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Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore informationYatdjuliginAboriginal and Torres Strait Islander Nursing and Midwifery CareYatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery Care introducesstudents to the fundamentals of the health care of Indigenous Australians fromthe perspective of both the patient and the professional. It examines the impact ofhistorical, political and sociological factors on the health and wellbeing of IndigenousAustralians.This book is designed for both non-Indigenous and Indigenous nurses, midwivesand psychiatric nurses who will work with Aboriginal and Torres Strait Islanderpatients. It addresses the relationship between Aboriginal and Torres Strait Islandercultures and mainstream health services, and prepares student nurses and midwivesfor a wide variety of situations and environments. The book includes chapters on thehistory of health service provision for Australian Indigenous people, gender, midwifery,community controlled health services, remote area nursing, mental health and caringfor Indigenous Elders.Written by a team of Aboriginal and Torres Strait Islander nursing and midwiferyacademics and practising nurses, the book features case studies and critical thinkingquestions. Accessible, practical and aligned with current research, Yatdjuliginencourages future nurses to reflect upon their values and attitudes towards Indigenouspeople and health, and empowers them to create culturally safe nursing practices.Aboriginal Elder Ivy Molly Booth gifted the word Yatdjuligin to the authors to use asthe title of this textbook. The word Yatdjuligin translates to ‘talking in a good way’. ForWakgun people, the process of Yatdjuligin is deeply embedded in learning. It belongsto a traditional two-part process of passing on knowledge about their Country, itsresources and their uses.Additional resources for instructors and students are available online atwww.cambridge.edu.au/academic/yatdjuligin.Odette Best is a registered nurse and is Senior Lecturer at the Oodgeroo Unit,Queensland University of Technology.Bronwyn Fredericks is Pro Vice-Chancellor (Indigenous Engagement) and theBHP Billiton Mitsubishi Alliance (BMA) Chair in Indigenous Engagement at CentralQueensland University. in this web service Cambridge University Presswww.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore information in this web service Cambridge University Presswww.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore informationYatdjuliginAboriginal and Torres Strait Islander Nursing and Midwifery Careedited byOdette BestBronwyn Fredericks in this web service Cambridge University Presswww.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore information477 Williamstown Road, Port Melbourne, VIC 3207, AustraliaCambridge University Press is part of the University of Cambridge.It furthers the University’s mission by disseminating knowledge in the pursuit ofeducation, learning and research at the highest international levels of excellence.www.cambridge.orgInformation on this title: www.cambridge.org/9781107625303 Cambridge University Press 2014This publication is copyright. Subject to statutory exceptionand to the provisions of relevant collective licensing agreements,no reproduction of any part may take place without the writtenpermission of Cambridge University Press.First published 2014Cover designed by Tanya de Silva-McKayTypeset by Aptara Corp.Printed in China by C & C Offset Printing Co. Ltd.A catalogue record for this publication is available from the British LibraryA Cataloguing-in-Publication entry is available from the catalogueof the National Library of Australia at www.nla.gov.auISBN 978-1-107-62530-3 PaperbackAdditional resources for this publication at ion and communication for educational purposesThe Australian Copyright Act 1968 (the Act) allows a maximum of one chapter or 10% ofthe pages of this work, whichever is the greater, to be reproduced and/or communicatedby any educational institution for its educational purposes provided that the educationalinstitution (or the body that administers it) has given a remuneration notice to CopyrightAgency Limited (CAL) under the Act.For details of the CAL licence for educational institutions contact:Copyright Agency LimitedLevel 15, 233 Castlereagh StreetSydney NSW 2000Telephone: (02) 9394 7600Facsimile: (02) 9394 7601E-mail: info@copyright.com.auCambridge University Press has no responsibility for the persistence or accuracy of URLsfor external or third-party internet websites referred to in this publication and does notguarantee that any content on such websites is, or will remain, accurate or appropriate.Please be aware that this publication may contain several variations of Aboriginal and TorresStrait Islander terms and spellings; no disrespect is intended. Please note that the terms ‘IndigenousAustralians’ and ‘Aboriginal and Torres Strait Islander peoples’ may be used interchangeably in thispublication.Every effort has been make in preparing this book to provide accurate and up-todate information that is in accord with accepted standards and practice at the time ofpublication. Although case histories are drawn from actual cases, every effort has beenmade to disguise the identities of the individuals involved. Nevertheless, the authors,editors and publishers can make no warranties that the information contained herein istotally free from error, not least because clinical standards are constantly changing throughresearch and regulation. The authors, editors and publishers therefore disclaim all liabilityfor direct or consequential damages resulting from the use of material contained in thisbook. Readers are strongly advised to pay careful attention to information provided by themanufacturer of any drugs or equipment that they plan to use. in this web service Cambridge University Presswww.