scholarly journals Assessing and Validating an Educational Resource Package for Health Professionals to Improve Smoking Cessation Care in Aboriginal and Torres Strait Islander Pregnant Women

2017 ◽  
Vol 14 (10) ◽  
pp. 1148 ◽  
Author(s):  
Yael Bar-Zeev ◽  
Michelle Bovill ◽  
Billie Bonevski ◽  
Maree Gruppetta ◽  
Jennifer Reath ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Health Professionals ◽  
Torres Strait Islander ◽  
Educational Resource ◽  
Torres Strait

scholarly journals “They Were Willing to Work with Me and Not Pressure Me”: A Qualitative Investigation into the Features of Value of a Smoking Cessation in Pregnancy Program for Aboriginal and Torres Strait Islander Women

2020 ◽  
Vol 18 (1) ◽  
pp. 49
Author(s):  
Vivian Lyall ◽  
Jillian Guy ◽  
Sonya Egert ◽  
Leigh-Anne Pokino ◽  
Lynne Rogers ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Torres Strait Islander ◽  
Case Managers ◽  
Individualized Care ◽  
Women's Lives ◽  
Trauma Informed ◽  
Narrative Methodology ◽  
Torres Strait ◽  
Standard Practices

With tobacco commonly used for stress relief, smoking cessation during pregnancy can present challenges for women facing stressful circumstances. This can be pronounced for Aboriginal and Torres Strait Islander women who experience disproportionately high smoking rates during pregnancy and also have a greater intersection of stressors from social disadvantage, institutional racism and trauma. To contribute understandings into how women can be best supported at this time, this study identified the features of value of an Aboriginal and Torres Strait Islander pregnancy smoking cessation program that addressed the contexts of women’s lives in culturally affirming and strength-based ways. A narrative methodology using a yarning approach was used to interview 7 pregnant women, 6 significant others, 3 case managers, and 4 healthcare professionals. Data were analyzed using thematic analysis, guided by an Indigenist research practice of deep and reflexive researcher listening. Features of value included: relationship-based care, holistic wraparound care, flexibility, individualized care, and culturally orientated care. Combined, they enabled highly relevant and responsive women-centered, trauma-informed, and harm-reducing smoking cessation support that was well received by participants, who achieved promising smoking changes, including cessation. This approach strongly departs from standard practices and provides a blueprint for meaningful support for pregnant women experiencing vulnerabilities.

scholarly journals Building an Indigenous-Led Evidence Base for Smoking Cessation Care among Aboriginal and Torres Strait Islander Women during Pregnancy and Beyond: Research Protocol for the Which Way? Project

2021 ◽  
Vol 18 (3) ◽  
pp. 1342
Author(s):  
Michelle Bovill ◽  
Catherine Chamberlain ◽  
Jessica Bennett ◽  
Hayley Longbottom ◽  
Shanell Bacon ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Torres Strait Islander ◽  
Aboriginal Health ◽  
Research Process ◽  
Local Health ◽  
Research Protocol ◽  
Smoking During Pregnancy ◽  
Health And Wellbeing ◽  
Online Social Media ◽  
Torres Strait

Strong and healthy futures for Aboriginal and Torres Strait Islander people requires engagement in meaningful decision making which is supported by evidence-based approaches. While a significant number of research publications state the research is co-designed, few describe the research process in relation to Indigenous ethical values. Improving the health and wellbeing of Aboriginal and Torres Strait Islander mothers and babies is crucial to the continuation of the oldest living culture in the world. Developing meaningful supports to empower Aboriginal and Torres Strait Islander mothers to quit smoking during pregnancy is paramount to addressing a range of health and wellbeing outcomes. Aboriginal and Torres Strait Islander women have called for non-pharmacological approaches to smoking cessation during pregnancy. We describe a culturally responsive research protocol that has been co-designed and is co-owned with urban and regional Aboriginal communities in New South Wales. The project has been developed in line with the AH&MRC’s (Aboriginal Health & Medical Research Council) updated guidelines for ethical research with Aboriginal and Torres Strait Islander communities. Ethics approvals have been granted by AH&MRC #14541662 University of Newcastle HREC H-2020-0092 and the Local Health District ethics committee 2020/ETH02095. Results will be disseminated through peer reviewed articles, community reports, infographics, and online social media content.

