CONTENTSof the Department. Prior to joining Health, she worked as an industrial relations lawyer for...

TELLINGTALESTHEPOWEROFTHENARRATIVE 3

OnbehalfoftheBoardofDirectorsandstaffIwarmlywelcomeyoutothe33rdNationalCRANAplusConferenceintheremoteheartofourcountry,AliceSprings.

WepayourrespectstotheArrernteEldersandtheAboriginalpeopleofthisamazingland,andwearegratefulforthewarmwelcomebythecommunityofAliceSprings.

Conferencesareanopportunitytolearnaboutnewandemergingevidencetohelpimproveyourknowledge,skillsandawarenesstoensureyouremainacontemporaryprofessionalwithinyourfield.

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CONTENTSWelcomefromourCEO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Contact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

FromourPatron. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Openingceremony. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7Presentationofgraduates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Dayone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10Keynotespeakers......................................................12Invitedspeakers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14Notes..............................................................................29

Daytwo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Keynotespeakers.....................................................34Invitedspeakers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36Conferencedinner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48Notes...............................................................................51

Tradedisplays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Scholarshipprogramme. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56Undergraduateremoteplacementscholarships2015. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Thanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

WELCOME

WewouldliketoacknowledgetheArrerntePeople,theTraditionalOwnersofthelandonwhichwearegatheredandpayourrespectstotheirEldersbothpastandpresent.

Wewelcomeclinicians,students,educators,policymakers,managersandseniorleadersfromthebroadnetworkofindividualsandorganisationsthatmakeupthewebofremoteandisolatedhealthcareacrossAustralia.

Workinginaremoteandisolatedcontextmeansalotoftime,costandenergyisrequiredtoattendanyconference.

CRANAplusisverygratefulthatyouhavemadethechoicetojoinusatourannualevent.Itsimportantforusthatwemakesurewenotonlyofferabroadrangeofdiversespeakersandexperiences,butalsothatyougetplentyoftimetocatchupwithyourcolleagues,network,makenewfriendsandmostimportantlyhavefun.

Theoutbackishistoricallywhereinnovationhashadfertilegroundtoflourish;weallknowfirsthandthat‘necessityisthemotherofinvention’.

ThatstillappliestodayandIlookforwardtoexploringthe‘PoweroftheNarrative’,hearingyourstoriesandjoiningyouincelebratingtheachievementsofRemote&IsolatedHealth.

AllofourCRANAplusstaffareheretohelpyougetthemostoutofyourconferenceexperience,sopleasedon’thesitatetoapproachanyofusforadviceorassistance.

Cheers

Christopher Cliffe CEO, CRANAplus

#cranaplus15

4 CRANAplus2015CONFERENCEPROGRAM TELLINGTALESTHEPOWEROFTHENARRATIVE 5

WhenheretiredfromtheHighCourtofAustraliaon2February2009,MichaelKirbywasAustralia’slongestservingjudge.HewasActingChiefJusticeofAustraliatwice.

Followinghisjudicialretirement,MichaelKirbywaselectedPresidentoftheInstituteofArbitrators&MediatorsAustraliafrom2009–2010.HeservesasaBoardMemberoftheAustralianCentreforInternationalCommercialArbitration.In2010,hewasappointedtotheAustralianPaneloftheInternationalCentreforSettlementofInvestmentDisputes(WorldBank).HealsoservesasEditor-in-ChiefofThe Laws of Australia.HehasbeenappointedHonoraryVisitingProfessorby12universities.

In2010,MichaelKirbywasawardedtheGruberJusticePrize.Heserved2011–2012asamemberoftheEminentPersonsGroupinvestigatingthefutureoftheCommonwealthofNations.HewasappointedasaCommissioneroftheUNDPGlobalCommissionofHIVandtheLawInMarch2011,hewasappointedtotheAdvisoryCouncilofTransparencyInternational,basedinBerlin.In2013,hewasappointedChairoftheUNCommissionofInquiryonHumanRightsViolationsinNorthKorea.Hewasalsoappointedin2013asaCommissioneroftheUNAIDSCommissiononmovingfromAIDStotheRighttoHealth(2013–2014).

