Murrin Bridge Aboriginal Community- Assessment Answer

Identify & describe the community of choice

The Murrin Bridge is a community which belongs to Aboriginal community. It is located 320 km south west of Dubbo. It is situated in the central west of New South Wales (Australian Government, n.d.).There are a total of 57 people out of which male and female percentage is the same, which is 50%. There are a total of 19 families and 26 private dwellings (Australian Bureau of Statistics, 2021). The traditional language includes barkindji, wiradjuri and ngiyampaa which has been lost largely. English was the language which was commonly spoken at home by most of the Aboriginals and Torres Strait Islander (Australian Bureau of Statistics, 2016). Murrin Bridge community belongs to Aboriginal community and hence Murrin Bridge Aboriginal Health Service Incorporated (MBAHS) is an established health service which provides assistance to both Aboriginals and Non- Aboriginals. MBAHS is a primary healthcare centre which was initialised by the local Aboriginal community. It has a partnership with Griffith Aboriginal Medical Services. It provides culturally appropriate, holistic and comprehensive care to the people in the community (National Aboriginal Community Controlled Health Organisation, 2022). There is a Murrin Bridge Preschool Community Hub which helps in the development of economic and social growth of the community (UTS, n.d.). The people can trace their roots from and Barkindji and Ngiyampaa tribes. The Murrin Bridge community is seen as Koori place (Australian Government, n.d.).

Discuss the short, medium and long-term impacts of the health issue in the chosen community 

The health indicators for alcohol abuse include the impaired use of alcohol. The unnecessary importance given to alcohol and substance abuse leads to several impacts on the people and the community also (Drinkware, 2022). The short, middle and long term impacts on health issues are as follows:

Short-term impact

Individuals may have urgent health implications as a result of health difficulties. A remote location or cultural barriers might make it more difficult to receive timely healthcare, which can result in illnesses, pain, and discomfort going untreated.A person may miss work, school, or significant cultural events as a result of an illness that interferes with daily activities. Stress, anxiety, and frustration may result from this.Families may have to pay more for treatments, prescription drugs, and transportation to medical facilities (NSW Government, 2021). Budgetary constraints may result from these expenses.Isolation and a feeling of alienation from the society can result from illnesses that restrict involvement in social and cultural activities (Canuto et al., 201).

Middle term impacts

Addicts who struggle with alcohol and other drugs may have lower employment and educational chances. This fuels the cycles of socioeconomic disadvantage and poverty. Generation to generation transmission of substance misuse can occur as a result of exposure and taught behaviour. This keeps the community's socioeconomic problems and poor health results in a vicious circle. Substance misuse has the power to undermine cultural customs and practices, cutting people off from their roots. A sense of identity loss and a break from the community's foundation may result from this(Australian Government, 2023). 

Long term impact

Addicts who struggle with alcohol and other drugs may have lower employment and educational chances. This fuels the cycles of socioeconomic disadvantage and poverty. Generation to generation transmission of substance misuse can occur as a result of exposure and taught behaviour. This keeps the community's socioeconomic problems and poor health results in a vicious circle. Substance misuse has the power to undermine cultural customs and practices, cutting people off from their roots (Australian Government, 2018).

(Murrumbidgee Local Health District, 2020)

Discuss the benefits of conducting a needs assessment in this community

Undertaking a needs assessment within Australian Aboriginal communities can yield several significant advantages. A needs assessment is a methodical procedure that pinpoints the unique requirements, obstacles, assets, and capabilities of a group of people or community. A needs assessment in the context of Aboriginal communities can offer insights that result in initiatives, policies, and programmes that are more focused and successful. A needs assessment aids in determining the particular difficulties and problems that Aboriginal communities confront (Thomas et al., 2022). This makes it possible to create programmes and actions that are especially meant to deal with these issues, guaranteeing that funds are distributed where they are most needed.There are unique cultural norms, values, and practises among Aboriginal communities. In order to ensure that interventions are respectful and sensitive to cultural differences, a needs assessment enables a deeper knowledge of these cultural elements. Community members become more involved and cooperative as a result. 