scholarly journals “My work? Well, I live it and breathe it”: The seamless connect between the professional and personal/community self in the Aboriginal and Torres Strait Islander health sector

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Michelle Dickson
Keyword(s):  
Health Worker ◽  
Health Professionals ◽  
Torres Strait Islander ◽  
Health Workers ◽  
Health Sector ◽  
Indigenous Research ◽  
Indigenous Australian ◽  
Team Members ◽  
Torres Strait ◽  
Torres Strait Islander Health

Abstract Background Australian Aboriginal and Torres Strait Islander health professionals often juggle the challenges of working and living in the same community in ways that are positive for both themselves and their clients. This study specifically examines the strategies Aboriginal and Torres Strait Islander health professionals have developed to enable them to feel empowered by the sense of being always visible or perceived as being always available. Findings provide examples of how participants (Team Members) established a seamless working self, including how they often held different perspectives to many work colleagues, how Team Members were always visible to community and how Team Members were comfortable to be seen as working when not at work. Methods This qualitative study engages an Indigenous research methodology and uses an Indigenous method, PhotoYarning, to explore lived experiences of a group (n = 15) of Aboriginal and Torres Strait Islander health workers as they worked in the Australian health sector. Results The analysis presented here comes from data generated through PhotoYarning sessions. Team Members in this study all work in health care settings in the communities in which they also live, they manage an extremely complex network of interactions and relationships in their daily working lives. They occupy an ambivalent, and sometimes ambiguous, position as representing both their health profession and their community. This article explores examples of what working with seamlessness involved, with findings citing four main themes: (1) Being fellow members of their cultural community, (2) the feeling of always being visible to community as a health worker, (3) the feeling of always being available as a health worker to community even when not at work and (4) the need to set an example. Conclusions While creating the seamlessness of working and living in the same community was not easy, Team Members considered it an important feature of the work they did and vital if they were to be able to provide quality health service to their community. However, they reported that the seamless working self was at odds with the way many of their non-Indigenous Australian colleagues worked and it was not well understood.

scholarly journals Smoking Cessation Messages for Pregnant Aboriginal and Torres Strait Islander Women: A Rapid Review of Peer-Reviewed Literature and Assessment of Research Translation of Media Content

2021 ◽  
Vol 18 (17) ◽  
pp. 9341
Author(s):  
Tara Flemington ◽  
Gina La Hera-Fuentes ◽  
Michelle Bovill ◽  
Allison Hart ◽  
Jessica Bennett ◽  
...  
Keyword(s):  
Health Promotion ◽  
Smoking Cessation ◽  
Torres Strait Islander ◽  
Empirical Studies ◽  
Grey Literature ◽  
Rapid Review ◽  
Research Translation ◽  
Attitudes And Beliefs ◽  
Torres Strait ◽  
Promotion Campaigns

This review summarized literature about knowledge, attitudes, and beliefs of Aboriginal and Torres Strait Islander women from Australia who smoke during pregnancy, then examined the extent that existing health promotion materials and media messages aligned with evidence on smoking cessation for pregnant Aboriginal and Torres Strait Islander women. Knowledge, attitudes, and beliefs of pregnant Aboriginal women who smoke tobacco were identified in the literature. Health promotion campaigns were retrieved from a grey literature search with keywords and social and professional networks. Key themes from peer-reviewed papers were compared against the content of health promotion campaigns using the Aboriginal Social and Emotional Wellbeing Model, the Behavior Change Wheel and thematic analysis. Eleven empirical studies and 17 campaigns were included. Empirical studies highlighted women sought holistic care that incorporated nicotine replacement therapy, engaged with their family and community and the potential for education about smoking cessation to empower a woman. Health promotion campaigns had a strong focus on ‘engagement with family and community’, ‘knowledge of risks of smoking,’ ‘giving up vs cutting down’ and ‘culture in language and arts’. There were similarities and variances in the key themes in the research evidence and promotion materials. Topics highly aligned included risks from smoking and quitting related issues.

