Evidence map›Paper›PMID 34215649›Full record

ArticleBMJ global health2021

Unique knowledge, unique skills, unique role: Aboriginal and Torres Strait Islander Health Workers in Queensland, Australia.

Stephanie M Topp, Josslyn Tully, Rachel Cummins, Veronica Graham, Aryati Yashadhana, Lana Elliott, Sean Taylor

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
11.7field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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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

7 authors at 5 institutions in 1 country.

Stephanie M ToppCollege of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia globalstopp@gmail.com.ORCID 0000-0002-3448-7983
Josslyn TullyTorres and Cape Hospital and Health Service, Cairns, Queensland, Australia.
Rachel CumminsCollege of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
Veronica GrahamCollege of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
Aryati YashadhanaCentre for Health Equity Training Research & Evaluation, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-2573-8637
Lana ElliottCollege of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
Sean TaylorTop End Health Service, Northern Territory Department of Health, Casuarina, Northern Territory, Australia.
James Cook University · AUMenzies School of Health Research · AUQueensland University of Technology · AUThe University of Melbourne · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aboriginal and Torres Strait Islander Health Workers (A&TSIHWs) are a professional cadre of Australian health workers typically located in primary care clinics. The role is one of only two that is 'identified'- that is, it must be occupied by an Aboriginal and/or Torres Strait Islander person - and holds specific responsibilities in relation to advocating for facility-level cultural safety. However, lack of understanding of the distinctive skills, scope and value associated with the A&TSIHW role remains pervasive in the broader health workforce. Positioned to represent the perspective of those working as A&TSIHWs, and drawing on 83 in-depth interviews with A&TSIHWs and others, this qualitative study reports on the core functions and distinctive orientation of the role, and seeks to articulate its distinctive value in the modern Queensland health service. Findings highlight the multifaceted (generalist) nature of the A&TSIHW role, which comprises three core functions: health promotion, clinical service and cultural brokerage. Underpinning these cross-cutting functions, is the role's unique orientation, defined by client-centredness and realised through Indigenous strengths based ways of knowing, being and doing. The findings highlight how the A&TSIHW role is one of the only mechanisms through which Aboriginal and Torres Strait Islander knowledge can be brought to bear on context-specific adaptations to routine health service practices; and through which the impacts of lack of cultural or self-awareness among some non-Indigenous health professionals can be mitigated. The complexity of such work in a government health system where a dominant biomedical culture defines what is valued and therefore resourced, is under-recognised and undervalued and contributes to pressures and stress that are potentially threatening the role's long-term viability.

Indexed as

Health Services, IndigenousHealth WorkforceAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesHumansQueenslandhealth services researchhealth systems

Identifiers

PMID34215649
PMCPMC8256732
OpenAlexW3176591654

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.