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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

aboriginal terms of reference third space
Aboriginal Terms of Reference – Third Space
  • Link with Identity
  • Their Perceptual View/Way of Life
  • How they deal with things – eg Community involvement.
aboriginal health statistics
Aboriginal Health Statistics

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

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

aboriginal health statistics4
Aboriginal Health Statistics
  • Diabetes Comparison between Indigenous and Non Indigenous 2005
  • Cardiovascular Comparison between Indigenous and Non Indigenous 2005
implications for health professionals
Implications for Health Professionals
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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.