Part 1: The role of Aboriginal Community Controlled Health Organizations (ACCHOs)
Equality Vs Equity
It has been seen that there exist a wide range of difference between equity and equality. It is seen that although a large number of standards of health care are followed in Australia, there exist significant health inequalities. There are a large number of health inequalities which are experienced by Aboriginal and Torres Strait Islanders Australians (Bnads, Orr, and Clements, 2020). By equality we generally refer to the equal preference provided to all the citizens of Australia. This make sure that all health care facilities are provided to all the people of Australia irrespective of their caste, religion and belief. On the other hand, equity refers to treating people differently on the basis of their needs and demand (Cheer, et al 2020). Equity generally refers to an additional step of offering very in level of support to an individual according to the achievement of certain outcomes. Hence it is seen that Aboriginal Community Controlled Health Organisation are trying to take necessary steps for addressing the reduction of the number of health inequality experienced by First Nations people (Conigrave, et al 2020). ACCHS sector mainly focuses on determining the various preventive measures and intervention programs which are undertaken in order to provide maximum health benefits to the aboriginal people. It is very essential that certain health benefits should be provided to all the citizens of Australia is protective of their race and belief (Jones, Heslop, and Harrison, 2020).
ACCHSs improving health and wellbeing
A large number of comprehensive primary health care models were used by ACCHOs. There are a large number of health care services which are offered by Albery Wodonga aboriginal health service. There are wide range of services such as medical, nursing, allied health, health promotion, social and wellbeing services which are offered by this medical association (Snijder, et al 2021). The make sure that equal type of healthcare services is provided to all the first Nations people of Australia. Certain preventive healthcare measures are undertaken in order to provide equality in healthcare (Socha, 2021). There is no place for inequality in this medical institution. It has been seen that a large number of journals, websites text books have been published which place emphasis on the different standards of equality in healthcare. A large number of services which these health organisation provide help in maintaining equality among citizens of Australia.
As per Victorian Aboriginal Health Service (VAHS) It has been observed that why number of services are provided to the community. This medical institution is open from Monday to Saturday. These institutions also provide various front door screening (Stolwyk, et al 2020). A large number of dental services are also available from these health care service centers. This service center tries to provide a large number of advisers to the communities. They provide the various symptoms with the help of which an individual can detect the disease while staying at home. They also recommend to wash the hands regularly with water and so. For the purpose of undertaking certain preventive measures, it is seen that large gathering and crowd should be avoided (Tynan, et al 2020).
Part 2: The role of hospitals
It has been seen that in NHQSH standards are mainly provided in order to make sure that the best services are provided to the consumers in the hospitals (Bnads, Orr, and Clements, 2020). There were basically eight standards which were designed in order to protect the members of the public and make sure that good quality health care services are provided to them. Each of these standard comprises of certain actions which are to be taken in order to make sure that the healthcare is tailored as per the needs and preferences of Aboriginal and Torres Strait Islander People (Cheer, et al 2020). This has played an essential role in providing maximum contribution towards reducing the health inequality which are basically experienced by the First Nations Australians.
Description of strategies used to implement the action
The two specific actions which are selected includes clinical governance and comprehensive care.
- Clinical governance: As per this strategy it was seen that the leaders of the health service organisation had been entrusted the responsibility to take care of the society. This is only possible by providing them safety and quality healthcare services (Conigrave, et al 2020). This ensures that the person who is under the care of the health service organisation is provided maximum safety and security.
- Comprehensive care: This strategy it was seen that the leaders of the healthcare organisation had set up system and processes in order to support the conditions to deliver the best quality services to the patients (Jones, Heslop, and Harrison, 2020). This will help to manage the risk and prevent the harm of certain diseases to the patients. The main aim of this strategy is to deliver comprehensive care and to manage the various health related risk.
Implementation of the action will improve patient outcomes
It has been observed that the application of these standards will play an essential role in improving the patient’s health (Snijder, et al 2021). With the help of clinical governance, it becomes easier to determine the quality of services which are provided by the health service organisation to Aboriginal and Torres strait islander people. This governing body has made sure that the best quality services will be provided to the first nation Australians. The clinical governance standard mainly focuses on determining certain strategies for the purpose of meeting the health care needs of Aboriginal and Torres strait islander people (Socha, 2021). With the help of comprehensive care services, it is seen that routine checkup of patients is conducted. This helps to make sure that timely administrative and clinical services are provided to the First Nation Australians. This helps to reduce the inequality in healthcare present in Australia (Stolwyk, et al 2020).
