3121MED First Peoples Health And Practice

3121MED First Peoples Health And Practice

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3121MED First Peoples Health And Practice

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3121MED First Peoples Health And Practice

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Course Code: 3121MED
University: Griffith University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Question:

Task aim: To critically reflect on how your own culture, life experiences, worldview and dominant cultural paradigms, influences your perceptions of, and interactions with, Aboriginal and Torres Strait Islander peoples in health care.
Task description:
Part A
Create a detailed concept map that explores a subject that has resonated with you in the First Peoples Health and Practice course
To assist you, you should ask yourself:

What has resonated with me the most in this course?
What are key concepts within this subject that stood out to me?
How did these concepts make me feel and/or how did I react when I heard this?
Why did I feel or react this way?
Continue to ask yourself ‘why’ to unpack each concept in detail, from your personal, professional and the dominant cultural lens.

Part B
Using the concept map completed in Part A as a guide, write a critical reflective essay, applying the Critical Reflection Framework adapted from Walker, Schultz and Sonn (2014):

Define and discuss the subject and its key concepts and then choose one concept to write about.
Reflect on how your own culture as well as your professional culture, influences your understanding of the concept.
Analyse the viewpoints and assumptions of others and the dominant cultural paradigm relating to the concept.
Discuss what you have learnt from this critical reflective process and how this learning influences your perceptions of, and interactions with, Australia’s First Peoples in the health care setting?
Discuss how your future practice may be transformed as part of this process.

Answer:

