Strategies that support Cultural Safety for First Nations people in Aged Care in Australia: An Integrative Literature Review

Article


Deravin, Linda Michelle, Bramble, Marguerite, Anderson, Judith and Mahara, Nicole. 2023. "Strategies that support Cultural Safety for First Nations people in Aged Care in Australia: An Integrative Literature Review." Australasian Journal on Ageing. 42 (4), pp. 649-659. https://doi.org/10.1111/ajag.13230
Article Title

Strategies that support Cultural Safety for First Nations people in Aged Care in Australia: An Integrative Literature Review

ERA Journal ID15758
Article CategoryArticle
AuthorsDeravin, Linda Michelle, Bramble, Marguerite, Anderson, Judith and Mahara, Nicole
Journal TitleAustralasian Journal on Ageing
Journal Citation42 (4), pp. 649-659
Number of Pages11
Year2023
PublisherJohn Wiley & Sons
Place of PublicationAustralia
ISSN1440-6381
1741-6612
Digital Object Identifier (DOI)https://doi.org/10.1111/ajag.13230
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/ajag.13230
Abstract

Objective
The 2019 Royal Commission into Aged Care Quality and Safety highlighted the need for First Nations peoples to have improved, culturally safe care. This paper is a call to action for First Nations peoples to be involved in developing culturally safe care and services to be embedded within Australian aged care services.

Methods
The first screening examined the Australian literature (peer-reviewed articles published since 2010 in English) detailing key aspects relevant to Cultural Safety for First Nations peoples supported by aged care services in Australia. The second screening assessed whether the findings of these studies aligned with the key aspects of Cultural Safety of First Nations peoples in aged care.

Results
The initial literature search yielded 198 papers, of which 13 met the inclusion criteria for the final review. Topics that required further interrogation included barriers to communication, racism and discrimination, impacts on health outcomes, health-care workforce education needs and the importance of cultural connections to Country and kin. These topics influenced the perception of First Nations peoples feeling culturally safe when supported by aged care services.

Conclusions
The literature identified a need to recruit more First Nations peoples into the aged care workforce, involve more First Nations family and community members in aged care and retain a consistent workforce overall. Together these strategies were seen to address the barriers that continue to affect aged care provision for First Nations peoples.

Keywordsaged; Australian Aboriginal; culture; Torres Strait Islanders Peoples; policy
ANZSRC Field of Research 20204205. Nursing
450499. Aboriginal and Torres Strait Islander health and wellbeing not elsewhere classified
Byline AffiliationsCharles Sturt University
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