Guiding practice principles for clinicians who work with Indigenous people

Culturally safe healthcare approaches are important to improve outcomes of Indigenous people. Non-Indigenous clinicians are often ill-prepared to provide such healthcare. The NHMRC Centre for Research Excellence (CRE) especially for First Nations Children has been studying for several years how to i...

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Main Authors: André Schultz, Anne B. Chang, Donna M. Mason, Julie M. Marchant, Lesley A. Versteegh, Maree Toombs, The CRE Extended Group, JM Atack, S Azam, C Baxter, M Binks, E Bowden, DS Bui, AC Cheng, S Dharmage, A Gadoury, L Garriga-Grimau, K Grimwood, J Hill, LR Hoffman, DR Howard, A Fuery, N Kapur, HC Kok, P Laird, G Lau, PK Mandal, R Marsh, MS McElrea, SM McPhail, R Mitchell, P Morris, HL Petsky, JL Perret, A Pratt, KA Ramsey, JM Roberts, PD Robinson, LT Rodwell, P Torzillo, D Vicendese, NP West, D Wurzel, S Yerkovich
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1526753/full
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author André Schultz
André Schultz
André Schultz
Anne B. Chang
Anne B. Chang
Anne B. Chang
Donna M. Mason
Julie M. Marchant
Lesley A. Versteegh
Maree Toombs
The CRE Extended Group
JM Atack
S Azam
C Baxter
M Binks
E Bowden
DS Bui
AC Cheng
S Dharmage
A Gadoury
L Garriga-Grimau
K Grimwood
J Hill
LR Hoffman
DR Howard
A Fuery
N Kapur
HC Kok
P Laird
G Lau
PK Mandal
R Marsh
MS McElrea
SM McPhail
R Mitchell
P Morris
HL Petsky
JL Perret
A Pratt
KA Ramsey
JM Roberts
PD Robinson
LT Rodwell
P Torzillo
D Vicendese
NP West
D Wurzel
S Yerkovich
author_facet André Schultz
André Schultz
André Schultz
Anne B. Chang
Anne B. Chang
Anne B. Chang
Donna M. Mason
Julie M. Marchant
Lesley A. Versteegh
Maree Toombs
The CRE Extended Group
JM Atack
S Azam
C Baxter
M Binks
E Bowden
DS Bui
AC Cheng
S Dharmage
A Gadoury
L Garriga-Grimau
K Grimwood
J Hill
LR Hoffman
DR Howard
A Fuery
N Kapur
HC Kok
P Laird
G Lau
PK Mandal
R Marsh
MS McElrea
SM McPhail
R Mitchell
P Morris
HL Petsky
JL Perret
A Pratt
KA Ramsey
JM Roberts
PD Robinson
LT Rodwell
P Torzillo
D Vicendese
NP West
D Wurzel
S Yerkovich
author_sort André Schultz
collection DOAJ
description Culturally safe healthcare approaches are important to improve outcomes of Indigenous people. Non-Indigenous clinicians are often ill-prepared to provide such healthcare. The NHMRC Centre for Research Excellence (CRE) especially for First Nations Children has been studying for several years how to improve clinical care for Indigenous children with respiratory disease in hospital, clinic, urban, rural and remote settings. At a CRE meeting in 2023 key themes were identified based on what we have learned. Themes were informed by research conducted by the CRE and supplemented by relevant manuscripts known to CRE members. This manuscript provides practical information to aid clinicians in providing culturally safe healthcare to Indigenous people. In brief, the provision of health information that is relevant and understandable to Indigenous patients and their families is critical for ensuring condition-specific health literacy and to allow Indigenous patients to gain autonomy over medical care provided to them and their children. Methods to facilitate effective communication between healthcare providers and patients, and the creation of a culturally safe healthcare environments are discussed. The manuscript will be of practical use to clinicians and translatable to other areas of health care.
