Introduction All individuals have a right to culturally safe and responsive healthcare. Naomi Williams was a proud and strong Wiradjuri woman who, along with her partner Michael, was looking forward to the birth of their son with immense happiness. Before Naomi’s and her baby son’s preventable deaths, Naomi was a much loved, active member of her local Community, a disability support worker, social justice advocate, and emerging leader. In this assignment you are required to demonstrate that you have engaged with and learnt from the NSW State Coroners report from the Inquest into the death of Naomi Williams and considered how the lessons learnt from this case can be applied more broadly to improve the healthcare experiences and outcomes for Aboriginal and Torres Strait Islander Peoples. Before examining the circumstance of Naomi and her baby son’s death, as detailed in the coroner’s report, it is important to get an understanding of Naomi’s life and who she was as a person. Please watch the following video to hear Naomi’s story and the voices of the local Community. One Dead, One Disabled: Was this racial discrimination? The Feed SBS, Oct 15, 2018 https://www.youtube.com/watch?v=lGnLQjP5kpQ&t=2s
Naomi’s family and friends have and continue to advocate for the implementation of strategies aimed at improving health outcomes for Indigenous people in their local community. By completing this assessment task and engaging with the learning materials provided in NSG2FNH we hope that you as the future healthcare workforce, can learn from Naomi’s and her baby son’s tragic deaths and improve the care you provide, not only for First Nations people but all patients.
You are required to submit a 1500 word (+/- 10%) individually written piece. This written assessment task will contribute to 40% of your overall mark for the subject. You are required to provide evidence-informed responses to all three parts of assignment
2. An introduction and conclusion are not required as the focus is on the depth of discussion. Third-person academic writing is required.
The amount of discussion (number of words) for each section should match the marks allocated for that part of the assignment. Each of the 3 parts for this assignment is worth 10 marks and therefore all parts should be approximately the same number of words (roughly 500 words for each part). First Nations voices and knowledges need to be appropriately acknowledged and referenced. Referencing must adhere to APA version 7 guidelines. Your language and writing should demonstrate an understanding of the principles of cultural safety. All students are expected to reflect on how their writing and language could be interpreted before submitting their final document to Turnitin. Before you commence writing your assignment, review e-Book 4 page 1 as you will be expected to use correct and appropriate terminology when referring to First Nations Peoples. Marks will be deducted if incorrect/inappropriate terminology or culturally disrespectful language is used. This task requires you to apply the knowledge you have acquired from engaging with all e-Books, the prescribed text, and additional credible sources of knowledge. For this assignment a number of additional resources have been provided for you on page 14.
Part 1 Racism is a powerful social determinant of health. Aboriginal and Torres Strait Islander people are offered fewer procedures for treating illness and promoting health than non-Indigenous Australians. Professor Yin Paradies provided evidence at Naomi’s inquest that ‘there is a correlation between less treatment and Aboriginality at an epidemiological level’ with evidence showing that ‘Aboriginal patients in hospitals across the country compared to non-Indigenous patients, received 30% fewer procedures’ (State Coroners Court of New South Wales, 2019, p. 46). Discuss how systemic racism may have contributed to the outcomes in this case and in the healthcare experiences and outcomes of First Nations people more broadly?
- Your response should demonstrate a clear understanding of what systemic racism is and the potential impact it had in Naomi’s case and more generally on the health of First Nations Peoples.
- Use examples from the coroner’s report to support your ideas and seek out resources related to systemic racism more broadly to use as references for your discussion.
Part 2 The development of respectful and ongoing relationships with First Nations Communities requires power imbalances to be addressed and trust to be established. First Nations knowledges and ways of working need to be privileged and the voices of the local community heard. A number of Magistrate Grahame’s recommendations from the inquest focused on increasing the representation of Indigenous people in health care delivery and hospital governance structures. Drawing on Magistrate Grahame’s recommendations discuss how hospitals can actively involve First Nations people and the local community in the design, delivery, and governance of healthcare services to ensure the delivery of culturally safe care that is responsive to the needs of the local First Nations community?
- Your response should demonstrate a clear understanding of the importance of incorporating First Nations voices in the design, delivery, and governance of healthcare services.
- Consider how Magistrate Grahame’s recommendations relevant to the active involvement of First Nations peoples in healthcare address factors that contributed to the outcomes in this case.
- To fully answer this part, you will need to look further than the State Coroner’s report. The National Safety and Quality Health Service Standards (NSQHS) and the NSQHS User Guide for Aboriginal and Torres Strait Islander health should be used and drawn upon in your response. You will find information on these resources in e-Book 9.
“It’s supposed to be a place you go to, to be cared for, and to have your medical needs taken care of and, if it doesn’t happen, people just stay away or go somewhere else” “Everyone has a right to be treated fairly and everyone has a right to have access to health care.” Ms Sharon Williams, (Naomi’s mother), ABC News, 2021 Racial bias concerns re-emerge at Tumut Hospital, two years after Naomi Williams inquest Culturally unsafe practice contributes to negative healthcare experiences and poorer health outcomes for Aboriginal and Torres Strait Islander peoples. Unconscious bias impacts clinical decision-making and negatively impacted the care Naomi and her unborn son received. Naomi repeatedly and actively sought healthcare over a prolonged period of time. The adoption of culturally safe practices by healthcare practitioners directly involved in Naomi’s care may have prevented the tragic outcomes. Demonstrate your understanding of Best’s five principles of cultural safety by discussing how culturally safe nursing and/or midwifery practice may have prevented the outcomes in this case and can be used to improve patient experiences and outcomes for all First Nations Peoples.
- Your response should demonstrate a clear understanding of how culturally unsafe nursing and midwifery practice may have contributed to the outcomes in this case.
- For this response, you need to demonstrate your understanding of how cultural safety principles can be effectively incorporated into nursing and/or midwifery practice to enhance the healthcare experiences and outcomes of First Nations Peoples.
- Knowledge acquired from the prescribed textbook should be referenced in this response.