Who is suited to work in remote First Nations health? Perspectives of staff in remote Aboriginal Community‐Controlled Health Services in northern Australia

Author:

Bourke Lisa1ORCID,Merchant Noha1,Mathew Supriya2,Fitts Michelle2ORCID,Liddle Zania2,Russell Deb2ORCID,Murakami‐Gold Lorna3,Campbell Narelle4,Rossingh Bronwyn5,Wakerman John2

Affiliation:

1. Department of Rural Health University of Melbourne Shepparton Victoria Australia

2. Menzies School of Health Research Charles Darwin University Darwin Northern Territory Australia

3. Poche Centre Flinders University Alice Springs Northern Territory Australia

4. College of Medicine and Public Health Flinders University Darwin Northern Territory Australia

5. Miwatj Health Aboriginal Corporation Nhulunbuy Northern Territory Australia

Abstract

AbstractObjectiveThere is a shortage of nurses, Aboriginal Health Practitioners, GPs and other staff in remote Australian health clinics. There is also high turnover of staff, leading to questions of ‘who’ is appropriate for remote First Nations practice? The aim of this paper was to identify the characteristics of staff who are likely to work well in remote First Nations settings, from the perspectives of remote health practitioners.DesignThis is a qualitative study involving content analysis of interviews.SettingThe study is conducted in and with 11 Aboriginal Community Controlled Health Services across northern and central Australia.ParticipantsEighty‐four staff working in these clinics who spoke about staff qualities suited to remote practice.ResultsParticipants identified a range of qualities desirable in remote practitioners, which were grouped into three topics: (1) professional qualifications and experience, including cultural skills; (2) ways of working, including holisitic approach, resilience, competence, and being a team player, approachable, flexible and hard‐working; and (3) specific community needs, namely the need for local First Nations staff, male practitioners and returning short‐term staff. The combination of experiences, ways of working, and fit to both the team and community were emphasised.ConclusionIdentifying the characteristics of staff who are likely to work well in these settings can inform recruitment strategies. This study found that a combination of professional qualifications, skills and experience as well as ways of working, individual characteristics and needs of communities are desirable for working in remote, First Nations settings.

Funder

Australian Research Council

Publisher

Wiley

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