OURPATRONCairns office

Streetaddress:Lot2,WallamurraTowers,189–191AbbottStreet,Cairns,QLD4870

Mailingaddress:POBox7410,Cairns,QLD4870

Phone:(07)40476400Fax:(07)40412261

Alice Springs office

Streetaddress:c/-CentreforRemoteHealth,cnrSimpsonandSkinnerStreets,AliceSprings,NT0870

Mailingaddress:POBox4066,AliceSprings,NT0871

Phone:(08)89555675

Adelaide office

Streetaddress:Unit1/81HarrisonRoad,DudleyPark,SA5008

Mailingaddress:POBox127,Prospect,SA5082

Phone:(08)84088200Fax:(08)84088222

CONTACT

improvingremote health

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Attendance at this entire program provides 12 CPD points


OPENINGCEREMONY

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Tuesday 10 November 2015 Plaza Ballroom, MelbourneTickets on sale now at hestaawards.com.au Discounted price for group bookings.

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Join your colleagues and celebrate at the HESTA Primary Health Care Awards

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TheOfficialOpeningCeremonywillfeatureawelcometocountrybylocalArrernteElderintheConferenceTradeDisplayArea.

THURSDAY 15 OCTOBER

9:00am Registration desk opens

3:00pm Registration desk closes

4:00pm CRANAplus Annual General Meeting, Macdonnell Room, ASCC

6:00pm Conference Opening Ceremony (SponsoredbyHESTA) intheTradeDisplayArea

Welcome to CountrybylocalArrernteElder

WelcomeaddressbytheHon.JohnElferinkMLA,MinisterforHealth,NT

AddressbyTomMoloney,BusinessDevelopmentAssociatewithHESTA SponsoroftheWelcomeEvent

PresentationofnewCRANAplusFellowsandGraduatesbyProf.JanieDadeSmith, President,CRANAplus

Cocktailsandcanapés

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The Hon. John Elferink MLA, Attorney-General, Minister for Health, NT

JohnwasbornintheNetherlandsandmovedtoAustraliain1969,hisfamilysettlinginDarwin.AftergraduatingfromCasuarinaHighSchool,JohnjoinedtheNorthernTerritoryPoliceForceasacadet.HerosetotherankofSergeantandservedinbothDarwinandAliceSprings.

WhilstinthepoliceforceJohnobtainedaBachelorofArts(Monash)bycorrespondenceandnowholdsaBachelorofLaw(NewEngland).In1997hewaselectedtotheruralseatofMacdonnellandservedthereuntil2005.In2008hewaselectedtotheseatofPortDarwin.JohnliveswithhiswifeandtwodaughtersinDarwin.

John’svisionfortheNorthernTerritoryisforittobeanareaofgrowthandinnovation,withaprosperouseconomy.JohnisdriventodeliverbetterhealthoutcomesforallTerritorians,whethertheyliveinurbanorremoteareasoftheNorthernTerritory.

SincebeingappointedastheMinisterforHealth,MinisterforMentalHealthServicesandMinisterforDisabilityServices,JohnhastravelledwidelyacrosstheTerritorymeetingprofessionalsandexpertsintheGovernmentandnon-Governmenthealthsectortogainfirst-handexperienceonthediverseservicestheyofferandtheirchallengestherein.

JohnhasalsoprogressedthenewPalmerstonRegionalHospitalanddeliveredanewNorthernTerritorySuicidePreventionStrategicActionPlan,thefirsteverNorthernTerritoryMentalHealthServicesStrategicPlanandincreasedthementalhealthworkforcedramatically.

HehasalsoworkedtirelesslyinthedisabilitysectortoensurethattherightsandinterestsofpeoplewithadisabilitywillberepresentedunderthenewNationalDisabilityInsuranceScheme.