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spelling doaj-art-fb107fbe7b3e4cb29de5542e4ca2795e2025-08-20T03:21:30ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-06-011310.3389/fped.2025.15267531526753Guiding practice principles for clinicians who work with Indigenous peopleAndré Schultz0André Schultz1André Schultz2Anne B. Chang3Anne B. Chang4Anne B. Chang5Donna M. Mason6Julie M. Marchant7Lesley A. Versteegh8Maree Toombs9The CRE Extended GroupJM AtackS AzamC BaxterM BinksE BowdenDS BuiAC ChengS DharmageA GadouryL Garriga-GrimauK GrimwoodJ HillLR HoffmanDR HowardA FueryN KapurHC KokP LairdG LauPK MandalR MarshMS McElreaSM McPhailR MitchellP MorrisHL PetskyJL PerretA PrattKA RamseyJM RobertsPD RobinsonLT RodwellP TorzilloD VicendeseNP WestD WurzelS YerkovichWal-yan Respiratory Research Centre, The Kids Research Institute, Perth, WA, AustraliaDivision of Paediatrics, Faculty of Medicine, University of Western Australia, Perth, WA, AustraliaDepartment of Respiratory and Sleep Medicine, Perth Children’s Hospital, Perth, WA, AustraliaAustralian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD, AustraliaNHMRC Centre for Research Excellence in Paediatric Bronchiectasis (AusBREATHE), Child Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, AustraliaIndigenous Respiratory Outreach Care (IROC), Children’s Health Queensland, Brisbane, QLD, AustraliaIndigenous Respiratory Outreach Care (IROC), Children’s Health Queensland, Brisbane, QLD, AustraliaAustralian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD, AustraliaNHMRC Centre for Research Excellence in Paediatric Bronchiectasis (AusBREATHE), Child Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, AustraliaSchool of Public Health, University of Sydney, Sydney, NSW, AustraliaCulturally safe healthcare approaches are important to improve outcomes of Indigenous people. Non-Indigenous clinicians are often ill-prepared to provide such healthcare. The NHMRC Centre for Research Excellence (CRE) especially for First Nations Children has been studying for several years how to improve clinical care for Indigenous children with respiratory disease in hospital, clinic, urban, rural and remote settings. At a CRE meeting in 2023 key themes were identified based on what we have learned. Themes were informed by research conducted by the CRE and supplemented by relevant manuscripts known to CRE members. This manuscript provides practical information to aid clinicians in providing culturally safe healthcare to Indigenous people. In brief, the provision of health information that is relevant and understandable to Indigenous patients and their families is critical for ensuring condition-specific health literacy and to allow Indigenous patients to gain autonomy over medical care provided to them and their children. Methods to facilitate effective communication between healthcare providers and patients, and the creation of a culturally safe healthcare environments are discussed. The manuscript will be of practical use to clinicians and translatable to other areas of health care.https://www.frontiersin.org/articles/10.3389/fped.2025.1526753/fullIndigenousFirst Nationschildrencultural safetyrespiratorylung health
spellingShingle André Schultz
André Schultz
André Schultz
Anne B. Chang
Anne B. Chang
Anne B. Chang
Donna M. Mason
Julie M. Marchant
Lesley A. Versteegh
Maree Toombs
The CRE Extended Group
JM Atack
S Azam
C Baxter
M Binks
E Bowden
DS Bui
AC Cheng
S Dharmage
A Gadoury
L Garriga-Grimau
K Grimwood
J Hill
LR Hoffman
DR Howard
A Fuery
N Kapur
HC Kok
P Laird
G Lau
PK Mandal
R Marsh
MS McElrea
SM McPhail
R Mitchell
P Morris
HL Petsky
JL Perret
A Pratt
KA Ramsey
JM Roberts
PD Robinson
LT Rodwell
P Torzillo
D Vicendese
NP West
D Wurzel
S Yerkovich
Guiding practice principles for clinicians who work with Indigenous people
Frontiers in Pediatrics
Indigenous
First Nations
children
cultural safety
respiratory
lung health
title Guiding practice principles for clinicians who work with Indigenous people
title_full Guiding practice principles for clinicians who work with Indigenous people
title_fullStr Guiding practice principles for clinicians who work with Indigenous people
title_full_unstemmed Guiding practice principles for clinicians who work with Indigenous people
title_short Guiding practice principles for clinicians who work with Indigenous people
title_sort guiding practice principles for clinicians who work with indigenous people
topic Indigenous
First Nations
children
cultural safety
respiratory
lung health
url https://www.frontiersin.org/articles/10.3389/fped.2025.1526753/full
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