Particular Challenges for Aboriginal Nurses and Communities: The significant population of Canadian remote areas is made up of Aboriginal people who are less educated. This issue is relevant because it will assist in reforming the nursing system to train more Aboriginal nurses.
Nursing Shortage: Insufficient nursing staff is a problem in many health facilities worldwide and has also had a significant effect on the quality of care delivered to the aging Canadian populace residing in the remote areas. This will help the medical management in balancing the doctor to patient ratio.
Discussion of the Rural Nursing Issues and Challenges
Rural and remote areas remain problematic regions regarding the recruitment and retention of nurses compared to
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A significant amount of medical practitioners are opting into the area of nursing with a bachelor’s degree nursing, with the figure to as high as 10 percent in over a decade. Due to innovation and other changes in the economy, nurses, and other medical providers have found relevance in advancing in their studies in order to have a voice in reforms. According to the study published by MacLeod, Brown and Leipart, it proved that that rural nurses work within the liberal and creative scope, (Canadian Association of Rural and Remote Nurses, 2005). They alleged that remote and rural nurses who operate without proper knowledge require ultimate diversity and broad familiarity with health practices and procedures. Unfortunately, the demand for diverse and extensive knowledge is hindered by professional isolation, which a huge impediment to relevant learning. The poor education among the rural dwellers inhibits communication during service …show more content…
While delivering health care services, nurses usually engage peacefully and collaboratively with the local community, (CARRN, 2005). Recent research shows that the rural nursing practice in Aboriginal communities in affected by the current and projected insufficiency of nursing staff since because the Aboriginal practice is remote and covers the whole of Canada. However, it is noted that this challenge is influenced by the decision to educate Aboriginal Canadian nurses. The Aboriginal nurses acquire nursing educational services through the support of the integration of traditional healing mechanisms and the transmission of health care services to tribal
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
Mbemba, Gisèle, Gagnon, Marie-Pierre., Paré, Guy. & Côté, Jose (2013.) Interventions for supporting nurse retention in rural and remote areas: an umbrella review. Human resources for health. doi:10.1186/1478-4491-11-44. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847170/pdf/1478-4491
Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.
The health transfer policy that has given the aboriginal communities health services including medical and hospital insurance, drug and eye prescriptions and dental care which is approved by the federal government (Adelson, 2005). It has been argued that the federal and provincial government are the contributing factor in the aboriginal health outcomes in Canada. Even with the health transfer policy, there has been a financial constraint by the federal government to fund the on-reserve health services (Webster, 2009). Addressing policy changes for social, cultural, physical, economical, and political environments in which aboriginal people live in to ensure a more equitable health care system in Canada, whether you are aboriginal or non-aboriginal. The necessity to create programs for aboriginal Canadians in order to focus on illness prevention and health promotion is essential. Strategies implemented by the federal government on aboriginal policy and to show leadership dealing with environmental issues such as clean water drinking water, appropriate health care, and most importantly investing in programs to improve the health status of aboriginal Canadians and overall well being (“Parliament Of Canada,” n.d.). Research has shown that countries like France, Italy, Spain, Austria and Japan have the top performance indicators in healthcare of its population and are ranked
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
The Aboriginal Hospital Liaison Officers (AHLO) provides cultural, emotional, and clinical support to Aboriginal patients and families. Their role is to provide cultural support and advocacy for Aboriginal patients to ensure that their safety and care is culturally appropriate. Whilst demonstrating acts of kindness and hostility, the patient’s needs are being met. AHLO is employed in hospitals so that Aboriginals have equitable access to health care services, which in turn can increase cultural awareness and sensitivity of health care services to Aboriginal families. It ensures that Aboriginal individuals and families receive culturally appropriate information in order for patients and families to understand medical procedures.
