Background Information
The Aboriginal and Torres Strait Island (ATSI) people face several safety and quality problems in the healthcare system, because of which they fail to attain an effective healthcare service. The disjuncture regarding knowledge is proven in the healthcare disparities that are faced by the TSI and Aboriginal individuals (Fraser et al., 2020). They make the inclusion regarding barriers which they encounter to gain the accessibility to primary and tertiary healthcare in both remote and urban regions of Australia (Fraser et al., 2020). The main aim of the essay is to highlight the lack of safety and quality problems which are faced by the Aborginal and TSI people in terms of the healthcare provision. The implementation of change management is required to deal and mitigate this issue. The barriers that might be faced to implement the change is to be noted. To mitigate the safety and quality problems in healthcare that are encountered by TSI and Aboriginal individuals in healthcare, the application of clinical and organisational leadership is required to be done.
Availability of the healthcare services is a crucial contributor to the wellbeing and health of the individuals. This has a particularly significant impact on the health status of the TSI and Aboriginal individuals, which develops their overall poorer aspect of health and their increased requirement to get healthcare services in comparison to the non-Indigenous individuals. A lack regarding resources developed a double burden for women via whom the health of them gets jeopardised by their incapability to get adherence to the care suggestions and the ineffective quality of connectivity between the patient and the provider, generating the outcome of deterred care provision (Wilson et al., 2019). There is the presence of health inequity between the TSI as well as Aboriginal Australians and the cultural barriers are the most important factors to address the health inequity of the Aboriginals. The TSI and Aboriginals are termed as financially, politically, culturally and socially disadvantageous individuals. The indigenous individuals of Australia face an increased rate of mortality and morbidity because of addiction (Dale et al., 2019). Making sure the accessibility regarding the healthcare services needs not only a monetary and topographical health system, but also there is a requirement regarding the presence of cultural support.
Cultural issues in the healthcare system indicate the barriers which the ATSI people might encounter that consist of varied language, medical systems or the aspects regarding sexuality and gender. These are the issues that can generate the rise of severe miscommunication between the people coming to the healthcare services from varied cultural backgrounds. These are termed as the vital reason behind the unsatisfactory results regarding health services among the ATSI people. These are the issues which lead to the accessibility of unequal healthcare provision that are received by the ATSI people.
Cardiovascular issues, diabetes, cancer as well as respiratory issues are the vital diseases that are affected by the ATSI people that contribute to the undesired gap that is associated with the expectancy of life. The social disadvantages which are structurally entrenched, income and health inequities, have led to the development of racism in the chronic form (Dudgeon, Bray & Walker, 2020). To critically analyse, it can be stated that there are both advantages and disadvantages regarding the system of healthcare services that are attained by the ATSI. The presence of effective communication between the healthcare agencies can be termed as a crucial enabler to the access of healthcare and advancement regarding the standard of healthcare that is essential. However, it is dependent on the healthcare members to make sure that there is the presence of interagency meetings. The implementation regarding Closing the Gap PBS Co-payment and the subsidies connected with travelling, have enhanced the adherence of medication to the ATSI patients, who would otherwise be incapable of buying their medicines.
Cultural Issues in Healthcare
However, it is found that the Indigenous people might face intersecting and numerous issues to gain the access regarding urban healthcare provision of services. This includes discrimination, racism and the presence of care that are culturally unsafe. There is the impact of racism regarding the accessibility and administration associated with the health surrounding that are culturally unsafe for the patients in the hospital settings, particularly for the Indigenous Australians and emphasis must be provided regarding the aspects of cultural diversity within the village health works region (Malatzky & Glenister, 2018).
Therefore, these are the various quality and safety related issues that are faced by the ATSI, to mitigate with which, it is of vital importance to implement a change. The change that can be proposed is the implementation regarding the clinical governance framework that can lead to the improvement of quality and safety of healthcare. In the attempt to serve safe healthcare at the level of primary health care, the emergence regarding the clinical governance concept has taken place (de Vasconcelos et al., 2019). The assurance regarding clinical quality can be provided by the clinical governance as clinical governance places clinical quality in the core of the healthcare service provision. Clinical governance makes sure the delivery regarding optimal quality of care by the decrease of failure as well as shared learning capabilities. To maintain this framework, it is required to make the appointment of an effective leader who can abide by the clinical governance framework and help to improve the quality of healthcare for ATSI people.
There are several researches which have accessed the clinical governance implementation in several healthcare settings as well as healthcare systems in Australia. There is the presence regarding several administrative concerns like transforming organisational culture and the issues that are associated with clinical care (Cowan et al., 2019). It is researched and found that there are several barriers which can make it difficult for the health professionals providing healthcare to ATSI to implement the proposed change of clinical governance. The healthcare professionals of the concerned region are found to be present with inadequate information and attitude towards clinical governance. There is the barrier oriented with lack of resources, the presence regarding insufficient data technology system, resistance regarding the implementation of change, requirement regarding professional boundaries and cultural transformations are the main barriers which are encountered.
