“The most culturally safe training I’ve ever had.” The co-design of a culturally safe Managing hepatitis B training course with and for the Aboriginal health workforce of the Northern Territory of Australia

• DOI: 10.21203/rs.3.rs-2830413/v1
• Publication Date: 2023-04-25T22:37:52Z
• Authors: Kelly Hosking; Teresa De Santis; Emily Vintour-Cesar; Phillip Merrdi Wi...; Linda Bunn; George Garambaka ...; Shiraline Wurrawilya; Sarah Mariyalawuy...; Sandra Nelson; Cheryl Ross; Paula Binks; Phoebe Schroder; Joshua S Davis; Sean Taylor; Christine Connors; Jane Davies
• Keywords: Cultural Safety

Abstract Background The Aboriginal health workforce provide responsive, culturally safe care. We aimed to co-design a course with and for the workforce. describe factors which led successful co-design, delivery, evaluation of “Managing hepatitis B” Methods A Participatory Action Research approach was used, involving ongoing consultation iteratively then develop content, materials, tools. An Torres Strait Islander research teaching team received education in chronic B methodologies. Pilot courses were held, remote communities Northern Territory, using two-way learning teach-back methods further assess acceptability learnings. Data collection involved focus group discussions, in-class observations, reflective analysis, use co-designed assessed Results Twenty-six participants attended pilot courses. facilitators delivered high proportion course. Evaluations demonstrated acceptability, cultural safety, Key elements contributing success acknowledging, respecting, integrating differences into education, delivering messaging key concepts through an lens, appropriate approaches including storytelling visual Evaluation frameworks findings from process creation conceptual framework, underpinned by meeting people’s basic needs, offering comfortable environment enable productive attention following: sustenance, financial security, obligations, gender kinship relationships. Conclusions Co-designed must embed principles safety meaningful community increase knowledge empowerment. this can be used guide design future First Nations professionals other non-dominant cultures. model has been successfully transferred issues Territory.