ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 101
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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A culturally safe GP consultation for First Nation patients:
registrar perspective
Dr Kay Brumpton1,2,3, Rebecca Evans2,5,6, Neill Henry1, McArthur Lawrie7, Dr Hannah Woodall1,
Raelene Ward4, Prof Tarun Sen Gupta2
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Rural Medical Education Australia, 2James Cook University, 3Griffith University, 4University of Southern
Queensland, 5Anton Breinl Research Centre for Health Systems Strengthening, 6Australian Institute of
Tropical Health and Medicine, 7Adelaide University
Understanding how general practice (GP) registrars define, develop and perceive cultural safety could
assist identifying areas where cultural safety is lacking or needs improvement.
Methods
Our research explored the following questions:
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How do GP registrars define and develop cultural safety?
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What do registrars view as unique to consultations with Aboriginal and Torres Strait Islander
patients?
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Which of the components of the Australian Health Practitioner Regulation Agency (Ahpra)
definition of cultural safety are identifiable by a GP registrar?
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All GP registrars undertaking training with JCUGP were invited to participate in the study.
Data collection was in three parts:
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Survey with demographic details, experience, cultural capability measurement tool, measurement
of attitude change scale and self-reflection and insight scale
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Semistructured interviews exploring registrar understanding of cultural safety
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Detailed exploration of registrars’ perception of key areas identified in the cultural safety literature.
Survey data was descriptively analysed. Interviews were studied using a content analysis approach.
Results
Twenty-six registrars completed the survey. Sixteen registrars completed both the survey and the
interview.
Most registrars described cultural safety as being aware of and respecting cultural beliefs and
customs. Registrars described four main factors that contribute to their development of cultural safety:
shared or similar life experiences, cultural safety training, experiential learning, and critical reflection.
Most registrars considered that a Western medical model of healthcare did not meet the needs of
patients. However, nearly half the registrars indicated they would treat Aboriginal and Torres Strait
Islander patients the same as all other patients. No registrars referred to the Ahpra consensus state of
cultural safety or explicitly indicated that cultural safety should be determined by Aboriginal and Torres
Strait Islander people.
Discussion
This study identifies a gap between registrars’ perception of cultural safety compared to those of the
Ahpra definition.
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