Measuring attitude change in nursing students after completion of a First Nations peoples’ health unit: Embedding a validated tool in learning and assessment practices
DOI:
https://doi.org/10.55146/ajie.v53i1.609Keywords:
Aboriginal people, cultural competence, First Peoples' health, Indigenous peoples, nursing student curriculum, transformative learningAbstract
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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References
Andre, K., Heartfield, M., & Cusack, L. (2017). Portfolios for health professionals (3e ed.). Elsevier.
Australian Commission on Safety and Quality in Health Care. (2017). National safety and quality health service standards: User guide for Aboriginal and Torres Strait Islander health. https://www.safetyandquality.gov.au/sites/default/files/migrated/National-Safety-and-Quality-Health-Service-Standards-User-Guide-for-Aboriginal-and-Torres-Strait-Islander-Health.pdf
Australian Indigenous HealthInfoNet. (2024). Overview of Aboriginal and Torres Strait Islander health status 2023. https://healthinfonet.ecu.edu.au/healthinfonet/getContent.php?linkid=706475
Australian Institute of Health and Welfare. (2020). A profile of primary health care nurses. https://www.aihw.gov.au/getmedia/cab9dde2-6a3d-42bc-9481-0a51e0bb4372/A-profile-of-primary-health-care-nurses.pdf.aspx?inline=true
Australian Nursing and Midwifery Accreditation Council. (2019). Reflect reconciliation action plan 2019–2020. https://www.anmac.org.au/sites/default/files/documents/reflectrap.pdf
Biles, B., & Biles, J. (Eds.). (2020). Aboriginal and Torres Strait Islander peoples’ health and wellbeing. Oxford University Press.
Biles, J., Biles, B., West, R., Saunders, V., & Armaou, J. (2021). Aboriginal and Torres Strait Islander subjects in a Graduate Diploma of Midwifery: A pilot study. Contemporary Nurse, 57(5), 317¬–326. DOI: https://doi.org/10.1080/10376178.2021.1990095
Bourke, C. J., Marrie, H., & Marrie, A. (2019). Transforming institutional racism at an Australian hospital. Australian Health Review, 43(6), 611–618. https://doi.org/10.1071/AH18062 DOI: https://doi.org/10.1071/AH18062
Congress of Aboriginal and Torres Strait Islander Nurses and Midwives. (2017). Nursing and midwifery Aboriginal and Torres Strait Islander health curriculum framework. https://www.catsinam.org.au/static/uploads/files/nursing-midwifery-health-curriculum-framework-final-version-1-0-wfffegyedblq.pdf
Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S.-J., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: A literature review and recommended definition. International Journal for Equity in Health, 18(1), Article 174. https://doi.org/10.1186/s12939-019-1082-3 DOI: https://doi.org/10.1186/s12939-019-1082-3
Darwin, L., Vervoort, S., Vollert, E., & Blustein, S. (2023). Intergenerational trauma and mental health. Australian Institute of Health and Welfare, Australian Government.
Field. (2017). Discovering Statistics Using IBM SPSS Statistics, [Chegg].
