Understanding Indigenous People S Experiences Of Acute Health Care With A Focus On Heart Health
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Understanding Indigenous People S Experiences Of Acute Health Care With A Focus On Heart Health
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Author : Vainess Banda Mbuzi
language : en
Publisher:
Release Date : 2020
Understanding Indigenous People S Experiences Of Acute Health Care With A Focus On Heart Health written by Vainess Banda Mbuzi and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with Aboriginal Australians categories.
Overview. The program of research presented in this thesis was designed to increase understanding of the central issues related to Indigenous peoples' hospitalisation experiences. Emphasis was given to Indigenous peoples' cardiovascular health care. This area was chosen because cardiovascular disease has been described as one of the major contributors to the health disparity between Indigenous and non-indigenous peoples in Australia. This was of interest to me because the main study setting is a cardiothoracic hospital. This hospital is the largest referral centre for cardiac conditions in Queensland, surrounding states, and neighbouring countries, including Papua New Guinea. This program of research comprised four studies. The first study, a metasynthesis, was undertaken to gather a worldwide perspective of Indigenous peoples' experiences of acute care. In the second study, a narrative inquiry was undertaken. It focused on Indigenous Australians' experiences of acute cardiac care. The third study was a systematic review. It adopted a broader perspective to investigate the effectiveness of Australian Indigenous cardiovascular health programs. The final study, an autoethnography, utilised reflective inquiry to examine issues related to researching with Indigenous people. Background. There are many explanations given to explicate sources of health disparities for Indigenous people. Most of the factors have their roots in past colonialism and its policies. Past practices by former Australian governments devalued the Indigenous culture, tortured individuals both physically and psychologically, and effectively marginalised the Indigenous population. Indigenous people still experience elements of tacit and overt discriminatory practices within the healthcare system. A range of cultural and Indigenous-specific factors also impact Indigenous health in a negative way. As a result, Australian Indigenous people encounter noteworthy health inequalities when compared to non-Indigenous Australians. In recognition and response to this disparity in health status, the Australian government launched a “Close the Gap” campaign in 2008. The campaign attempts to narrow the health differences and life expectancy, while also considering other factors that impact Indigenous health such as education and employment opportunities. Coming to hospital is a challenge for most Indigenous Australians. In Australia, Indigenous people are often geographically isolated in scattered settlements, and living in relatively small communities, leading to fragmented services and support for health and social programs. They are isolated both geographically and culturally when they come to hospital. In most cases, they have to relocate in order to access the services they need. This experience can be overwhelming due to the different culture of hospital practices and world views of healthcare professionals, who are mainly from westernised backgrounds. In most healthcare settings, Indigenous peoples' culture and views of health have not been integrated into mainstream health. In a way, Indigenous people are forced to leave their way of life at home and adapt to western culture when hospitalised. This can cause discomfort for Indigenous people in many ways. As a result, some avoid accessing health services even when such services are needed and are available to them. A few aspects of Indigenous culture may be presented in hospital settings but usually at tokenistic or symbolic levels. This includes items such as flags at the front of the hospital and Indigenous paintings on display. Health professionals' attitudes, as well as the hospital policies that guide their practice, do not usually accommodate Indigenous values into practice. Bedside manners and ward practices have remained the same for many years - fashioned and practiced in the ways of the dominant culture. In Australia, cardiovascular disease is known to constitute one of the major single causes of ill health and death for Indigenous peoples. As a result, it contributes significantly to life expectancy differentials between this population and other Australians. Indigenous Australians suffer major gaps in health status even when compared with other Indigenous peoples in other first-class nations. This includes Indigenous peoples from Canada, New Zealand and the United States of America. Health practitioners, therefore, need to be aware and proactively act on the underlying causes of poor health outcomes among Indigenous people. Methods: Four studies were conducted over the period of this program of research using qualitative and quantitative research methods. The first study was a metasynthesis of qualitative research studies. Its aim was to investigate current evidence of Indigenous peoples' hospital experiences in order to summarise current knowledge. Systematic procedures were employed to retrieve studies from the period between 2000 to 2016. The review process was conducted following Joanna Briggs Institute (2014) guidelines for conducting systematic review and synthesis of qualitative data. The second study utilised narrative inquiry, a qualitative methodology in which face to face interviews were used to enable participants to recount their experiences of hospitalisation. Narrative inquiry was selected specifically because it involves