Extended Leave Case Study

On the surface, for me Australia seems to be a successful multi – cultural nation. However, on closer readings and lectures on NSB 017 Diversity and Health Cultural Safety Indigenous Perspectives subject in first semester, it is evident that there are many inequalities that exist in the country between indigenous Australians and non-indigenous Australians (Ramsden, 2002). As an international student I found this subject to be extremely interesting and challenging. Learning the significance of cultural differences is an important aspect of nursing practice everywhere. On the other hand, I found unexpected negative issues related to indigenous Australians who suffer major difficulties in all aspects of their

In relation to Aboriginal health, this will require nurses to develop greater awareness of culture and the influences that affect it including racism, colonialism, historical circumstances, and the current political climate in which we live. Nurses working with aboriginal communities need to understand the history, socio-political climate and culture within the specific community (Foster, 2012). Nurses must emphasize the need for solutions that will strengthen cultural identity, identify and promote both existing and traditional sources of strength within First Nations communities, incorporate traditional healing methods, and rely on local control and self-direction by First Nations communities (Mareno & Hart, 2014). In addition to placing a high priority on cultural awareness, nurses should also understand the concept of respect in aboriginal terms and apply respect in all their encounters. Self-awareness of their own beliefs and assumptions are important in order for nurses to have an effective relationship with the community (Foster, 2012). It is important for nurses to reflect on their own cultural knowledge, awareness, skills, and comfort in encounters with a diverse population of

The social determinants of health are described as the condition of daily living in which determines the individual’s chances of maintaining optimum health (Department of Health and Human Services 2015). In Australia, the health inequality between indigenous and non-indigenous Australians is noted by the World Health Organization (WHO) to have the largest disparity in the world (Markwick et al. 2014). Statistically, the life expectancy for indigenous Australians who are born in 2010-2012 is estimated to be 10.6 years lower when compared to non-indigenous Australians (Markwick et al. 2014). Social determinants such as employment and social exclusion may contribute to the major difference in the health status between the indigenous and non-indigenous Australians (Markwick et al. 2014). This essay will focus on discussing how having employment and social exclusion has led to the health inequalities between indigenous and non-indigenous Australians, and how indigenous healthcare nurses can address these determinants in the care they provide in the indigenous community setting.

Aboriginal people within the previously mentioned study called for nonracist healthcare, and policy cognisant of social and historical factors that influence the need for healthcare and the cultural desires of Indigenous patients (1671). Moreover, policies in healthcare have to contend

After finished the module of “Aboriginal and Torres Strait Islander Cultural Awareness,” I feel that cultural awareness may be a solution to many Australian aboriginal health care problems. In this reflection, I am going to explain how cultural awareness help to overcome communication difficulties between Australian indigenous people and health care workers, as an

Nurses have a perfect role in influencing, and in the distinctive position to encourage health for the Aboriginal and Torres Strait Islander people (Brascoupe, 2009). Thus, culturally safe care is a vital component in improving the health of the Indigenous population (Durey & Thompson, 2012). Likewise, the existence of an Aboriginal health worker (AHW) in partnership with non-Indigenous health providers especially in the primary health care settings carries matching skills to improve the health care and wellbeing of the Indigenous Australians (Abott, Gordon & Davison, 2008). The AHW are the main health professionals, valued and equal members of the health care team, they have an incomparable clinical skills in health promotion, education and leadership roles which has a great involvement in closing the gap between the non-indigenous and Indigenous Australian (Abott, Gordon & Davison, 2008). The strategy of employing Indigenous health professionals and health workers to encourage culturally safe care delivery works in addressing cultural competence, acceptability and appropriateness (Ware, 2013). Therefore, acceptable health care services works from cultural safety and respect, and allowing clients to maintain their cultural practices (Ware,

Regarding to the case of Pam, this essay will discuss the social, cultural and structural views on the current Australia Indigenous health services delivery from the findings of recent literatures. Moreover, the preference of Pam on returning

Education and care services can help to recognise the importance of Aboriginal and Torres Strait Islander

Tibetan’s make up 2.1% of the Australian population, which determines the group as a minority (Ashen.B.2012). The cultural group is particularly vulnerable due to being foreign born, religious symbols and are visibly different (Ashen.B.2012). Due to being vulnerable the cultural group would be harmed because of discrimination and cultural differences between Australians and Tibetan’s. To assist the Tibetan cultural group with the grief and the loss of a loved one there are Australian Tibetan organisations that can be contacted. A nurse would then have to gain the information from the organisations such as, Australian National University, South and West Asia Centre and Karuna Centre, before informing the patient and the patient’s family. The

Due to my employer being a government agency, I have dealt with the Family and Medical Leave Act (FMLA) on several occasions. According to Berman (2016), “These FMLA provisions apply to private employers with at least 40 employees and all government agencies (local, state, and federal), as well as elementary and secondary schools, regardless of the number of employees” (p. 306). Typically, our officers utilize this for the birth or adoption of a child, and sometimes for personal or family medical issues.

The health status of Indigenous Australians today remains far below that of the general population, with a considerable gap in life expectancy of almost 11 years between the two.1 Even in non-remote regions, elderly Aboriginal and Torres Strait Islander people are 50% more likely than a similar bracket of the general Australian population, to have a disability or a long-term health condition.1 Communication difficulties due to cultural and linguistic differences between non-indigenous health care providers and the indigenous patients have often been cited as a major barrier to providing better and more effective health-care services. Henceforth, there must be strong communication between the patient and medical practitioner for

This job may require travel more than 60 percent of the time. Would you be able to do this as necessary?

Following up on our conversation earlier, personal Leave is not requested for State interviews, but what you may want to do is keep track of those times she tells you she has interviews with the State and we can look up and make sure she is being truthful about it.

The paper explains the use of a public health approach in promoting advance care to Aboriginal people in regional communities. The study reports that many indigenous Australians encounter high mortality rates compared to non-indigenous Australians. These deaths are related to the prevalence of progressive diseases. The factors that predispose the indigenous Australians to the risk of diseases include remoteness of their location and scanty access to health services. To avoid this trend, there is need to offer these indigenous communities quality and affordable healthcare through advance care planning (ACP). This type of care puts emphasis on the patient. It calls for reinforcement of values and goals to ensure that the type of

Access to paid leave is often identified as an issue that primarily concerns working mothers, yet paid leave is also critically important for working fathers. In a society that continues to evolve, it is even more imperative to address this unequal access with an increasing number of fathers who are serving as stay at home parents (International Labor Organization, 2014). Legislation that supports fathers having the support they need to prioritize family responsibilities can significantly increase the personal and economic well-being of their growing families (United States Department of Labor, 2015). Despite these advantages, the growing importance of paternal involvement with their newborns is not always supported in today’s society. The economic and social barriers fathers face may hinder them from taking paternity leave altogether, such as inadequate access to paid leave and outdated cultural norms about male breadwinners. According to survey data, most fathers in the United States only take one day of leave time for every month the typical mother takes (Harrington et al., 2014). This means that even in the twenty-first century, it appears to be more widely accepted for mothers to take off time from work to care for their families than fathers. Fewer than half the countries in the world provide men with access to paid leave to care for a new child, while virtually all provide paid maternity leave (ILO, 2014). Paid paternity leave and laws related to promote