Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study

Article


Brumpton, Kay, Ward, Raelene, Evans, Rebecca, Neill, Henry, Woodall, Hannah, McArthur, Lawrie and Sen Gupta, Tarun. 2023. "Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study." BMC Medical Education. 23 (1). https://doi.org/10.1186/s12909-023-04249-6
Article Title

Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study

ERA Journal ID13446
Article CategoryArticle
AuthorsBrumpton, Kay, Ward, Raelene, Evans, Rebecca, Neill, Henry, Woodall, Hannah, McArthur, Lawrie and Sen Gupta, Tarun
Journal TitleBMC Medical Education
Journal Citation23 (1)
Article Number306
Number of Pages12
Year2023
PublisherBioMed Central Ltd.
ISSN1472-6920
Digital Object Identifier (DOI)https://doi.org/10.1186/s12909-023-04249-6
Web Address (URL)https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04249-6
Abstract

Background
Assessment of cultural safety in general practice consultations for Indigenous patients is a complex notion. Design and development of any assessment tool needs to be cognizant that cultural safety is determined by Indigenous peoples and incorporates defined components of cultural safety and current educational theory. Consideration of how social, historical, and political determinants of health and well-being impact upon the cultural safety of a consultation is also important. Given this complexity, we assume that no single method of assessment will be adequate to determine if general practice (GP) registrars are demonstrating or delivering culturally safe care. As such, we propose that development and assessment of cultural safety can be conceptualised using a model that considers these variables. From this, we aim to develop a tool to assess whether GP registrars are conducting a culturally safe consultation, where cultural safety is determined by Aboriginal and Torres Strait Islander peoples.

Methods
This protocol will be situated in a pragmatic philosophical position to explore cultural safety primarily from the Australian Aboriginal and Torres Strait Islander patients’ perspective with triangulation and validation of findings with the GP and GP registrar perspective, the Aboriginal and Torres Strait Islander community, and the medical education community. The study will integrate both quantitative and qualitative data through three sequential phases. Data collection will be through survey, semi-structured interviews, an adapted nominal group technique, and a Delphi questionnaire. We aim to recruit approximately 40 patient and 20 GP participants for interviews, conduct one to five nominal groups (seven to 35 participants) and recruit fifteen participants for the Delphi process. Data will be analysed through a content analysis approach to identify components of an assessment of cultural safety for GP registrars.

Discussion
This study will be one of the first to explore how cultural safety, as determined by Indigenous peoples, can be assessed in general practice consultations. This protocol is shared to stimulate awareness and discussion around this significant issue and prompt other studies in this area.

KeywordsAssessment; Indigenous; Registrars; Cultural safe; General practice
ANZSRC Field of Research 20204599. Other Indigenous studies
Byline AffiliationsRural Medical Education Australia, Australia
University of Southern Queensland
James Cook University
Permalink -

https://research.usq.edu.au/item/z256q/assessing-cultural-safety-in-general-practice-consultations-for-indigenous-patients-protocol-for-a-mixed-methods-sequential-embedded-design-study

Download files


Published Version
s12909-023-04249-6.pdf
License: CC BY 4.0
File access level: Anyone

  • 35
    total views
  • 21
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

