Unique knowledge, unique skills, unique role: Aboriginal and Torres Strait Islander Health Workers in Queensland, Australia
نویسندگان
چکیده
Aboriginal and Torres Strait Islander Health Workers (A&TSIHWs) are a professional cadre of Australian health workers typically located in primary care clinics. The role is one only two that ‘identified’— is, it must be occupied by an and/or person — holds specific responsibilities relation to advocating for facility-level cultural safety. However, lack understanding the distinctive skills, scope value associated with A&TSIHW remains pervasive broader workforce. Positioned represent perspective those working as A&TSIHWs, drawing on 83 in-depth interviews A&TSIHWs others, this qualitative study reports core functions orientation role, seeks articulate its modern Queensland service. Findings highlight multifaceted (generalist) nature which comprises three functions: promotion, clinical service brokerage. Underpinning these cross-cutting functions, role’s unique orientation, defined client-centredness realised through Indigenous strengths based ways knowing, being doing. findings how mechanisms knowledge can brought bear context-specific adaptations routine practices; impacts or self-awareness among some non-Indigenous professionals mitigated. complexity such work government system where dominant biomedical culture defines what valued therefore resourced, under-recognised undervalued contributes pressures stress potentially threatening role's long-term viability.
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ژورنال
عنوان ژورنال: BMJ Global Health
سال: 2021
ISSN: ['2059-7908']
DOI: https://doi.org/10.1136/bmjgh-2021-006028