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- Title
CARI guidelines: Culturally safe and clinical kidney care for First Nations Australians -- A summary.
- Authors
Arnold-Ujvari, Melissa; Rix, Liz; Yip, Adela; Tunnicliffe, David J.; Kelly, Janet
- Abstract
Context The 'inaugural' Caring for Australian and New Zealanders with Kidney Impairment (CARI) guidelines for First Nations Australians provide recommendations on caring for First Nations Peoples with chronic kidney disease (CKD). Informed by targeted national community consultations, the guidelines include the historical context, detailed advice on culturally safe kidney healthcare, screening and referral of CKD. Public awareness and education initiatives, self- management programs, and models of care are all reported on. Objectives The CARI guidelines were developed in response to significant challenges and inequities experienced by First Nations Peoples over many years. Specific recommendations and suggestions aim to improve clinicians' understanding of historical and contemporary factors contributing to the social and health inequities underpinning the over-representation of First Nations Peoples with CKD. These guidelines provide comprehensive support for health professionals in all service and care environments to better respond to the care needs of First Nations Peoples. Key findings The CARI guidelines highlight the need to provide culturally safe clinical care and explicitly cite the need to address institutional racism and improve cultural safety training for all renal service providers. They specifically recognise the importance of kinship, and equitable access to transport and accommodation services. They also focus on keeping people on Country where possible, including increased nurse-supported and Aboriginal health practitioner-supported dialysis services. Conclusion The CARI guidelines provide recommendations on how to improve clinical kidney care delivery for and with First Nations Peoples by ensuring more responsive models of care.
- Subjects
TREATMENT of chronic kidney failure; INDIGENOUS Australians; MEDICAL quality control; SOCIAL support; HEALTH services accessibility; STAKEHOLDER analysis; MEDICAL screening; MEDICAL protocols; INSTITUTIONAL racism; CULTURAL competence; QUALITY assurance; MEDICAL referrals; HEALTH equity; PATIENT education; PATIENT safety; TRANSPORTATION; EARLY diagnosis
- Publication
Renal Society of Australasia Journal, 2023, Vol 19, Issue 2, p93
- ISSN
1832-3804
- Publication type
Article
- DOI
10.33235/rsaj.19.2.93-99