Fitzpatrick, S. A., Haswell, M. R., Williams, M. M., Nathan, S., Meyer, L., Ritchie, J. E., & Jackson Pulver, L. R. (2019). Learning about Aboriginal health and wellbeing at the postgraduate level: Novel application of the Growth and Empowerment Measure. Rural and Remote Health, 19(2), Article 4708. https://doi.org/10.22605/RRH4708 DOI: https://doi.org/10.22605/RRH4708
Haswell, M. R., Kavanagh, D., Tsey, K., Reilly, L., Cadet-James, Y., Laliberte, A., Wilson, A., & Doran, C. (2010). Psychometric validation of the Growth and Empowerment Measure (GEM) applied with Indigenous Australians. Australian & New Zealand Journal of Psychiatry, 44(9), 791–799. DOI: https://doi.org/10.3109/00048674.2010.482919
Hunt, L., Ramjan, L., McDonald, G., Koch, J., Baird, D., & Salamonson, Y. (2015). Nursing students’ perspectives of the health and healthcare issues of Australian Indigenous people. Nurse Education Today, 35(3), 461–467. DOI: https://doi.org/10.1016/j.nedt.2014.11.019
Kairuz, C. A., Casanelia, L. M., Bennett-Brook, K., Coombes, J., & Yadav, U. N. (2021). Impact of racism and discrimination on physical and mental health among Aboriginal and Torres Strait Islander peoples living in Australia: A systematic scoping review. BMC Public Health, 21(1), Article 1302. https://doi.org/10.1186/s12889-021-11363-x DOI: https://doi.org/10.1186/s12889-021-11363-x
Mills, K., & Creedy, D. (2021). The “pedagogy of discomfort”: A qualitative exploration of non-Indigenous student learning in a First Peoples health course. The Australian Journal of Indigenous Education, 50(1), 29–37. DOI: https://doi.org/10.1017/jie.2019.16
Mills, K., Creedy, D. K., & West, R. (2018). Experiences and outcomes of health professional students undertaking education on Indigenous health: A systematic integrative literature review. Nurse Education Today, 69, 149–158. DOI: https://doi.org/10.1016/j.nedt.2018.07.014
Mulnix, J. W. (2012). Thinking critically about critical thinking. Educational Philosophy and Theory, 44(5), 464–479. DOI: https://doi.org/10.1111/j.1469-5812.2010.00673.x
Nursing and Midwifery Board of Australia. (2016). Registered nurse standards for practice. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Paradies, Y. (2016). Colonisation, racism and indigenous health. Journal of Population Research, 33(1), 83–96. https://doi.org/10.1007/s12546-016-9159-y DOI: https://doi.org/10.1007/s12546-016-9159-y
Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N., Pieterse, A., Gupta, A., Kelaher, M., & Gee, G. (2015). Racism as a determinant of health: A systematic review and meta-analysis. PLoS One, 10(9), Article e0138511. https://doi.org/10.1371/journal.pone.0138511 DOI: https://doi.org/10.1371/journal.pone.0138511
Ryder, C., Mackean, T., Ullah, S., Burton, H., Halls, H., McDermott, D., & Edmondson, W. (2019). Development and validation of a questionnaire to measure attitude change in health professionals after completion of an Aboriginal health and cultural safety training programme. The Australian Journal of Indigenous Education, 48(1), 24–38. https://doi.org/10.1017/jie.2017.37 DOI: https://doi.org/10.1017/jie.2017.37
Taylor, J., O’Hara, L., Talbot, L., & Verrinder, G. (2021). Promoting health: The primary health care approach (7th ed.). Elsevier Australia.
West, R., Armao, J. E., Creedy, D. K., Saunders, V., & Rowe Minnis, F. (2021). Measuring effectiveness of cultural safety education in First Peoples health in university and health service settings. Contemporary Nurse, 57(5), 356–369. https://doi.org/10.1080/10376178.2022.2025876 DOI: https://doi.org/10.1080/10376178.2022.2025876
West, R., Mills, K., Rowland, D., & Creedy, D. (2019). Impact of a discrete First Peoples health course on students’ experience and development of cultural capabilities. Higher Education Research & Development, 38(5), 1090–1104. DOI: https://doi.org/10.1080/07294360.2019.1603202
West, R., Mills, K., Rowland, D., & Creedy, D. K. (2018). Validation of the First Peoples cultural capability measurement tool with undergraduate health students: A descriptive cohort study. Nurse Education Today, 64, 166–171. https://doi.org/10.1016/j.nedt.2018.02.022 DOI: https://doi.org/10.1016/j.nedt.2018.02.022
Withall, L., Ryder, C., Mackean, T., Edmondson, W., Sjoberg, D., McDermott, D., & Wilson, A. (2021). Assessing cultural safety in Aboriginal and Torres Strait Islander Health. Australian Journal of Rural Health, 29(2), 201–210. DOI: https://doi.org/10.1111/ajr.12708
Younas, A., & Shahzad, S. (2021). Emphasizing the need to integrate social determinants of health in undergraduate nursing curricula. Nurse Education Today, 103(1), Article 104943. https://doi.org/10.1016/j.nedt.2021.104943 DOI: https://doi.org/10.1016/j.nedt.2021.104943
Zimmerman, P.-A., Stringfellow, T., Rowland, D., Armstrong, V., & West, R. (2019). Review of Aboriginal and Torres Strait Islander content within a Bachelor of Nursing. Collegian, 26(4), 441–447. DOI: https://doi.org/10.1016/j.colegn.2018.12.003
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