1 / 20

What does the “third space” mean to you as a health professional?

What does the “third space” mean to you as a health professional?. Eileen Tan Lisa Molony Kate Brazzale. Introduction. Definition of third space. Aboriginal Terms of Reference – Third Space. Link with Identity Their Perceptual View/Way of Life

natan
Download Presentation

What does the “third space” mean to you as a health professional?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. What does the “third space” mean to you as a health professional? Eileen Tan Lisa Molony Kate Brazzale

  2. Introduction

  3. Definition of third space

  4. Aboriginal Terms of Reference – Third Space • Link with Identity • Their Perceptual View/Way of Life • How they deal with things – eg Community involvement.

  5. Aboriginal Identity in relation to the third space • Family • Community • Land • Importance

  6. Aboriginal Health Statistics Life expectancies of Indigenous versus Non-Indigenous Males and Females. • On average • Indigenous Men die 11 years earlier then Non- Indigenous Males • Indigenous Females die 9 years earlier then Non-Indigenous Females. Data from the Australian Bureau of Statistics 2005-2007 data surveys.

  7. Aboriginal Health Statistics

  8. Aboriginal Health Statistics

  9. Aboriginal Health Statistics Selected Chronic Conditions: Ratio of Indigenous Australian’s to Non-Indigenous Australians — 2004–05

  10. Aboriginal Health Statistics • Diabetes Comparison between Indigenous and Non Indigenous 2005 • Cardiovascular Comparison between Indigenous and Non Indigenous 2005

  11. Aboriginal Health Statistics

  12. Implications for Health Professionals • Aboriginal and Torres Strait Islanders are not the same. • Discontinue use of out-dated, derogatory terminology. • Half-caste, full-blood, quadroon, etc. • Always use the terms Aboriginal Man/Woman/People or Torres Strait Islander Man/Woman/People. • Aboriginal people mistrust people who offer services related to “protection” and “intervention. • European colonisation. • Government Policies post colonisation. • The “Stolen Generation”. Government policy til 1969. • “Keep your word.” • Changes made. • e.g. Kevin Rudd’s “Apology”. NSW Department of Community Services 2009 & National Disability Services WA 2009

  13. Implications for Health Professionals • Sensitive issues due to past Government policies have contributed to: • Dispossession of land • Family fragmentation • Mental health issues • Social and emotional wellbeing issues • Grief and loss issues • Self-harm and intentional injury • Over-representation of Suicide rates • Family and domestic violence issues • Loss of country • Loss of identity • Poverty • Racism • Unemployment • Poor health outcomes • Poor education outcomes • Below standard literacy and numeracy rates • Alcohol and substance abuse/misuse • Over-representation in the juvenile and criminal justice system NSW Department of Community Services 2009 & National Disability Services WA 2009

  14. Implications for Health Professionals • Respect • Elders, • The Land, • Animals, • Ancestors. • “Sorry Business” • Kinship • Defines roles and responsibilities within the family. • Ensure that extended family is included in important meetings or when making decisions. • Gender responsibilities. • Men’s Business – issues which have a male perspective within aboriginal culture. • Women’s Business – issues which have a female perspective within aboriginal culture. NSW Department of Community Services 2009 & National Disability Services WA 2009

  15. Implications for Health Professionals • Language • Originally 300 nations speaking 250 languages with up to 600 dialects. • Nonverbal cues • Eye contact. • Hand and facial gestures. • Silence • Progression of Conversation. • Semantic Ambiguity • Swearing • Communication Techniques • Use uncomplicated language, Not “jargon”. • Be wary of comprehension NSW Department of Community Services 2009 & National Disability Services WA 2009

  16. Close the Gap Campaign • Australia’s largest Campaign to improve Indigenous Health. • Aimed at reduced the Life Expectancy Gap between Indigenous and Non Indigenous Australians to 0 years by 2031. • OXFAM is campaigning to: • Increase Aboriginal and Torres Strait Islanders’ access to health services • Address critical social issues such as poor housing, nutrition, employment and education • Build Indigenous control and participation in the delivery of health and other services • Get governments at state and national level to work in partnership with Indigenous communities, health organisations and experts to develop and monitor a plan to tackle the Indigenous health crisis • Promote real and meaningful partnerships between Indigenous COAG, 2011 and OXFAM 2006

  17. Need for Education • To understand the needs of our Aboriginal or Torres Strait Islander Patients • The majority of Aboriginal people access health care from Non-Aboriginal services. • Downing and Kowal 2011 • Majority of Nurses interviewed felt that didn’t receive enough cultural training to look after Aboriginal and Torres Strait Islander patients • They felt that they weren't giving them the level of care the needed and deserved. • Canada’s Approach • Kilpatrick, 2004 • Looked at the need for Aboriginal Education.

  18. Focus Question.

  19. References

More Related