NURBN2025 The Health and Cultural Diversity of Aboriginal and Torres Strait Islander People

Assessment Description:

Students to explore impacts to health and health outcomes for Aboriginal and Torres Strait Islander Peoples, as well as demonstrate the importance of incorporating cultural perspectives in clinical practice as future healthcare professionals.

Overview:

The purpose of this task is to demonstrate cultural safety in clinical practice. You will critically examine a case study identifying the necessity of culturally safe practice to improve the health and health outcomes for Aboriginal and Torres Strait Islander Peoples.

In assessment task 1 you identified an understanding of your own identity, along with social and cultural factors and how this has influenced your own beliefs about, and interactions with, Aboriginal and/or Torres Strait Islander Peoples. In this assessment task you have the opportunity to apply this self-reflection to practice when exploring the events of the following case study. Your responses are to be evidence-based.

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Case Study

Annie is a 59 year old Aboriginal women from the Atherton table lands near Cairns, in north Queensland. Annie is passionate about being an Aboriginal community member, enjoying yarning with her community and attending local community events. Annie has one daughter Sharelle, 32 years old and one son Tony, 30 years old. Sharelle has 3 children, Sarah 12 years old, Kelly 9 years old and Alex who is 3 years old. Sharelle lives close to Annie in the Atherton Table lands.

Annie has lived independently for many years and was employed as a Murri Primary School Teacher which she loved. Annie retired 3 years ago to support her daughter with caring for her children.

Annie had separated from the father of Sharelle and Tony many years ago.

Annie is visiting her son Tony and daughter-in-law Kate in Melbourne (within the Monash health catchment area). They have a baby, Lily who is 9 months old. Kate is returning to work so Annie has come to Melbourne for an extended stay to help care for baby. Annie enjoys caring for and getting to know Lily. Lily is relatively easy to look after, sleeping through the night. Annie takes over the care of Lily once Tony and Kate go to work. Annie loves signing songs to Lily. She also takes on the usual care like feeding and changing nappies. Lily will sleep about 3 hours in the middle of the day, so this gives Annie time to rest or tidy the house. Annie will take Lily for a walk if it is warm enough once she wakes up. Tony and Kate will take over the home tasks when they arrive home from work.

Annie is a bit lonely as she does not really know anyone. Annie is missing the mob in the Aboriginal Planned Activity Group where she is involved in yarning, gardening and walking activities. Annie’s favourite was art as she was creating a piece for a local exhibition. Annie does not like hospitals; she has a fear of hospitals because her community have had bad experiences.

Case Study Instructions

Move through this case study by addressing the following situations:

Section one: How do you ensure you are committed to a journey of cultural safety?

You are on a morning shift at Dandenong Hospital, Monash Health and have been informed that you need to admit a patient being transferred from the Emergency Department. You receive the handover:

Annie is a 59 year old Aboriginal women from the Atherton table lands and has Type 2 diabetes and Hypertension, diagnosed when she was 50. She has managed her diabetes with the support of the

Local Aboriginal Health Service (Wuchopperen Health Service Limited: https://www.wuchopperen.org.au/health-support). Annie had been informed that her kidney function was deteriorating which she had been following up at this service. Shortly after arrival in Melbourne Annie becomes unwell and is admitted to hospital. Annie was experiencing intense ear pain and had become very unsteady on her feet, later diagnosed with a severe ear infection requiring intensive intravenous antibiotic treatment.

Annie arrives on the ward; you greet Annie while taking her to her bed. How do you ensure you are committed to a journey of cultural safety?

1. Provide an evidenced based strategy that enables you to continue your cultural safety
2. How do you welcome Annie into the ward?
3. Annie reveals her current situation with you, as outlined in the case study. What actions would you take following this conversation? You are advised to investigate an Aboriginal Community Controlled Health Service that would be able to support Annie while she is staying in

Section two: Addressing culturally unsafe practice.

You are now at handover. You are presenting Annie to the nursing team. You have just described Annie’s symptoms. You have said Annie is very unsteady on her feet and before you can continue you hear two nursing colleagues say, “I bet she’s an alcoholic. We will make sure we limit her pain relief”. To unpack this situation please answer the following questions

1. In NURBN2025 you were introduced to racism, the causes and impact on health outcomes Identify from peer reviewed literature the possible reasons why non-Indigenous people make racist assumptions about First Nations Include the following:
   1. The potential beliefs, values and attitudes that have influenced these non- Indigenous nurses to be culturally unsafe.
   2. Describe how these nurses have used power differentials related to their beliefs, for nursing
2. How would you advocate for Annie in this handover?

Section three: Promoting Cultural safety

You make an appointment to meet with your nurse unit manager (NUM) to address this culturally unsafe practice. What team based solutions could you present to your NUM. Think of this in terms of:

1. How could cultural safety be promoted within this ward?
   1. What antiracist group learning strategies could be implemented?
   2. How could power differentials be minimised?

Please note the word counts are a guide. The reference list is not included in the word count.

Assessment Submission Details:

A template has been created to complete this assessment. This is comprised of a cover page, and a table to complete your critical appraisal. The table cells will expand according to your response. You can access the template here.

Cover Page on the template includes:

• Title of the paper
• Student Name (author of the paper):
• Students ID number
• Course Name and number
• Lecturer’s name
• Assignment due

Font – Calibri, Times New Roman, Arial Font size 10-12 (12 preferred for this paper)

Your critical appraisal has four sections to address the case study:

• Section 1: How do you ensure you are committed to a journey of cultural safety?
• Section 2: Addressing culturally unsafe
• Section 3: Promoting Cultural safety
• Section 4: References

Referencing:

• Provide correct in-text citation and referencing using APA 7th edition referencing
• Please proofread your assessment carefully on this part and pay attention to all the minor
• Marks will be awarded for correct use of the APA 7^th edition referencing
• Format: As per APA 7^th edition formatting of a student
• References: list in template according to APA 7^th

Submission:

Submit using the template via the assignment submission link on Moodle.

Marking Criteria:

Marking criteria can be found on the Moodle page in the assessment section

Feedback:

Feedback will be provided via the online marking system. As per course description, assignments will be marked and returned to students with feedback in four (4) weeks.

References:

Research and evidence: Your critical analysis must include synthesis of research.

You are required to reference a minimum of five (5) academic sources (e.g., textbooks, Peer reviewed journal articles). Websites that are related to your discussion that can be used but are not included as part of academic sources.

References are to be formatted in the American Psychological Association [APA] style 7th Edition.

Students are encouraged to resource articles and other literature and sources that are authored by Aboriginal and/or Torres Strait Islander People, and present these research findings, views, and perspectives from their lived experiences, where possible.

Research is constantly evolving; it can be updated or challenged. Therefore, it is important to keep our knowledge up to date.

Resources should be no older than 7 years (unless Government Legislations/Acts or of historical significance).