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Indigenous cultural training for health workers in Australia

Downing, Rosie, Kowal, Emma and Paradies, Yin 2011, Indigenous cultural training for health workers in Australia, International journal for quality in health care, vol. 23, no. 3, pp. 247-257, doi: 10.1093/intqhc/mzr008.

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Title Indigenous cultural training for health workers in Australia
Author(s) Downing, Rosie
Kowal, Emma
Paradies, YinORCID iD for Paradies, Yin orcid.org/0000-0001-9927-7074
Journal name International journal for quality in health care
Volume number 23
Issue number 3
Start page 247
End page 257
Total pages 11
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2011-06
ISSN 1353-4505
1464-3677
Keyword(s) Australia
Cross-Cultural Comparison
Cultural Competency
Education
Healthcare Disparities
Humans
Oceanic Ancestry Group
Population Groups
Prejudice
Summary PURPOSE: Culturally inappropriate health services contribute to persistent health inequalities. This article reviews approaches to indigenous cultural training for health workers and assesses how effectively they have been translated into training programmes within Australia. DATA SOURCES: CINAHL PLUS, MEDLINE, Wiley InterScience, ATSIHealth and ProQuest. STUDY SELECTION: The review focuses on the conceptual and empirical literature on indigenous cultural training for health workers within selected settler-colonial countries, together with published evaluations of such training programmes in Australia. Data extraction Information on conceptual models underpinning training was extracted descriptively. Details of authors, year, area of investigation, participant group, evaluation method and relevant findings were extracted from published evaluations. RESULTS OF DATA SYNTHESIS: Six models relevant to cultural training were located and organized into a conceptual schema ('cultural competence, transcultural care, cultural safety, cultural awareness, cultural security and cultural respect'). Indigenous cultural training in Australia is most commonly based on a 'cultural awareness' model. Nine published evaluations of Australian indigenous cultural training programmes for health workers were located. Of the three studies that assessed change at multiple points in time, two found positive changes. However, the only study to include a control group found no effect. CONCLUSION: This review shows that the evidence for the effectiveness of indigenous cultural training programmes in Australia is poor. Critiques of cultural training from indigenous and non-indigenous scholars suggest that a 'cultural safety' model may offer the most potential to improve the effectiveness of health services for indigenous Australians.
Language eng
DOI 10.1093/intqhc/mzr008
Field of Research 160104 Social and Cultural Anthropology
160803 Race and Ethnic Relations
11 Medical And Health Sciences
17 Psychology And Cognitive Sciences
Socio Economic Objective 970116 Expanding Knowledge through Studies of Human Society
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2011, The Author
Persistent URL http://hdl.handle.net/10536/DRO/DU:30073359

Document type: Journal Article
Collection: Centre for Citizenship and Globalisation
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