What does the third space mean to you as a health professional
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What does the “third space” mean to you as a health professional?. Eileen Tan Lisa Molony Kate Brazzale. Introduction. Definition of third space. Aboriginal Terms of Reference – Third Space. Link with Identity Their Perceptual View/Way of Life

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What does the third space mean to you as a health professional

What does the “third space” mean to you as a health professional?

Eileen Tan

Lisa Molony

Kate Brazzale


Introduction
Introduction professional?



Aboriginal terms of reference third space
Aboriginal Terms of Reference – Third Space professional?

  • Link with Identity

  • Their Perceptual View/Way of Life

  • How they deal with things – eg Community involvement.


Aboriginal identity in relation to the third space
Aboriginal Identity in relation to the third space professional?

  • Family

  • Community

  • Land

  • Importance


Aboriginal health statistics
Aboriginal Health Statistics professional?

Life expectancies of Indigenous versus Non-Indigenous Males and Females.

  • On average

    • Indigenous Men die 11 years earlier then Non- Indigenous Males

    • Indigenous Females die 9 years earlier then Non-Indigenous Females.

      Data from the Australian Bureau of Statistics 2005-2007 data surveys.




Aboriginal health statistics3
Aboriginal Health Statistics professional?

Selected Chronic Conditions: Ratio of Indigenous Australian’s to Non-Indigenous Australians — 2004–05


Aboriginal health statistics4
Aboriginal Health Statistics professional?

  • Diabetes Comparison between Indigenous and Non Indigenous 2005

  • Cardiovascular Comparison between Indigenous and Non Indigenous 2005



Implications for health professionals
Implications for Health Professionals professional?

  • Aboriginal and Torres Strait Islanders are not the same.

  • Discontinue use of out-dated, derogatory terminology.

    • Half-caste, full-blood, quadroon, etc.

    • Always use the terms Aboriginal Man/Woman/People or Torres Strait Islander Man/Woman/People.

  • Aboriginal people mistrust people who offer services related to “protection” and “intervention.

    • European colonisation.

    • Government Policies post colonisation.

    • The “Stolen Generation”. Government policy til 1969.

      • “Keep your word.”

    • Changes made.

      • e.g. Kevin Rudd’s “Apology”.

        NSW Department of Community Services 2009 & National Disability Services WA 2009


Implications for health professionals1
Implications for Health Professionals professional?

  • Sensitive issues due to past Government policies have contributed to:

    • Dispossession of land

    • Family fragmentation

    • Mental health issues

    • Social and emotional wellbeing issues

    • Grief and loss issues

      • Self-harm and intentional injury

      • Over-representation of Suicide rates

      • Family and domestic violence issues

      • Loss of country

      • Loss of identity

    • Poverty

    • Racism

    • Unemployment

    • Poor health outcomes

    • Poor education outcomes

    • Below standard literacy and numeracy rates

    • Alcohol and substance abuse/misuse

    • Over-representation in the juvenile and criminal justice system

      NSW Department of Community Services 2009 & National Disability Services WA 2009


Implications for health professionals2
Implications for Health Professionals professional?

  • Respect

    • Elders,

    • The Land,

    • Animals,

    • Ancestors.

    • “Sorry Business”

  • Kinship

    • Defines roles and responsibilities within the family.

    • Ensure that extended family is included in important meetings or when making decisions.

  • Gender responsibilities.

    • Men’s Business – issues which have a male perspective within aboriginal culture.

    • Women’s Business – issues which have a female perspective within aboriginal culture.

      NSW Department of Community Services 2009 & National Disability Services WA 2009


Implications for health professionals3
Implications for Health Professionals professional?

  • Language

    • Originally 300 nations speaking 250 languages with up to 600 dialects.

    • Nonverbal cues

      • Eye contact.

      • Hand and facial gestures.

      • Silence

      • Progression of Conversation.

    • Semantic Ambiguity

    • Swearing

  • Communication Techniques

    • Use uncomplicated language, Not “jargon”.

    • Be wary of comprehension

      NSW Department of Community Services 2009 & National Disability Services WA 2009


Close the gap campaign
Close the Gap Campaign professional?

  • Australia’s largest Campaign to improve Indigenous Health.

    • Aimed at reduced the Life Expectancy Gap between Indigenous and Non Indigenous Australians to 0 years by 2031.

  • OXFAM is campaigning to:

    • Increase Aboriginal and Torres Strait Islanders’ access to health services

    • Address critical social issues such as poor housing, nutrition, employment and education

    • Build Indigenous control and participation in the delivery of health and other services

    • Get governments at state and national level to work in partnership with Indigenous communities, health organisations and experts to develop and monitor a plan to tackle the Indigenous health crisis

    • Promote real and meaningful partnerships between Indigenous

      COAG, 2011 and OXFAM 2006


Need for education
Need for Education professional?

  • To understand the needs of our Aboriginal or Torres Strait Islander Patients

    • The majority of Aboriginal people access health care from Non-Aboriginal services.

  • Downing and Kowal 2011

    • Majority of Nurses interviewed felt that didn’t receive enough cultural training to look after Aboriginal and Torres Strait Islander patients

    • They felt that they weren't giving them the level of care the needed and deserved.

  • Canada’s Approach

    • Kilpatrick, 2004

      • Looked at the need for Aboriginal Education.


Focus question
Focus Question. professional?


References
References professional?


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