Examples of supporting evidence
- Documentation from cultural competency training and assessments
- Schedule of cultural awareness and cultural competency training
- Data and reports on evaluation of the cultural competency of the health service organisation
- Policies, procedures or protocols that cover cultural competency
- Patient experience surveys and feedback
- Hospital treatment and performance outcomes such as discharge against medical advice, and employment of Aboriginal and Torres Strait Islander clinicians
- Documentation from meetings at which the cultural needs of Aboriginal and Torres Strait Islander employees are discussed, or strategies to meet their needs are identified, monitored or evaluated
- Position descriptions, duty statements and employment contracts that detail the roles and responsibilities of the Aboriginal and Torres Strait Islander workforce
- An Aboriginal and Torres Strait Islander employment strategy
- Evaluation reports or routine updates provided to the governing body on strategies to improve cultural awareness and cultural competency
- Established and monitored workforce targets; these include proportions of Aboriginal and Torres Strait Islander employees in the overall organisation workforce, and in clinical and non-clinical areas of the organisation.
References
1. National Aboriginal and Torres Strait Islander Health Standing Committee of the Australian Health Ministers’ Advisory Council. Cultural respect framework 2016–2026 for Aboriginal and Torres Strait Islander health. Canberra: AHMAC; 2016.
31. Sherwood J. Colonisation – it’s bad for your health: the context of Aboriginal health. Contemp Nurse 2014;46:28–40.
32. Ferdinand A, Paradies Y, Kelaher M. Mental health impacts of racial discrimination in Victorian Aboriginal communities: the Localities Embracing and Accepting Diversity (LEAD) Experiences of Racism Survey. Melbourne: Victorian Health Promotion Foundation; 2013.
33. Home Office. The Stephen Lawrence Inquiry: report of an inquiry by Sir William Macpherson of Cluny. London: Home Office; 1999.
34. The Lowitja Institute. Systemic racism. Workshop background paper. Melbourne: The Lowitja Institute; 2016.
35. Victorian Department of Health and Human Services. Submission to the consultation for the National Safety and Quality Health Service Standards user guide for Aboriginal and Torres Strait Islander health. Melbourne: DHHS; 2017.
36. Victorian Department of Health and Human Services. Evaluation of improving cultural responsiveness of Victorian hospitals. Melbourne: DHHS; 2017.
37. Bainbridge R, McCalman J, Clifford A, Tsey K. Cultural competency in the delivery of health services for Indigenous people. Issues Paper No. 13 produced for the Closing the Gap Clearinghouse. Canberra: Australian Institute of Health and Welfare, and Melbourne: Australian Institute of Family Studies; 2015.
38. Fisher TL, Burnet DL, Huang ES, Chin MH, Cagney KA. Cultural leverage: interventions using culture to narrow racial disparities in health care. Med Care Res Rev 2007;64 (5 Suppl):243–82S.
39. Truong M, Paradies Y, Priest N. Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Serv Res 2014;14:99.
40. Mooney N, Bauman A, Westwood B, Kelaher B, Tibben B, Jalaludin B. A quantitative evaluation of Aboriginal cultural awareness training in an urban health service. Aborig Isl Health Work J 2005 Jul/Aug;29(4):23–30.
41. Dwyer J, Willis E, Kelly J. Hospitals caring for rural Aboriginal patients: holding response and denial. Aust Health Rev 2014;38:546–51.
42. Perry A, Woodland L, Brunero S. eSimulation: a novel approach to enhancing cultural competence within a health care organisation. Nurse Educ Pract 2015;15:218–24.
43. Burnette L, Kickett M. ‘You are just a puppet’: Australian Aboriginal people’s experience of disempowerment when undergoing treatment for end-stage renal disease. Ren Soc Aust J 2009;5:113–8.
44. Burnette L, Kickett M. Dislocation and dialysis in Aboriginal patients with renal failure. Aborig Isl Health Work J 2009 Jul/Aug;33(4):10–3.
45. National Aboriginal Community Controlled Health Organisation. Creating the NACCHO Cultural Safety Training Standards and Assessment Process: a background paper. Canberra: NACCHO; 2011.