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore informationForewordvForewordI am honoured by the invitation of Dr Odette Best to present a foreword to this vitallyimportant book. I write mindful of the debt of gratitude I owe to Sister Alison Bush –loved, admired, respected nurse and midwife who shared her understandings and wisdomwith me about mothers, babies and birthing, and so much more. My friendship with hermother, Connie, was important and influential throughout my life and for my family, too.Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery Care is a verywelcome and much needed textbook for nursing and midwifery students and theirteachers. It will be a valuable reference for practitioners and researchers and all thosewith a commitment to improving Indigenous health.Understanding the unique health needs of Aboriginal and Torres Strait Islanderpeople is critical to closing the gap – to addressing the disparities that continue betweenIndigenous and non-Indigenous Australians. Current life differentials demonstrate thelack of efficiency in health service provision for Indigenous people. This is a matter ofdeep concern for Australians across our country.This splendid text highlights, indeed celebrates, the achievements and contributionsof Aboriginal and Torres Strait Islander nurses and midwives working in so many fieldsof their profession. What shines through the profiles of contributors is the breadth oftheir experience, their rigorous scholarship and their dedication to demanding rolesand responsibilities often undertaken in tough environments. At the heart of their workis the way they create culturally safe nursing and midwifery practices. Their capacity todo so stems from the personal and the professional – through the lenses of Indigeneityand Western nursing and midwifery training.I am inspired by the generous spirit of the editors and contributors in theirinsistence that the knowledge and skill that their work signifies can be learned bynon-Indigenous people; that the ability to be culturally safe can be acquired by others.Non-Indigenous people want to ‘get it right’ for and with Aboriginal and TorresStrait Islander people. Non-Indigenous nurses and midwives are keen to learn fromtheir Indigenous colleagues about cultural practices that will enrich and enhance theirprofessional skills and expertise.I hold nurses and midwives in the highest esteem. I am exhilarated by the numberof Indigenous women and men I see graduating from our universities in these fields.Each year we see more role models, more fine examples for young ones to followinto careers in practice in urban, rural, regional and remote Australia, in research, inteaching, in policy development and programs. Yatdjuligin will play a key role in theireducation and training in setting firm foundations for their futures.I congratulate Dr Best and Professor Bronwyn Fredericks on their scholarship andtheir leadership. This book will be acclaimed by all who want to be part of the urgenttask of closing the gap.The Honourable Quentin Bryce AD CVO in this web service Cambridge University Presswww.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore information in this web service Cambridge University Presswww.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore dgementsIntroduction1 Historical and current perspectives on the health ofAboriginal and Torres Strait Islander peopleJuanita Sherwood and Lynore K. GeiaIntroductionThe narrative about Aboriginal and Torres Strait Islander healthKnowing the ancient storyThe history that most Australians have not been toldProtectionism and the ‘doomed race’A hint of a turn in the roadForced removal: The Stolen GenerationsCreating the health gapThe current health storyIndigenous ways of knowing about healthHealth as a social justice issueInto the future: The health challengeThe Closing the Gap initiativeOur personal stories of how nurses can make a differenceConclusionLearning activitiesFurther readingReferences2 A history of health services for Aboriginal andTorres Strait Islander peopleRay LovettIntroductionPre-contact health status and health systemThe period of initial contact, separation and protection (1788–1940s)The period of assimilationThe rise of self-determination and community controlled health systemsContemporary health care and systemsConclusion in this web service Cambridge University 1323540414448www.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore informationviiiContentsLearning activitiesFurther readingReferences3 The cultural safety journey: An Australian nursing contextOdette BestIntroductionDeveloping the theory of cultural safetyThe Australian context: Developing cultural awarenessMoving beyond cultural awareness to cultural sensitivityThe continuous journey towards cultural safetyFive principles of cultural safetyConclusionLearning activitiesFurther readingReferences4 Indigenous gendered health perspectivesBronwyn Fredericks, Mick Adams and Odette BestIntroductionGender and Indigenous peopleA gendered, Indigenous perspective of healthHealth status and genderChanging the situationConclusionLearning activitiesFurther readingReferences5 Community controlled health services: What theyare and how they workRaelene Ward, Bronwyn Fredericks and Odette BestIntroductionThe need for community controlled, Indigenous-specific health servicesEstablishing the Aboriginal health service in BrisbaneUnderstanding the concept of community controlEstablishing a community controlled health service in BrisbaneWorking in a community controlled clinicThe governance of community controlled health servicesThe futureConclusion in this web service Cambridge University 484878788899292939598100www.