2023-09-28 14:46:10 +00:00
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abstract: 'Objective: To better understand issues driving quality in burn care
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related to equity of outcomes and equality of provision for Aboriginal
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and Torres Strait Islander children.
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Methods: Seventy-six interviews with team members who provide care for
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Aboriginal and Torres Strait Islander children in six paediatric burn
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units across five Australian jurisdictions were completed. Interface
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research methodology within a qualitative design guided data collection
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and analysis.
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Results: Three themes were identified: i) Burn team members who identify
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the requirement to meet the specific needs of Aboriginal and Torres
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Strait Islander children and deliver differential care; ii) Burn team
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members who believe in equal care, but deliver differential care based
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on the specific needs of Aboriginal and Torres Strait Islander children;
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and iii) Burn team members who see little need for provision of
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differential care for Aboriginal and Torres Strait Islander children and
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rather, value the provision of equal care for all.
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Conclusion: Burn team members conflate equitable and equal care, which
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has implications for the delivery of care for Aboriginal and Torres
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Strait Islander children. Equitable care is needed to address
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disparities in post-burn outcomes, and this requires clinicians,
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healthcare services and relevant system structures to work coherently
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and intentionally to reflect these needs.
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Implications for public health: Changes in health policy, the embedding
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of Aboriginal and Torres Strait Islander liaison officers in burn care
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teams and systems that prioritise critical reflexive practice are
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fundamental to improving care.'
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affiliation: 'Fraser, S (Corresponding Author), Univ New South Wales, Sydney, NSW
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2052, Australia.
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Fraser, Sarah; Ivers, Rebecca, Univ New South Wales, Fac Med \& Hlth, Sydney, NSW,
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Australia.
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Grant, Julian, Charles Sturt Univ, Fac Sci, Sch Nursing Midwifery \& Indigenous
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Hlth, Bathurst, NSW, Australia.
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Mackean, Tamara, Flinders Univ S Australia, Coll Med \& Publ Hlth, Adelaide, SA,
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Australia.
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Hunter, Kate, George Inst Global Hlth, Sydney, NSW, Australia.
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Hunter, Kate, Fac Med, Sydney, NSW, Australia.
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Hunter, Kate, Univ New South Wales, Sydney, NSW 2052, Australia.
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Keeler, Ngara, Cent Local Hlth Network, Adelaide, SA, Australia.
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Clapham, Kathleen, Univ Wollongong, Ngarruwan Ngadju Peoples Hlth 1, Wollongong,
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NSW, Australia.
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Clapham, Kathleen, Univ Wollongong, Wellbeing Res Ctr, Wollongong, NSW, Australia.
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Edgar, Dale W., Fiona Stanley Hosp, Burn Serv Western Australia, Murdoch, WA, Australia.
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Edgar, Dale W., Univ Notre Dame Australia, Inst Hlth Res, Fremantle, WA, Australia.
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Towers, Kurt, Northern Adelaide Local Hlth Network, Adelaide, SA, Australia.
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Teague, Warwick J., Royal Childrens Hosp, Burns Serv, Melbourne, Vic, Australia.
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Teague, Warwick J., Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia.'
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author: Fraser, Sarah and Grant, Julian and Mackean, Tamara and Hunter, Kate and Keeler,
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Ngara and Clapham, Kathleen and Edgar, Dale W. and Towers, Kurt and Teague, Warwick
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J. and Ivers, Rebecca
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author-email: sarah.fraser@unsw.edu.au
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author_list:
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- family: Fraser
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given: Sarah
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- family: Grant
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given: Julian
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- family: Mackean
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given: Tamara
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- family: Hunter
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given: Kate
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- family: Keeler
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given: Ngara
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- family: Clapham
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given: Kathleen
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- family: Edgar
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given: Dale W.
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- family: Towers
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given: Kurt
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- family: Teague
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given: Warwick J.
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- family: Ivers
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given: Rebecca
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da: '2023-09-28'
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doi: 10.1111/1753-6405.13110
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earlyaccessdate: MAY 2021
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eissn: 1753-6405
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files: []
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issn: 1326-0200
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journal: AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH
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keywords: 'Australia; health equity; burn care; cultural safety; Aboriginal and
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Torres Strait Islander; Indigenous; children; quality'
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keywords-plus: HEALTH; AUSTRALIA; INJURIES
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language: English
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month: JUN
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number: '3'
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number-of-cited-references: '22'
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orcid-numbers: 'Teague, Warwick J/0000-0003-4747-6025
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Edgar, Dale W/0000-0001-7336-9317
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Grant, Julian/0000-0002-4856-2147
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Clapham, Kathleen/0000-0001-9776-5496'
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pages: 220-226
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papis_id: 2c4c3426b263b32edf12cd6ba1b08430
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ref: Fraser2021consideringdifferenc
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researcherid-numbers: 'Teague, Warwick J/AAY-7260-2020
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Edgar, Dale W/AAV-9394-2021
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Grant, Julian/AAM-6906-2020
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'
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times-cited: '1'
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title: 'Considering difference: clinician insights into providing equal and equitable
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burns care for Aboriginal and Torres Strait Islander children'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000653227600001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '45'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2021'
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