NUR131 Assessment 3 – Clinical Case Scenario (1500 words)
TASK
Select one of the stories available in the following link and complete the associated learning
activities.
https:
www.edcan.org.au/edcan-learning-resources/supporting-resources/aboriginal-and-to
es-
strait-islander-peoples/nursing-care/case-studies
The NUR532 Learning Outcomes addressed by this assignment are: 1, 2, 3, 4 & 5
Please read the document “Improving short answer responses” for helpful ideas regarding how to
approach answering the associated learning activities.
Presentation Guidelines
Writing
• Write in the third person; avoid personal pronouns such as ‘I’ and ‘you’.
• Avoid long, confusing sentences and check that your tense (past, present and future) is
consistent within the same sentence.
• Avoid posing questions; work the information into the paragraph.
• Use plain English. It is essential your meaning is clear and that you demonstrate your
understanding of the nature of the topic.
• Write to the marking ru
ic, as this is where lecturers mark from.
Writing Tips
As you construct your responses you need to:
• Use co
ect punctuation, spelling and syntax (sentence structure)
• Paraphrase ideas from your reading
esearch, don’t just copy them
• Avoid the use of direct quotations.
• Ensure you use the most recent CDU APA referencing style.
References
• Peer reviewed journal articles are your best sources. Avoid non-refereed sources such
as editorials, monthly columns or non-refereed journals.
• Keep the number of books to a minimum.
• References should be no older than 5 years unless they are a seminal source.
• Do not use Wikipedia or dictionaries.
https:
www.edcan.org.au/edcan-learning-resources/supporting-resources/aboriginal-and-to
es-strait-islander-peoples/nursing-care/case-studies
https:
www.edcan.org.au/edcan-learning-resources/supporting-resources/aboriginal-and-to
es-strait-islander-peoples/nursing-care/case-studies
https:
www.edcan.org.au/edcan-learning-resources/supporting-resources/aboriginal-and-to
es-strait-islander-peoples/nursing-care/case-studies
https:
www.edcan.org.au/edcan-learning-resources/supporting-resources/aboriginal-and-to
es-strait-islander-peoples/nursing-care/case-studies
• Information gained from Internet sites varies greatly in depth and quality of content.
Internet sites must be relevant and reputable.
• Provide a source to support every new point you make.
• Show, thorough your referencing, that you have engaged with the unit readings and
conducted your own research on the topic.
Physical presentation
• Use Times New Roman, Tahoma or Arial, 12-point font. Do not use bold type.
• Use 1.5 or double spacing;
• Justify left and right;
• Hit enter twice between paragraphs;
• Do not use a cover sheet, a contents page, or dot points;
• Include page numbers; provide your student number in the footer of the document, e.g.
s0077363_Assign3_NUR133 and name your file the same way.
Principles of Practice, Standards and Guidelines for Providers of Cervical Screening Services for Indigenous Women
Principles of Practice, Standards and
Guidelines for Providers of Cervical Screening
Services for Indigenous Women
The following principles were developed to assist in
eaking down some of the ba
iers
faced by Indigenous women when attending health services for cervical screening,
and to maximise their access to the cervical screening pathway.
"You just have to talk
to the women in the
community. If you don’t
ask, you don’t know what
it takes to make them feel
comfortable… And if the
women have no line of
communication they don’t
know what is going on
there at the service.
But don’t expect the
communication channels
to be set up overnight.
… It all takes time …
(Indigenous) people
don’t trust systems o
services that have not
had their input during
the development stages
and you should liaise
through the local
(Indigenous) Health
Worker or Liaison
Officer…. hopefully in
the beginning and not
after there are
problems. This includes
during any planning
phases of service
provision and community
members have to be
involved at every stage
after that too for
services to work properly"
- Community Woman,
Eidsvold, QLD.
The paintings used for this document are by Central Australian Health Worker and Artist Margaret Lankin.
The cover painting tells a story about how important it is for women to have regular Well Women's checks. Traditionally, olde
women taught the younger ones how to look after themselves and their country. The traditional women supported each othe
and nowadays that support and advice is still important. The shapes represent the women sitting around together having a
meeting. The one with the white dots is the lady from the screening place, who has come to talk about
east screening, cervical
cancer and Well Women's screening. The circle with yellow, grey and
own dots is the screening place. Circles with white dots
are the other communities involved in this big meeting. The footprints with white dots belong to the lady with all the knowledge
she's going to pass on to the Aboriginal ladies there. The two ladies sitting in the circles are shamed. They sit there and wait to
hear from the other ladies. The footprints with the yellow dots are the ladies who understand now what
east screening, cervical
cancer and pap smears are, and how important it is to be screened. The yellow and white dots scattered over the painting are
sending a strong message across to all women to be screened every two years.
Paintings Legend
Painting 1 Communication
Painting 2 Sharing Knowledge, Skills and Experience
Painting 3 Choices - Everyone is Different
Painting 4 Support/Resources
1 Health Service. 2 Foot prints of service provider. 3 Service provider talking to AHW and community members. 4 Going back to
community with information and seeking community input. 5 Dots represent community and other input. But it all takes time!