JohnhasaparticularpassiontooptimiseopportunitiesforyoungTerritoriansbyinvestingintheearlyyearsofchildhooddevelopment.HehostedtherecentAboriginalCongressonHealthandwilllaunchtheNorthernTerritoryAboriginalHealthPlanin2015.

PRESENTATIONOFGRADUATESEachyearatConferencethereisapresentationofgraduatestotheirpeersinacademicgowns.

ThisyearwewillbejoinedbytheHon.JohnElferinkMLA,Attorney-General,MinisterforHealth,NT,whowillofficiateattheceremony,whichwillbeheldonThursday15OctoberduringtheOfficialOpeningCeremony.

Thisisagreatopportunitytocelebratetheacademicachievementsofourcolleagues.

CRANAplusBushSupportServices1800805391TollFreeSupportLine

CRANAplusBushSupportServicesface-to-facecounsellingSomething on your mind?

Needtotalktosomeonewhounderstandswhatit’sliketoliveandworkinremoteAustralia?

Whateverthetopic–workorpersonal–now’syourchancetomeetface-to-facewithaBSSprofessionalpsychologistattheAliceSpringsConference.CRANAplusBushSupportServicesisofferingFREEone-on-oneconfidentialcounsellingataconvenient,discreetandprivatevenue.

To avoid disappointment you are encouraged to book an appointment early via email ([email protected]) or mobile (0458 635 888).


Overthistwo-dayConferenceyouwillhearfrombothnationalandinternationaldistinguishedKeynoteandInvitedSpeakersandpresentationsfromcolleaguesandwebelievethisfullprogramwillbebothentertainingandinformative.

ThisisaperfectopportunitytojoincolleaguesfromalloverAustralia,fromallareasofremotehealthcare,togetthelatestnewsanddevelopmentsaffectingourprofessions–and,ofcourse,tohavefun.

Wewillbejoinedthisyearbyregularandnewsponsorsandexhibitorsshowcasingtheirproductsandservices.

DAYONE

Ms Penny Shakespeare, First Assistant Secretary, Health Workforce Division, Commonwealth Dept of Health

PennyShakespeareistheFirstAssistantSecretaryoftheHealthWorkforceDivisionoftheCommonwealthDepartmentofHealth,whichaimstobuildthecapacityofAustralia’shealthworkforcetomeetthechallengesofdeliveringhealthservicestothecommunity.ShehaspreviouslyworkedinseniorrolesintheMedicarebenefitsandprivatehealthinsuranceareas

oftheDepartment.PriortojoiningHealth,sheworkedasanindustrialrelationslawyerfortheCommonwealthandwasheadoftheACTOfficeofIndustrialRelationsforthreeyears.PennyhasaMastersdegreeinInternationalLaw.

Session 2Chair:DrKathrynZeitz,CRANAplusBoardMember

11:30am Invited speakerProfessorRoianneWestThe power of narratives in improving Australia’s First People’s health outcomes

11:55am PepitaHunterA mother’s story: getting the message out to Aboriginal kids

12:10pm MonicaFrainPhotovoice technique in engaging with young people and as a tool for advocacy

12:25pm DavidCampbellRealising economic benefits through preventative health: lessons from the experience of Aboriginal people in caring for country

12:40pm EmmaTrenordenandMargaretSmithUti Kulintjaku: creating a shared language for mental health

12:55pm Question time(5minutes)

1:00pm Lunch(1hour)

Session 3 Chair:MrJohnWright,RN,CRANAplusBoardMember

2:00pm PROGRAM CHANGE Invited speaker MaryGuthrie,GeneralManager–Policy,LowitjaInstitute

2:25pm FionaHildebrand Listening Forms the Basis of the One Disease Program (Scabies)

2:40pm SusanGauldandSharonSmithSharing Knowledge of Brain Injury through Stories

2:55pm SueCarrollProviding Quality Palliative Care in the Bush

3:10pm SarahBrownSharing our Story (Purple House)


3:30pm Afternoon tea(30minutes)

Session 4Chair:MsLynByers,RNRMNP,CRANAplusBoardMember

4:00pm RobynWilliams Remote Area Health Professionals’ narratives – remarkable stories from remarkable people

