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Type: Journal article
Title: Patient journey mapping to investigate quality and cultural safety in burn care for Aboriginal and Torres Strait Islander children and families - development, application and implications.
Author: Fraser, S.
Mackean, T.
Grant, J.
Hunter, K.
Ryder, C.
Kelly, J.
Holland, A.J.A.
Griffin, B.
Clapham, K.
Teague, W.J.
Darton, A.
Ivers, R.Q.
Citation: BMC Health Services Research, 2022; 22(1):1428-1428
Publisher: Springer Science and Business Media LLC
Issue Date: 2022
ISSN: 1472-6963
Statement of
Sarah Fraser, Tamara Mackean, Julian Grant, Kate Hunter, Courtney Ryder, Janet Kelly, Andrew J. A. Holland, Bronwyn Griffin, Kathleen Clapham, Warwick J. Teague, Anne Darton, and Rebecca Q. Ivers
Abstract: Background Quality and safety in Australian healthcare is inequitably distributed, highlighted by gaps in the provision of quality care for Aboriginal and Torres Strait Islander children. Burns have potential for long-term adverse outcomes, and quality care, including culturally safe care, is critical to recovery. This study aimed to develop and apply an Aboriginal Patient Journey Mapping (APJM) tool to investigate the quality of healthcare systems for burn care with Aboriginal and Torres Strait Islander children. Study design Interface research methodology, using biomedical and cultural evidence, informed the modification of an existing APJM tool. The tool was then applied to the journey of one family accessing a paediatric tertiary burn care site. Data were collected through yarning with the family, case note review and clinician interviews. Data were analysed using Emden's core story and thematic analysis methods. Reflexivity informed consideration of the implications of the APJM tool, including its effectiveness and efficiency in eliciting information about quality and cultural safety. Results Through application of a modified APJM tool, gaps in quality care for Aboriginal and Torres Strait Islander children and families were identified at the individual, service and system levels. Engagement in innovative methodology incorporating more than biomedical standards of care, uncovered critical information about the experiences of culturally safe care in complex patient journeys. Conclusion Based on our application of the tool, APJM can identify and evaluate specific aspects of culturally safe care as experienced by Aboriginal and Torres Strait Islander peoples and be used for quality improvement.
Keywords: Patient journey mapping; Aboriginal and Torres Strait Islander; Indigenous; Burn care; Quality; Cultural safety; Disparities
Rights: © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:// creat iveco mmons. org/ licen ses/ by/4. 0/. The Creative Commons Public Domain Dedication waiver (http:// creat iveco mmons. org/ publi cdoma in/ zero/1. 0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
DOI: 10.1186/s12913-022-08754-0
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Appears in Collections:Nursing publications

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