Sick Day Management Plans for Aboriginal and/or Torres Strait Islander Peoples With Chronic Kidney Disease on the Cape York Peninsula of Australia: Health Workers' Perspectives

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-01-25 DOI:10.1111/ajr.13223

Luke Calleja, Beverley Glass, Selina Taylor, Kisha Neville, Leanne Brown, Andrea Miller, Alice Cairns

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Abstract

Objective

This study aimed to explore the perspectives of healthcare professionals on the utility of sick day management plans for people with chronic kidney disease (CKD) in remote communities and collaboratively design a sick day management plan resource.

Design

This qualitative study utilised two phases of data collection: preliminary observational data and semi-structured interviews. The research design and analysis were guided by the normalisation process theory (NPT) framework, tailored for complex interventions in healthcare.

Setting

Three First Nations communities and one remote mining community in Cape York, Australia.

Participants

In-person semi-structured interviews were conducted with 23 primary healthcare workers; 40% identified as Aboriginal and/or Torres Strait Islander.

Results

The study identified three themes relating to feasibility of implementation: (1) resource coherence and readability, (2) suitability for integration into the care model and (3) safety and risk associated with sick day management plans. Iterative development of resources followed, incorporating feedback from the participants. Recommendations emerged for enhanced readability and coherence, including further co-design with individual communities and consumers, content simplification, incorporation of Aboriginal and/or Torres Strait Islander artwork and language and a flow chart structure.

Conclusion

The study underscores the importance of culturally sensitive resource design and the active involvement of Aboriginal and/or Torres Strait Islander communities in healthcare improvement. Future research should explore cost-effective methods for personalised sick day management plans.

Abstract Image

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澳大利亚约克角半岛土著和/或患有慢性肾病的托雷斯海峡岛民的病假管理计划：卫生工作者的观点。

目的：本研究旨在探讨偏远社区慢性肾脏疾病（CKD）患者病假管理计划的实用性，并协同设计病假管理计划资源。设计：本定性研究采用两个阶段的数据收集：初步观察数据和半结构化访谈。研究设计和分析以正常化过程理论（NPT）框架为指导，为医疗保健领域的复杂干预量身定制。背景：澳大利亚约克角的三个原住民社区和一个偏远的采矿社区。参与者：对23名初级卫生保健工作者进行了面对面的半结构化访谈；40%被认定为土著和/或托雷斯海峡岛民。结果：研究确定了与实施可行性相关的三个主题：(1)资源一致性和可读性；(2)整合到护理模式中的适用性；(3)病假管理计划的安全性和风险。随后进行了资源的迭代开发，并纳入了参与者的反馈。提出了加强可读性和连贯性的建议，包括进一步与个别社区和消费者共同设计，简化内容，纳入土著和/或托雷斯海峡岛民的艺术品和语言以及流程图结构。结论：本研究强调了文化敏感资源设计和原住民和/或托雷斯海峡岛民社区积极参与医疗保健改善的重要性。未来的研究应该探索具有成本效益的个性化病假管理计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.