A low-cost, antimicrobial aloe-alginate hydrogel film containing Australian First Nations remedy ‘lemon myrtle oil’ (Backhousia citriodora) – Potential for incorporation into wound dressings
Seneviratne, Dinuki M., Raphael, Brooke, Whiteside, Eliza J., Windus, Louisa C.E., Kauter, Kate, Dearnaley, John D.W., Annamalai, Pratheep K., Ward, Raelene, Song, Pingan and Burey, Paulomi (Polly). 2024. " A low-cost, antimicrobial aloe-alginate hydrogel film containing Australian First Nations remedy ‘lemon myrtle oil’ (Backhousia citriodora) – Potential for incorporation into wound dressings." Heliyon. 10 (18). https://doi.org/10.1016/j.heliyon.2024.e37516
Perspectives on improving wound care for Aboriginal health workers in rural and remote communities in Queensland, Australia
King, Helena, Whiteside, Eliza, Ward, Raelene, Kauter, Kate, Byrne, Martin, Horner, Vicki, Nutter, Helen and Lea, Jackie. 2024. "Perspectives on improving wound care for Aboriginal health workers in rural and remote communities in Queensland, Australia." BMC Health Services Research. 24. https://doi.org/10.1186/s12913-024-11490-2
Exploring what GP registrars consider distinctive to consultations with Aboriginal and Torres Strait Islander patients: A mixed-methods study
Brumpton, Kay, Woodall, Hannah, Evans, Rebecca, Neill, Henry, Sen Gupta, Tarun, McArthur, Lawrie and Ward, Raelene. 2024. "Exploring what GP registrars consider distinctive to consultations with Aboriginal and Torres Strait Islander patients: A mixed-methods study." BMJ Open. 14 (5). https://doi.org/10.1136/bmjopen-2023-082137
Exploring how Australian general practice registrars define cultural safety with Aboriginal and Torres Strait Islander patients: a mixed method study
Brumpton, Kay, Woodall, Hannah, Evans, Rebecca, Neill, Henry, Sen Gupta, Tarun, McArthur, Lawrie and Ward, Raelene. 2024. "Exploring how Australian general practice registrars define cultural safety with Aboriginal and Torres Strait Islander patients: a mixed method study." BMC Primary Care. 25 (1). https://doi.org/10.1186/s12875-024-02422-4
A framework for embedding Aboriginal knowledges and perspectives and Torres Strait Islander knowledges and perspectives in curriculum at USC
Aberdeen, Lucinda, Adkins, Mary-Rose, Archer-Lean, Clare, Bartholomew, Alister, Belich, Faith, Boyd, Briony, Briese, Jennie, Carter, Jennifer, Chilly, Justin, Cooms, Valerie, Copley, Nicole, Crowley, Belinda, Dank, Debra, Davis, Bridgette, Dickins, Jon, Fenton, Christine, Fesl, Eve, Greenaway, Ruth, Grogan, Justine, ..., Williams, Maryanne. 2016. A framework for embedding Aboriginal knowledges and perspectives and Torres Strait Islander knowledges and perspectives in curriculum at USC. Australia. University of the Sunshine Coast.
Embedding Authentic First Nations Content within Biomedical Science Curriculum
Myer, Sarah, Fossey, Uncle Wayne, Ward, Raelene and Whiteside, Eliza J.. 2022. "Embedding Authentic First Nations Content within Biomedical Science Curriculum." Australian Conference on Science and Mathematics Education (2022). Perth, Australia Sydney, Australia.
A consistent definition of cultural safety within Australian health professional education: a scoping review
Brumpton, Kay, Evans, Rebecca, Ward, Raelene and Sen Gupta, Tarun. 2022. "A consistent definition of cultural safety within Australian health professional education: a scoping review." AlterNative: an international journal of indigenous peoples. 18 (3), pp. 436-444. https://doi.org/10.1177/11771801221118950
Exploring the learning environment afforded by an Aboriginal Community Controlled Health service in a rural longitudinal integrated clerkship
Purea, Paul, Brumpton, Kay, Kumar, Koshila and Pinidiyapathirage, Janani. 2022. "Exploring the learning environment afforded by an Aboriginal Community Controlled Health service in a rural longitudinal integrated clerkship." Education for Primary Care. 33 (4), pp. 214-220. https://doi.org/10.1080/14739879.2022.2054371
Self-assessment tools for assessing cultural competency: a rapid review of literature
Ganeshananthan, Revathy, Xu, Calvin, Brumpton, Kay, Jones, Blake and Pinidiyapathirage, Janani. 2022. "Self-assessment tools for assessing cultural competency: a rapid review of literature." AlterNative: an international journal of indigenous peoples. 18 (4), pp. 586-593. https://doi.org/10.1177/11771801221118114
Acceptability, technological feasibility and educational value of remotely facilitated simulation based training: A scoping review
