1 / 33

Health Workforce Australia 2013 Conference Adelaide 19 November 2013

Health Workforce Australia 2013 Conference Adelaide 19 November 2013 Growing our Aboriginal and Torres Strait Islander Health Workforce Ms Janine Milera CEO, Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Mr Romlie Mokak

vidar
Download Presentation

Health Workforce Australia 2013 Conference Adelaide 19 November 2013

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. Health Workforce Australia 2013 Conference Adelaide 19 November 2013 Growing our Aboriginal and Torres Strait Islander Health Workforce Ms Janine Milera CEO, Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Mr Romlie Mokak CEO, Australian Indigenous Doctors Association

  2. Why an Indigenous Health Workforce? “There is a substantial body of research evidence indicating that the development of a skilled and professional Indigenous health workforce is an essential prerequisite for improvements in Indigenous health” Dr Mick Gooda, Social Justice Commissioner 'In good hands with Dr Shibasaki', Koori Mail 454 p.54

  3. A brief history of CATSINaM • First meeting held August 1997 to establish CATSIN1998 • Report of the Indigenous Nursing Education Working Group, 2002: ‘Getting Emand Keeping Em’ • Submitted to DoHA and OATSIH • Recommendations to overcome challenges facing Aboriginal and Torres Strait Islander Nurses • Still largely relevant today – CATSINaM continuing to advocate on this • Since 2012 changes in: governance, name and Secretariat location • New CEO appointed in 2013

  4. National Picture • In 2011, a total of 2,212 (0.8%) nurses and midwives employed in Australia identified as Aboriginal and/ or Torres Strait Islander • 1414 were registered nurses, 798 were enrolled nurses and 60 Indigenous midwives were employed across Australia

  5. “My Aunty works as a nurse and I want to be just like her” "Counsellors just talk to people. That's not really a health job...is it?" “Nurses do the Yucky work”

  6. Pursuing study in nursing and/or midwifery: study in nursing and/or midwifery: • Lack of support • Family commitments • Travel • Financial hardship • Lack of mentoring Educational factors such as not completing high school, financial, geography, family. CATSINaM Member

  7. Completing their studies in nursing and/or midwifery: • Family commitments • Away from home • Racism • Financial burden • Practical help with essay writing • Mentoring and role modeling “Financial disadvantage, not understanding university processes and requirements, family obligations, Racism, Not University ready.” CATSINaM Member

  8. What do we know about Aboriginal and Torres Strait Islander nursing and midwifery students? • Commencementshave increased however, still remain below parity • Progression – 16.6% difference • Attrition– 10.1% difference • Completion– 28.3% difference Pattern is consistent for data from 2002-2008

  9. Completion rates for Aboriginal and Torres Strait Islander nursing students West, R, Buttner, P, Foster, K, Usher, K & Stewart, L, 2013, Indigenous Australians' participation in pre-registration tertiary nursing courses: A mixed methods study, Contemporary Nurse, Aug 4. [Epub ahead of print]

  10. Dr Roianne West suggests the following strategies: • Appoint an Indigenous nurse academic in all schools of nursing. • Development and implementation of resilience buildingtraining tailored for Indigenous nursing students. • Develop partnerships between Schools ofNursing and Indigenous Education Support Units. • Develop and implement a cross-cultural training programspecifically for academics in Schools of Nursing, • Development of a critical nursing curriculum. • Development of pathways from school throughthe VET sector and University sectors.

