Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T04:17:35.477Z Has data issue: false hasContentIssue false

… but what about the Aboriginal and/or Torres Strait Islander Health Worker academic? Transcending the role of ‘unknowing assistant’ in health care and research through higher education: a personal journey

Published online by Cambridge University Press:  18 September 2020

Janet Stajic*
Affiliation:
Faculty of Medicine, The University of Queensland, Brisbane, Queensland4072, Australia
*
Author for correspondence: Janet Stajic, E-mail: [email protected]
Get access

Abstract

The Aboriginal and Torres Strait Islander Health Worker/Practitioner (A&TSIHW) workforce provides not only clinical skills but also responds to specific social and cultural needs of the communities they serve bringing knowledge derived from lived and embodied knowledges. The A&TSIHW is a recognised health professional within the Australian health system; however, this workforce continues to be under-supported, under-recognised and under-utilised. A common discourse in literature written about A&TSIHWs focused on the need to empower and enhance the A&TSIHW capabilities, or rendered the A&TSIHW as part of the problem in improving the health of Indigenous peoples. In contrast, articles written by A&TSIHWs, published in the Aboriginal and Islander Health Worker Journal, tell a different story, one about the limitations of the health system in its ability to care for Indigenous peoples, recognising A&TSIHW leadership. This paper deals with two interrelated tensions—the undervaluing of the A&TSIHW as a clinician and the undervaluing of the A&TSIHW as an academic—both of which the author has had to navigate. It explores the specific challenges of the A&TSIHW academic who too seeks recognition beyond that of ‘assistant’ within the research enterprise, drawing upon personal experiences and engagement with educational institutions, including higher education.

