IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i9p5381-d804700.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/9/5381/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/9/5381/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ilse Blignault & Liz Norsa & Raylene Blackburn & George Bloomfield & Karen Beetson & Bin Jalaludin & Nathan Jones, 2021. "“You Can’t Work with My People If You Don’t Know How to”: Enhancing Transfer of Care from Hospital to Primary Care for Aboriginal Australians with Chronic Disease," IJERPH, MDPI, vol. 18(14), pages 1-17, July.
    2. Md Irteja Islam & Lisa Sharwood & Verity Chadwick & Tuguy Esgin & Alexandra Martiniuk, 2022. "Protective Factors against Self-Harm and Suicidality among Australian Indigenous Adolescents: A Strengths-Based Analysis of the Longitudinal Study of Indigenous Children," IJERPH, MDPI, vol. 19(15), pages 1-17, July.
    3. Jonathan Bullen & Trish Hill-Wall & Kate Anderson & Alex Brown & Clint Bracknell & Elizabeth A. Newnham & Gail Garvey & Lea Waters, 2023. "From Deficit to Strength-Based Aboriginal Health Research—Moving toward Flourishing," IJERPH, MDPI, vol. 20(7), pages 1-20, April.
    4. Amal Chakraborty & Emma Walke & Roxanne Bainbridge & Ross Bailie & Veronica Matthews & Sarah Larkins & Paul Burgess & Deborah Askew & Erika Langham & Samantha Smorgon & Girish Swaminathan & Danielle C, 2022. "VOICE–Validating Outcomes by Including Consumer Experience: A Study Protocol to Develop a Patient Reported Experience Measure for Aboriginal and Torres Strait Islander Peoples Accessing Primary Health," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
    5. Kalinda Griffiths & Abbey Diaz & Lisa J. Whop & Joan Cunningham, 2021. "The Health and Wellbeing of Indigenous and Tribal Peoples around the Globe: Ensuring and Promoting Best Practice in Research," IJERPH, MDPI, vol. 19(1), pages 1-9, December.
    6. Vivian Lyall & Sonya Egert & Natasha Reid & Karen Moritz & Deborah Askew, 2023. "“Our Mothers Have Handed That to Us. Her Mother Has Handed That to Her”: Urban Aboriginal and Torres Strait Islander Yarning about Community Wellbeing, Healthy Pregnancies, and the Prevention of Fetal," IJERPH, MDPI, vol. 20(9), pages 1-13, April.
    7. Tamara Butler & Alana Gall & Gail Garvey & Khwanruethai Ngampromwongse & Debra Hector & Scott Turnbull & Kerri Lucas & Caroline Nehill & Anna Boltong & Dorothy Keefe & Kate Anderson, 2022. "A Comprehensive Review of Optimal Approaches to Co-Design in Health with First Nations Australians," IJERPH, MDPI, vol. 19(23), pages 1-38, December.
    8. Nicole Hewlett & Lorian Hayes & Robyn Williams & Sharynne Hamilton & Lorelle Holland & Alana Gall & Michael Doyle & Sarah Goldsbury & Nirosha Boaden & Natasha Reid, 2023. "Development of an Australian FASD Indigenous Framework: Aboriginal Healing-Informed and Strengths-Based Ways of Knowing, Being and Doing," IJERPH, MDPI, vol. 20(6), pages 1-25, March.
    9. Kate Anderson & Alana Gall & Tamara Butler & Khwanruethai Ngampromwongse & Debra Hector & Scott Turnbull & Kerri Lucas & Caroline Nehill & Anna Boltong & Dorothy Keefe & Gail Garvey, 2022. "Development of Key Principles and Best Practices for Co-Design in Health with First Nations Australians," IJERPH, MDPI, vol. 20(1), pages 1-19, December.
    10. Kate Anderson & Elaina Elder-Robinson & Alana Gall & Khwanruethai Ngampromwongse & Michele Connolly & Angeline Letendre & Esther Willing & Zaine Akuhata-Huntington & Kirsten Howard & Michelle Dickson , 2022. "Aspects of Wellbeing for Indigenous Youth in CANZUS Countries: A Systematic Review," IJERPH, MDPI, vol. 19(20), pages 1-44, October.
    11. Taylor, Kevin & Ratcliffe, Julie & Bessarab, Dawn & Smith, Kate, 2023. "Valuing indigenous quality of life: A review of preference-based quality of life instruments and elicitation techniques with global older indigenous populations," Social Science & Medicine, Elsevier, vol. 336(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5381-:d:804700. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.