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RSA Conference 2024
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Engng Ubanyj - Health equity, cultural safety and quality haemodialysis care in remote Cape York

Concurrent

Talk Description

490Q - Research Paper

Abstract
Aim:
Provide clinically and culturally safe haemodialysis care in a very remote community.Increased quality of life for haemodialysis patients and their families by providing care closer to home.Increase opportunities for a greater proportion of care being provided by a local First Nation's workforce.Greater recognition of A&TSI HPs role in providing health care.

Method:
Project development guided by Legislative change, health equity strategies and infrastructure capacity.Provide care closer to home and in response to local community needs.Develop a robust clinical governance structure for Aboriginal and Torres Strait Island Health Practitioners (A&TSIHPs) providing haemodialysis care.Develop a structured, competence-based training program for A&TSIHPs within a developing model of care.Provide ongoing clinical supervision for A&TSIHPs working in an incentre haemodialysis unit. 

Results:
The movement of patients from major cities and regional centres back home. Governance that is compliant with legislation.Governance that is compliant with medicines regulations.Provision of care consistent with thrust of current health equity strategies.Competent health workers providing care that is culturally safe, promoting better quality of life and improved health outcomes for haemodialysis patients and their families.

Conclusion:
The Kowanyama Project may provide direction for the development of A&TSIHPs for the 4 existing haemodialysis services on Cape York and Torres Strait and for future dialysis services being planned on Torres Strait Islands. The development of the A&TSIHP roles to practice to their full scope of practice may provide solutions across Queensland, and nationally. 

Presenters