@article{0438f6b28fa540aba4c700f30f03aa09,
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",
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{\textquoteright}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 = "Aboriginal and Torres Strait Islander, Burn care, Cultural safety, Disparities, Indigenous, Patient journey mapping, Quality, Humans, Indigenous Peoples, Culturally Competent Care, Health Facilities, Healthcare Disparities, Racial Groups, Australia, Burns, Child, Quality of Health Care",
author = "Sarah Fraser and Tamara Mackean and Julian Grant and Kate Hunter and Courtney Ryder and Janet Kelly and Holland, {Andrew J.A.} and Bronwyn Griffin and Kathleen Clapham and Teague, {Warwick J.} and Anne Darton and Ivers, {Rebecca Q.}",
note = "Funding Information: The project is funded by the National Health and Medical Research Council of Australia (grant number APP1059038). Author KH is supported by a NSW Health Early Mid-Career Fellowship. The researchers were independent from the funder. Funding Information: In Australia, quality healthcare for Aboriginal and Torres Strait Islander peoples has increasingly been linked to cultural safety [] and competency of healthcare services [, ]. The revised National Safety and Quality Health Service Standards (2 edn) [] for health services now include six actions specific to the health of Aboriginal and Torres Strait Islander peoples{\textquoteright} and the cultural competency of tertiary healthcare services. This is the result of an increasing recognition that quality healthcare must consider both cultural [, ] and clinical safety, ensuring that all needs of an individual and family are met. This concept is supported by the Australian Safety and Quality Framework for Health Care [] which positions consumer-centeredness as one of three key indicators of quality. nd Publisher Copyright: {\textcopyright} 2022, The Author(s).",
year = "2022",
month = nov,
day = "28",
doi = "10.1186/s12913-022-08754-0",
language = "English",
volume = "22",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central",
number = "1",
}