Part A

Concept Map
The concept of cultural competence made feels that there is a need to consider disparities in health status. Health beliefs and practices. The reason why I felt this way is because it impacts our health practices and choices. It also mirrors the capacity to procure and utilize learning of human services, practices, states of mind, and convictions of communication patterns. Furthermore, it strengthens programs, increases the participation of the community and utilizing the gaps that exist among the health status of people.
Part B: Creative Reflective Essay
The subject that has resonated with me in the course of First Peoples Health and Practice is cross-cultural health care.
The Subject And Its Concepts
Culture entails the rituals, beliefs, practices, and customs of a particular group of people that guides thinking, actions and decisions in a certain way. It is cultured and passed from one generation to another.  Cross-cultural healthcare comprises of racial and ethnic disparities, dialect barriers and provision of care to immigrants as well as cultural competencies. Cultural competences comprise an arrangement of qualities, practices, states of mind, and practices inside a framework, association, program, or among people that empowers them to work adequately crosswise over societies (Jie & Harms, 2017).
Social fitness alludes to respecting other people’s culture, relational styles, dialect and providing restorative care.  The social capability is a dynamic, progressing formative process that requires a long haul responsibility and is accomplished after some time (Downing, Kowal & Paradies, 2011). The differences in culture have resulted in various beliefs and behaviors of the patient from one’s own (Thackrah & Thompson, 2013). The application of cultural competence can be applied when meeting a family or patient out of the blue. As a professional of health care, one should know that the convictions and practices may shift from his/her own. The concept I choose to write about is the cultural competences. It can be applied to various settings of health care such as patient education, medical education, research, clinical practice, workforce, and leadership as well as the healthcare system (Reilly et al., 2008).
A system of healthcare that is socially competent accepts and recognizes the significance of cultural diversity at various levels (Anderson et al., 2015). It also assesses the cross-cultural interactions by being vigilant towards any developments and variations that result from cultural diversity. Furthermore, it adapts the services that are to meet the requirements that are unique to each culture. There are various ways in which my own culture, as well as my professional culture, affects my understanding of this concept of cultural competence. A health workforce that is culturally capable is essential for ensuring that safe cultural practices are practiced in every setup (Stone, 2008). My own culture has its ways in which it affects the way I perceive and respond to various instances of cultural competences.
Impacts of My Own Culture
In my own culture, cultural competence is regarded as the core value in responding to various instances of medical care. It aids my understanding of this concept by facilitating the critical elements of the concept. It embraces cultural safety as a means of providing a safe environment for healthcare to all patients. My own culture embraces the culture of respecting clients and other providers of healthcare which forms a core value of my comprehending cultural competence. Cultural safety plays a significant role in the concept of cultural competence. It also makes me aware of the different cultures that are available worldwide. Cultural awareness entails developing the consciousness of various norms, beliefs, values and clients’ lifeways (Truong, Paradies & Priest, 2014). It fosters my understanding of the concept positively.
On the other hand, my own culture affects my understanding of the concept of cultural competence. One way is that it considers itself to be the better than others hence interfering with my feelings and reactions towards other cultures. In this way, I found myself at the crossline wondering if I should take which side interfering with my understanding.
Impacts of My Professional Culture 
My professional culture embraces every culture across the world as respecting the dignity of the patients is among its core values. A medical professional can well understand the culture of others by embracing the beliefs, values, and practices of another cultural group only if them aware of their cultural values, methods, and ideas. My professional culture hence makes aware of these terms that facilitate my understanding of the concept of cultural competence. My professional culture provides me with cultural knowledge that has shaped the way I understand the concept. It has provided me with a sound educational base about different cultural groups to facilitate my comprehension of various beliefs, behavior, and values of patients.
Furthermore, my professional culture has made me familiar with the models, theories, and concepts related to cultural competence which has helped me to identify the needs of healthcare and appropriate options for nursing. Also, my cultural skill has been facilitated by professional culture to collect cultural data that is relevant to the client’s health problem. It has also aided my official incorporation of data that is related to care provision and planning hence further understanding of cultural competence.
Viewpoints and Assumptions Related To the Concept
There are various viewpoints and assumptions of others that relate to the concept of cultural competence.  Cultural paradigm is relationship-centered in that it focuses on all actors of healthcare delivery and services of health management (Dudgeon, Milroy & Walker, 2014). Various scholars of nursing have begun to explore critical and constructivist definitions of cultural competences and the characteristics of culture. Their critical views have significant in the sense that they recognize the power’s role in cultural construction. Cultural capabilities are embraced from a critical perspective, experienced and made meaningful by various people in specific contexts.
Dominant Cultural Paradigm Relating To the Concept
 Dominant cultural paradigm is complex in that it entails morals, arts, beliefs, knowledge, customs, law and other habits that relate to cultural competence. The dominant model has been attributed to the face of the public in the way healthcare and cultural power is being viewed in the society.
The members of the public have high expectations of health care in and view cultural competence as the core factor that facilitates the provision of better healthcare services (Vos et al., 2008). With other stakeholders, the relationship does not smoothly as much is expected to be achieved which has not been. In cases where a healthcare profession gets fatigue or is under stress, it is viewed as a failure of cultural competence. The paradigm of patient-centered is a significant component that links the patient to a physician. The relationship of a doctor with other teams of health care plays a significant role in coordinating healthcare services. Healthcare coordination is considered to be an integration of care activities of the patient among providers of patient’s care. It helps to facilitate the appropriate delivery of services for healthcare (Walker, Schultz, & Sonn, 2014).  
The dominant paradigm has been on the focus of coordinating care of physicians primarily the clinic-based staff, specialists, and hospitalists rather than being patient-centered. It has a more significant impact on cultural competence where every individual is considered to be significant as long as healthcare standards are met. The relationship that exists between the community and the physician plays a substantial role in supporting cultural competences and hence the health of the population. Caregivers, members of the family and other community resources play an essential role in ensuring that cultural competence is achieved in care delivery (Gracey & King, 2009). Some cultural paradigms have various sentimental that makes the delivery of healthcare to be strained. The viewpoints and assumptions of others on the concept of cultural competence plays an integral role in supporting the belief that culture is vital in the process of healing. For patients, socially responsive administrations respect the convictions that culture is implanted in the customers’ dialect and their verifiable and unequivocal correspondence styles and that dialect obliging administrations can positively affect customers’ reactions to treatment and resulting commitment in recuperation administrations (Waterworth et al., 2015)