4:15pm HazelBoothCoronary Artery Disease – When things go wrong: Learning from coronial reports involving remote area nurses in remote Indigenous communities in the Northern Territory

4:30pm MichelleSweeteMental Health in Practice a Primary Health Care Approach: The Stay Strong iPad App

4:45pm KylieMcCulloughTowards a theory of remote nursing practice


5:05pm Wrap up and close

Pop-upmarketsintheASCCAmpitheatre

Youcantakethisopportunitytoinformandupdateyourselfabouttherangeofproductsandthelatestdevelopmentsintechnologies,therapeutictreatments,productsandservicesforpersonaluseandcareeropportunities.

FRIDAY 16 OCTOBER

9:00am Session 1Chair:ChristopherCliffe,CEO,CRANAplus

Welcomespeech

9:15am Keynote speakerStephanieDale,TheWriteRoad

10:10am MsPennyShakespeare,FirstAssistantSecretary,HealthWorkforceDivision, CommonwealthDeptofHealth

10:30am JanieDadeSmithRob and Stella live in Nabvana

10:50am Question time(10minutes)

11:00am Morning tea(30minutes)

#cranaplus15

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KEYNOTESPEAKERStephanie Daleisanaward-winningregionaljournalistandauthor,withwide-rangingexperienceinmedia,politicsandpublishing.

Throughout20yearsinthenewspaperindustryshewasapassionateadvocateforthevisibilityandvoicesofeverydayAustralians.

Shenowworkstoencouragepeopleandcommunitiestoidentifytheirstoryandspeakforthemselves.In2014,shefoundedThe Write Road,acreativeinitiativethattakeswritingandcommunicationsworkshopsandtrainingtothebushandbeyond.

Whatbeganasanartsprogramquicklyevolvedintoaproactivementalhealthstrategythatisachievingwonderfuloutcomesforindividualsandremotecommunities.

INVITEDSPEAKERSRoianne Westisthedaughterofalife-longhealthworkerandadvocateandthegranddaughterofalonglineofhealers.Roianne’speopleare

Kalkadoon,desertpeople,fromFarNorthWestofQueensland.Roiannehasover20yearsofexperienceinIndigenousHealthwhereshestartedherjourneyasahealthworkerandthenontobecomingaRegisteredNurse.

RoianneiscurrentlytheProfessorforFirstPeoplesHealthatGriffithUniversityandDeputyChairpersonfortheCouncilofAboriginalandTorresStraitIslanderNursesandMidwives(CATSINaM).Roianne’sexpertiseisinIndigenoushealthworkforcedevelopment,includingdevelopingmoreclearlyarticulated,seamlessandsupportedpathwaysforIndigenouspeoplesintoUniversityhealthprogramsandcreatingopportunitiestoensurethatIndigenouspeople’swhohavetheabilitytoandaspiretostudyatuniversitygettheopportunitytodoso.

RoiannestronglybelievesthatIndigenousknowledgeandstrongIndigenousleadershiparecriticaltoimprovementsinIndigenoushealthoutcomesandpathwaystohighereducationarecriticaltobuildingasmarterIndigenousAustralia.

Mary GuthriebelongstotheWiradjuripeopleofCentralWesternNewSouthWalesthroughhermother’ssideofthefamily.

SheistheGeneralManager–Policyatthe

LowitjaInstitute,Melbourne.TheLowitjaInstituteisAustralia’snationalinstituteforAboriginalandTorresStraitIslanderhealthresearch.

MaryhasworkedinAboriginalaffairsfor25yearsincluding15yearsinAboriginalhealth.PriortoherappointmentattheInstitute,MaryworkedinmanagementroleswiththeAustralianIndigenousDoctorsAssociationandtheIndigenousAlliedHealthAssociationbothinCanberra.


