies as Topic |
spellingShingle |
Humans Allied Health Personnel *Communication *Delivery of Health Care Health Personnel Hospitals Multicenter Studies as Topic Ralph, A McGrath, S Armstrong, E Herdman, R Ginnivan, L Lowell, A Lee, B Gorham, G Taylor, S Hefler, M Kerrigan, V Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol. |
topic_facet |
Humans Allied Health Personnel *Communication *Delivery of Health Care Health Personnel Hospitals Multicenter Studies as Topic |
description |
BACKGROUND: The Communicate Study is a partnership project which aims to transform the culture of healthcare systems to achieve excellence in culturally safe care for First Nations people. It responds to the ongoing impact of colonisation which results in First Nations peoples experiencing adverse outcomes of hospitalisation in Australia's Northern Territory. In this setting, the majority of healthcare users are First Nations peoples, but the majority of healthcare providers are not. Our hypotheses are that strategies to ensure cultural safety can be effectively taught, systems can become culturally safe and that the provision of culturally safe healthcare in first languages will improve experiences and outcomes of hospitalisation. METHODS: We will implement a multicomponent intervention at three hospitals over 4 years. The main intervention components are as follows: cultural safety training called 'Ask the Specialist Plus' which incorporates a locally developed, purpose-built podcast, developing a community of practice in cultural safety and improving access to and uptake of Aboriginal language interpreters. Intervention components are informed by the 'behaviour change wheel' and address a supply-demand model for interpreters. The philosophical underpinnings are critical race theory, Freirean pedagogy and cultural safety. There are co-primary qualitative and quantitative outcome measures: cultural safety, as experienced by First Nations peoples at participating hospitals, and proportion of admitted First Nations patients who self-discharge. Qualitative measures of patient and provider experience, and patient-provider interactions, will be examined through interviews and observational data. Quantitative outcomes (documentation of language, uptake of interpreters (booked and completed), proportion of admissions ending in self-discharge, unplanned readmission, hospital length of stay, costs and cost benefits of interpreter use) will be measured using time-series analysis. Continuous quality improvement will use ... |
format |
Article in Journal/Newspaper |
author |
Ralph, A McGrath, S Armstrong, E Herdman, R Ginnivan, L Lowell, A Lee, B Gorham, G Taylor, S Hefler, M Kerrigan, V |
author_facet |
Ralph, A McGrath, S Armstrong, E Herdman, R Ginnivan, L Lowell, A Lee, B Gorham, G Taylor, S Hefler, M Kerrigan, V |
author_sort |
Ralph, A |
title |
Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol. |
title_short |
Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol. |
title_full |
Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol. |
title_fullStr |
Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol. |
title_full_unstemmed |
Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol. |
title_sort |
improving outcomes for hospitalised first nations peoples though greater cultural safety and better communication: the communicate study partnership study protocol. |
publisher |
England |
publishDate |
2023 |
url |
https://hdl.handle.net/10137/12500 https://doi.org/10.1186/s13012-023-01276-1 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37349837 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
18 |
op_relation |
© 2023. The Author(s). Implement Sci. 2023 Jun 22;18(1):23. doi:10.1186/s13012-023-01276-1. 101258411 https://hdl.handle.net/10137/12500 Implementation science : IS doi:10.1186/s13012-023-01276-1 23 orcid:0000-0002-2253-5749 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37349837 |
op_doi |
https://doi.org/10.1186/s13012-023-01276-1 |
container_title |
Implementation Science |
container_volume |
18 |
container_issue |
1 |
_version_ |
1772814517306130432 |