Part 3: The role of individual nurses and midwives
Two Principles of Cultural safety
It is seen that poor health outcomes are experienced by Aboriginal and Torres strait islander peoples as compared to the non-indigenous people. Hence for the purpose of cultural safety, it is seen that midwives and nurses play very essential role for improving the health outcomes and provide a better health experience for Aboriginal and Torres Strait Islander Peoples (Tynan, et al 2020). There is certain code of conduct which are to be followed by nurses and midwives for rendering healthcare services. Some of the five principles of cultural safety- engaging in discourse with the client, preparing for the process of decolonization, providing a reflection on the own practices, seeking to minimize the differential powers and to disempower the demon through their actions (Bnads, Orr, and Clements, 2020). The two principles of cultural safety which have been selected includes undertaking the process of decolonization and reflect on your own practices.
- Undertaking the process of decolonization: It is the duty of each and every nurses and midwives to provide individual care and services to the patients. This will help them to provide maximum health care services and to ensure that the quality of the services is very much standard in nature (Cheer, et al 2020).
- Reflect on your own practices: it is essential for the midwives and nurses to discharge all the healthcare services as per the code of conduct. They should abide by all the rules and regulations which have been mentioned for providing best healthcare services. In case any of the code of conduct are violated then necessary punishments are provided to the midwives and nurses (Conigrave, et al 2020).
Implementation of the cultural safety for improvement of patient outcomes
The implementation of these strategy has played an essential role in improving the patient’s outcome. It has been seen that by undertaking the process of decolonization it has become easier for the medical staff to provide individual care and personalized services to the patients (Jones, Heslop, and Harrison, 2020). This helps to make sure that best quality services are being rendered to the patient irrespective of their caste and race.at the time of rendering services it should be kept in mind that there should be no presence of racism (Bnads, Orr, and Clements, 2020). However, after the application of this principle it has been seen that best medical care services are provided to the first nation Australians. On the other hand, it has been seen that the application of the principle of reflection on own practices have opened the way for equality in healthcare services.by undertaking certain medical practices and following the code of conduct it becomes necessary for the nurses and midwives to provide best health care services (Stolwyk, et al 2020). It is very essential that certain health benefits should be provided to all the citizens of Australia is protective of their race and belief (Jones, Heslop, and Harrison, 2020). This service center tries to provide a large number of advisers to the communities.
Bnads, H., Orr, E. and Clements, C.J., 2021. Improving the service to Aboriginal and Torres Strait Islanders through innovative practices between Aboriginal hospital liaison officers and social workers in hospitals in Victoria, Australia. The British Journal of Social Work, 51(1), pp.77-95.
Cheer, K., Watkin Lui, F., Shibasaki, S., Harvey, A., Grainger, D. and Tsey, K., 2020. The case for a Torres Strait Islander‐driven, long‐term research agenda for environment, health and wellbeing. Australian and New Zealand journal of public health, 44, pp.177-179.
Conigrave, J.H., Lee, K.K., Zheng, C., Wilson, S., Perry, J., Chikritzhs, T., Slade, T., Morley, K., Room, R., Callinan, S. and Hayman, N., 2020. Drinking risk varies within and between Australian Aboriginal and Torres Strait Islander samples: a meta‐analysis to identify sources of heterogeneity. Addiction, 115(10), pp.1817-1830.
Jones, B., Heslop, D. and Harrison, R., 2020. Seldom heard voices: a meta-narrative systematic review of Aboriginal and Torres Strait Islander peoples healthcare experiences. International journal for equity in health, 19(1), pp.1-11.
Snijder, M., Lees, B., Stearne, A., Ward, J., Bock, S.G., Newton, N. and Stapinski, L., 2021. An ecological model of drug and alcohol use and related harms among Aboriginal and Torres Strait Islander Australians: A systematic review of the literature. Preventive medicine reports, 21.
Socha, A., 2021. Addressing Institutional Racism Against Aboriginal and Torres Strait Islanders of Australia in Mainstream Health Services: Insights From Aboriginal Community Controlled Health Services. International Journal of Indigenous Health, 16(1).
Stolwyk, R.J., Evans, L., O’Halloran, C., Evans, J. and Gooden, J.R., 2020. Comparing cognitive assessment service provision between Aboriginal and Torres Strait Islanders and non‐Indigenous Australians at a metropolitan health service. Health Promotion Journal of Australia.
Tynan, A., Walker, D., Tucker, T., Fisher, B. and Fisher, T., 2020. Factors influencing the perceived importance of oral health within a rural Aboriginal and Torres Strait Islander community in Australia. BMC public health, 20, pp.1-9.