'Sometime they run away, that's how scared they feel': The paediatric hospitalisation experiences of Indigenous families from remote areas of Australia

Laura Tanner
Clinical Nurse Researcher and Registered Nurse, Women's and Children's Hospital, Adelaide SA

Kendall Agius
Client Services Officer, Department of Health, Adelaide SA

Philip Darbyshire
Philip Darbyshire Consulting Pty Ltd, Adelaide SA; University of Western Sydney, Sydney NSW; School of Health Science, University of Swansea, Swansea; Bournemouth University, Poole, United Kingdom

PP: 003 - 017

Abstract

Hospitalisation can be a traumatic experience for any child and family but the experience can be significantly more so for Indigenous parents and children from remote areas of Australia. Despite the importance of this issue for child and family health and for Indigenous health, the hospitalisation experiences of Indigenous families and children have received almost no research attention.

This paper describes selected findings from a recently completed Honours research study which used the participatory and collaborative Indigenous research approach of Dadirri to explore this question.

Following a brief description of the methodology of Dadirri, the paper presents the participating families' depictions of their experiences of 'Coming Down' and 'Being in Hospital', where they revealed the extent and effects of marked culture shock. The significant cultural differences between staff and Indigenous families contributed to the parents' sense of fear, powerlessness and isolation from their child, home community and culture. For these families this isolation was not merely geographic but intricately linked to their health and wellbeing.

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Keywords

hospitalisation; Indigenous children; remote Australia; cultural safety; Dadirri; nurse-family interaction

Article Text

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References

Aboriginal Health Research Ethics Committee of South Australia. (no date). Ethical Considerations for Health-Related Research Involving Aboriginal People. Adelaide: Aboriginal Health Council of SA.

Andrews, S., Austin, N., Clarke, A., Goodman, H., & Miller, J. (1998). Promoting Koori Children's Health - An Affirmative Approach. Health Promotion Journal of Australia, 8(1), 29-33.

Atkinson, J. (2000). Privileging Indigenous Research Methodologies (Unpublished Paper). Cairns QLD: Rainforest CRC, James Cook University.

Australian Bureau of Statistics. (2003a). Australian Social Trends Family and Community - Services: Services in Remote Aboriginal and Torres Strait Islander Communities. Canberra: Australian Bureau of Statistics, 2004.

Australian Bureau of Statistics. (2003b). The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples (No. 4704.0). Canberra: Australian Bureau of Statistics. Australian Indigenous HealthInfo Net. (no date). Retrieved 24 Feb, 2004, from www.healthinfonet.ecu.edu.au

Australian Nursing Council. (2003). Inclusion of Indigenous Health Issues In Nursing Undergraduate Programs.

Brink, P. J., & Saunders. (1976). Transcultural Nursing: A Book of Readings. In P. J. Brink (Ed.), (pp. 128).Toronto: Prentice-Hall.

Byrnes, D., & Ward, J. (1977).The Problems of Aboriginal Children in Hospital. Aboriginal Health Work, 1(1), 12-18.

Clarke, A., Andrews, S., & Austin, N. (2000). Lookin' After Our Own. Melbourne: Aboriginal Family Support Unit: Royal Children's Hospital, Melbourne.

Darbyshire, P. (1994). Parenting in Public, Parental Participation and Involvement in the Care of Their Hospitalized Child in Interpretive Phenomenology, Caring & Ethics in Health & Illness. California: Sage.

Eckerman, A.-k., Dowd, T., Martin, M., Nixon, L., Gray, R., & Chong, E. (1992). Binan Goonj: Bridging Cultures in Aboriginal Health. Armidale NSW: University of New England.

Fuller, V. (1980).The Aboriginal Child in Hospital. Aboriginal Health Work, 4(3), 25-31.

Generational Health Review Committee. (2003). Better Choices Better Health: Final Report of the South Australian Generational Health Review (Final Report). South Australia: Government of South Australia.

Human Rights and Equal Opportunities Commission. (1997). Bringing them Home: Report of the National Inquiry into the Separation of Aboriginal and Torres Strait Islander Children from their Families. Sydney: Human Rights and Equal Opportunities Commission.