Stakeholders can increase their impact on community well-being by prioritising funds and resources based on the most urgent needs. Engaging members of the Aboriginal community in the needs assessment process gives them the ability to actively contribute to developing solutions. Increased community ownership of projects as a result of this involvement can promote a feeling of agency and self-determination. The interdependence of different community issues is better understood with the use of a needs assessment. It is possible to address the core causes of issues and bring about long-lasting change by adopting a holistic approach as opposed to focusing on individual concerns (Harfield et al., 2018). Collaboration between different stakeholders, such as government agencies, non-governmental organisations, community organisations, and researchers, is frequently a part of a needs assessment process. This encourages collaborations that can result in all-encompassing solutions.By establishing a baseline, a needs assessment makes it possible to gauge progress. With time, it becomes simpler to track and assess the success of interventions, enabling modifications and advancements (Rajabi et al., 2021).

Discuss the role of the nurse in conducting the needs assessment in this community 

Due to their healthcare experience, cultural sensitivity, and community engagement, nurses are essential in Murrin Bridge Aboriginal community needs assessments, especially for alcohol issues. Nurses are trusted healthcare professionals. Their presence and empathy might assist community members feel more comfortable discussing alcohol consumption. This rapport is crucial for accurate assessment data. Nurses can inform the public about alcohol abuse's health risks. This awareness-building is crucial for encouraging people to participate in the needs assessment and community-wide action. Nurses can lobby for resources and support systems based on needs assessment results. They can work with local organizations, healthcare professionals, and legislators to fund and sustain projects (Royal Children Hospital Melbourne, 2022). 

Working with Aboriginal communities on sensitive topics like alcohol consumption requires nurses to be culturally competent. They promote health and respect cultural practices and values. Building trust and rapport facilitates open conversation during the requirements assessment. Nurses can analyze physical, mental, emotional, and socioeconomic variables. They can see how alcohol addiction, health difficulties, mental well-being, and community social determinants of health interact, improving their comprehension of the issue. Nurses know alcohol abuse risk factors and indicators. They can identify people at risk of drinking issues and personalize therapies. Mental health difficulties commonly co-occur with alcohol misuse, which nurses can spot (Toney-Butler & Unison-Pace,2018).

Nurses can invite community members to offer their thoughts by organizing seminars, focus groups, and information sessions. Engaging local leaders, elders, and other stakeholders ensures a collaborative and inclusive needs assessment approach. Nurses' needs assessments provide a balanced and compassionate approach to Murrin Bridge Aboriginal alcohol issues. Their cultural sensitivity, healthcare competence, and capacity to engage with community members make them great partners in devising solutions that meet the community's particular needs and concerns (Perry & Ziemba, 2014).

Identify three needs of the community which will assist to promote improved health outcomes

The following three demands of the Murrin Bridge Aboriginal community will encourage better health outcomes:

Access to Comprehensive Healthcare Services

Aboriginal communities, particularly Murrin Bridge, struggle to get excellent healthcare services. Healthcare infrastructure including clinics, hospitals, and mobile health services may need improvement. Culturally sensitive healthcare providers that understand community health needs and beliefs are also crucial. Addressing this need could improve preventative care, early diagnosis, and management, increasing health outcomes.

Health Education and Promotion

Targeted programmes may address critical health issues in the Murrin Bridge community. These culturally tailored programmes should cover nutrition, chronic disease prevention, sexual health, mental health, and substance misuse. Health literacy and accurate information empower community people to make educated health decisions and adopt healthier lifestyles.

Social and Economic Empowerment

Socioeconomic factors significantly impact health outcomes. Social determinants of health include housing, education, work, and income can improve community health. Education, training, job placement, and housing stability can improve living conditions and reduce health inequalities through empowerment efforts (Snijder et al., 2020).

Discuss the resources required to address the three needs and provide a rationale for the selected resources

In order to meet the three demands of the Murrin Bridge Aboriginal community, it is necessary to combine resources that are especially suited to the difficulties and circumstances of this group. Here is a list of the materials needed for each need along with their justifications:

Culturally Tailored Healthcare Services: To provide easily accessible medical treatment, build or renovate clinics and healthcare facilities in or close to the neighbourhood. Healthcare professionals should get cultural competency training so they can recognise and honour Aboriginal cultural customs and norms. Integrate traditional healers into the healthcare system to provide patients with comprehensive care. Healthcare services that are culturally sensitive take into account the beliefs and customs of the community, which promotes healthier lifestyle choices. Facilities that are easily accessible guarantee timely medical attention, lowering obstacles to care. Training in cultural competency promotes trust between community members and healthcare professionals, which improves communication and treatment compliance. Including traditional healers promotes a thorough and culturally aware approach to health by acknowledging the importance of indigenous healing practices.

