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Exploring Aboriginal patients’ experiences of cardiac care at a major metropolitan hospital in Melbourne

Worrall-Carter, Linda, Daws, Karen, Rahman, Muhammad, MacLean, Sarah, Rowley, Kevin, Andrews, Shawana, MacIsaac, Andrew, Lau, Phyllis M., McEvedy, Samantha, Willis, John and Arabena, Kerry 2016, Exploring Aboriginal patients’ experiences of cardiac care at a major metropolitan hospital in Melbourne, Australian health review, vol. 40, no. 6, pp. 696-704, doi: 10.1071/AH15175.

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Title Exploring Aboriginal patients’ experiences of cardiac care at a major metropolitan hospital in Melbourne
Author(s) Worrall-Carter, Linda
Daws, Karen
Rahman, MuhammadORCID iD for Rahman, Muhammad orcid.org/0000-0003-1665-7966
MacLean, Sarah
Rowley, Kevin
Andrews, Shawana
MacIsaac, Andrew
Lau, Phyllis M.
McEvedy, Samantha
Willis, John
Arabena, Kerry
Journal name Australian health review
Volume number 40
Issue number 6
Start page 696
End page 704
Total pages 9
Publisher CSIRO Publishing
Place of publication Deakin, A.C.T.
Publication date 2016
ISSN 0156-5788
Summary Objectives: The aim of the present study was to explore Aboriginal patients' lived experiences of cardiac care at a major metropolitan hospital in Melbourne.Methods: The study was a qualitative study involving in-depth interviews with a purposive sample of 10 Aboriginal patients who had been treated in the cardiology unit at the study hospital during 2012-13. A phenomenological approach was used to analyse the data.Results: Eight themes emerged from the data, each concerning various aspects of participants' experiences: 'dislike of hospitals', 'system failures', 'engagement with hospital staff', 'experiences of racism', 'health literacy and information needs', 'self-identifying as Aboriginal', 'family involvement in care' and 'going home and difficulties adapting'. Most participants had positive experiences of the cardiac care, but hospitalisation was often challenging because of a sense of dislocation and disorientation. The stress of hospitalisation was greatly mediated by positive engagements with staff, but at times exacerbated by system failures or negative experiences.Conclusion Cardiac crises are stressful and hospital stays were particularly disorienting for Aboriginal people dislocated from their home land and community.What is known about the topic? Aboriginal people have higher mortality rates due to cardiovascular diseases compared with other Australians. Along with different factors contributing to the life expectancy gap, Aboriginal people also face significant barriers in the use of the healthcare system.What does this paper add? Aboriginal patients' lived experience of cardiac care at a major metropolitan hospital in Melbourne is explored in this paper. Different issues were revealed during their interaction with the hospital staff and the hospital system in conjunction with their cultural aspect of patient care.What are the implications for practitioners? Positive interactions with staff, ongoing support from family and community, culturally appropriate cardiac rehabilitation programs can improve the cardiac care experiences of Aboriginal patients.
Language eng
DOI 10.1071/AH15175
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1605 Policy And Administration
1110 Nursing
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, CSIRO
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083580

Document type: Journal Article
Collection: School of Medicine
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