  11. Continuing on in their profession • Mentoring and support • Racism • Lack of understanding of cultural and family matters • Cultural safety “Cultural safety of the nursing and midwifery profession in general. Lack of value for the innate understanding of the socio-cultural issues that some Aboriginal and Torres Strait Islander nurses and midwives have that has significant benefit when caring for our mob. Lack of leadership development opportunities.” CATSINaM Member

  12. “I have experienced clients being racist to other people, in which they are sharing a room with on the ward, saying out aloud to me how the particular Aboriginal woman 'stinks'. Because I had fair skin I assume she thought it was alright to say it to me. I have also seen colleagues inadvertently being racist, denying certain people such as Aboriginals and Torres Strait islanders’ privileges and then allowing non indigenous clients these services. Mainly in older aged nurses though rather than in the younger and middle aged nurses.” CATSINaM member “This occurred while as a clinician in previous roles, mostly ignorance and covert racism. This reflects a deficit of the other about Aboriginal and Torres Strait Islander people and our shared history. It is burdensome dealing with this on a daily basis sometimes.” CATSINaM member

  13. AUSTRALIAN INDIGENOUS DOCTORS ASSOCIATION: A SNAPSHOT 1983 Professor Helen Milroy graduates 1993 Under ten graduates 1998 AIDA established 2002 Secretariat in Canberra 2005 Collaboration Agreement with Medical Deans Australia and New Zealand 2010 Indigenous Governance Award Finalist 2010 Moved into Old Parliament House 2012 Collaboration Agreement with Confederation of Medical Education Councils 2012 Hosted PRIDoC in Alice Springs 2013 180 doctors, 260 students (enrolment parity) 2013 Collaboration Agreement with Committee of Presidents of Medical Colleges

  14. 7 -12 R E TENTION

  15. HIGHER EDUCATION HEALTHRELATED COURSE ENROLMENTS 2006

  16. Key Intervention Points • Build the secondary school pipeline • Build the articulation between the VET sector, health workforce & higher education • Increase higher education completions • Performance measurement • Health system strategies for retention

  17. MURRA MULLANGARI • – PATHWAYS ALIVE AND WELL In the language of the Ngambri people, Murra is the path and Mullangari is health and wellbeing coming from ceremonies, including the Bogong Moth Ceremony.

  18. OVERVIEW • History • Murra Mullangari 2013 • Indigenous leadership and partnership • Findings of the 2013 program

  19. MURRA MULLANGARI • – PATHWAYS ALIVE AND WELL In the language of the Ngambri people, Murra is the path and Mullangari is health and wellbeing coming from ceremonies, including the Bogong Moth Ceremony.

  20. MURRA MULLANGARI : PATHWAYS ALIVE AND WELL • History • Murra Mullangari2013 • Indigenous leadership and partnership • Findings of the 2013 program

  21. AUSTRALIAN CONTEXT • Addressing gaps in the Aboriginal and Torres Strait Islander Health workforce • Improving the health status of our people • Incorporating all health disciplines • Indigenous leadership

  22. OTHER PROGRAMS Culture Indigenous Leadership Murra Mullangari – Pathways Alive and Well Health Career Education

  23. MURRA MULLANGARI – PATHWAYS ALIVE AND WELL

  24. 2013 MurraMullangari Program Partnerships

  25. PROGRAM APPLICANTS BY DESIRED CAREER Frequency

  26. PERCENTAGE OF PROGRAM APPLICANTS & PARTICIPANTS BY SCHOOL YEAR

  27. EVALUATION FINDINGS • Increased knowledge of health careers • Increased knowledge of pathways • Increased awareness of cultural strength and identity

  28. “I think having more Indigenous midwives is important to make pregnant Indigenous women feel comfortable when they have their baby” Murra Mullangari program participant, aged 16

  29. We have made progress.We need accelerated growth in the future.

  30. ACKNOWLEDGEMENTS Murra Mullangari – Pathways Alive and Well partner organisations, members and staff The Murra Mullangari program participants, their families and communities Ngambri Elder - Aunty Matilda House Group Leaders - Mr Guy Dennis, Ms Sheree Enderby, Ms Alyce Merritt and Ms Kate Richards Facilitator - Mr Gregory Phillips Funding for the project was provided by the Commonwealth Department of Education, Employment and Workplace Relations CONTACT INFORMATION Ms Jasmin Hunter, Pathways Officer jasmin@aida.org.au 02 6273 5013

More Related