Who is suited to work in remote First Nations health? Perspectives of staff in remote Aboriginal Community-Controlled Health Services in northern Australia.

Autor: Bourke L; Department of Rural Health, University of Melbourne, Shepparton, Victoria, Australia., Merchant N; Department of Rural Health, University of Melbourne, Shepparton, Victoria, Australia., Mathew S; Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia., Fitts M; Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia., Liddle Z; Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia., Russell D; Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia., Murakami-Gold L; Poche Centre, Flinders University, Alice Springs, Northern Territory, Australia., Campbell N; College of Medicine and Public Health, Flinders University, Darwin, Northern Territory, Australia., Rossingh B; Miwatj Health Aboriginal Corporation, Nhulunbuy, Northern Territory, Australia., Wakerman J; Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Jazyk: angličtina
Zdroj: The Australian journal of rural health [Aust J Rural Health] 2024 Oct; Vol. 32 (5), pp. 1008-1017. Date of Electronic Publication: 2024 Aug 12.
DOI: 10.1111/ajr.13175
Abstrakt: Objective: There is a shortage of nurses, Aboriginal Health Practitioners, GPs and other staff in remote Australian health clinics. There is also high turnover of staff, leading to questions of 'who' is appropriate for remote First Nations practice? The aim of this paper was to identify the characteristics of staff who are likely to work well in remote First Nations settings, from the perspectives of remote health practitioners.
Design: This is a qualitative study involving content analysis of interviews.
Setting: The study is conducted in and with 11 Aboriginal Community Controlled Health Services across northern and central Australia.
Participants: Eighty-four staff working in these clinics who spoke about staff qualities suited to remote practice.
Results: Participants identified a range of qualities desirable in remote practitioners, which were grouped into three topics: (1) professional qualifications and experience, including cultural skills; (2) ways of working, including holisitic approach, resilience, competence, and being a team player, approachable, flexible and hard-working; and (3) specific community needs, namely the need for local First Nations staff, male practitioners and returning short-term staff. The combination of experiences, ways of working, and fit to both the team and community were emphasised.
Conclusion: Identifying the characteristics of staff who are likely to work well in these settings can inform recruitment strategies. This study found that a combination of professional qualifications, skills and experience as well as ways of working, individual characteristics and needs of communities are desirable for working in remote, First Nations settings.
(© 2024 The Author(s). Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd.)
Databáze: MEDLINE
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