A qualitative evaluation of the implementation of a cultural competence project in rural Victoria

Abstract Objective: To explore the complex factors influencing the implementation of cultural competency frameworks for Aboriginal and Torres Strait Islander peoples within rural, Victorian, mainstream health and community service organisations. Methods: Semi‐structured telephone interviews were con...

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Main Authors: Olivia Mitchell, Lisa Bourke, Zubaidah Mohamed Shaburdin
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.13105
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author Olivia Mitchell
Lisa Bourke
Zubaidah Mohamed Shaburdin
author_facet Olivia Mitchell
Lisa Bourke
Zubaidah Mohamed Shaburdin
author_sort Olivia Mitchell
collection DOAJ
description Abstract Objective: To explore the complex factors influencing the implementation of cultural competency frameworks for Aboriginal and Torres Strait Islander peoples within rural, Victorian, mainstream health and community service organisations. Methods: Semi‐structured telephone interviews were conducted with key individuals from 20 public health and community services in rural Victoria who had participated in the Koolin Balit Aboriginal Health Cultural Competence Project (KB‐AHCC project). Interviews were recorded and transcribed verbatim and a content analysis was undertaken. The findings informed the selection of six case study sites for more in‐depth analysis. Following this, an expert reference group provided feedback on the findings. Findings from the different data were triangulated to identify eight factors. Results: Key factors acting as barriers and/or enablers to implementing cultural competence frameworks were: comprehensive, structured tools; project workers; communication; organisational responsibility for implementation; prioritising organisational cultural competence resourcing; resistance to focussing on one group of people; and accountability. Conclusions: Embedding cultural competence frameworks within rural, mainstream health and community services requires sustained government resourcing, prioritisation and formal accountability structures. Implications for public health: Findings will inform and guide the future development, implementation and evaluation of organisational cultural competence projects for rural public health and community services.
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spelling doaj.art-073b5695989445dca87fc9c28dce123b2023-09-02T23:29:42ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052021-06-0145322723410.1111/1753-6405.13105A qualitative evaluation of the implementation of a cultural competence project in rural VictoriaOlivia Mitchell0Lisa Bourke1Zubaidah Mohamed Shaburdin2Department of Rural Health The University of Melbourne VictoriaDepartment of Rural Health The University of Melbourne VictoriaDepartment of Rural Health The University of Melbourne VictoriaAbstract Objective: To explore the complex factors influencing the implementation of cultural competency frameworks for Aboriginal and Torres Strait Islander peoples within rural, Victorian, mainstream health and community service organisations. Methods: Semi‐structured telephone interviews were conducted with key individuals from 20 public health and community services in rural Victoria who had participated in the Koolin Balit Aboriginal Health Cultural Competence Project (KB‐AHCC project). Interviews were recorded and transcribed verbatim and a content analysis was undertaken. The findings informed the selection of six case study sites for more in‐depth analysis. Following this, an expert reference group provided feedback on the findings. Findings from the different data were triangulated to identify eight factors. Results: Key factors acting as barriers and/or enablers to implementing cultural competence frameworks were: comprehensive, structured tools; project workers; communication; organisational responsibility for implementation; prioritising organisational cultural competence resourcing; resistance to focussing on one group of people; and accountability. Conclusions: Embedding cultural competence frameworks within rural, mainstream health and community services requires sustained government resourcing, prioritisation and formal accountability structures. Implications for public health: Findings will inform and guide the future development, implementation and evaluation of organisational cultural competence projects for rural public health and community services.https://doi.org/10.1111/1753-6405.13105Aboriginal healthcultural competencerural healthpublic health and community services
spellingShingle Olivia Mitchell
Lisa Bourke
Zubaidah Mohamed Shaburdin
A qualitative evaluation of the implementation of a cultural competence project in rural Victoria
Australian and New Zealand Journal of Public Health
Aboriginal health
cultural competence
rural health
public health and community services
title A qualitative evaluation of the implementation of a cultural competence project in rural Victoria
title_full A qualitative evaluation of the implementation of a cultural competence project in rural Victoria
title_fullStr A qualitative evaluation of the implementation of a cultural competence project in rural Victoria
title_full_unstemmed A qualitative evaluation of the implementation of a cultural competence project in rural Victoria
title_short A qualitative evaluation of the implementation of a cultural competence project in rural Victoria
title_sort qualitative evaluation of the implementation of a cultural competence project in rural victoria
topic Aboriginal health
cultural competence
rural health
public health and community services
url https://doi.org/10.1111/1753-6405.13105
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