storytelling, which is culturally familiar to Indigenous people. The aim was to explore Indigenous peoples' experiences of hospitalisation of acute cardiac care. To accomplish this, data were collected using a purposeful sample of Indigenous cardiac participants: all Indigenous patient participants had been hospitalised for acute cardiac care. The third study was a systematic review. Its aim was to investigate the effectiveness of cardiovascular health care programs designed for Indigenous Australians. Analysis of the strategies that were used to achieve successful outcomes was conducted. Studies that used experimental designs and reported interventions or programs explicitly aimed at improving Indigenous cardiovascular health were considered for inclusion. The search period was between 2008 to 2017.The fourth study was an autoethnography. This study involved use of personal diary-based data and reflective inquiry to present a researcher perspective of the experience of conducting research with Indigenous people. The aim was to share the experience to inform others of aspects for consideration when conducting research with Indigenous participants. The purpose was to offer a true picture of conducting research from my perspective. The study enabled examination of the interplay of my personal, social, professional life and how these impact on my clinical and research practice. Findings. The metasynthesis revealed that overall, Indigenous peoples, worldwide, have remained in a disadvantaged position when it comes to their health and wellbeing. Several factors were identified that contribute to widespread inequality in Indigenous healthcare. It was increasingly clear that current healthcare systems are not effectively working well in addressing Indigenous peoples' health needs. The findings of the narrative inquiry indicated that three themes characterised Indigenous peoples' experiences of hospitalisation which were as follows: the impact of the past, reality of the present, and anticipating the future in Australia. Hospitalisation remains a challenge for Indigenous peoples. This is due to a sense of dislocation and lack of cultural and spiritual aspects to care, as well as the persisting poor relational interactions encountered. Quantitative research studies that implemented interventions targeted for management of cardiac conditions among Indigenous population within Australia were included in the systematic review. The results revealed that there were limited published studies targeted specifically towards Indigenous Australians' cardiac health improvement. However, positive outcomes were reported in terms of achieving clinical targets. Physical aspects such as blood pressure reduction, exercise attendance, and enhancing cardiac health knowledge in biomedical interventions for the Indigenous communities were the main focus.The autoethnography revealed that with adequate preparation and involvement of Indigenous people the research process can be made easier. Again, because of past experiences which have led Indigenous people to be over researched with little feedback to them; researching this population group is challenging. Most researchers in the past have conducted research that has not effectively benefited the community. In some cases, research outcomes have misrepresented participants through use of methodologies that are not appropriate for Indigenous peoples. It is not unusual for Indigenous peoples to view the word “research” as a “dirty” word that brings uncomfortable feelings. In some instances, Indigenous participants have not seen its benefits of the research or understood the outcomes. Conclusions: In summary, the program of research appraised current evidence. Further, it presented new knowledge that can inform and support practitioners in their quest to progress Indigenous peoples' healthiness and welfare. Highlighting issues from Indigenous peoples 'perspectives can facilitate development of a better understanding of issues that impact their experiences with healthcare institutions. Such revelations can help in the identification of limitations faced by health professionals or constraints they encounter in the delivery of healthcare among Indigenous people. This could assist in revealing issues that are barriers to being effective in designing and implementing effective strategies to improve Indigenous health and wellbeing. Further research is warranted to follow up on the issues identified in this research.
Acute Rheumatic Fever And Rheumatic Heart Disease
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Author : Dr. Scott Dougherty
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-02-22
Acute Rheumatic Fever And Rheumatic Heart Disease written by Dr. Scott Dougherty and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-02-22 with Medical categories.
Acute Rheumatic Fever and Rheumatic Heart Disease is a concise, yet comprehensive, clinical resource highlighting must-know information on rheumatic heart disease and acute rheumatic fever from a global perspective. Covering the major issues dominating the field, this practical resource presents sufficient detail for a deep and thorough understanding of the latest treatment options, potential complications, and disease management strategies to improve patient outcomes. Divided into four distinct sections for ease of navigation: Acute Rheumatic Fever, Rheumatic Heart Disease, Population-Based Strategies for Disease Control, and Acute and Emergency Presentations. International editors and chapter authors ensure a truly global perspective. Covers all clinical aspects, including epidemiology, pathophysiology, clinical features, diagnosis, management, and treatment. Includes key topics on population-based measures for disease control for effective primary, secondary, and tertiary prevention. Consolidates today’s available information and guidance into a single, convenient resource.
