| Autor: |
Bernardes CM; Aboriginal and Torres Strait Islander Health Research Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD 4006, Australia., Ekberg S; School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD 4059, Australia., Birch S; Centre for the Business and Economics of Health, The University of Queensland, Brisbane, QLD 4072, Australia., Meuter RFI; School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD 4059, Australia., Claus A; Tess Cramond Pain and Research Centre, Metro North Hospital and Health Service, Brisbane, QLD 4021, Australia., Bryant M; North Queensland Persistent Pain Management Service, Townsville Hospital and Health Service, Townsville, QLD 4814, Australia., Isua J; Cultural Capability Services, Queensland Health, Brisbane, QLD 4000, Australia.; Aboriginal and Torres Strait Islander Health Division, Queensland Health, Brisbane, QLD 4000, Australia., Gray P; Tess Cramond Pain and Research Centre, Metro North Hospital and Health Service, Brisbane, QLD 4021, Australia., Kluver JP; Persistent Pain Clinic, Metro South Hospital and Health Service, Brisbane, QLD 4102, Australia., Williamson D; Aboriginal and Torres Strait Islander Health Division, Queensland Health, Brisbane, QLD 4000, Australia., Jones C; Aboriginal and Torres Strait Islander Health Research Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD 4006, Australia., Houkamau K; Aboriginal and Torres Strait Islander Health Research Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD 4006, Australia., Taylor M; North Queensland Persistent Pain Management Service, Townsville Hospital and Health Service, Townsville, QLD 4814, Australia., Malacova E; Statistics Group, QIMR Berghofer Medical Research Institute, Brisbane, QLD 4006, Australia., Lin I; Western Australian Centre for Rural Health (WACRH), The University of Western Australia, Geraldton, WA 6531, Australia., Pratt G; Aboriginal and Torres Strait Islander Health Research Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD 4006, Australia. |
| Abstrakt: |
Poor communication is an important factor contributing to health disparity. This study sought to investigate clinicians' perspectives about communicating with Aboriginal and Torres Strait Islander patients with pain. This multi-site and mixed-methods study involved clinicians from three pain management services in Queensland, Australia. Clinicians completed a survey and participated in focus groups. Clinicians rated the importance of communication training, their knowledge, ability, and confidence in communicating with Aboriginal and Torres Strait Islander patients using a 5-point Likert scale. Rating scores were combined into low (scores 1-2); moderate (score 3) and high (scores 4-5). Informed by an interpretive description methodology, thematic analysis of focus group data was used to identify the communication needs and training preferences of clinicians. Overall ( N = 64), 88% of clinicians rated the importance of communication training when supporting Aboriginal and Torres Strait Islander patients as "high". In contrast, far fewer clinicians rated as "high" their knowledge (28%), ability (25%) and confidence (28%) in effectively communicating with Aboriginal and Torres Strait Islander patients. Thematic analysis identified three areas of need: knowledge of Aboriginal and Torres Strait Islander cultures, health beliefs, and understanding cross-cultural cues. Communication skills can be learned and training, in the form of a tailored intervention to support quality engagement with Aboriginal and Torres Strait Islander patients, should combine cultural and communication aspects with biomedical knowledge. |