2
1
1
1
1
2
3
2
3
4
2 3
4
4
3
4
5
5
1 Health Service. 2 Community members having a talk. 3 Community. 4 Dots represent knowledge, skills and experiences that both
parties share. Community members and health services build a better relationship to better services.
1 Aboriginal Medical Service. 2 Mum and bub. 3 Indigenous women have choices as to what services they use - Aboriginal Medical
Services or mainstream. 4 Mainstream Health Service.
1 Dots represent resources and support. 2 Community members hear about accessing services for screening and follow-up care.
3 Women give support to Health Worker to go back out to the community.
Principles of Practice,
Standards and
Guidelines
for Providers of
Cervical Screening Services
for Indigenous Women
The following principles were developed to assist in
eaking down
some of the ba
iers faced by Indigenous women when attending
health services for cervical screening, and to maximise their
access to the cervical screening pathway.
Fe
uary 2004
Contents Page
Foreword 4
Acknowledgments 5
Use of terms 5
Recognising South Sea Islander People 5
Executive Summary 6
Section 1 8
Background 8
Rationale 10
Why have Practice Standards? 10
Setting Benchmarks 10
Developing Principles of Practice, Standards and Guidelines and
Identified Case Studies of Good Practice 11
Endorsing Principles of Practice, Standards and Guidelines 11
Section 2 12
Five Key Principles of Practice 13
Monitoring Staff, Services and Service Provision 14
Ten Workplace Practice Standards 14
Section 3 16
Case Studies of Good Practice 16
• Inala Area Community Health Service - Queensland (U
an setting) 16
• Indulkana Community Health Clinic - South Australia (Remote setting) 19
• Walgett Aboriginal Medical Service - New South Wales (Rural setting) 21
Section 4 24
Audit Tool A - Prompt questions and audit checklist 24
Section 5 32
Audit Tool B - A quick reference checklist 32
Section 6
Audit Tool C - Identifying gaps in service delivery 34
Audit Tool C - Identifying gaps in service provision 35
Bibliography 36
Contents
© Commonwealth of Australia 2004
This work is copyright. Apart from any use as permitted under the Copyright Act 1968 no part may be
eproduced, adapted or transfe
ed to any medium including the internet without written permission from
the Australian Government as represented by the Department of Health and Ageing.
As well as being liable to pay the Commonwealth compensation, a person reproducing or adapting this work
in
each of the Copyright Act may also be liable to prosecution for a criminal offence.
ISBN XXXXXXXXXX
National Li
ary of Australia Cataloguing-in-Publication data:
Principles of Practice, Standards and
Guidelines for Providers of Cervical Screening Services for Indigenous Women
Printed Fe
uary 2004
Enquiries please email: XXXXXXXXXX
Foreword
Cancer of the cervix is a major health concern fo
Indigenous women and impacts upon the women,
their partners, families and community members. It
is a cancer too frequently diagnosed in Indigenous
women and a significant cause of cancer death.
As a result of the research in Queensland (Kirk et al
1998)1 the National Cervical Screening Program’s
Aboriginal and To
es Strait Islander Women’s
Forum collaboratively identified five key principles
of practice and ten workplace practice standards
which support the provision of culturally effective
and culturally safe service delivery. Members of the
Forum endorsed the development of a set of
practice standards and guidelines to assist the
development of appropriate service delivery in all
States and Te
itories. The members of the Forum
saw the potential for these standards and
guidelines to be adopted or endorsed as a national
priority area for action, as they have undergone
national consultation.
As a follow up to this comprehensive national
approach, I commend the "Principles of Practice,
Standards and Guidelines for Providers of Cervical
Screening Services for Indigenous Women" and
extend the challenge to all service providers to
improve the health and wellbeing of Indigenous
women.
Patricia Kurnoth
Chair
Aboriginal and To
es Strait Islander Women’s Forum
A Working Group of the National Advisory Committee to the
National Cervical Screening Program.
1 Kirk, M., Hoban, E., Dunne, A. and Manderson, L XXXXXXXXXXBa
iers to and Appropriate Delivery
Systems for Cervical Screening in Indigenous Communities.
Acknowledgments
This document recognises and commends the prio
esearch work and commitment to improving the health
of Indigenous women by Maureen Kirk who sadly passed
away 23 April 2001. Maureen’s quest for equality, respect
and humane treatment of fellow Indigenous people
suffering particularly from the effects of, and diagnosis,
treatment and after care of, cancer should not be
forgotten. Maureen’s dedication in this field has resulted
in the on going development of several positive changes,
including these Principles of Practice, Standards and
Guidelines, which act to assist the detection of
abnormalities, thus alleviating the devastating impact
that cancer has on Indigenous people Australia-wide.
Additionally, this document acknowledges the patience,
participation and guidance of the many people across
Australia throughout the consultation period and during
the development of this document. Many Aboriginal and
To
es Strait Islander women, Aboriginal Health Workers
and Community Nurses gave their time during the
consultation process. Without their guidance and support
this document would not have been completed. The
dedication, support and tireless commitment of all the
people involved throughout this work assisted to