Education on Healthy Lifestyles: Community Workshops plans about mental health, physical fitness, nutrition, and preventing drug misuse. Educational Resources reate films, brochures, and other visual aids that are suitable for the target culture in order to spread health information. Employers should look for health educators who can provide customised health education programmes to meet the needs of the community. Through participatory learning, community workshops enable participants to exchange experiences and pose questions. One enduring resource for lifelong learning is education. Health educators that are preferably involved in the community create a meaningful relationship that increases receptiveness to adopting healthy habits and increases engagement.

Socioeconomic Support: Establish programmes for vocational training that teach employable skills, including agricultural practises or trades. Work together with housing authorities to enhance the stability and quality of housing. Scholarships for education provide financial aid to community members so they can pursue postsecondary education or career training. Through the acquisition of skills that improve employability, vocational training helps people become more self-sufficient and earn more money. Better housing has a positive impact on mental and general well-being. Scholarships enable locals to break free from the cycle of limited chances, enhancing socioeconomic standing and the community's general well-being (Poiner & Drake, 2021).

Identify three short term, medium term and long term expected outcomes for the community 

Provide an analysis of how these outcomes would address the health issue

In line with the goals of the Ottawa Charter for Health Promotion, addressing the identified requirements through socioeconomic support, healthcare services that are culturally sensitive, and education about healthy lifestyles can have a substantial impact on the health issue within the community. The Ottawa Charter places a strong emphasis on reorienting health care, building personal abilities, enhancing community initiatives, and fostering supportive environments.

(WHO, 2023)

Culturally Specific Healthcare Services: The community is able to receive prompt medical attention through the establishment of healthcare facilities that are sensitive to cultural differences and the integration of traditional healers. By lowering the prevalence of untreated medical disorders, this encourages early detection and treatment. Healthcare professionals that have received cultural competency training are better able to build relationships with the community, communicate freely, and support people without fear of repercussions. Improvements in following medical advice consequently lead to better health outcomes. This strategy is in line with the Ottawa Charter's goal of reorienting health services to make them more person-centered and culturally appropriate.

(WHO, 2023).

Healthy Lifestyle Education: Healthy lifestyle education programmes give community people the information and abilities they need to make wise decisions regarding their health. Education through workshops and resources promotes a shared awareness of mental health, physical fitness, nutrition, and drug misuse prevention. People are more inclined to adopt healthier behaviours when they have greater empowerment to take charge of their health, which eventually lowers the occurrence of avoidable health conditions. This is in line with the Ottawa Charter's goal of empowering people to take control of their health through education by building personal skills (Tamanal & Kim, 2020).

Socioeconomic Support: In order to address the underlying causes of health disparities, improving socioeconomic conditions through educational scholarships, better housing, and vocational training is necessary. Giving people employable skills enables them to secure steady employment, which raises their income and gives them access to improved living arrangements. Enhancements in general health, including mental health, have a domino effect. Here, the Ottawa Charter's idea of fostering supportive.

Map of community area – this image needs to define the area of the community you have chosen 

In this map, the sign of + is indicating the hospitals. The map is the presentation of the community services that is present in the region of Murrin Bridge.

The map is presentation of local regional services present for the community.