scholarly journals Integrated learning in a drug and alcohol university degree for Aboriginal and Torres Strait Islander adults: a case study

2018 ◽  
Vol 15 (1) ◽  
pp. 44-51
Author(s):  
KS Kylie Lee ◽  
Michelle Harrison ◽  
Scott Wilson ◽  
Warren Miller ◽  
Jimmy Perry ◽  
...  
Keyword(s):  
Health Professionals ◽  
Professional Training ◽  
Torres Strait Islander ◽  
Indigenous Health ◽  
Full Potential ◽  
Torres Strait ◽  
Optimal Approach ◽  
University Degree ◽  
Alcohol And Other Drugs ◽  
Drug And Alcohol

Aboriginal and Torres Strait Islander (Indigenous) health professionals working in the alcohol and other drugs field perform a complex role in tackling substance misuse and related harms. Professional training and development opportunities for these “frontline” Indigenous alcohol and other drugs staff is key to prevent burnout and to allow them to work to their full potential. However, there are many barriers for those seeking to improve their skills. A number of teaching approaches have been described as important, but we were unable to identify peer-reviewed publications that detail the optimal approach to tailor university learning to meet the needs of Indigenous alcohol and other drugs health professionals. This article reflects on the experience of providing one such programme: a graduate diploma in Indigenous health and substance use, designed and delivered specifically for Aboriginal and Torres Strait Islander mature-aged students.

scholarly journals Optimal Cancer Care for Aboriginal and Torres Strait Islander People: A Shared Approach to System Level Change

2020 ◽  
pp. 108-114 ◽  
Author(s):  
Jennifer Chynoweth ◽  
Meaghan M. McCambridge ◽  
Helen M. Zorbas ◽  
Jacinta K. Elston ◽  
Robert J.S. Thomas ◽  
...  
Keyword(s):  
Health Services ◽  
Health Professionals ◽  
Cancer Care ◽  
Torres Strait Islander ◽  
Care Pathway ◽  
System Level ◽  
Culturally Appropriate ◽  
Torres Strait Islander People ◽  
Cultural Appropriateness ◽  
Torres Strait

PURPOSE To improve cancer outcomes for Aboriginal and Torres Strait Islander people through the development and national endorsement of the first population-specific optimal care pathway (OCP) to guide the delivery of high-quality, culturally appropriate, and evidence-based cancer care. METHODS An iterative methodology was undertaken over a 2-year period, and more than 70 organizations and individuals from diverse cultural, geographic, and sectorial backgrounds provided input. Cancer Australia reviewed experiences of care and the evidence base and undertook national public consultation with the Indigenous health sector and community, health professionals, and professional colleges. Critical to the OCP development was the leadership of Aboriginal and Torres Strait Islander health experts and consumers. RESULTS The OCP received unanimous endorsement by all federal, state, and territory health ministers. Key elements of the OCP include attention to the cultural appropriateness of the health care environment; improvement in cross-cultural communication; relationship building with local community; optimization of health literacy; recognition of men’s and women’s business; and the need to use culturally appropriate resources. The OCP can be used as a tool for health services and health professionals to identify gaps in current cancer services and to inform quality improvement initiatives across all aspects of the care pathway. CONCLUSION The development of the OCP identified a number of areas that require prioritization. Ensuring culturally safe and accessible health services is essential to support early presentation and diagnosis. Multidisciplinary treatment planning and patient-centered care are required for all Aboriginal and Torres Strait Islander people, irrespective of location. Health planners and governments acknowledge the imperative for change and have expressed strong commitment to work with Indigenous Australians to improve the accessibility, cultural appropriateness, and quality of cancer care.

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