Browsing by Author "O'Donnell K."
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Item Co-designing a health journey mapping resource for culturally safe health care with and for First Nations people.(2024-06-13) Cormick A.; Graham A.; Stevenson T.; Owen K.; O'Donnell K.; Kelly J.Background: Many healthcare professionals and services strive to improve cultural safety of care for Australia's First Nations people. However, they work within established systems and structures that do not reliably meet diverse health care needs nor reflect culturally safe paradigms. Journey mapping approaches can improve understanding of patient/client healthcare priorities and care delivery challenges from healthcare professionals' perspectives leading to improved responses that address discriminatory practices and institutional racism. This project aimed to review accessibility and usability of the existing Managing Two Worlds Together (MTWT) patient journey mapping tools and resources, and develop new Health Journey Mapping (HJM) tools and resources. Method(s): Four repeated cycles of collaborative participatory action research were undertaken using repeated cycles of look and listen, think and discuss, take action together. A literature search and survey were conducted to review accessibility and usability of MTWT tools and resources. First Nations patients and families, and First Nations and non-First Nations researchers, hospital and university educators and healthcare professionals (end users), reviewed and tested HJM prototypes, shaping design, format and focus. Result(s): The MTWT tool and resources have been used across multiple health care, research and education settings. However, many users experienced initial difficulty engaging with the tool and offered suggested improvements in design and usability. End user feedback on HJM prototypes identified the need for three distinct mapping tools for three different purposes: clinical care, detailed care planning and strategic mapping, to be accompanied by comprehensive resource materials, instructional guides, videos and case study examples. These were linked to continuous quality improvement and accreditation standards to enhance uptake in healthcare settings. Conclusion(s): The new HJM tools and resources effectively map diverse journeys and assist recognition and application of strengths-based, holistic and culturally safe approaches to health care.Copyright © 2024 CSIRO. All rights reserved.Item Coproducing Aboriginal patient journey mapping tools for improved quality and coordination of care.(2017-12-15) Kelly J.; Dwyer J.; Mackean T.; O'Donnell K.; Willis E.This paper describes the rationale and process for developing a set of Aboriginal patient journey mapping tools with Aboriginal patients, health professionals, support workers, educators and researchers in the Managing Two Worlds Together project between 2008 and 2015. Aboriginal patients and their families from rural and remote areas, and healthcare providers in urban, rural and remote settings, shared their perceptions of the barriers and enablers to quality care in interviews and focus groups, and individual patient journey case studies were documented. Data were thematically analysed. In the absence of suitable existing tools, a new analytical framework and mapping approach was developed. The utility of the tools in other settings was then tested with health professionals, and the tools were further modified for use in quality improvement in health and education settings in South Australia and the Northern Territory. A central set of patient journey mapping tools with flexible adaptations, a workbook, and five sets of case studies describing how staff adapted and used the tools at different sites are available for wider use.Journal compilationCopyright © La Trobe University 2017.Item Cultural bias initiatives to improve kidney transplantation among Aboriginal and Torres Strait Islander people - a scoping review.(2021-01-19) Kelly J.; Schwartzkopff K.; O'Donnell K.; Dent P.; Owen K.Aim: To synthesize existing evidence on health services initiatives that target cultural bias to improve models of care for Indigenous Australians with kidney disease. Background(s): In 2019, the TSANZ report, 'Improving Access to and Outcomes of Kidney Transplantation for Aboriginal and Torres Strait Islander People in Australia' identified systemic biases in relation to kidney transplantation for Indigenous Australians. Following this, the TSANZ established a National Indigenous Kidney Transplantation Taskforce (NIKTT), who commissioned a scoping review to summarize initiatives that support and inform culturally safe access and outcomes to kidney transplantation for Indigenous people. Method(s): A systematic review of peer reviewed and 'grey' literature was undertaken to identify cultural bias initiatives in renal health and other relevant areas. We analysed the efficacy of these from patient, health professional and clinical outcomes perspectives, and identified key enablers for establishing and evaluating cultural bias initiatives. A panel of NIKTT members assisted with the detection and interpretation of key themes. Result(s) and Conclusion(s): We identified 20 Australian health care initiatives that reported evaluation of cultural bias initiatives: renal (2), maternity (10), cancer (5), diabetes (1), emergency department (1) and general hospital (1). Enablers of successful initiatives across all studies were arranged under four main themes: inclusion of patients/families/community in care and decision making; Indigenous workforce and overall staff skills; service delivery, approach and models of care; and structures and policies. Initiatives that improved cultural safety, communication, coordination, collaboration, resources, policies, and organizational commitment were identified. A further 7 NIKTT initiatives are currently underway to address inequities in transplant access and outcomes. These projects will add significantly to the evidence.