Browsing by Author "Usher K."
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Item Australian Aboriginal and Torres Strait Islander, New Zealand Maori and remote area mental health.West R.; Usher K.; Thompson G.; Spurgeon D.This chapter Is divided Into three sections. The first introduces you to the Aboriginal and Torres Strait Islander mental health issues and the second to Maori mental health concerns, while the last section provides the reader with insights from a remote care nurse who is working with remote clients In Australia. (PsycInfo Database Record (c) 2023 APA, all rights reserved)Item De-problematising Aboriginal young peoples' health and well-being through their voice: an Indigenous scoping review.(2023-04-28) Smallwood R.; Usher K.; Woods C.; Sampson N.; Jackson D.Background: The continued use of a deficit discourse when researching Aboriginal and Torres Strait Islander Peoples of Australia is problematic. Understanding and challenging the researchers position and the power of the words they use is important. It will ensure we do not persist in framing Aboriginal and Torres Strait Islander People as a problem to be solved. Design: Indigenist review of the evidence of Aboriginal young people's health and well-being. Methods: This review was conducted using an Indigenist approach to identify texts which amplified the voices of Aboriginal young people of Australia and presents a narrative summary of their accounts. This review is reported in line with the PRISMA-ScR reporting guidelines. Results: Culture and connection are critical components of Aboriginal young people's health and well-being. Aboriginal young people describe feeling of powerlessness to influence health and well-being of their community, and they understood the risks they and their communities faced. Young people identified the importance of connection to culture, community and Elders as crucial to their social and emotional well-being. Conclusions: By harnessing an Indigenous analysis, we were able to reveal a strong counter narrative of strength and resilience within their historical, social, and political contexts through the storied accounts of Aboriginal young people. RELEVANCE TO CLINICAL PRACTICE: Most of the currently available evidence about Aboriginal health and well-being is immersed in deficit discourse. Literature reviews being the foundation of research and informing nursing practice, we call for a purposeful shift towards the adoption of an Indigenist strength-based approach which emphasises the strength and resilience of Aboriginal young people.Copyright © 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.Item Indigenous higher degree research students making a difference to the Indigenous health agenda.(2011-09-01) Usher K.While research has been seen to perpetuate rather than improve the ongoing health disadvantage of Indigenous Australians, more recently we have witnessed a transformation in the way research is undertaken with Indigenous people. A more collaborative and inclusive approach has made research more appropriate to the needs of Indigenous people and more Indigenous people undertaking higher degree research study. Insights about research with Indigenous people are provided by four Indigenous students undertaking research in health and nursing who discuss 'closing the gap', cultural care, and the current situation surrounding access to and experiences in the health service in Australia for Indigenous people.Item Investigating the processes used to develop and evaluate the effectiveness of health education resources for adult Indigenous people: a literature review.(2020-05-11) Peake R.M.; Jackson D.; Lea J.; Usher K.Purpose: Aboriginal and Torres Strait Islander communities need to participate in the development of health education material to gain connection with and ownership of concepts. This review extracted and synthesized evidence to answer the question: what processes are used to develop health education resources for adult Aboriginal and Torres Strait Islander people, and what makes them effective? Design: A review was conducted using the PRISMA guidelines. Five databases were searched (OvidSP Medline, CINAHL, Informit, OvidSP Embase and ProQuest) and 438 non duplicate records were screened. Finding(s): Twenty-two articles were identified; 18 reporting qualitative studies, two reporting mixed-method studies and two discussion papers. No quantitative studies met the inclusion criteria. Synthesis of the evidence revealed five themes: collaborative relationships, community ownership, lack of evaluation, cultural sensitivity, and health literacy.Discussions/Conclusions: Limitations identified include barriers due to distance, time, and funding, and a need for cultural competency in mainstream health.