References

Australian Bureau of Statistics. (2016). Cobar - Murrin Bridge. https://www.abs.gov.au/census/find-census-data/quickstats/2016/IARE103003

Australian Bureau of Statistics. (2021). Murrin Bridge 2021 Census All persons QuickStats. https://www.abs.gov.au/census/find-census-data/quickstats/2021/SAL12868

Australian Government. (2018).Risky alcohol consumption. https://www.indigenoushpf.gov.au/measures/2-16-risky-alcohol-consumption#:~:text=Indigen

Australian Government. (2023). Alcohol, tobacco & other drugs in Australia. https://www.aihw.gov.au/reports/alcohol/alcohol-tobacco-other-drugs-australia/contents/priori

Australian Government. (n.d). Murrin Bridge. https://www.indigenous.gov.au/community/murrin-bridge

Brady, M. (2022). The development and implementation of alcohol policy: Anthropological insights on translation from the global (the World Health Organization) to the local (Indigenous Australia). https://openresearch-repository.anu.edu.au/bitstream/1885/271431/1/CAEPR_PIP_no07_2022_Brady[96].pdf

Canuto, K. J., Aromataris, E., Burgess, T., Davy, C., McKivett, A., Schwartzkopff, K., & Brown, A. (2021). A scoping review of Aboriginal and Torres Strait Islander health promotion programs focused on modifying chronic disease risk factors. Health Promotion Journal of Australia, 32(1), 46-74. https://doi.org/10.1002/hpja.307

Drinkware. (2022). Alcoholism: signs, symptoms and treatment. https://www.drinkaware.co.uk/facts/health-effects-of-alcohol/mental-health/alcoholism#:~:text

Harfield, S. G., Davy, C., McArthur, A., Munn, Z., Brown, A., & Brown, N. (2018). Characteristics of Indigenous primary health care service delivery models: a systematic scoping review. Globalization and Health, 14(1), 12. https://doi.org/10.1186/s12992-018-0332-2

McIntyre, J., Brady, M., & Barnes, J. (2019). “They are among the Best Workers, Learning the Ways of a Vineyard Quickly”: Aboriginal People, Drinking, and Labor in the Early Australian Wine Industry. Global Food History, 5(1-2), 45-66. https://doi.org/10.1080/20549547.2019.1569442

Murrumbidgee Local Health District. (2020). Aboriginal Health Profile. https://www.mlhd.health.nsw.gov.au/getmedia/d68bacb2-42fe-4c6f-b587-8139ba926ec6/Aboriginal-Health-Profile-MLHD-December-2020

National Aboriginal Community Controlled Health Organisation. (2022). Murrin Bridge Aboriginal Health Service Incorporated. https://www.naccho.org.au/members_affiliates/murrin-bridge-aboriginal-health-service-incorp

NSW Government. (2021).Alcohol Use and Related Harms in NSW. https://www.health.nsw.gov.au/aod/resources/Publications/alcohol-surveillance-report-2021.p

Poiner, H., & Drake, C. (2021). Transformative or Tokenistic?. M/C Journal. https://opus.lib.uts.edu.au/bitstream/10453/150228/2/210726_Transformative%20or%20Tokenistic_Drake%20%20Poiner_MANU.pdf

Rajabi, M., Ebrahimi, P., & Aryankhesal, A. (2021). Collaboration between the government and nongovernmental organizations in providing health-care services: A systematic review of challenges. Journal Of Education and Health Promotion, 10, 242. https://doi.org/10.4103/jehp.jehp_1312_20

Snijder, M., Wagemakers, A., Calabria, B., Byrne, B., O'neill, J., Bamblett, R., & Shakeshaft, A. (2020). ‘We walked side by side through the whole thing’: A mixed‐methods study of key elements of community‐based participatory research partnerships between rural Aboriginal communities and researchers. Australian Journal of Rural Health, 28(4), 338-350. https://doi.org/10.1111/ajr.12655

Tamanal, J. M., & Kim, C. H. (2020). Promoting Healthy Lifestyle in High School Students: Determination of the Lifestyle Status through the Healthy Lifestyle Screen (HLS) Assessment. Journal of Lifestyle Medicine, 10(1), 30–43. https://doi.org/10.15280/jlm.2020.10.1.30

Thomas, P. A., Kern, D. E., Hughes, M. T., Tackett, S. A., & Chen, B. Y. (2022). Curriculum development for medical education: A six-step approach. JHU Press. https://books.google.com/books?hl=en&lr=&id=9yB0EAAAQBAJ&oi=fnd&pg=PP1&dq=com

UTS. (n.d.). Murrin Bridge Preschool Community Hub. https://www.uts.edu.au/partners-and-community/initiatives/social-justice-uts/social-impact/ca

World Health Organisation. (2023). The 1st International Conference on Health Promotion, Ottawa, 1986. https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference

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