Evaluation of ‘Ask the Specialist’: a cultural education podcast to inspire improved healthcare for Aboriginal peoples in Northern Australia

IF 2.5 2区医学 Q2 HEALTH POLICY & SERVICES

Health Sociology Review Pub Date : 2022-04-03 DOI:10.1080/14461242.2022.2055484

V. Kerrigan, Stuart Yiwarr McGrath, Rarrtjiwuy Melanie Herdman, Pirrawayingi Puruntatameri, Bilawara Lee, A. Cass, A. Ralph, M. Hefler

{"title":"Evaluation of ‘Ask the Specialist’: a cultural education podcast to inspire improved healthcare for Aboriginal peoples in Northern Australia","authors":"V. Kerrigan, Stuart Yiwarr McGrath, Rarrtjiwuy Melanie Herdman, Pirrawayingi Puruntatameri, Bilawara Lee, A. Cass, A. Ralph, M. Hefler","doi":"10.1080/14461242.2022.2055484","DOIUrl":null,"url":null,"abstract":"ABSTRACT In Australia’s Northern Territory (NT) most people who access health services are Aboriginal and most healthcare providers are non-Indigenous; many providers struggle to deliver culturally competent care. Cultural awareness training is offered however, dissatisfaction exists with the limited scope of training and the face-to-face or online delivery format. Therefore, we developed and evaluated Ask the Specialist: Larrakia, Tiwi and Yolŋu stories to inspire better healthcare, a cultural education podcast in which Aboriginal leaders of Larrakia, Tiwi and Yolŋu nations, known as the Specialists, answer doctors’ questions about working with Aboriginal patients. The Specialists offer ‘counterstories’ which encourage the development of critical consciousness thereby challenging racist narratives in healthcare. After listening to the podcast, doctors reported attitudinal and behavioural changes which led to stereotypes being overturned and more culturally competent care delivery. While the podcast was purposefully local, issues raised had applicability beyond the NT and outside of healthcare. Our approach was shaped by cultural safety, critical race theory and Freirean pedagogy. This pilot is embedded in a Participatory Action Research study which explores strategies to improve culturally safe communication at the main NT hospital Royal Darwin Hospital.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"5","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Sociology Review","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/14461242.2022.2055484","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}

引用次数: 5

Abstract

ABSTRACT In Australia’s Northern Territory (NT) most people who access health services are Aboriginal and most healthcare providers are non-Indigenous; many providers struggle to deliver culturally competent care. Cultural awareness training is offered however, dissatisfaction exists with the limited scope of training and the face-to-face or online delivery format. Therefore, we developed and evaluated Ask the Specialist: Larrakia, Tiwi and Yolŋu stories to inspire better healthcare, a cultural education podcast in which Aboriginal leaders of Larrakia, Tiwi and Yolŋu nations, known as the Specialists, answer doctors’ questions about working with Aboriginal patients. The Specialists offer ‘counterstories’ which encourage the development of critical consciousness thereby challenging racist narratives in healthcare. After listening to the podcast, doctors reported attitudinal and behavioural changes which led to stereotypes being overturned and more culturally competent care delivery. While the podcast was purposefully local, issues raised had applicability beyond the NT and outside of healthcare. Our approach was shaped by cultural safety, critical race theory and Freirean pedagogy. This pilot is embedded in a Participatory Action Research study which explores strategies to improve culturally safe communication at the main NT hospital Royal Darwin Hospital.

查看原文本刊更多论文

“询问专家”的评估：一个文化教育播客，旨在激励改善澳大利亚北部原住民的医疗保健

摘要在澳大利亚北领地（NT），大多数获得医疗服务的人是原住民，大多数医疗服务提供者是非原住民；许多医疗机构难以提供符合文化要求的护理。然而，提供了文化意识培训，但对培训范围有限以及面对面或在线授课形式存在不满。因此，我们开发并评估了Ask the Specialist：Larrakia、Tiwi和Yolŋu的故事，以激发更好的医疗保健，这是一个文化教育播客，在该播客中，被称为“专家”的Larrakia，Tiwi和Yol \331；u国家的原住民领导人回答医生关于与原住民患者合作的问题。专家们提供了“反诉”，鼓励批判性意识的发展，从而挑战医疗保健中的种族主义叙事。在听了播客后，医生们报告了态度和行为的变化，这些变化导致刻板印象被推翻，提供了更具文化能力的护理。虽然播客是有目的的本地播客，但所提出的问题在NT之外和医疗保健之外都有适用性。我们的方法是由文化安全、批判性种族理论和Freirean教育学形成的。该试点项目包含在一项参与性行动研究中，该研究探讨了改善NT主要医院皇家达尔文医院文化安全沟通的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Health Sociology Review Multiple-

CiteScore

7.50

自引率

0.00%

发文量

期刊介绍： An international, scholarly peer-reviewed journal, Health Sociology Review explores the contribution of sociology and sociological research methods to understanding health and illness; to health policy, promotion and practice; and to equity, social justice, social policy and social work. Health Sociology Review is published in association with The Australian Sociological Association (TASA) under the editorship of Eileen Willis. Health Sociology Review publishes original theoretical and research articles, literature reviews, special issues, symposia, commentaries and book reviews.