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Title: The inter-relationship of diversity principles for the enhanced participation of older people in their care: a qualitative study.
Austin Authors: Ogrin, Rajna;Meyer, Claudia;Appannah, Arti;McMillan, Sally;Browning, Colette
Affiliation: International Institute for Primary Health Care Research, Shenzhen, China
School of Primary and Allied Health Care, Monash University, Frankston, Victoria, 3199, Australia
Research School of Population Health, Australian National University, Canberra, ACT, 0200, Australia
School of Nursing and Healthcare Professions, Federation University, Ballarat, Victoria, 3353, Australia
Bolton Clarke Clinical Learning Team, Level 1.01, 973 Nepean Hwy, Bentleigh, 3204, Australia
LaTrobe University, Bundoora, Victoria, 3086, Australia
Bolton Clarke Research Institute, Level 1.01, 973 Nepean Hwy, Bentleigh, Victoria, 3204, Australia
Austin Health Clinical School, The University of Melbourne, Heidelberg, Victoria, Australia
Biosignals and Affordable Healthcare, RMIT, Melbourne, Victoria, Australia
Department of Business Strategy and Innovation, Griffith University, Gold Coast, Australia
LaTrobe University, Centre for Health Communication and Participation, Bundoora, Victoria, 3086, Australia
Issue Date: 28-Jan-2020 2020-01-28
Publication information: International journal for equity in health 2020; 19(1): 16
Abstract: The health and aged care workforce must understand and support the diverse needs of older people to enhance their care experience. We previously identified five principles of diversity training for this workforce: awareness of unconscious bias and prejudice; promotion of inclusion; access and equity; appropriate engagement; and intersectionality. This study aims to explore how these principles are considered from the perspectives of older Australians. Older people (≥65 years) receiving home care and nursing services based in Victoria, Australia were invited to participate in a home-based semi-structured interview about their experience of, or with, diversity. Interviews were thematically analysed using a priori categories based on our previous work on principles of diversity training, and themes were interpreted and expanded upon based on the participants' experiences and understanding of diversity concepts and their care needs. Fifteen older people (seven female, eight male), mean age 76 years (range 71-85 years), were interviewed. Five themes were drawn from the data. It was found that human connection through building (1) trust and rapport was highly valued as an approach by older people, crucial as a first step to understanding what is important to the older person. Identifying with (2) intersectionality, that is, the different intersecting aspects of who they are and their experiences was understood by the participants as an important framework to meet their needs. The participants were aware of (3) unconscious bias and prejudice by health professionals and its impact on their care. Participants also noted that (4) promotion of inclusion through language was important to for a positive relationship with the healthcare worker. The participants understood that to facilitate human connection, these four principles of human interaction were critical, underpinned by (5) access and equity of the system. A model articulating these relationships was developed. Health and aged care training should incorporate the five diversity principles to support older people to participate in their own care.
DOI: 10.1186/s12939-020-1124-x
ORCID: 0000-0002-4192-7254
Journal: International journal for equity in health
PubMed URL: 31992306
Type: Journal Article
Subjects: Aged care
Service delivery
Appears in Collections:Journal articles

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