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The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings

journal contribution
posted on 2022-04-28, 00:00 authored by T Flemington, J Fraser, C Gibbs, J Shipp, J Bryant, A Ryan, D Wijetilaka, S Marks, M Scarcella, D Tzioumi, S Ramanathan, L Clague, D Hartz, B Lonne, Mark LockMark Lock
The aim of this paper is to describe the development of a model of care to embed cultural safety for Aboriginal children into paediatric hospital settings. The Daalbirrwirr Gamambigu (pronounced “Dahl-beer-weer gum-um-be-goo” in the Gumbaynggirr language means ‘safe children’) model encompasses child protection responses at clinical, managerial and organisational levels of health services. A review of scholarly articles and grey literature followed by qualitative interviews with Aboriginal health professionals formed the evidence base for the model, which then underwent rounds of consultation for cultural suitability and clinical utility. Culturally appropriate communication with children and their families using clinical yarning and a culturally adapted version of ISBAR (a mnemonic for Identify, Situation, Background, Assessment and Recommendation) for interprofessional communication is recommended. The model guides the development of a critical consciousness about cultural safety in health care settings, and privileges the cultural voices of many diverse Aboriginal peoples. When adapted appropriately for local clinical and cultural contexts, it will contribute to a patient journey experience of respect, dignity and empowerment.

History

Journal

International Journal of Environmental Research and Public Health

Volume

19

Issue

9

Article number

ARTN 5381

Pagination

1 - 23

Publisher

MDPI / MDPI AG (Multidisciplinary Digital Publishing Institute)

Location

Basel, Switzerland

ISSN

1661-7827

eISSN

1660-4601

Language

English

Publication classification

C1 Refereed article in a scholarly journal