Type
Research Article
Copyright
Copyright © The Author(s) 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbott, K and Elliott, R (2013) A history of Aboriginal health workers & Aboriginal community workers in the Northern Territory 1870–2013. Retrieved from Northern Territory. Available at http://www.blackwattleconsulting.com.au/history-ahw-nt-1870-2013/.Google Scholar
Abbott, P, Gordon, E and Davison, J (2007) Expanding roles of Aboriginal health workers in the primary care setting: seeking recognition. Contemporary Nurse 27, 157164.10.5172/conu.2008.27.2.157CrossRefGoogle Scholar
Aboriginal Health Council of South Australia (2019) Our programs: Aboriginal health worker role. Available at https://ahcsa.org.au/our-programs/aboriginal-health-worker-role/.Google Scholar
Albany, M (2010) Shining a light on our health workers. Aboriginal and Islander Health Worker Journal 34, 35.Google Scholar
Bailey, J, Veitch, C, Crossland, L and Preston, R (2006) Developing research capacity building for Aboriginal & Torres Strait Islander health workers in health service settings. Rural and Remote Health 6, 556.Google ScholarPubMed
Best, O and Fredericks, B (2014) Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery Care. Port Melbourne, Vic: Cambridge University Press.Google Scholar
Bond, C (2002) Beyond the dotted drawings—the Aboriginal health worker and health promotion practice. Aboriginal and Islander Health Worker Journal 26, 1618.Google Scholar
Bond, C, Brough, M, Willis, J, Stajic, J, Mukandi, B, Canuto, C, Springer, S, Askew, D, Angus, L and Lewis, T (2019) Beyond the pipeline: a critique of the discourse surrounding the development of an Indigenous primary healthcare workforce in Australia. Australian Journal of Primary Health, 389394. doi: 10.1071/py19044.CrossRefGoogle ScholarPubMed
Bond, C, Brough, M, Mukandi, B, Springer, S, Askew, D and Stajic, J (2020). Looking forward looking black: making the case for a radical rethink of strategies for success in Indigenous higher education. Australian Journal of Indigenous Education, 110. doi: In press.CrossRefGoogle Scholar
Briscoe, K (2019) Unrecognised potential of Indigenous health workers and practitioners. Insight. Available at https://insightplus.mja.com.au/2019/25/unrecognised-potential-of-the-indigenous-health-workforce/.Google Scholar
Buckskin, M (1987) Health worker education in S.A. Aboriginal and Islander Health Worker Journal 11, 2028.Google Scholar
Bulin, J, Burray Purray, J, Wandjulawuy, K, Muggul, J and Humes, G (1978) Across Australia … from health worker to health worker. Aboriginal and Islander Health Worker Journal 2, 2530.Google Scholar
Cawte, J (1977) Editorial. Aboriginal and Islander Health Worker Journal 1, 2.Google Scholar
Deshmukh, T, Abbott, P and Reath, J (2014) ‘It's got to be another approach’: an Aboriginal health worker perspective on cardiovascular risk screening and education. Australian Family Physician 43, 475478.Google ScholarPubMed
Flick, B (1995) Aboriginal health workers: slaves or miracle workers? Aboriginal and Islander Health Worker Journal 19, 1011.Google Scholar
Gee, G, Dudgeon, P, Schultz, C, Hart, A and Kelly, K (2014) Aboriginal and Torres Strait Islander social and emotional wellbeing. In Dudgeon, P, Milroy, H and Walker, R (eds), Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice, 2nd Edn. Canberra: Department of The Prime Minister and Cabinet, pp. 5568.Google Scholar
Glover, P (1987) Midwifery and the Aboriginal health worker. Aboriginal and Islander Health Worker Journal 11, 2124.Google Scholar
Harfield, SG, Davy, C, McArthur, A, Munn, Z, Brown, A and Brown, N (2018) Characteristics of Indigenous primary health care service delivery models: a systematic scoping review. Globalization and Health 14, 12.CrossRefGoogle ScholarPubMed
Health Workforce Australia (2011) Growing our future: final report of the Aboriginal and Torres Strait Islander Health Worker Project December 2011. Retrieved from Adelaide SA.Google Scholar
Hill, K (2018) National framework for determining scope of practice for the Aboriginal and/or Torres Strait Islander Health Worker and Health Practitioner Workforce. Retrieved from Canberra ACT. Available at https://www.natsihwa.org.au/sites/default/files/natsihwa_scope_of_practice_2018.pdf.Google Scholar
Hill, K, Harvey, N, Felton-Busch, C, Hoskins, J, Rasalam, R, Malouf, P and Knight, S (2018) The road to registration: Aboriginal and Torres Strait Islander health practitioner training in north Queensland. Rural and Remote Health 18, 3899.10.22605/RRH3899CrossRefGoogle ScholarPubMed
Hooper, K, Thomas, Y and Clarke, M (2007) Health professional partnerships and their impact on Aboriginal health: an occupational therapist's and Aboriginal health worker's perspective. Australian Journal of Rural Health 15, 4651.10.1111/j.1440-1584.2007.00849.xCrossRefGoogle ScholarPubMed
Hudson, S (2012) Charlatan Training: How Aboriginal Health Workers are Being Short-Changed/Sara Hudson. St Leonards, NSW: The Centre for Independent Studies.Google Scholar