Keleher, H., & Ellis, J. (1996). Rural people utilising city hospitals: issues for service provision. Australian Journal of Rural Health, 4(3), 144-150.

Koori Elders, Newman, J., Acklin, F., Trindall, A., Arbon, V., Brock, K., et al. (1999). Story-Telling: Australian Indigenous Women's Means of Health Promotion. Aboriginal and Islander Health Worker Journal, 23(4), 18-21.

Lowe, P. (1991). Long Way From My Country - Aboriginal patients in hospital. Medical Journal of Australia, 154(12), 854-855.

National Health & Medical Research Council. (1991). Guidelines on Ethical Matters in Aboriginal & Islander Health Research. In National Statement on Ethical Conduct in Research Involving Humans (pp. 1-8). Canberra: Commonwealth of Australia.

National Public Health Partnership (2002) Final Evaluation Report. National Public Health Partnership: Melbourne. pp. 122. Available at: http://www.nphp.gov.au/publications/wa_index.htm#nphp

Peeters, L. (1995). Stories For Sharing and Caring: the years that never were. Aboriginal and Islander Health Worker Journal, 19(3), 16-19.

Preston, G. (1999, 14th - 17th March 1999). Mapping the Differences: An Examination of Hospitalisation of Remote, Rural and Metropolitan Australians. Paper presented at the 5th National Rural Health Conference, Adelaide, Australia.

Public Health Strategy Unit. (1998). The Aboriginal Public Health Strategy and Implementation Guide 1997-2002. Retrieved 22/1/04, 2004.

Ramsden, I. (1990). Whakaruruhau: Cultural Safety in nursing education in Aotearoa. A report for Maori health and nursing. New Zealand: Ministry of Education.

Reid, J., & Dhamarrandji, B. (1978). Curing not Caring: why aboriginal patients 'abscond'. New Doctor, 8, 27-32.

Royal Children's Hospital. (2002). Royal Children's Hospital submission to DHS Review of Statewide Paediatric Services. Melbourne: Royal Children's Hospital.

Smith, L.T. (1999). Decolonising Methodologies, Research and Indigenous Peoples. London: Zed Books Ltd.

South Australian Department of Human Services. (2003-2006). Strategic Directions 2003-2006. Adelaide: SA Department of Human Services.

South Australian Health Partnership. (2001-2002). South Australian Report to Australian Health Ministers' Council: Framework Agreement on Aboriginal & Torres Strait Islander Outcomes. South Australia: South Australian Aboriginal Health Partnership.

Stockton, E. (1995). The Aboriginal Gift: Spirituality for a Nation. Alexandria: Millennium Books.

Tanner, L. (2004). Hospitalisation of Indigenous Children From Remote Areas of Australia: Family and Primary Nurse Experiences. Unpublished Bachelor of Nursing Honours, Flinders University of South Australia, Adelaide.

Te Kaunihera Tapuhi o Aotearoa (Nursing Council of New Zealand). (2002). Guidelines for Cultural Safety, the Treaty of Waitangi, and Maori Health in Nursing and Midwifery Education and Practice. Retrieved 22/7/03, from http://www.nursingcouncil.org.nz/culturalsafety.pdf

United Nations. (2002). General Assembly 27th Special Session. Paper presented at the General Assembly 27th Special Session, NY.

Veitch, P. C., Sheehan, M. C., Holmes, J. H., Doolan, T., & Wallace, A. (1996). Barriers to the use of urban medical services by rural and remote area households. Australian Journal of Rural Health, 4(2), 104-110.

Victorian Department of Human Services. (2003-2004). Departmental Plan 2003 - 2004.Victoria:Victorian Government Department of Human Services.

Watson, J., Hodson, K., Johnson, R., & Kemp, K. (2000).The Experiences of Indigenous Women Admitted to an Acute Care Setting. Australian Journal of Rural Health, 10, 154-160.

Williams, A. (2001). Community Attitudes to Researchers. Aboriginal and Islander Health Worker Journal, 25(1), 25-26.

Women's and Children's Hospital (2003-4). WCH Business Plan. Adelaide: Women's & Children's Hospital.



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