The agreement is made by the majority of the senior managers who are associated with healthcare that there is employee shortage and the presence of restricted resources are the main barriers that are associated with the clinical governance implementation. In the circumstance, the term barrier indicates a broad range regarding the preventive measures that comprise working processes, protection devices, security system, emergency plan, supervision and many more. For example, the requirement regarding clear employee responsibilities and roles within the team that is clinically integrated is recognised in the form of a potential barrier to the provision of effective healthcare (Thornicroft et al., 2019). It is believed by them that these are the barriers which leave most of the healthcare managers encountering issues to efficiently conduct the program. Moreover, particular barriers like reduction of help is obtained from the medical employees and physicians, there is the existence of legal issues and the model of quality improvement model associated with parallel quantity. There is the presence of enhanced workload and the presence of parallel activities in varied domains in insufficient supporting procedure in the procedure of clinical governance implementation. The barriers which are connected with the effective implementation regarding care plan in the mentioned settings is the lack of organisational culture, strategic planning problems, and resource management and workload issues. Mitigation of these barriers through the usage of efficient healthcare facilitators can be effective at the time of clinical governance implementation.
Cardiovascular, Diabetes, Cancer, and Respiratory Issues
The vital attributes of clinical leaders are empowerment, approachability and the encouragement regarding being visible in healthcare practises. The conceptualisation regarding leadership in the nursing field acts in the form of a formal and influencing role which permits the application of the emerging aspects like clinical leadership into the wide scope associated with nursing leadership (Miles & Scott, 2019).
The clinical leaders are required to be clinically knowledgeable and competent and should be present with effective beliefs and values. The leaders must be present with efficient interaction skills, can cope effectively with the transformation, should be supportive, integrative and inspire the required confidence among the ATSI patients. Leadership is the capability to provide encouragement to the individuals to perform towards the attainment of common objectives to ensure that the display of extraordinary performance is done by the individuals (Sousa & Rocha, 2019). Leadership attributes and skills can be regarded as two connected but separate concepts, which when used in an interchangeable manner, can be termed as quite different. One identifies the capability to conduct a work and perform the work well. On the other hand, it relates to characteristics and qualities. Both support the clinical team towards a shared objective.
The significance regarding efficient clinical leadership is to provide a healthcare system that is of high quality which can serve consistently efficient and safe care. The presence of clinical leadership is important to advance the safety and quality in the healthcare sector and the supervision of the ATSI patients. The identification regarding clinical governance can be termed as the major driver regarding the performance of health services. The considerable advancement in practises can be attained only and only if the patients and the clinical leader gets actively involved with the procedure. The improvement regarding the safety of patients in the healthcare firms needs the presence of effective leadership at all the standards (Boamah et al., 2018). The attributes of clinical leadership can be mentioned as skill driven; situational, collective, value oriented, vision oriented, co-produced, collective, making the involvement regarding exchange connectivity and should be spanning the boundary. Quality and safety associated with the patient care is identified as the major priority for the healthcare firm on a global basis.
The skills that clinical leaders should have to make the implementation of clinical governance should have effective advocacy skills and the capability to implement the proposed change. The systems of healthcare are increasingly holding that it is the responsibility of the nurses for the several clinical results with several results being documentable to the accreditation as well as governance bodies and the public (Fulton et al., 2019). To critically analyse, retention is the constant concern which is faced by the clinical leaders.
The efficient clinical leaders should have the skill to administer and facilitate healthier working regions through driving cultural transformation among all the professionals associated with healthcare in the healthcare setting for the ATSI people. Changes within the healthcare structure will impact clinical leadership (Degeling et al., 2020). With the objective to serve effective care at the level of primary health care, the emergence regarding the clinical governance concept took place. The description of this term is done in the form of a framework via which the healthcare firms become responsible to develop incessant improvement regarding the quality of the services that they provide and safeguarding optimal care standards.
Implementation of Change Management
Clinical governance is the set of administration technologies which should be implemented in the healthcare settings in Australia, to serve quality healthcare (de Vasconcelos et al., 2019). The clinical leaders should have the skills regarding clinical competence; they must have the capability to develop leadership to the team and should be ready to challenge the status quo that is the essential skills which must be present in the clinical leaders. The healthcare decision creators enhance efficiency and leverage the functions (Foglia et al., 2019). The provision regarding particular training programs can develop an important role to make the improvement of people to make them prepared to perform leadership in the future. These training can serve aspirations to them to attain effective leadership opportunities (Schiller et al., 2020).
Conclusion
To conclude, it can be stated that there is a lack regarding safety and quality in the healthcare settings that serve care to the ATSI people. To deal with this issue, the implementation of the clinical governance framework should be done. The barriers which might be faced to implement the proposed solution are stated. The skills and attributes that the clinical leaders must have to apply the proposed change is highlighted.
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