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Patient journey mapping to investigate quality and cultural safety in burn care for Aboriginal and Torres Strait Islander children and families - development, application and implications.
Fraser, Sarah; Mackean, Tamara; Grant, Julian; Hunter, Kate; Ryder, Courtney; Kelly, Janet; Holland, Andrew J A; Griffin, Bronwyn; Clapham, Kathleen; Teague, Warwick J; Darton, Anne; Ivers, Rebecca Q.
Afiliação
  • Fraser S; School of Population Health, Faculty of Medicine, UNSW, Sydney, Australia. sarah.fraser@unsw.edu.au.
  • Mackean T; College of Medicine and Public Health, Flinders University, Adelaide, Australia.
  • Grant J; Charles Sturt University, Bathurst, Australia.
  • Hunter K; The George Institute for Global Health, UNSW, Sydney, Australia.
  • Ryder C; College of Medicine and Public Health, Flinders University, Adelaide, Australia.
  • Kelly J; University of Adelaide, Adelaide, Australia.
  • Holland AJA; The University of Sydney, The Children's Hospital at Westmead Clinical School, Sydney, Australia.
  • Griffin B; Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.
  • Clapham K; University of Wollongong, Wollongong, Australia.
  • Teague WJ; University of Melbourne, Melbourne, Australia.
  • Darton A; Agency for Clinical Innovation, St Leonards, Willoughby, Australia.
  • Ivers RQ; School of Population Health, Faculty of Medicine, UNSW, Sydney, Australia.
BMC Health Serv Res ; 22(1): 1428, 2022 Nov 28.
Article em En | MEDLINE | ID: mdl-36443783
BACKGROUND: Quality and safety in Australian healthcare is inequitably distributed, highlighted by gaps in the provision of quality care for Aboriginal and Torres Strait Islander children. Burns have potential for long-term adverse outcomes, and quality care, including culturally safe care, is critical to recovery. This study aimed to develop and apply an Aboriginal Patient Journey Mapping (APJM) tool to investigate the quality of healthcare systems for burn care with Aboriginal and Torres Strait Islander children. STUDY DESIGN: Interface research methodology, using biomedical and cultural evidence, informed the modification of an existing APJM tool. The tool was then applied to the journey of one family accessing a paediatric tertiary burn care site. Data were collected through yarning with the family, case note review and clinician interviews. Data were analysed using Emden's core story and thematic analysis methods. Reflexivity informed consideration of the implications of the APJM tool, including its effectiveness and efficiency in eliciting information about quality and cultural safety. RESULTS: Through application of a modified APJM tool, gaps in quality care for Aboriginal and Torres Strait Islander children and families were identified at the individual, service and system levels. Engagement in innovative methodology incorporating more than biomedical standards of care, uncovered critical information about the experiences of culturally safe care in complex patient journeys. CONCLUSION: Based on our application of the tool, APJM can identify and evaluate specific aspects of culturally safe care as experienced by Aboriginal and Torres Strait Islander peoples and be used for quality improvement.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Queimaduras / Disparidades em Assistência à Saúde / Assistência à Saúde Culturalmente Competente / Povos Indígenas Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Queimaduras / Disparidades em Assistência à Saúde / Assistência à Saúde Culturalmente Competente / Povos Indígenas Idioma: En Ano de publicação: 2022 Tipo de documento: Article