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dc.contributor.authorOgrin, Rajna-
dc.contributor.authorMeyer, Claudia-
dc.contributor.authorAppannah, Arti-
dc.contributor.authorMcMillan, Sally-
dc.contributor.authorBrowning, Colette-
dc.identifier.citationInternational journal for equity in health 2020; 19(1): 16-
dc.description.abstractThe 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.-
dc.subjectAged care-
dc.subjectService delivery-
dc.titleThe inter-relationship of diversity principles for the enhanced participation of older people in their care: a qualitative study.-
dc.typeJournal Article-
dc.identifier.journaltitleInternational journal for equity in health-
dc.identifier.affiliationInternational Institute for Primary Health Care Research, Shenzhen, Chinaen
dc.identifier.affiliationSchool of Primary and Allied Health Care, Monash University, Frankston, Victoria, 3199, Australiaen
dc.identifier.affiliationResearch School of Population Health, Australian National University, Canberra, ACT, 0200, Australiaen
dc.identifier.affiliationSchool of Nursing and Healthcare Professions, Federation University, Ballarat, Victoria, 3353, Australiaen
dc.identifier.affiliationBolton Clarke Clinical Learning Team, Level 1.01, 973 Nepean Hwy, Bentleigh, 3204, Australiaen
dc.identifier.affiliationLaTrobe University, Bundoora, Victoria, 3086, Australiaen
dc.identifier.affiliationBolton Clarke Research Institute, Level 1.01, 973 Nepean Hwy, Bentleigh, Victoria, 3204, Australiaen
dc.identifier.affiliationAustin Health Clinical School, The University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationBiosignals and Affordable Healthcare, RMIT, Melbourne, Victoria, Australiaen
dc.identifier.affiliationDepartment of Business Strategy and Innovation, Griffith University, Gold Coast, Australiaen
dc.identifier.affiliationLaTrobe University, Centre for Health Communication and Participation, Bundoora, Victoria, 3086, Australiaen
dc.type.austinJournal Article-
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
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