Jackson, D, Brady, W and Stein, I (1999) Towards (re)conciliation: (re)constructing relationships between Indigenous health workers and nurses. Journal of Advanced Nursing 29, 97103.10.1046/j.1365-2648.1999.00866.xCrossRefGoogle ScholarPubMed
Jakamarra, K and Peile, A (1977) Across Australia … from health worker to health Worker. Aboriginal and Islander Health Worker Journal 1, 1921.Google Scholar
Lowitja Institute (2019) Our choices our voices: close the gap. Retrieved from Canberra ACT. Available at https://www.lowitja.org.au/content/Document/Lowitja-Publishing/CtG2019_FINAL2_WEB.pdf.Google Scholar
McDermott, RA, Schmidt, B, Preece, C, Owens, V, Taylor, S, Li, M and Esterman, A (2015) Community health workers improve diabetes care in remote Australian Indigenous communities: results of a pragmatic cluster randomized controlled trial. BMC Health Services Research 15, 68.CrossRefGoogle ScholarPubMed
McGilvray, A (2014) Cultural brokers. Medical Journal of Australia 200. Available at https://www.mja.com.au/journal/2014/200/11/cultural-brokers.Google Scholar
Miller, G, Moeller, C, Kennedy, E and Saleh, R (1977) Across Australia … from health worker to health worker. Aboriginal and Islander Health Worker Journal 1, 4048.Google Scholar
Mitchell, M and Hussey, LM (2006). The Aboriginal health worker. Medical Journal of Australia 184, 529530.10.5694/j.1326-5377.2006.tb00353.xCrossRefGoogle ScholarPubMed
Moreton-Robinson, A (2013) Towards an Australian Indigenous women's standpoint theory. Australian Feminist Studies 28, 331347.10.1080/08164649.2013.876664CrossRefGoogle Scholar
National Aboriginal and Torres Strait Islander Health Worker Association (2019) Aboriginal and/or Torres Strait Islander health workers and health practitioners: who we are and what we do. In Canberra ACT: National Aboriginal and Torres Strait Islander Health Worker Association.Google Scholar
NSW Government (2018) Aboriginal Health Worker Guidelines for NSW Health. North Sydney NSW. Available at https://www.health.nsw.gov.au/workforce/aboriginal/Publications/aboriginal-health-worker-guidelines.pdf.Google Scholar
Rigney, LI (1999) Internationalization of an Indigenous anticolonial cultural critique of research methodologies: a guide to Indigenist research methodology and its principles. Wicazo Sa Review 14, 109121.CrossRefGoogle Scholar
Riley, G (2018) Medical history: leprosy is a terror of the past. Right? Retrieved from RACGP newsGP website. Available at https://www1.racgp.org.au/newsgp/clinical/medical-history-leprosy-is-a-terror-of-the-past-ri.Google Scholar
Robson, C (2016) ‘Ending isolation? Leprosy, welfare and Indigenous Australians 1950–86Aboriginal History. In Connor, L (ed.), vol. 40, 6588. Canberra ACT: ANU Press.Google Scholar
Sherwood, J (2013) Colonisation—it's bad for your health: the context of Aboriginal health. Contemporary Nurse 46, 2840.CrossRefGoogle ScholarPubMed
Soong, FS (1977) Jimmy and Margaret—Aboriginal health workers in the northern territory. Aboriginal and Islander Health Worker Journal 1, 1619.Google Scholar
Stamp, G, Champion, S, Anderson, G, Warren, B, Stuart-Butler, D, Doolan, J, Boles, C, Callaghan, L, Foale, A and Muyambi, C (2008) Aboriginal maternal and infant care workers: partners in caring for aboriginal mothers and babies. Rural and Remote Health 8, 883.Google ScholarPubMed
Taylor, KP, Thompson, SC, Smith, JS, Dimer, L, Ali, M and Wood, MM (2009) Exploring the impact of an Aboriginal health worker on hospitalised Aboriginal experiences: lessons from cardiology. Australian Health Review 33, 549557.CrossRefGoogle ScholarPubMed
Templeton, DJ, Tyson, BA, Meharg, JP, Habgood, KE, Bullen, PM, Malek, S and McLean, R (2010) Aboriginal health worker screening for sexually transmissible infections and blood-borne viruses in a rural Australian juvenile correctional facility. Sexual Health 7, 4448.CrossRefGoogle Scholar
Thompson, M, Robertson, J and Clough, A (2011) A review of the barriers preventing Indigenous health workers delivering tobacco interventions to their communities. Australian and New Zealand Journal of Public Health 35, 4753.Google ScholarPubMed
Topp, SM, Edelman, A and Taylor, S (2018) ‘We are everything to everyone’: a systematic review of factors influencing the accountability relationships of Aboriginal and Torres Strait Islander health workers in the Australian health system. International Journal for Equity in Health 17, 67.CrossRefGoogle Scholar
Watson, I (2016) First nations and the colonial project. Inter Gentes The McGill Journal of International Law and Legal Pluralism 1, 3039.Google Scholar
Wright, A, Briscoe, K and Lovett, R (2019) A national profile of Aboriginal and Torres Strait Islander Health Workers, 2006–2016. Australian and New Zealand Journal of Public Health 43, 2426.Google ScholarPubMed
Yikaniwuy, S (1997) From Health Worker to Health Worker … across Australia. Aboriginal and Islander Health Worker Journal 21, 3.Google Scholar