Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service
Aim: This article documents the impact of a Nurse Practitioner-led primary health service for disadvantaged children living in housing instability or homelessness. It identifies that First Nations children miss out on essential primary care, particularly immunisation, but have less severe health con...
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Cambridge University Press
2022
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Online Access: | https://hdl.handle.net/10037/33330 https://doi.org/10.1017/S1463423621000384 |
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ftunivtroemsoe:oai:munin.uit.no:10037/33330 2024-04-28T08:18:48+00:00 Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service Sivertsen, Nina Parry, Yvonne Willis, Eileen Kendall, Sally Marriott, Rhonda Bell, Alicia 2022-03-21 https://hdl.handle.net/10037/33330 https://doi.org/10.1017/S1463423621000384 eng eng Cambridge University Press Primary Health Care Research and Development https://www.cambridge.org/core/journals/primary-health-care-research-and-development/article/aboriginal-children-and-family-connections-to-primary-health-care-whilst-homeless-and-in-high-housing-mobil Sivertsen N, Parry, Willis, Kendall, Marriott R, Bell. Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service. Primary Health Care Research and Development. 2022 FRIDAID 2254929 https://doi.org/10.1017/S1463423621000384 1463-4236 1477-1128 https://hdl.handle.net/10037/33330 Attribution 4.0 International (CC BY 4.0) openAccess Copyright 2022 The Author(s) https://creativecommons.org/licenses/by/4.0 Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2022 ftunivtroemsoe https://doi.org/10.1017/S1463423621000384 2024-04-09T23:34:20Z Aim: This article documents the impact of a Nurse Practitioner-led primary health service for disadvantaged children living in housing instability or homelessness. It identifies that First Nations children miss out on essential primary care, particularly immunisation, but have less severe health conditions than non-First Nations children living in housing insecurity. Background: Health services for homeless populations focus on the 11% of rough sleepers, little is done for the 22% of children in Australia living in housing instability; many of whom are from First Nations families. Little is known of the health status of these children or their connections to appropriate primary health care. Methods: This research implemented an innovative model of extended health care delivery, embedding a Nurse Practitioner in a homeless service to work with families providing health assessments and referrals, using clinically validated assessment tools. This article reports on proof of concept findings on the service that measured immuni sation rates, developmental, medical, dental and mental health needs of children, particularly First Nations children, using a three-point severity level scale with Level 3 being the most severe and in need of immediate referral to a specialist medical service. Findings: Forty-three children were referred by the service to the Nurse Practitioner over a 6-month period, with nine iden tifying as First Nations children. Differences in severity levels between First Nations/non-First Nations children were Level 1, First Nations/non-First Nations 0/15%; Level 2, 10/17%; and Level 3, 45/29%. Forty-five percent of First Nations children had no health problems, as com pared to 29% on non-First Nations children. Immunisation rates were low for both cohorts. No First Nations child was immunised and only 9% of the non-First Nations children. While num bers for both cohorts are too low for valid statistical analysis, the lower levels of severity for First Nations children suggest stronger extended family ... Article in Journal/Newspaper First Nations University of Tromsø: Munin Open Research Archive Primary Health Care Research & Development 23 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
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ftunivtroemsoe |
language |
English |
description |
Aim: This article documents the impact of a Nurse Practitioner-led primary health service for disadvantaged children living in housing instability or homelessness. It identifies that First Nations children miss out on essential primary care, particularly immunisation, but have less severe health conditions than non-First Nations children living in housing insecurity. Background: Health services for homeless populations focus on the 11% of rough sleepers, little is done for the 22% of children in Australia living in housing instability; many of whom are from First Nations families. Little is known of the health status of these children or their connections to appropriate primary health care. Methods: This research implemented an innovative model of extended health care delivery, embedding a Nurse Practitioner in a homeless service to work with families providing health assessments and referrals, using clinically validated assessment tools. This article reports on proof of concept findings on the service that measured immuni sation rates, developmental, medical, dental and mental health needs of children, particularly First Nations children, using a three-point severity level scale with Level 3 being the most severe and in need of immediate referral to a specialist medical service. Findings: Forty-three children were referred by the service to the Nurse Practitioner over a 6-month period, with nine iden tifying as First Nations children. Differences in severity levels between First Nations/non-First Nations children were Level 1, First Nations/non-First Nations 0/15%; Level 2, 10/17%; and Level 3, 45/29%. Forty-five percent of First Nations children had no health problems, as com pared to 29% on non-First Nations children. Immunisation rates were low for both cohorts. No First Nations child was immunised and only 9% of the non-First Nations children. While num bers for both cohorts are too low for valid statistical analysis, the lower levels of severity for First Nations children suggest stronger extended family ... |
format |
Article in Journal/Newspaper |
author |
Sivertsen, Nina Parry, Yvonne Willis, Eileen Kendall, Sally Marriott, Rhonda Bell, Alicia |
spellingShingle |
Sivertsen, Nina Parry, Yvonne Willis, Eileen Kendall, Sally Marriott, Rhonda Bell, Alicia Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
author_facet |
Sivertsen, Nina Parry, Yvonne Willis, Eileen Kendall, Sally Marriott, Rhonda Bell, Alicia |
author_sort |
Sivertsen, Nina |
title |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_short |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_full |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_fullStr |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_full_unstemmed |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_sort |
aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a nurse practitioner-led service |
publisher |
Cambridge University Press |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/33330 https://doi.org/10.1017/S1463423621000384 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
Primary Health Care Research and Development https://www.cambridge.org/core/journals/primary-health-care-research-and-development/article/aboriginal-children-and-family-connections-to-primary-health-care-whilst-homeless-and-in-high-housing-mobil Sivertsen N, Parry, Willis, Kendall, Marriott R, Bell. Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service. Primary Health Care Research and Development. 2022 FRIDAID 2254929 https://doi.org/10.1017/S1463423621000384 1463-4236 1477-1128 https://hdl.handle.net/10037/33330 |
op_rights |
Attribution 4.0 International (CC BY 4.0) openAccess Copyright 2022 The Author(s) https://creativecommons.org/licenses/by/4.0 |
op_doi |
https://doi.org/10.1017/S1463423621000384 |
container_title |
Primary Health Care Research & Development |
container_volume |
23 |
_version_ |
1797582593016725504 |