Communities In Action
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2017-04-27
Communities In Action written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-27 with Medical categories.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Determinants Of Indigenous Peoples Health Second Edition
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Author : Margo Greenwood
language : en
Publisher: Canadian Scholars
Release Date : 2018-04-25
Determinants Of Indigenous Peoples Health Second Edition written by Margo Greenwood and has been published by Canadian Scholars this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-04-25 with Social Science categories.
Now in its second edition, Determinants of Indigenous Peoples’ Health adds current issues in environmental politics to the groundbreaking materials from the first edition. The text is a vibrant compilation of scholarly papers by research experts in the field, reflective essays by Indigenous leaders, and poetry that functions as a creative outlet for healing. This timely edited collection addresses the knowledge gap of the health inequalities unique to Indigenous peoples as a result of geography, colonialism, economy, and biology. In this revised edition, new pieces explore the relationship between Indigenous bodies and the land on which they reside, the impact of resource extraction on landscapes and livelihoods, and death and the complexities of intergenerational family relationships. This volume also offers an updated structure and a foreword by Dr. Evan Adams, Chief Medical Officer of the First Nations Health Authority. This is a vital resource for students in the disciplines of health studies, Indigenous studies, public and population health, community health sciences, medicine, nursing, and social work who want to broaden their understanding of the social determinants of health. Ultimately, this is a hopeful text that aspires to a future in which Indigenous peoples no longer embody health inequality.
Te Wheke
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Author : Rangimarie Turuki Pere
language : en
Publisher:
Release Date : 1997-07
Te Wheke written by Rangimarie Turuki Pere and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-07 with Maori (New Zealand people) categories.
Understanding The Australian Health Care System
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Author : Eileen Willis
language : en
Publisher: Elsevier Health Sciences
Release Date : 2019-10-04
Understanding The Australian Health Care System written by Eileen Willis and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-04 with Medical categories.
Understanding the Australian Health Care System 4e is the essential guide to the complexities of health care in Australia. Key theoretical concepts and current issues along with the structures and policies influencing health care professionals are explored by leading experts led by authors, Eileen Willis, Louise Reynolds and Trudy Rudge. The text is divided into two sections. The first is about the multiple systems, services and schemes that make up health care in Australia. The second explores the roles of fifteen health professions working within the current system, with a focus on key themes of interprofessional practice, chronic illness, and quality and safety. Additional resources on Evolve eBook on VitalSource Student and Instructor Resources on Evolve Video interviews with practitioners and thought leaders Discipline-specific case studies Multiple choice questions Instructor Resources on Evolve PowerPoint presentations Tutorial planner Test banks
The Walk Without Limbs Searching For Indigenous Health Knowledge In A Rural Context In South Africa
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Author : Gubela Mji
language : en
Publisher: AOSIS
Release Date : 2019-12-12
The Walk Without Limbs Searching For Indigenous Health Knowledge In A Rural Context In South Africa written by Gubela Mji and has been published by AOSIS this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-12-12 with Medical categories.