ThestorythendescribeswhatthefuturelifetrajectorywouldlooklikefortheirnewsonArnold,ifhewasborntoday.Thisisadifferent,powerfulandinnovativeapproach,whichfitsinwellwiththenarrativenatureoftheconference.ItisbasedonthelateststatisticsfromtheAustralianBureauofStatisticsandtheAustralianInstituteofHealthandWelfare.

Question time(10minutes)

Morning tea(30minutes)

SESSION 2Chair:KathrynZeitz

Invited speakerPROFESSOR ROIANNE WEST The power of narratives in improving Australia’s First People’s health outcomes

PEPITA HUNTER A mother’s story: getting the message out to Aboriginal kids

Pepita HunterisanAboriginalwomanlivingandworkinginaremotecommunity.OriginallyfromBroome,shehasbeenworkingatBeagleBayClinicfor13years,nineyearsasaSeniorAboriginalHealthWorker,now,afterfurtheringherstudies,sheisinherfifthyearasaRegisteredNurse.

HerpassionasanAboriginalRegisteredNurseworkinginaremotecommunityareherprograms,whichareabouteducatingherpeopleontheirhealthandwellbeing.

Abstract:In2013IawokeearlyonaSundaymorningtoseeninemissedcallsonmymobilephone,IcalledtheHealthWorkerbackthatwasoncallandthewordsIheardwereamother’sworstnightmare.Therehadbeencaraccidentand

SESSION 1Chair:ChristopherCliffe,CEO,CRANAplus

WelcomebyCRANAplusCEOChristopherCliffe/Housekeeping

Keynote addressSTEPHANIE DALE TheWriteRoad

PROFESSOR JANIE DADE SMITHRob and Stella live in Nabvana

Janie Dade SmithhaslivedmostofherlifeinruralandremoteAustralia.SheisnowAssociateProfessor(MedicalEducation)andAcademicLead,fortheFacultyofHealthScienceandMedicineatBondUniversity.Shepreviouslyrananationalcompany–RhEDConsultingPtyLtd–wheresheundertookconsultanciesforhealthdepartments,universities,professionalcolleges,governmentandnotforprofitorganisations.JanieistheauthoroftheverysuccessfultextAustralia’sRuralandRemoteHealth:Asocialjusticeperspective,whichisusedbymanyAustralianuniversitiesandorganisationsandisgoingtoberepublishedin2016.

JanieisalsothePresidentofCRANAplus–thepeakbodyforremotehealthinAustralia.

Abstract:ManyremotehealthpractitionersworkinAboriginalorTorresStraitIslandercommunities,whichmakesitimportantthattheyunderstandthehealthstatusofthepeopletheyserve.Ratherthanrecitethestatistics,echoeddailyacrossthisgreatcountryofours,thispresentationtellsafictionalstoryaboutadayinthelifeofayoungfamilywholiveinveryremoteAustralia–RobandStella.Alongsidethestoryarethehealthstatisticsthataresufferedeverydaybyremotefamilies.

PROGRAM #cranaplus15

myboyswereinvolved,thisisamother’sworstnightmare.

Theoutcomeformysonsandtherestoftheboyswasgood.Butpartlyformeandwantingtodosomethingpositive,Ifeltthattalkingaboutthiswasdesperatelyneeded.Manyyoungliveshavebeentakenduetoalcoholanddrivingundertheinfluence(DUI)andsomanyfamilies’friendsandthecommunityhavealsobeenaffected.Afterhavingexperiencedmyson’saccidentithaspushedmetousethatandtryandmakeadifferenceingettingthemessageacross.

MypresentationtodayisthepresentationIgavetostudentsatClontarfAboriginalCollegeinPerth.Initiallyitwassupposedtobeaoneoffpresentation.Thoughduetothepositivefeedbacks,ithaspushedmetotakeitfurtherandvisitasmanyschoolsaspossible.

MONICA FRAINPhotovoice technique in engaging with young people and as a tool for advocacy

Monica FrainisaRegisteredNursewithMastersinPrimaryHealthandTropicalMedicinefromJamesCookUniversity,and22years’experienceinAboriginalHealthinQueenslandandWesternAustralia.MonicahasbeentheKimberleyPopulationHealthUnitRemoteAreaHealthServiceManagersince2004.

