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The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings

Author

Listed:
  • Tara Flemington

    (Nursing, Midwifery and Service Reform, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia
    Faculty of Medicine and Health, Susan Wakil School of Nusing and Midwifery, University of Sydney, Camperdown, NSW 2006, Australia)

  • Jennifer Fraser

    (Faculty of Medicine and Health, Susan Wakil School of Nusing and Midwifery, University of Sydney, Camperdown, NSW 2006, Australia
    Nursing, Midwifery and Education, The Sydney Children’s Hospitals Network, Westmead, NSW 2145, Australia)

  • Clinton Gibbs

    (Health Reform, Opportunities and Transition, Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia)

  • Joanne Shipp

    (Integrated Child, Youth and Family Wellbeing, Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia)

  • Joe Bryant

    (Aboriginal Health Strategy Unit, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia)

  • Amanda Ryan

    (Aboriginal Health Strategy Unit, Mid North Coast Local Health District, Port Macquarie, NSW 2444, Australia)

  • Devika Wijetilaka

    (Paediatrics, Mid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia)

  • Susan Marks

    (Child Protection Unit, The Sydney Children’s Hospitals Network, Westmead, NSW 2145, Australia)

  • Mick Scarcella

    (Aboriginal Health, The Sydney Children’s Hospitals Network, Westmead, NSW 2145, Australia)

  • Dimitra Tzioumi

    (Child Protection Unit, The Sydney Children’s Hospitals Network, Randwick, NSW 2031, Australia
    Child Protection and Wellbeing, Ministry of Health, St Leonards, NSW 2065, Australia
    Faculty of Medicine, School of Women’s and Children’s Health, University of New South Wales, Kensington, NSW 2052, Australia)

  • Shanthi Ramanathan

    (Health Research Economics, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
    College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia)

  • Liesa Clague

    (School of Nursing, Midwifery, Health Science and Physiotherapy, The University of Notre Dame, Darlinghurst, NSW 2010, Australia)

  • Donna Hartz

    (School of Nursing and Midwifery, College of Medicine Health & Wellbeing, University of Newcastle, Gosford, NSW 2250, Australia)

  • Bob Lonne

    (School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia)

  • Mark Lock (Ngiyampaa)

    (Faculty of Health, School of Public Health, University of Technology Sydney, Ultimo, NSW 2007, Australia)

Abstract

The aim of this paper is to describe the development of a model of care to embed cultural safety for Aboriginal children into paediatric hospital settings. The Daalbirrwirr Gamambigu (pronounced “Dahl-beer-weer gum-um-be-goo” in the Gumbaynggirr language means ‘safe children’) model encompasses child protection responses at clinical, managerial and organisational levels of health services. A review of scholarly articles and grey literature followed by qualitative interviews with Aboriginal health professionals formed the evidence base for the model, which then underwent rounds of consultation for cultural suitability and clinical utility. Culturally appropriate communication with children and their families using clinical yarning and a culturally adapted version of ISBAR (a mnemonic for Identify, Situation, Background, Assessment and Recommendation) for interprofessional communication is recommended. The model guides the development of a critical consciousness about cultural safety in health care settings, and privileges the cultural voices of many diverse Aboriginal peoples. When adapted appropriately for local clinical and cultural contexts, it will contribute to a patient journey experience of respect, dignity and empowerment.

Suggested Citation

  • Tara Flemington & Jennifer Fraser & Clinton Gibbs & Joanne Shipp & Joe Bryant & Amanda Ryan & Devika Wijetilaka & Susan Marks & Mick Scarcella & Dimitra Tzioumi & Shanthi Ramanathan & Liesa Clague & D, 2022. "The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings," IJERPH, MDPI, vol. 19(9), pages 1-23, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5381-:d:804700
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    References listed on IDEAS

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    1. Graham Gee & Sarah Sheridan & Lena Charles & Lana Dayne & Lisa Joyce & Jack Stevens & Yin Paradies & Carol Hulbert & Nick Haslam & Reg Thorpe & Lisa Thorpe & Alister Thorpe & Paul Stewart & Lionel Aus, 2022. "The Her Tribe and His Tribe Aboriginal-Designed Empowerment Programs," IJERPH, MDPI, vol. 19(4), pages 1-19, February.
    2. Julieann Coombes & Sarah Fraser & Kate Hunter & Rebecca Ivers & Andrew Holland & Julian Grant & Tamara Mackean, 2021. "“They Are Worth Their Weight in Gold”: Families and Clinicians’ Perspectives on the Role of First Nations Health Workers in Paediatric Burn Care in Australia," IJERPH, MDPI, vol. 18(5), pages 1-13, February.
    3. Gail Garvey & Kate Anderson & Alana Gall & Tamara L. Butler & Lisa J. Whop & Brian Arley & Joan Cunningham & Michelle Dickson & Alan Cass & Julie Ratcliffe & Allison Tong & Kirsten Howard, 2021. "The Fabric of Aboriginal and Torres Strait Islander Wellbeing: A Conceptual Model," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
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    Cited by:

    1. Wise, Sarah & King, Jason & Sleight, Julie & Omerogullari, Stella & Samuels, Lorne & Morris, Alicia & Skeen, Trezalia, 2024. "An Aboriginal-led, systemic solution to Aboriginal baby removals in Australia: Development of the Bringing Up Aboriginal Babies at Home program," Children and Youth Services Review, Elsevier, vol. 161(C).

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