Different societies are worried about a definitive implying that individuals endeavor to make relations with others. The force of ties and allotment of implications is communicated in the truth of the development of networks (Durey, 2010). Toward this accomplishment of significance, people generally extreme quality qualities. What people group see as their definitive qualities, in the end, winds up apparent as truth by the network.
Facts concern insistences of such qualities. Regardless, individuals’ in-network assume that what they certify is so truly (Forsetlund, Eike & Vist, 2011). Facts at that point are certifications of what the truth is for those individuals that they share normal implications and in this manner, it is their ultimate accomplishment of living in a network. Social standards are widely inclusive ‘lifestyles’ whereby networks are given shape. In the meantime, these ideal models stay sufficiently liquid to take into account dissemination and infiltration of the ‘other’ and even fertilization by the other; what we generally call fondness to relate. In this way, people can encounter the aggregate approval of living and think inside a worldview that is additionally held onto as truth by others, while adding to the development of this portrayal of reality (Funston, 2013).
Lessons Learnt From the Critical Reflective Process
This critical reflective process has assisted me to understand myself better and instructed me a ton of aptitudes that will enhance my future endeavors. This learning has also influenced my perceptions of, and interactions with Australia’s First Peoples in the health.
As I consider my qualities identified with this reflective process, I meditate I can now embrace the cultures of others. I have learned that a socially skilled workforce of healthcare is imperative to guarantee culturally safe administrations that address the issues of Aboriginal and Torres Strait Islander people groups to enhance their wellbeing results. I have understood that health practices and behaviors of seeking care are bound to culture. Culture is embroiled in political, social and historical correlations and activities that impact the way people comprehend the services of healthcare delivery. It, in turn, influences the process of decision making around care services.
 In Australia, Indigenous individuals are especially in danger because, on the scope of wellbeing and social markers, they are the most underestimated of any identifiable gathering. While singular drawback isn’t extraordinary to Indigenous individuals, it is the mixture of markers of burden and the subsequent wellbeing results that make Indigenous understanding convictions especially vital (Watson, 2009). Cunningham et al. suggested that messages from subjective investigations investigating the perspectives and understanding of Indigenous individuals with growth must be considered. Impressive contrasts exist in the observation and meaning of wellbeing, substantial living, prosperity, sickness, and the significance of malady and passing between Indigenous Australians and the dominant Anglo-Australian culture.
Impacts of Creative Reflective Process on My Perception
My perception and interaction have significantly changed towards Australia’s First Peoples in the health. The Aboriginal have various beliefs that relate to different health conditions, for instance, they believe that cancer is contagious.
I have embraced their culture in understanding their beliefs and attitudes which can enhance my health care service delivery to this marginalized population. I have acknowledged the significance to facilitate social security by coordinating the perspective of the Aboriginal in the provision of my current service. I will try to interact and engage with this person to understand further their health problems. Welfare is the foundation of disease mitigation, and practically speaking, this implies organizing social security close to the physical wellbeing of Australia’s First Peoples in prosperity.
Transformation of My Future Practice
My future may be transformed as part of this process in various ways that will impact my future career. I am an individual who likes to appreciate individuals and converse with them. I love embracing their culture and beliefs, and this course was extremely vital to be enjoyable as I aspire to complete my studies. I have learned about interacting with other people more especially when it comes to healthcare of the First People in the health. I feel I have grown throughout my practicums.  I have gone from doing everything I can do short of begging someone to do the “right” thing to now providing the appropriate education and asking the patient how he/she wishes to proceed.
Helpfulness is making no mischief, being benevolent and advancing the positive qualities in others. I feel this is the motivation behind why several individuals go into the fields of healthcare and are unquestionably the motivation behind why I picked this specific vocation way. I will carefully consider my plan of care for every patient.  I am always thinking about what I may be missing or if there is any possibility that what I am feeling may impact the patient.  I do this from a legal aspect as well, but I primarily do it because I would be devastated if I were ever the cause of harm to anyone.  I know this will continue into my future practice.
References
Anderson, L., Adeney, K., Shinn, C., Safranek, S., Buckner-Brown, J., & Krause, L. (2015). Community coalition-driven interventions to reduce health disparities among racial and ethnic minority populations. Cochrane Database of Systematic Reviews.
Downing, R., Kowal, E., & Paradies, Y. (2011). Indigenous cultural training for health workers in Australia. International Journal for Quality in Health Care, 23(3), 247-257.
Dudgeon, P., Milroy, H., & Walker, R. (2014). Working together. [West Perth, WA]: [Kulunga Research Network?].
Durey, A. (2010). Reducing racism in Aboriginal health care in Australia: where does cultural education fit? Australian and New Zealand Journal of Public Health, 34, S87-S92.
Forsetlund, L., Eike, M., & Vist, G. (2011). Effect of interventions to improve health care services for ethnic minority populations. Norsk Epidemiology, 20(1).
Funston, L. (2013). Aboriginal and Torres Strait Islander Worldviews and Cultural Safety Transforming Sexual Assault Service Provision for Children and Young People. International Journal of Environmental Research and Public Health, 10(9), 3818-3833.
Gracey, M., & King, M. (2009). Indigenous health part 1: determinants and disease patterns. The Lancet, 374(9683), 65-75.
Jie, S., & Harms, R. (2017). Cross-Cultural Competences and International Entrepreneurial Intention: A Study on Entrepreneurship Education. Education Research International, 2017, 1-12.
Reilly, R., Doyle, J., Bretherton, D., Rowley, K., Harvey, J., & Briggs, P. et al. (2008). Identifying psychosocial mediators of health amongst Indigenous Australians for the Heart Health Project. Ethnicity & Health, 13(4), 351-373.
STONE, J. (2008). Healthcare Inequality, Cross-Cultural Training, and Bioethics: Principles and Applications. Cambridge Quarterly Of Healthcare Ethics, 17(02).
Thackrah, R., & Thompson, S. C. (January 01, 2013). Refining the concept of cultural competence: Building on decades of progress. Medical Journal of Australia, 199, 1, 35-38.
Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Services Research, 14(1).
Vos, T., Barker, B., Begg, S., Stanley, L., & Lopez, A. (2008). The burden of disease and injury in Aboriginal and Torres Strait Islander Peoples: the Indigenous health gap. International Journal of Epidemiology, 38(2), 470-477.
Walker, R., Schultz, C., & Sonn, C. (2014). Cultural Competence – Transforming Policy, Services, Programs, and Practice. Dudgeon, P., Milroy, Walker, R. (Eds.). Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice (pp. 195 – 220)
Waterworth, P., Pescud, M., Braham, R., Dimmock, J., & Rosenberg, M. (2015). Factors Influencing the Health Behaviour of Indigenous Australians: Perspectives from Support People. PLOS ONE, 10(11), e0142323.
Watson, I. (2009). Sovereign Spaces, Caring for Country, and the Homeless Position of Aboriginal Peoples. South Atlantic Quarterly, 108(1), 27-51.