Abstract:Thepurposeofthepresentation:ThepresentationwilldiscusstheexperienceofusingthePhotovoicetechniqueinengagingwithyoungpeopleandasatoolforadvocacy.ThepresentationwillsharefindingsandlessonsfromtheRedDirtYouthPhotovoiceprojectintheKimberley.

Thenatureandscopeofthetopic:Photovoiceisaparticipatoryactionresearchmethodconsidered

asausefultoolinunderstandingtheneedsofavulnerablepopulation.Itovercomesbarrierssuchaslowliteracylevelsandpromotesself-esteem.Photovoiceprovidesanopportunitytoidentifyperceivedstrengthsandopportunitiesforenhancingthesequalities.

TheRedDirtYouthPhotovoiceprojectusedthisresearchmodeltoidentifystrengthsandprotectivebehavioursinyoungpeopleintheKimberley.ThefindingsfromthisprojectassisttheKimberleyAboriginalHealthPlanningForum–SexualHealthSubcommitteeinplanningevidence-basedhealthpromotionstrategies.

Theissueorproblemunderconsideration;TheKimberleyhassomeofthehighestNationalratesofChlamydiaandGonorrhoea.Increasingscreeningofasymptomaticatriskgroupsisviewedasonestrategyfordecreasingtheserates.Howeverattheriskgroupaged15–25areoftenhardtoaccessanddifficulttoengagewith.Appropriatehealthpromotiontoencourageyoungpeopletoengagewithserviceandtopresentfortestingisrequired.

Theoutcomeortheconclusionreached:Atpresentthefindingsarebeinganalysedandrecommendationsarealsobeingdrafted.OngoingevaluationofRedDirtYouthPhotovoiceinthecomingmonthswillprovidefurtherinsightintotheachievementsandchallengesofthisproject.

16 CRANAplus2015CONFERENCEPROGRAM

variablesencapsulatedintheterm‘badhealthchoices’.Itisshownthattheselectionofbadhealthchoicescanberational,especiallyinhighlystressfulcircumstances.Itisinthiscontextthattheimportanceofdistalpsychosociallifestressorsincludingculturaldisenfranchisement,andthelossofpersonalcontrolormasteryandtheimportanceofempowerment,exist.Thereisevidencethatculturalengagementthroughtraditionalcaringforcountry,andlivinginsmallfamilygroupsoncountry,provideenvironmentalengagementandpersonalmasteryandcontrol.SuchoutcomesresultinanexpansionofhealthoutcomeswithinagivenbudgetandarangeofprivategoodandpublicgoodbenefitsforAustralia’sAboriginalandTorresStraitIslanderpeoplesandAustraliaasawhole.Theseincludethemaintenanceofenvironmentalheterogeneityandbiosequestration,andthemitigationofdiseasebearingduststorms.Ithasbeenarguedthatsuchactionscomplementmedicalresponsestochronicdisease.TheseobservationsareofparticularrelevanceforIndigenouspeoplesingeneralandworld-widemitigationofthechronicdiseasepandemic.

DAVID CAMPBELLRealising economic benefits through preventative health: lessons from the experience of Aboriginal people in caring for country

David CampbellisaFlindersUniversityPhDcandidate,CentreforRemoteHealth,AliceSprings.HisPhDresearchrelatestohealthpolicyissuessurroundingthebehaviourofAboriginalandTorresStraitIslanderpeopleintheirchoosingbetweengoodandbadhealthchoices.From2007to2011,hewastheSeniorEconomist,CentreforRemoteHealth,AliceSprings;coordinatingthepostgraduatecourseinHealthEconomics,andeconomicresearchonthehealthbenefitsofengagementbyAboriginalpeopleintraditionallandmanagement.HehascarriedoutnaturalresourceeconomicsresearchsincecompletingaMastersattheUniversityofMichiganin1980.