In a country as diverse as South Africa, sickness and health often mean different things to different people so much so that the different health definitions and health belief models in the country seem to have a profound influence on the health-seeking behaviour of the people who are part of our vibrant, multicultural society. This book is concerned with the integration of indigenous health knowledge (IHK) into the current Western--orientated Primary Health Care (PHC) model. The first section of the book highlights the challenges facing the training of health professionals using a curriculum that is not drawing its knowledge base from the indigenous context and the people of that context. Such professionals will later recognise that they are walking without limbs in matters pertaining to health. The area that was chosen for conducting the research was KwaBomvana in Xhora (Elliotdale), Eastern Cape province, South Africa. The people who reside there are called AmaBomvana. The area where the Bomvana peoples reside is served by Madwaleni Hospital and eight surrounding clinics. Qualitative ethnographic, feminist methods of data collection supported the research done for Section 1 of the book. Section 2 comprises the translation and implementation of PhD study outcomes and had contributions from various researchers. In the critical research findings of the PhD study, older Xhosa women identify the inclusion of social determinants of health as vital to the health problems they managed within their homes. For them, each disease is linked to a social determinant of health, and the management of health problems includes the management of social determinants of health. For them, it is about the health of the home and not just about the management of disease. They believe that healthy homes make healthy villages, and that the prevention of the development of disease is related to the strengthening of the home. Health and illness should be seen within both physical and spiritual contexts; without health, there can be no progress in the home. When defining health, the older Xhosa women add three critical components to the WHO health definition, namely, food security, healthy children and families, and peace and security in their villages. Prof. Mji further proposes that these three elements should be included in the next revision of the WHO health definition because they are not only important for the Bomvana people where the research was conducted, but also for the rest of humanity. In light of the promise of National Health Insurance and the revitalisation of PHC, this book proposes that these two major national health policies should take cognisance of the IHK utilised by the older Xhosa women. In addtion to what this research implies, these policies should also take note of all IHK from the indigenous peoples of South Africa, Africa and the rest of the world, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach.
Social Determinants Of Indigenous Health
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Author : Bronwyn Carson
language : en
Publisher: Routledge
Release Date : 2020-07-16
Social Determinants Of Indigenous Health written by Bronwyn Carson and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-07-16 with Social Science categories.
The opportunities and comfortable lifestyle available to most Australians have been denied to generations of Indigenous people. As a result some of Australia's original inhabitants suffer from what has been described as 'Fourth World' standards of health. This is out of place in a country that prides itself on egalitarianism and a fair go for all. Shifting the focus from individual behaviour, to the social and political circumstances that influence people's lives and ultimately their health, helps us to understand the origins of poor health. It can also guide action to bring about change. Social Determinants of Indigenous Health offers a systematic overview of the relationship between the social and political environment and health. Highly respected contributors from around Australia examine the long-term health impacts of the Indigenous experience of dispossession, colonial rule and racism. They also explore the role of factors such as poverty, class, community and social capital, education, employment and housing. They scrutinise the social dynamics of making policy for Indigenous Australians, and the interrelation between human rights and health. Finally, they outline a framework for effective health interventions, which take social factors into consideration. This is a groundbreaking work, developed in consultation with Indigenous health professionals and researchers. It is essential reading for anyone working in Indigenous health.
Indigenous Peoples And The Collaborative Stewardship Of Nature
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Author : Anne Ross
language : en
Publisher: Left Coast Press
Release Date : 2011
Indigenous Peoples And The Collaborative Stewardship Of Nature written by Anne Ross and has been published by Left Coast Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Nature categories.
Comprehensive and global in scope, this book critically evaluates the range of management options that claim to have integrated Indigenous peoples and knowledge, and then outline an innovative, alternative model of co-management, the Indigenous Stewardship Model.
Routledge International Handbook Of Qualitative Nursing Research
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Author : Cheryl Tatano Beck
language : en
Publisher: Routledge
Release Date : 2013-04-17
Routledge International Handbook Of Qualitative Nursing Research written by Cheryl Tatano Beck and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-04-17 with Medical categories.
Qualitative research, once on the fringes, now plays a central part in advancing nursing and midwifery knowledge, contributing to the development of the evidence base for healthcare practice. Divided into four parts, this authoritative handbook contains over forty chapters on the state of the art and science of qualitative research in nursing. The first part begins by addressing the significance of qualitative inquiry to the development of nursing knowledge, and then goes on to explore in depth programs of qualitative nursing research. The second section focuses on a wide range of core qualitative methods, from descriptive phenomenology, through to formal grounded theory and to ethnography, and narrative research. The third section highlights key issues and controversies in contemporary qualitative nursing research, including discussion of ethical and political issues, evidence-based practice and Internet research. The final section takes a unique look at qualitative nursing research as it is practiced throughout the world with chapters on countries and regions from the UK and Europe, North America, Australasia, Latin America, to Japan, China, and Korea. With an international selection of established scholars contributing, this is an essential overview and will help to propel qualitative research in nursing well into the twenty-first century. It is an invaluable reference for all nursing researchers.