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Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective

BACKGROUND: Unconscious bias and negative attitudes towards minority groups have detrimental effects on the way health care is, or is not, provided to these groups. Recognition of racist attitudes and behaviours as well as understanding clients’ experiences of health and health care are pivotal to d...

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Autores principales: Wain, Toni, Sim, Moira, Bessarab, Dawn, Mak, Donna, Hayward, Colleen, Rudd, Cobie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890246/
https://www.ncbi.nlm.nih.gov/pubmed/27255769
http://dx.doi.org/10.1186/s12909-016-0677-2
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author Wain, Toni
Sim, Moira
Bessarab, Dawn
Mak, Donna
Hayward, Colleen
Rudd, Cobie
author_facet Wain, Toni
Sim, Moira
Bessarab, Dawn
Mak, Donna
Hayward, Colleen
Rudd, Cobie
author_sort Wain, Toni
collection PubMed
description BACKGROUND: Unconscious bias and negative attitudes towards minority groups have detrimental effects on the way health care is, or is not, provided to these groups. Recognition of racist attitudes and behaviours as well as understanding clients’ experiences of health and health care are pivotal to developing better health care strategies to positively impact on the quality and safety of care provided to Indigenous people. Indigenous research demands inclusive research processes and the use of culturally appropriate methodologies. This paper presents a methodological account of collecting narratives which accurately and respectfully reflect Aboriginal Australians’ experiences with health care in Western Australia. The purpose of these narratives is to provide health students and professionals with an opportunity to ‘walk-in the shoes’ of Aboriginal people where face-to-face interaction is not feasible. METHODS: With the incorporation of Indigenous peoples’ voices being an important link in cultural safety, the project was led by an Indigenous Reference group, who encouraged active participation of Aboriginal people in all areas of the project. Using a phenomenological approach and guided by the Indigenous Reference group, yarning data collection was implemented to collect stories focusing on Aboriginal people’s experiences with health care services. An open-access, on-line website was established to host education resources developed from these “yarns”. RESULTS: Yarning provided a rich source of information on personal experiences and encouraged the story provider to recognise their facilitative role in the research process. While the methodology used in this project was lengthy and labour-intensive it afforded a respectful manner for story collection and highlighted several innate flaws when Western methods are applied to an Indigenous context. CONCLUSION: Engagement of an Indigenous Reference Group was pivotal to designing an appropriate methodology that incorporated the voices of Aboriginal people in a multimedia resource of Aboriginal narratives. However further research is warranted to understand how the resources are being used and integrated into curricula, and their impact on students and health care outcomes.
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spelling pubmed-48902462016-06-03 Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective Wain, Toni Sim, Moira Bessarab, Dawn Mak, Donna Hayward, Colleen Rudd, Cobie BMC Med Educ Correspondence BACKGROUND: Unconscious bias and negative attitudes towards minority groups have detrimental effects on the way health care is, or is not, provided to these groups. Recognition of racist attitudes and behaviours as well as understanding clients’ experiences of health and health care are pivotal to developing better health care strategies to positively impact on the quality and safety of care provided to Indigenous people. Indigenous research demands inclusive research processes and the use of culturally appropriate methodologies. This paper presents a methodological account of collecting narratives which accurately and respectfully reflect Aboriginal Australians’ experiences with health care in Western Australia. The purpose of these narratives is to provide health students and professionals with an opportunity to ‘walk-in the shoes’ of Aboriginal people where face-to-face interaction is not feasible. METHODS: With the incorporation of Indigenous peoples’ voices being an important link in cultural safety, the project was led by an Indigenous Reference group, who encouraged active participation of Aboriginal people in all areas of the project. Using a phenomenological approach and guided by the Indigenous Reference group, yarning data collection was implemented to collect stories focusing on Aboriginal people’s experiences with health care services. An open-access, on-line website was established to host education resources developed from these “yarns”. RESULTS: Yarning provided a rich source of information on personal experiences and encouraged the story provider to recognise their facilitative role in the research process. While the methodology used in this project was lengthy and labour-intensive it afforded a respectful manner for story collection and highlighted several innate flaws when Western methods are applied to an Indigenous context. CONCLUSION: Engagement of an Indigenous Reference Group was pivotal to designing an appropriate methodology that incorporated the voices of Aboriginal people in a multimedia resource of Aboriginal narratives. However further research is warranted to understand how the resources are being used and integrated into curricula, and their impact on students and health care outcomes. BioMed Central 2016-06-02 /pmc/articles/PMC4890246/ /pubmed/27255769 http://dx.doi.org/10.1186/s12909-016-0677-2 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Correspondence
Wain, Toni
Sim, Moira
Bessarab, Dawn
Mak, Donna
Hayward, Colleen
Rudd, Cobie
Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective
title Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective
title_full Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective
title_fullStr Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective
title_full_unstemmed Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective
title_short Engaging Australian Aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective
title_sort engaging australian aboriginal narratives to challenge attitudes and create empathy in health care: a methodological perspective
topic Correspondence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890246/
https://www.ncbi.nlm.nih.gov/pubmed/27255769
http://dx.doi.org/10.1186/s12909-016-0677-2
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