The Experiences of Remote and Rural Aboriginal Health Workers and Registered Nurses Who Undertook a Postgraduate Diabetes Course to Improve the Health of Indigenous Australians

By King, Meri; King, Lindy et al. | Contemporary Nurse : a Journal for the Australian Nursing Profession, August 1, 2012 | Go to article overview

The Experiences of Remote and Rural Aboriginal Health Workers and Registered Nurses Who Undertook a Postgraduate Diabetes Course to Improve the Health of Indigenous Australians


King, Meri, King, Lindy, Willis, Eileen, Munt, Rebecca, Semmens, Frith, Contemporary Nurse : a Journal for the Australian Nursing Profession


Type 2 diabetes mellitus (T2DM) is a significant health problem for Indigenous Australians. Not only does this condition emerge at an earlier age of onset (O'Dea, Rowley, & Brown, 2007), the prevalence is three to four times higher than in the non-Indigenous population (Australian Institute of Health and Welfare [AIHW], 2011; McDermott, Li, & Campbell, 2010). T2DM is also a major cause of morbidity and mortality and Indigenous Australians with this condition are hospitalised 12 times more frequently and die 17-19 years earlier than their non-Indigenous counterparts. Furthermore, Indigenous Australians experience the worst diabetes health status in Australia and globally have the fourth highest prevalence of T2DM in the world (AIHW, 2011; Thomson, Burns, Hardy, Krom, & Stumpers, 2007). Innovative strategies are required by health professionals to improve this situation for such vulnerable populations especially in rural and remote Australia.

BACKGROUND

In 1998 Flinders University opened their accredited Australian Diabetes Educators Association (ADEA) course to Aboriginal Health Workers (AHWs). This was the first time in Australia that AHWs were admitted to a nationally accredited diabetes course developed primarily for registered nurses (RNs) and allied health professionals. The outcomes from this initiative have been investigated in South Australia previously (King, 2006; King, Munt, & Eastwood, 2007).

The decision to accept AHWs entry into the course was seen to be important for several reasons. Graduates from accredited ADEA courses were equipped with the contemporary knowledge and skills to care for people with diabetes (Australian Diabetes Educators Association [ADEA], 2007a, 2007b). It was hoped that this initiative would enable AHWs to expand their roles as diabetes educators and help improve the diabetes status of Indigenous Australians. It was also anticipated that exposing non-Indigenous health professionals to the cultural needs of Indigenous Australians with diabetes and then working together, specialist diabetes AHWs and RNs would have the potential to improve diabetes outcomes for Indigenous people through best practice (Abbott, Gordon, & Davison, 2007; Sequist et al., 2010).

Previous literature had indicated that formal education alone, such as undertaking an ADEA course, was of limited value to quality care without constructive active support from management. In fact, the greater the support provided, the greater the motivation of the health professional to provide quality care to the people with the condition. Support can be seen by the formal acknowledgement of the particular role, the opportunity of the health professional to use their expertise in the clinical setting, access to people with the condition, access to an expert diabetes practitioner with whom the novice might discuss complex client problems with and the opportunity to develop from a novice practitioner to an expert practitioner (Anderson & Clement, 1987; Benner, Tanner, & Chesla, 1996; Cartwright, 1980; Henderson, 2010; Henderson, Briggs, Schoonbeek, & Paterson, 2011; Sequist et al., 2010).

Between 2004 and 2010 ten RNs and seven AHWs from the far western region of New South Wales (NSW) completed the specialist diabetes course conducted by the University (Flinders University, 2012). These health professionals were providing health care for Indigenous Australians living across a vast rural and remote expanse of NSW. This was the first time in NSW that a regional health service had supported the notion of diabetes specialist AHWs and RNs working in partnership to help improve the diabetes health status of Indigenous Australians. This study sought to build on the earlier South Australian-based research (King, 2006) to identify important strategies that could help novice diabetes educators to consolidate their expertise.

AIMS

The aims of this study were to:

1. Identify the experiences, beliefs and attitudes held by AHWs and RNs working in western NSW concerning specialist diabetes training;

2. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

The Experiences of Remote and Rural Aboriginal Health Workers and Registered Nurses Who Undertook a Postgraduate Diabetes Course to Improve the Health of Indigenous Australians
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.