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore informationContentsLearning activitiesFurther readingReferencesix1001001006 Indigenous birthing in remote locations: Grandmothers’Law and government medicine102Nicole RamsamyIntroductionTraditional birthing practices on the homelandsThe impact of the missionariesCurrent midwifery practices in remote communitiesA return to birthing in communitiesConclusionLearning activitiesFurther readingReferences7 Midwifery practices and Aboriginal and Torres StraitIslander women: Urban and regional perspectivesMachellee KosiakIntroductionGiving birth in urban and regional settings: Specific issues for Aboriginaland Torres Strait Islander womenHistorical midwifery practiceAboriginal and Torres Strait Islander peoples todayContemporary midwifery practiceBuilding an Indigenous midwifery workforceCultural issues relevant to accessing maternity servicesCulturally safe midwifery practiceConclusionLearning activitiesFurther readingReferences8 Remote-area nursing practiceNicole RamsamyIntroductionScenario one: Anne’s journey from novice to expert RANLiving in a remote community: The example of PormpuraawNursing in remote AustraliaScenario two: Mary and Aaron in this web service Cambridge University ge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore informationxContentsThe work of RANsScenario three: The additional skills of a credentialed RANThe burden of disease and injury in remote communitiesComplexities of the remote settingScenario four: Multiple, complex health conditionsCultural considerationsScenario five: Be prepared to help on the roadsideScenario six: Cultural obligationsConclusionLearning activitiesFurther readingReferences9 Working with Aboriginal and Torres Strait Islanderhealth workers and health practitionersAli DrummondIntroductionThe Aboriginal and Torres Strait Islander health workerThe contemporary Indigenous health workerThe professional capacity of Indigenous health workersCultural safety practitionersExperiences of discriminationWorking with Indigenous health workersNursing decision-making frameworkDelegating tasks to health workersProfessional boundaries and therapeutic relationshipsConclusionLearning activitiesFurther readingReferences10 Researching with us, our wayBronwyn Fredericks and Raelene WardIntroductionResearch on Indigenous peopleThe push for change in researchBeginning the research journeyPlanning a research projectConclusionLearning activities in this web service Cambridge University 3195201201www.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore informationContentsFurther readingReferences11 Indigenous mental health nursing: The social andemotional wellbeing of Aboriginal and TorresStrait Islander AustraliansDeanne HellstenIntroductionData on the mental health of Aboriginal and Torres Strait Islander peopleAn historical perspective of social and emotional wellbeingInheriting trauma and disadvantage: Intergenerational issuesSuicide and Aboriginal menLinks between social and emotional wellbeing and the socialdeterminants of healthThe experience of mental illness among Aboriginal and Torres StraitIslander peopleThe treatment of mental illnessConclusionLearning activitiesFurther readingReferences12 Caring for our EldersDeanne 220223IntroductionStatistics about ageing among Aboriginal and Torres Strait Islander peopleHow the social determinants of health influence end-of-life careAccessing health careDelivering culturally safe careCulturally safe palliative careConclusionLearning activitiesFurther ssaryIndex243249 in this web service Cambridge University Pressxiwww.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore information in this web service Cambridge University Presswww.cambridge.org

Cambridge University Press978-1-107-62530-3 - Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery CareEdited by Odette Best and Bronwyn FredericksFrontmatterMore informationContributorsxiiiContributorsElder Ivy Molly Booth, gifter of languageIvy Booth nee Darby is the Elder of the Wakgun people of theGurreng Gurreng Nation. Her country extends north along theBurnett River, west as far as Mundubuerra and north to Eidsvoldalong the Dawes Range to Cania Gorge, then east across toMiriamvale and Baffle Creek. The land then extends south, downto Mt Perry and to the Burnett River. Ivy Booth was born atCamboon Station and removed to Taroom Aboriginal Settlementin the early 1920s, before again being removed to WoorabindaMission on its inception in 1927. She is the only survivingoriginal dormitory girl of Woorabinda. At Woorabinda, Ivy Boothmet and married her husband Clancy Booth, a Boonthamurra man. Ivy booth is great-greatgrandmother to a large and extended family in Rockhampton, Queensland. Ivy Molly Boothgifted the editors of this text the name YatdjuliginOdette Best, editorDr Odette Best is a Wakgun clan member of the GurrengGurreng Nation and holds a Boonthamurra bloodline withadoption ties to the Koomumberri people. Odette commencedher training at the Princess Alexandra Hospital in the late1980s. She holds a Bachelor of Health Sciences (double majorin Aboriginal Health and Community Development), Masterof Philosophy, with a thesis entitled ‘Community ControlTheory and Practice: A case study of the Brisbane Aboriginaland Islander Community Health Service’, and a Doctor ofPhilosophy (PhD), with a thesis entitled ‘The stories of Aboriginal nurses in Queensland1950–2005’.Odette has worked extensively within the area of Indigenous health, with rolessuch as sexual health coordinator at the Brisbane Aboriginal and Islander CommunityHealth Service and within the women’s and youth prison systems in Brisbane for10 years. In 1998 Odette made the move into the tertiary sector and has been alecturer at the University of Southern Queensland and senior lecturer in the Schoolof Nursing and Midwifery at Queensland University of Technology (QUT). In 2012,Odette took up the position of senior le

3 The cultural safety journey: An Australian nursing context 51 Odette Best Introduction 52 Developing the theory of cultural safety 52 The Australian context: Developing cultural awareness 54 Moving beyond cultural awareness to cultural sensitivity 62 The continuous journey towards cultural safety 63

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