Two Aboriginal registered nurses show us why black nurses caring for black patients is good medicine
In Queensland, Aboriginal nurses are limited in number in comparison to the mainstream nursing workforce. More Aboriginal registered nurses are needed to cater for Aboriginal patients in our Australian healthcare system in view of today's burgeoning Indigenous health crisis. It is a foregone conclusion that Aboriginal nurses are the most suitable nurses to provide optimal cross cultural care for Aboriginal patients, due to having similar cultural backgrounds.
The following paper will show how two Aboriginal registered nurses are optimistic about the possibilities of expanding the ranks of Aboriginal registered nurses through role modelling, and are channelling their research to achieve this with the aim of promoting better health outcomes for their people. A qualitative research approach has been used to examine the subjective human experience of the participants.
Three dominant themes emerged from the research and will be expanded upon within the body of this paper to support the authors' thesis that Aboriginal nurses are a valuable commodity to address the Aboriginal health crisis.
Lynne Alice Stuart
Centre for Rural and Remote Area Health, Registered Nurse, Department of Nursing and Midwifery, University of Southern Queensland, Toowoomba, QLD Biographical Statement: Mandandanji woman
Centre for Rural & Remote Area Health, University of Southern Queensland, Toowoomba, QLD; Registered Nurse, Medical student, Flinders University, Darwin, NT, Australia Biographical Statement: Wakka Wakka woman
AIATSIS. (2005). The policy of assimilation - Decisions of Commonwealth and State Ministers of the Native Welfare Conference. Canberra: Australian Institute of Aboriginal and Torres Strait Islander Studies.
Best, O. (2003). Community control theory and practice: A case study of the Brisbane Aboriginal and Islander Community Health Service. MA Philosophy, Griffith University, Brisbane.
Burns, J., & Irvine, J. (2003). Nutrition and growth. In N. Thompson (Ed.), The health of Indigenous Australians (pp. 75-92). Melbourne: Oxford University Press.
Calma, T. (2010). Chalmers oration - What's needed to close the gap? Rural & Remote Health, 10, 1586, Retrieved from http://www.rrh.org.au
Cox, L. (2007). Fear, trust and Aborigines: The historical experience of state institutions and current encounters in the health system. Health and History, 9(2), 70-92.
Devanesen, D. (2000). Traditional Aboriginal medicine practice in the Northern Territory. Paper presented to International Symposium on Traditional Medicine, Awaji Island, Japan, 11-13 September.
Eckerman, A., Dowd, T., Chong, E., Nixon, L., Gray, R., & Johnson, S. (2010). Binan Goonj: Bridging cultures in aboriginal health (3rd ed.). Sydney: Churchill Livingstone Elsevier.
Fitzgerald, R. (1986). A history of Queensland. Queensland: University of Queensland Press.
Goold, S. (2001). Transcultural nursing: Can we meet the challenge of caring for the Australian Indigenous person? Journal of Transcultural Nursing, 12(94), 94-99.
Goold, S., & Liddle, K. (2005). In our own right: Black Australian Nurses' stories. Maleny QLD: eContent Management Pty Ltd., (ISBN 978-0-9757422-2-8).
Goold, S., Turale, S., Miller, M., & Usher, K. (2002). 'Gettin em n keepin em' Report of the Indigenous Nursing Education Working Group. Canberra: Commonwealth Department of Health and Ageing.
Gorman, D., & Best, O. (2005). Multicultural issues in health. In C. Rodgers-Clarke, K. Martin-McDonald, & A. McCarthy's (Eds.), Living with illness: Psychosocial challenges for nursing (pp. 70-82). Sydney: Elsevier.
Gorman, D., Nielsen, A., & Best, O. (2006). Western Medicine and Australian Indigenous healing practices. Aboriginal and Islander Health Worker Journal, 30(1), 28-29.
Haebich, A. (2008). Spinning the dream: Assimilation in Australia 1950-1970. North Freemantle: Freemantle Press.
Hays, R. (2002). One approach to improving Indigenous health care through medical education. Australian Journal of Rural Health, 10, 285-287.
Howitt, R., McCracken, K., & Curson, P. (2005). Australian Indigenous health: What issues contribute to a national crisis and scandal? Geodate, 18(4), 69-83.
Moreton-Robinson, A. (2000). Talkin' up to the white woman: Indigenous women and feminism. St Lucia, QLD: University of Queensland Press.
Neilson, A. (2005). Looking at solutions to 'the old, old story': A picture of change and optimism in Indigenous health. Australian Journal of Rural Health, 13(2), 102-105.
Nielsen, A. (2010). What are Aboriginal registered nurses' experiences of the cultural challenges, if any, involved in working in mainstream healthcare? Masters Honours. University of Southern Queensland, Toowoomba.
Queensland State Archives. (1890). On the Aborigines West of the Warrego. In H. Reynolds & D. May 'Queensland' In A. McGrath (Ed.), Contested ground: Australian Aborigines under the British Crown. Crows Nest, NSW: Allen & Unwin.
Sherwood, J., & Edwards, T. (2006). Decolonisation: A critical step for improving Aboriginal health. Contemporary Nurse, 22(2), 178-190.
Stuart, L. (2010). What are the experiences of Indigenous Health Workers enrolled into the Bachelor of Nursing at USQ? Masters Honours, University of Southern Queensland, Toowoomba.
Taylor, K., & Guerin, P. (2010). Health care and Indigenous Australians: Cultural safety in practice. South Yarra: Palgrave McMillan.
Thomson, N. (2003). The health of Indigenous Australians (pp. 30-37). Melbourne, Australia: Oxford University Press.
Trudgen, R. (2000). Why warriors lie down and die: Towards an understanding of why the Aboriginal people of the Arnhem Land face the greatest crisis in health and education since European contact. Darwin: Aboriginal Resource and Development Services.
Usher, K., Miller, M., Turale, S., & Goold, S. (2005). Meeting the challenges of recruitment and retention of Indigenous people into nursing: Outcomes of the Indigenous Nurse Education Working Group. Collegian, 12(3), 27-31.
West, R., Usher, K., & Foster, K. (2010). Increased numbers of Australian Indigenous nurses could make a significant contribution to 'closing the gap' in Indigenous health: What is getting in the way? Contemporary Nurse 36(1-2), 121-130.
Black/Aboriginal nurses; Aboriginal patients; cultural safety; cultural healing
PP: 096 - 106