Evidence map›Paper›PMID 32534585›Full record

ArticleBMC health services research2020

The journey of aftercare for Australia's First Nations families whose child had sustained a burn injury: a qualitative study.

Julieann Coombes, Kate Hunter, Tamara Mackean, Rebecca Ivers

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Julieann CoombesThe George Institute for Global Health, Level 5, 1 King St, Newtown, NSW, 2042, Australia. jcoombes@georgeinstitute.org.au.ORCID http://orcid.org/0000-0001-7212-8693
Kate HunterThe George Institute for Global Health, Level 5, 1 King St, Newtown, NSW, 2042, Australia.
Tamara MackeanThe George Institute for Global Health, Level 5, 1 King St, Newtown, NSW, 2042, Australia.
Rebecca IversUniversity of New South Wales, Room 325A, Samuels Building, Sydney, 2052, Australia.
The George Institute for Global Health · AUUNSW Sydney · AU

Funding

the National Health and Medical Research Council of Australia APP1059038
6 · The paper itself

Abstract

backgroundAccess to ongoing multidisciplinary healthcare services for children who have sustained a burn injury is critical for optimal recovery. This paper reports on barriers and facilitators to culturally safe and appropriate burn aftercare for Australia's First Nations children. The voices of First Nations families whose child had sustained a serious burn are central to this paper.

methodsEighteen families, which consisted of 59 family members, of children younger than 16 years who had sustained a burn injury were asked to describe their own journey in accessing appropriate burn aftercare. Interviews were conducted in the families' homes using yarning (dialogue) and Dadirri (deep listening) as Indigenous research methods. Data was gathered in South Australia, the Northern Territory, Queensland and New South Wales, Australia. Using a cyclic process, transcripts and emerging themes were sent back to participants, and a collaborative approach was used to conduct the final analysis.

resultsLack of culturally safe communication between service providers and family members, in addition to institutionalised racism, were found to be the major barriers to accessing healthcare services. Distance to medical treatment also impacted children's access to aftercare. Involvement of First Nations Health Workers and/or Liaison Officers working with health providers, the child and family members, was found to be an important facilitator in reducing miscommunication and alleviating fear and anxiety in the children and families.

conclusionThere are significant barriers to access to aftercare following a serious burn including miscommunication, lack of cultural safety, distance to medical treatment and racism. However, these can be largely mitigated when First Nations families have input into the care received and the care needed for ongoing burn care to be effective and are supported by First Nations Health/Liaison Officers support.

Indexed as

Health Services AccessibilityAftercareAustraliaBurnsChildHumansIndigenous PeoplesQualitative ResearchAftercareBarriersBurnsChildrenFacilitatorsFirst nationsHealth workersLiaison officers

Identifiers

PMID32534585
PMCPMC7293116
OpenAlexW3034547460

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.