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3121MED : First Peoples Health And Practice

3121MED : First Peoples Health And Practice

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3121MED : First Peoples Health And Practice

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3121MED : First Peoples Health And Practice

0 Download4 Pages / 883 Words

Course Code: 3121MED
University: Griffith University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Question: 
To do this, the group will need to gather relevant information from a variety of sources. This may include peer reviewed journals, textbooks, reputable websites and government reports. Relevant community agencies and health professionals are also helpful sources of information to prompt discussion and to get you started.
 
I). As a group, plan, research, and discuss how you will present your findings via PowerPoint presentation. There is an assessment planner to assist groups with planning, setting tasks and remaining on time. This is located in the assessment folder on Learning@Griffith. A Presentation Layout guide is also available to assist with the layout of your presentation (guide only).
 
II). Each individual is to submit your group participation feedback along with a coversheet via Turnit In by the due date.
 
III). One member of your group will upload a video recording of your presentations by the due date. Scripts do not need to be submitted. For further support to upload presentations, please refer to the “Video Uploading Tips Sheet” located in supporting documentation 
Answer: 

The assimilation and the segregation era were two of the most important times of the involvement of the first people in the Modern society. Despite this the processes taken to include the different individuals in the society. The people of the society during the time were forced to live in isolation according to the new laws implemented by the colonizers greatly affecting their relationships. The segregation greatly restricted the movement of the first people with them requiring to’ use identifications for their movement in the country. The half bred fair children were taken away from their parents and forced to live in hostels to teach them about the western culture.
The segregation era demarcated the areas of residence for the people in the society. they could not move out of these areas and their movements were restricted among the different parts of the society. The people needed special permission for the free movement in the parts of the society where the colonizers lived. The era build a sentiment against the colonizers in the minds of the first people thereby affecting their long term relations in the society.  The children were isolated from the parents and it affected the psyche of the children as well as the parents.
The taking away of the children and the different people in the society of the first people majorly affected the psyche of the people and made them discriminatory against the different colonizers. The state-wide curfews implemented in the society ostracized the first people from the society because of the fear they had from the colonizers. This has affected them deeply hampering their relations with the modern urban society and therefore not taking help of the infrastructure like the healthcare. This lack of healthcare clubbed with their economic issued lead to a major issue in the overall development of the first people.
The policies of the segregation and assimilation had left a strong impact on the minds of the people in the society as the first people abhorred any communication with the western society due to the fear of losing their loved ones, being racially discriminated or the fear of the past. The lack of the communication channel is strongly affecting the overall health of the individuals. The racism that is still present in the society also affects the behaviour of the individuals.
The segregation and the assimilation were also government policies which greatly affected the overall society so the first people are still afraid of accepting and external intervention in their society. The policies however at the ground level are discriminatory due to the healthcare personnel doing discrimination based on the stereotypes about the aboriginals. The first people re seen to be alcoholics and over dependent on drugs because of which the healthcare providers cannot judge the true intentions of the people in the society.
There are a number of stereotypes among the urban society about the first people like:

The aboriginals are seen as violent group.
They are thought to be avid drug users and thereby involved in the crime.
They get undue favours from the law and the different governments laws.
They are not religious and hence are sinners living in the society.
They remain uneducated by choice turning into criminals

The modern policies are aimed toward the overall development of the first people in the society and keeping their cultural integrity intact in the multicultural society. There have been set a complete set of new ethics in the infrastructures for the ethical interactions with the first people without offending them and not reminding them of the gory history. The modern approach is based on the mutual respect to both the religions not being discriminatory to each other.
The historical factors of the segregation and assimilation era has led to the ostracism of the first people from the society affecting their health in a number of ways as they have no access to proper infrastructure to insure proper health or healthcare facilities among them. This economic and the socio-cultural divide makes them suffer from a number of mood disorders because of which they also tend to be alcoholics and drug abusers. They also suffer from minor infection in mass number due to lack of healthcare and sanitation as they suffered from massive hookworm infections. The psyche of the first people were also affected by the discrimination due to the history and the still prevalent stereotype and the prejudices about them. The stereotypes are so strong that they the healthcare providers avoid giving painkillers to the first people fearing the substance abuse or thinking that they are to strong which is the normal stereotype about the first people of Australia.
The first people need the help of the modern infrastructure but they are reluctant to take help fearing the experiences might repeat themselves. They also avoid all other facilities like education and the social care for the same reason. The government is working on providing the proper help and the infrastructure to the people in the society about the initiatives. They are also training the people about the interactions with the first people. Though the process is on, it might take a long time to regain the trust lost during the segregation and assimilation era and their inculcation in the society.

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3121MED First Peoples Health And Practice

3121MED First Peoples Health And Practice

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3121MED First Peoples Health And Practice

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3121MED First Peoples Health And Practice

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Course Code: 3121MED
University: Griffith University

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Country: Australia

Question: 
To enable you to critically analyse the impact of colonisation on contemporary First Peoples’ health outcomes, how this influences trustful and respectful relationships with Australia’s First Peoples and health professionals and how these will impact on current health practice. 
 
Description: Choose two policy eras discussed in the Respect Capability and write an essay that:
1. Provides a description of the policies
2. Critically analyses how these policies have impacted on the health of First Peopletoday
3. Discusses the influence this has on First People building trustful and respectful relationships with health professionals. 
Critical Analysis: This essay seeks to build awareness about policy and its discourse. In doing so, it aims to promote discussion around policy decision-making, policy iml ‘ and potential policy revision. Be mindful that you may find bias in the literature despite it being represented as objective and factual. Underlying assumptions regarding the homogenous grouping of Aboriginal and Torres Strait Islander people, the maintenance of the dominant ideology and the lack of recognition of the detrimental effec past reforms and policies contribute to the bias. This in turn has an effect on the health status, relationships and attendance of Aboriginal and Torres Strait Islander people within various levels of the healthcare setting, perpetuating the cycle of disengagement, poor attendance and poor health outcomes. 
Answer: 