Heffernan, Robert, Brumpton, Kay, Randles, David and Pinidiyapathirage, Janani. 2021. "Acceptability, technological feasibility and educational value of remotely facilitated simulation based training: A scoping review." Medical Education Online: an electronic journal. 26 (1), pp. 1-9. https://doi.org/10.1080/10872981.2021.1972506
The research higher degree journey for Aboriginal students
Best, Odette, Ward, Raelene, Johnston, Elizabeth and Easton, Caitlin. 2020. "The research higher degree journey for Aboriginal students." Trimmer, Karen, Hoven, Deborah and Keskitalo, Pigga (ed.) Indigenous postgraduate education: intercultural perspectives. Charlotte, United States. Information Age Publishing. pp. 179-189
Suicide prevention: exploring Aboriginal understandings of suicides from a social and emotional wellbeing framework
Ward, Raelene Marie. 2019. Suicide prevention: exploring Aboriginal understandings of suicides from a social and emotional wellbeing framework. PhD Thesis Doctor of Philosophy. University of Southern Queensland. https://doi.org/10.26192/fabw-ct74
The impact of localised general practice training on Queensland’s rural and remote general practice workforce
Peel, Raquel, Young, Louise, Reeve, Carole, Kanakis, Katerina, Malau-Aduli, Bunmi, Sen Gupta, Tarun and Hays, Richard. 2020. "The impact of localised general practice training on Queensland’s rural and remote general practice workforce." BMC Medical Education. 20, pp. 1-10. https://doi.org/10.1186/s12909-020-02025-4
Retention of Indigenous pre-service teachers enrolled in an Australian regional university
Trimmer, Karen, Ward, Raelene and Wondunna-Foley, Linda. 2018. "Retention of Indigenous pre-service teachers enrolled in an Australian regional university." Teaching and Teacher Education. 76 (Special Issue), pp. 58-67. https://doi.org/10.1016/j.tate.2018.08.006
Rural competencies in emerging medical practitioners: Beyond clinical skills
Martin, Priya, Sen Gupta, Tarun, Bond, Deanne, Douyere, John and Mills, Katie. 2019. "Rural competencies in emerging medical practitioners: Beyond clinical skills." Australian Journal of Rural Health. 27 (5), pp. 427-432. https://doi.org/10.1111/ajr.12531
Aboriginal and Torres Strait Islander emergency department utilisation in south-east Queensland
King, Helena, Ward, Raelene, King, Alexander B, Rahman, Muntasirur and Kondalsamy-Chennakesavan, Srinivas. 2019. "Aboriginal and Torres Strait Islander emergency department utilisation in south-east Queensland ." King, H. (ed.) 15th National Rural Health Conference . Hobart, Australia 24 - 27 Mar 2019 15th National Rural Health Conference Proceedings .
Clinical supervision in rural Australia: challenges and opportunities
Martin, Priya, Sen Gupta, Tarun and Douyere, John M. 2018. "Clinical supervision in rural Australia: challenges and opportunities." Medical Journal of Australia. 209 (9), pp. 382-383. https://doi.org/10.5694/mja18.00525
Community controlled health services: what they are and how they work
Ward, Raelene, Fredericks, Bronwyn and Best, Odette. 2014. "Community controlled health services: what they are and how they work." Best, Odette and Fredericks, Bronwyn (ed.) Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care. Australia. Cambridge University Press. pp. 87-100
Building bridges: learning from the experts: building bridges to implement successful life promotion and suicide prevention expertise across Aboriginal communities
Ward, Raelene. 2009. Building bridges: learning from the experts: building bridges to implement successful life promotion and suicide prevention expertise across Aboriginal communities. Cairns, Australia. Australian Government Department of Health and Ageing.
Racism, discrimination and health services to aboriginal people in South West Queensland
Ward, Raelene and Gorman, Don. 2010. "Racism, discrimination and health services to aboriginal people in South West Queensland." Aboriginal and Islander Health Worker Journal. 34 (6), pp. 3-5.
Developing suicide prevention expertise with Aboriginal communities
Gorman, Don and Ward, Raelene. 2008. "Developing suicide prevention expertise with Aboriginal communities." Mental Health Nursing – A Broad Canvas: The Art of Mental Health Nursing in the Age of Technology and Science (2008). Melbourne, Australia 06 - 10 Oct 2008 Canberra, Australia. https://doi.org/10.1111/j.1447-0349.2008.00563.x