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Moving Forward Together in Aboriginal Women's Health: - Theses ...

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<strong>Mov<strong>in</strong>g</strong> <strong>Forward</strong> <strong>Together</strong>Janet Kellycathartic, particularly as they had been the recipients of uncommunicatedhealth care changes for so long.Importantly, this research was a positive research experience for the Aborig<strong>in</strong>alwomen and they have s<strong>in</strong>ce become <strong>in</strong>volved <strong>in</strong> other research projects. In acolonised country where western research is considered to be deeplyuntrustworthy, this is a significant achievement and <strong>in</strong>dicates that this researchprocess was both culturally and personally safe.Implications for other Aborig<strong>in</strong>al women are that there are researchers, healthprofessionals and Aborig<strong>in</strong>al and non-Aborig<strong>in</strong>al health services who arewill<strong>in</strong>g to work <strong>in</strong> respectful and collaborative ways to meet Aborig<strong>in</strong>alwomen’s health and well be<strong>in</strong>g needs. Collaborative projects <strong>in</strong> health care andresearch can focus on and support Aborig<strong>in</strong>al women’s strengths and abilities,rather than just focus on what is not work<strong>in</strong>g. Knowledge shar<strong>in</strong>g models suchas Ganma and Dadirri, and collaborative models such as our PAR are tools thatcan be used by both community women and health services to improve healthand well be<strong>in</strong>g. They are accessible, understandable and support the need forpersonal and cultural safety.Implications for health professionals practiceThis research has highlighted the challenges and difficulties associated withtry<strong>in</strong>g to meet Aborig<strong>in</strong>al women’s health and well be<strong>in</strong>g needs <strong>in</strong> urbanprimary health care sett<strong>in</strong>gs. It has enabled the perspective of healthprofessionals, particularly Aborig<strong>in</strong>al <strong>Health</strong> Workers and Nurses to be heard.This research has explored many issues that are also experienced by healthprofessionals <strong>in</strong> a wider range of sett<strong>in</strong>gs. These <strong>in</strong>clude; be<strong>in</strong>g blamed (orblam<strong>in</strong>g self) when programs do not go to plan; Not hav<strong>in</strong>g professionalknowledge validated, recognised or <strong>in</strong>cluded <strong>in</strong> health service deliverydecisions; Work<strong>in</strong>g with people who are struggl<strong>in</strong>g with traumatic issues, andthen experienc<strong>in</strong>g vicarious trauma; Sweep<strong>in</strong>g changes from comprehensive toselective primary health care; misunderstand<strong>in</strong>gs and frustrations experiencedby health professionals and clients not understood by the wider health system;Hav<strong>in</strong>g to walk away from health programs that are work<strong>in</strong>g well, or that werework<strong>in</strong>g well until they were dismissed or changed.343

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