Introduction: 
The early year of European colonization is undoubtedly a remarkable historical event for the people of Australian. The European colonization began at 1788, the first people of the Australia have been the aboriginals and Torres Strait islanders. According to authors, these first people of Australia have lived there for more than 40000 years before the European settlement began to taken place in the country (O’Gorman, Beattie & Henry, 2016). The colonization had been associated with a number of hardships including loss of land, forced removal of children and fall from the social status. The essay will attempt to discover the impact of colonization on the first people and their health outcomes taking the assistance of two policy areas.
Description of the policies: 
The impact of the colonization of the Australian continent has been a delimiting factors on not just the lifestyle of the first people, rather the trauma of loss of land, social position and even the forced removal of the children has had a severe psychological impact on the people as well. Along with that, racial discrimination and bullying faced by the aboriginals and Torres Strait islander has also had a significant detrimental impact on health status, life expectancy and most of all, the access to the health care services (Berkes & Ross, 2013). There have been many policies that have designed with the idea of redefining the health status and lifestyle outcomes for the contemporary first people of the Australia, however, the impact of these policies have been differential. The first policy that has made a profound influence on the lives of the contemporary first people of Australia is the self-determination policy of 1972-1975 (alrc.gov.au, 2018). The right to self- determination has been outlined in the article 1 of the International Covenant on Civil and Political Rights (ICCPR) and in article 1 of the International Covenant on Economic, Social and Cultural Rights. Exploring further, it has to be mentioned that in the post colonization era, the impact of the settlement has been associated with not just the loss of lands and trauma for the indigenous individuals, but the subtle but substantial control exerted by the White Australian policy also have forced the indigenous individuals to resort to the nonindigenous way of living (humanrights.gov.au, 2018). According to the policy document, the right to self-determination in the Australia allows all individuals of the society to liberally determine personal political status and be able to freely follow their socio-economic and cultural development. As mentioned by McDermott and Edwards (2012), the process of self-determination has been an ongoing process of choice that acknowledges the Australian indigenous people to be the first people of Australia and allowing the indigenous individuals so that they can easily address their socio-economic and cultural needs of life.
The second policy that is needed to be discussed in this context is a very recent addition to the Australian legislations, the indigenous advancement strategy of 2004 to 2014. Exploring this policy area further, it has to be mentioned that this particular policy addition is a conspicuous proof of the fact that the Australian government has made the needs and demands of the aboriginal individuals as one of the national priorities (Pmc.gov.au, 2018). As per the policy document, the indigenous advancement strategy or IAS allows the Australian government to fund and deliver a varied range of different programs for the benefit of the indigenous people of Australia. This particular policy focuses on Jobs, economic condition, land security, child support including education and schooling, culture and capability, along with safety and wellbeing. This policy area manages the total government expenditure of $8.6 billion invested in improvement of life of the ATSI community residing in Australia.
Impact of the policies on indigenous health outcomes: 
Self-determination is not just a basic human right or requirement for justice, rather, the right to self-determination is a fundamental component of the wellbeing. Human beings, above all, are social creatures and they cannot flourish in any context without given the opportunity to participate in political and social affairs (Hannum, 2011). The inability of the members of the society to participate in the joint decision making procedure can have a detrimental impact of the sense of belonging which in turn can impact the wellbeing as well. Self-determination is a right that can allow the members of a society or a lawful community to work with each other within shared political institutions and be able to determine the laws and policies that will eventually shape the collective as well as individual futures. In the post colonization era, the indigenous populations have been subjected to face a drastic loss of self-determination which has eventually led to frustration, resentment, insecurity and despair which has also affected their health significantly (Mickler, 2010). As a result of their lack of self-determination, the community of first people have lacked control over administration and delivery of their own health services. With the implementation of the self-determination policy, the first people have been provided the opportunity to have an equal say to the decision making regarding health policies and directives helping them attain better health outcomes. Similarly, indigenous advancement strategy is focused on improving five related factors of aboriginal living including safety and wellbeing (pmc.gov.au, 2018). This policy has been capable of bridging the gap of the disparities and inequities present in the health service delivery. The enhanced systematic funding has helped in implementation of better and culturally safe mental health care delivery, better addressing of the social and cultural determinants of health for first people, and national partnership agreement for health infrastructure improvement for the remote indigenous populations.
Overall influence of the policies: 
