Measuring attitude change in nursing students after completion of a First Nations peoples’ health unit: Embedding a validated tool in learning and assessment practices

Authors

DOI:

https://doi.org/10.55146/ajie.v53i1.609

Keywords:

Aboriginal people, cultural competence, First Peoples' health, Indigenous peoples, nursing student curriculum, transformative learning

Abstract

The health inequities experienced by Aboriginal and Torres Strait Islander peoples, rooted in the historical and ongoing negative impacts of colonisation and disrupted traditional lifestyles, sees higher rates of illness and hospitalisations, increased morbidity and higher premature death rates than other Australians. Nurses represent the majority of Australia’s health workforce and nursing students must have knowledge to provide culturally safe care to Australia’s Aboriginal and Torres Strait Islander peoples. An Aboriginal and Torres Strait Islander Peoples’ Health and Wellbeing unit was developed and introduced into an undergraduate nursing curriculum. This project aimed to determine the effectiveness of the unit content in changing the attitude of nursing students towards care of First Nations peoples. A quasi-experimental design was used and included all undergraduate nursing students commencing this unit in 2020 at one university in Western Australia. Students completed a validated questionnaire prior to engaging with unit learning materials and again at completion of the unit. Complete paired data was available for 339 participants. Results demonstrated statistically significant change in attitude following completion of the unit. Embedding targeted education concerning Aboriginal and Torres Strait Islander peoples’ health and wellbeing positively influences attitudes in caring for this population of patients.

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Author Biographies

Kylie McCullough, Edith Cowan University

Dr Kylie McCullough is a teaching research scholar whose focus is Aboriginal and Torres Strait Islander health, primary health care and remote area nursing. She is a registered nurse with 25 years of clinical nursing experience.

Angela Genoni, Edith Cowan University

Dr Angela Genoni is a nutritionist and researcher with experience in quantitative methodologies.

Melanie Murray, Edith Cowan University

Dr Melanie Murray is a senior lecturer and researcher with a focus on development of early career nursing practice.

Darren Garvey, Edith Cowan University

Dr Darren Garvey was born and raised in Cairns, North Queensland, and his heritage extends north to the Torres Strait region of Australia. He has a background in community mental health, and extensive teaching and curriculum design experience, informed by more than two decades working for the Centre for Aboriginal Studies at Curtin University. He currently holds a position as a Senior Lecturer with Kurongkurl Katitjin, Centre for Indigenous Australian Education and Research at Edith Cowan University.

Linda Coventry, Edith Cowan University

Dr Linda Coventry is a Senior Research Fellow within the School of Nursing and Midwifery and has an Adjunct Research Fellow position with the Centre for Nursing Research at Sir Charles Gairdner Hospital.

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Published

2024-08-05

How to Cite

McCullough, K., Genoni, A., Murray, M., Garvey, D., & Coventry, L. (2024). Measuring attitude change in nursing students after completion of a First Nations peoples’ health unit: Embedding a validated tool in learning and assessment practices. The Australian Journal of Indigenous Education, 53(1). https://doi.org/10.55146/ajie.v53i1.609

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