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

Flemington, T, Fraser, J, Gibbs, C, Shipp, J, Bryant, J, Ryan, A, Wijetilaka, D, Marks, S, Scarcella, M, Tzioumi, D, Ramanathan, S, Clague, L, Hartz, D, Lonne, B and Lock, Mark 2022, The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings, International Journal of Environmental Research and Public Health, vol. 19, no. 9, pp. 1-23, doi: 10.3390/ijerph19095381.

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Title The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings
Author(s) Flemington, T
Fraser, J
Gibbs, C
Shipp, J
Bryant, J
Ryan, A
Wijetilaka, D
Marks, S
Scarcella, M
Tzioumi, D
Ramanathan, S
Clague, L
Hartz, D
Lonne, B
Lock, MarkORCID iD for Lock, Mark orcid.org/0000-0002-9810-6086
Journal name International Journal of Environmental Research and Public Health
Volume number 19
Issue number 9
Article ID ARTN 5381
Start page 1
End page 23
Total pages 23
Publisher MDPI / MDPI AG (Multidisciplinary Digital Publishing Institute)
Place of publication Basel, Switzerland
Publication date 2022-04-28
ISSN 1661-7827
1660-4601
Keyword(s) aboriginal
Australia
AWARENESS
child protection
COMMUNICATION
COMPETENCE
critical consciousness
cultural safety
DESIGN
emergency department
Environmental Sciences
Environmental Sciences & Ecology
FRAMEWORK
healthcare
HEALTH-CARE
hospital
IMPROVE
interprofessional collaboration
KNOWLEDGE
Life Sciences & Biomedicine
model of care
paediatric
PEOPLE
Public, Environmental & Occupational Health
Science & Technology
translational research
WORKING
Summary 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.
Language eng
DOI 10.3390/ijerph19095381
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30168421

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.