Both of the policies have been a boon for the improvements in the health status for the aboriginals or the first people of Australia. The government policy acknowledging the right to self-determination for the first people have provided them with the rights to adhere to their personal identity, language and cultural norms. Where the self-determination has allowed them to have an equal say in the policy decision making including health and wellbeing, the indigenous advancement strategy has provided the adequate funding for specified health improvement strategies dedicated to first people to be implemented (Jolley et al., 2014). This has been a drastic change in the health service delivery and health outcomes for the indigenous populations, and has allowed for the implementation of culturally safe care aspects for the first people. The mandatory consideration of the dignity and cultural identity of each patient and providing an impartial patient centred care is one of the integral elements of present health care delivery of Australia (Nursingmidwiferyboard.gov.au, 2018). The emphasis of safeguarding and acknowledging the cultural identity of the first people is undoubtedly a cumulative effect of the policy changes towards indigenous advancement and self-determination rights which has allowed the first people not only gain the deserved equal access to health services and be able to participate in the decision making of the policy making, but also be able to receive the respect and acknowledgement as an individual cultural identity. Hence, the present therapeutic relationship based on trust and respect for each other and their cultural identity is one of basic aspects of care delivery scenario of the Australian heath care system which has helped improve their help seeking behaviour and hospitalization rates as well. This in turn has improved the health status of the first people as they can build a trustful and mutually respectful relationship with their health service provided instead of being discriminated against (Berkes & Ross, 2013).
Conclusion:
On a concluding note, European colonization has a had a significant impact on introducing modernized European influence on the culture and lifestyle of the Australia, the impact of the colonization and the aftermath of the same had a significant impact on all aspects of life for the first people of Australia. However, the policy shift from assimilation to self-determination and indigenous advancement has helped improve the health care for the first people and has helped them attain a respectable position in the society which is reflected in the health care services focused on cultural safety and mutually respectful relationship between indigenous patient and service providers.
References: 
About Constitutional Recognition | Australian Human Rights Commission. (2018). Recognition of Aboriginal and Torres Strait Islander peoples in the Australian Constitution. Retrieved from https://www.humanrights.gov.au/publications/about-constitutional-recognition
Berkes, F., & Ross, H. (2013). Community resilience: toward an integrated approach. Society & Natural Resources, 26(1), 5-20. Doi: 10.1080/08941920.2012.736605
Changing Policies Towards Aboriginal People | ALRC. (2018). Changing Policies Towards Aboriginal People. Retrieved from https://www.alrc.gov.au/publications/3.%20Aboriginal%20Societies%3A%20The%20Experience%20of%20Contact/changing-policies-towards-aboriginal
Hannum, H. (2011). Autonomy, sovereignty, and self-determination: the accommodation of conflicting rights. University of Pennsylvania Press. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=28PEGfCDiZEC&oi=fnd&pg=PP2&dq=self+determination+in+australia&ots=LONJbv2S3E&sig=a1lApreiJKZ1nFNLkiy0Cmrpavc#v=onepage&q=self%20determination%20in%20australia&f=false
Indigenous Advancement Strategy. (2018). Indigenous Advancement Strategy. Retrieved from https://www.indigenous.gov.au/indigenous-advancement-strategyIndigenous Advancement Strategy 2017-18 Annual Evaluation Work Plan | Department of the Prime Minister and Cabinet. (2018). Retrieved from https://www.pmc.gov.au/resource-centre/indigenous-affairs/indigenous-advancement-strategy-2017-18-annual-evaluation-work-plan
Jolley, G., Freeman, T., Baum, F., Hurley, C., Lawless, A., Bentley, M., … & Sanders, D. (2014). Health policy in South Australia 2003–10: primary health care workforce perceptions of the impact of policy change on health promotion. Health Promotion Journal of Australia, 25(2), 116-124. Doi: 10.1071/HE13088
McDermott, S., & Edwards, R. (2012). Enabling self?determination for older workers with intellectual disabilities in supported employment in Australia. Journal of Applied Research in Intellectual Disabilities, 25(5), 423-432. Doi: 10.1111/j.1468-3148.2012.00683
Mickler, S. (2010). Illiberal and unmodern: Conservative columnists on Indigenous self-determination in Australia and Canada. Borderlands, 9(1). Retrieved from https://go.galegroup.com/ps/anonymous?id=GALE%7CA233047270&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=14470810&p=AONE&sw=w
Nursing and Midwifery Board of Australia – Professional standards. (2018). Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
O’Gorman, E., Beattie, J., & Henry, M. (2016). Histories of climate, science, and colonization in Australia and New Zealand, 1800–1945. Wiley Interdisciplinary Reviews: Climate Change, 7(6), 893-909. Doi: 10.1002/wcc.426
Right to self determination | Australian Human Rights Commission. (2018). Right to self-determination. Retrieved from https://www.humanrights.gov.au/right-self-determination

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I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
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Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
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Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…
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According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
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