Building the skills and qualifications of Indigenous Australians is critical and many programs have a training component for staff in addition to building education and employment pathways for Indigenous people. Recognise and build on the strengths of Indigenous culture, community and family. Encompassing the physical, emotional, cultural and spiritual needs of the community as a
The Provincial Health Service Authority (PHSA) indicate that assuming opportunities to incorporate strategies to reduce health inequities in health program and service planning is vital for health program and service managers and workers (PHSA, 2011). The Guiding Framework (2013) attempts to “address conditions that create inequity, barriers to access and gaps in service; consider the specific needs of vulnerable or disadvantaged populations” (p. 13). The goals and objectives established in the framework reflect a sound approach to reducing health inequities. For example, the framework indicates that a First Nations lens will be applied in implementing and evaluating all objectives to ensure meaningful inclusion of and benefit to BC First Nations and Aboriginal peoples. As the framework aims to improve maternal health in remote and rural areas via improving access to perinatal services and resources. However, while the framework provides an overall equity direction, it does not embody other targeted objectives aimed at improving health outcomes of some specific marginalized and vulnerable populations, which as discussed later are important alongside universal approaches. For example, within the positive mental and prevention of substance harms goal, the document fails to discusses and address the unequal mental health outcomes those living in poverty and incarceration can
Aboriginal health is majorly determined by several social factors that are related to their cultural beliefs. Health professionals regularly find it difficult to provide health care to aboriginal people due to the cultural disparity that exists between the conventional and aboriginal cultures, predominantly with regard to systems of health belief (Carson, Dunbar, & Chenhall, 2007). The discrepancy between the aboriginal culture and typical Western customs seems to amplify the difficulties experienced in every cross-cultural setting of health service delivery (Selin & Shapiro, 2003). Most of the social determinants of the aboriginal health are due to their strict belief in superstition and divine intervention.
The class was provided with an opportunity to participate in a field study observing a registered nurse in a practical setting. The objective was to experience and gain knowledge of different settings and roles a registered nurse can practice in. During the field experience I observed a registered nurse, L. Judd, at Mount Royal University (MRU). L. Judd is currently the Chair of the Bachelor of Nursing program, and has been involved in nursing education at both MRU and McMaster University. In addition to her experience in curriculum development, L. Judd practiced in a clinical setting for ten years in intensive care and surgical units prior to her transition into a nurse educator role. Observations of L. Judd’s practice took place in a boardroom at MRU during an International Directors Working Group committee meeting. Faculty and students were working on establishing a philosophy statement regarding global health for future international education related opportunities. In attendance were six nursing faculty members, three students in the Bachelor of Nursing program and the Chair, L. Judd. Throughout the meeting I determined two domains of practice: education and administration, as well as three quality characteristics that L. Judd demonstrated as a professional and competent nurse: knowledge, leadership and collaboration which make great contribution to her impact on the health care system and the individuals she cares for.
With this new affiliation, I may be taking care of traditional Native American in the near future. Native Americans believe in respecting elders, using active listening, and that autonomy is extremely important. They believe in a universal energy and spiritual balance. Illness occurs if there is a disruption in that balance. The nurse should always discuss cultural needs with every patient and that a medicine man may be requested or seen along with their health care provider. Death is viewed as a natural part of the lifecycle because things only live for a certain amount of time. In order to deliver culturally competent care, nurses must understand and respect cultural differences. As nurses, we cannot let our beliefs and values affect how we treat others. We should strive to deliver culturally competent care to all of our
Healthcare and access to healthcare is not a fundamental determinant of the health of affluent countries and affluent communities within a country. However, access to healthcare services for marginalized and or disadvantaged groups within wealthy countries is critical. The Canadian federal government is responsible for healthcare on reserves in Canada and the way that is set up show evident inequities within the health system compared to non-aboriginal people living in modern-day Canada. The healthcare on reserves is basic most care being carried out by nurses, and the severely ill must be evacuated to larger centres. The health care system for Aboriginal people living on reserves in modern-day Canada has historical roots in colonialism
Education of other cultures prepares nurses to provide and promote culturally congruent care. Nurses are life-long learners and continuing education is of utmost importance. Continuing education provides opportunities for nurses to gain an understanding of health care practices, cultural beliefs, and values to deliver optimum culturally competent care. Lastly, knowledge and skills are essential for assuring culturally congruent care is being practiced proficiently within the scope of practice (Douglas et al,
International migration of nurses is on the rise in the recent decades due to rapid globalization. Nursing profession is considered to be a mobile profession as thousands of nurses every year move from one country to other for better future career, social security, and professional development (Kingma, 2007). So, in 21st century nurse migration is a national as well as a global issue. Studies show that most of the developed and industrialized countries are confronting a critical shortage of health care workers in general and nurses in particular in these days (Walani, 2015). Those countries, including Canada, are recruiting Internationally Educated Nurses (IENs) to meet the health care needs for their population. A Canadian Institute for Health Information (CIHI) shows overall 8.6% registered nurses working in Canada were graduated outside of Canada (2011).
THE Papua New Guinea Nurses Association (PNGNA) wants the Departments of Labour and Employment and Health to shut down the Lorengau hospital.