Abstract:CurrenthealthpoliciesforAustralia’sIndigenouspeoplesarefocusedonamedicalresponsetoaddressingchronicdiseaseandproximate

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30/09/2015 12:14:55 PM



Western Desert dialysis has got a deal for YOU!You might have heard our good news? The Commonwealth government is giving us some money to build more dialysis centres in remote communities. We are all so excited! In preparation we are on the look out for new dialysis nurses who would like to come and work with us.

And… as an added incentive, we will pay a SPOTTERS FEE of $500 to the person who introduces them to us. We’d rather pay our friends than an agency, so mates… get to it and pass it on!

Email [email protected] for details or call Deb or Morgan on (08) 8953 6444


Abstract:One Diseaseisanon-governmentorganisationthatisworkingtoeradicatescabies.TheloftyambitionofscabieseliminationwithinAustraliarequiresadifferenttacttopreviousscabieseliminationprograms.Researchingandlisteningtopreviousscabiesstorieshasinformedourjourneythusfar.

Withplansofexpansiontofurtheroursuccessfulscabiesprogram,wewouldliketoshareourstoriesoffailureandsuccess,andhowithasheavilyinfluencedourprogramdirection.

ProjectDawnandProjectListenaresocialmarketingprojectsthatwehavesuccessfullycarriedoutintheNhulunbuyandManingridaareas,andweusethesefindingsasabasisfordevelopmentofmanyprojectswedonow.

TheWASH/SPINprojectwasaprogramweundertookexaminingandassistingwithhealthhardwareinseveralremotecommunitiesandOneDiseaseatthisstageisnotpursuingthisprojectduetoavarietyofreasons.

Goingforwardwearedevelopingacommunityengagementmodeltolowerthediseaseburdenofscabies.Wehavestaffmemberscurrentlyup-skillingandrecruitingcommunitybasedscabiesworkersinourpilotregionsofManingridaandNhulunbuy.

OneDiseaseonlyenterscommunitieswehavebeeninvitedintoaswebelieveincommunitygovernance,andpartnershipisvitaltodiseaseelimination.Ourapproachisfoundedinscientificandsocialbestpracticebutwedonotspendourentiretimewhenincommunitywithintheclinic.Weseescabiesasadiseaserequiringanholisticapproach,andspendtimewithfamilieswithintheirhomeshearingtheirstoriesandlearningwherewecanhelpthem.Ourcasemanagementapproachthusfarhasbeenhighlysuccessful.Wewouldliketoshareourstoriesandhearfromotherstocontinuelearning.

SESSION 3Chair:JohnWright

Invited speaker MARY GUTHRIEGeneralManager–Policy,LowitjaInstitute

FIONA HILDEBRANDListening Forms the Basis of the One Disease Program (Scabies)

Fiona HildebrandcompletedaBachelorofNursingin2002,GraduateCertificateinRemoteHealthPracticein2008,andGraduateCertificateinSocialMarketingforHealthin2012.InthattimeIhaveworkedalloverAustraliainruralandremotesettings,withinIndigenouscommunities,miningandindustrialsites,immigrationdetentioncentresandhospitals.CurrentlymyworkasaHealthySkinNursewithOne Disease allowsmetocontinueworkingwithincrossculturalsettingsinEastArnhem,whilstgivingmethescopetoworkwithinanacuteandpreventativefield.

Key aspirations: Iwanttousethosespecialrelationshipswedevelopasnursestobuildprogramsthatactuallybringaboutmeaningfulchange.I’mparticularlyinterestedintheuseofgamestoinfluencehealthbehaviours.

RecentUtiKulintjakuworkshopshaveexploredthetopicsofChildDevelopment,Trauma,andHealingfromTrauma.Asawayofsharingthelearningsoftheworkshops,aseriesofresourcesisbeingdeveloped.Theseresourcesincludea‘wordsforfeelingsmap’thathasbeenwellreceivedbymentalhealthprofessionalsandIndigenouscommunities.Thisposterhasbeenusedasaresourcebyschools,youthworkers,andotherserviceproviders–asawaytostartconversationsaroundmentalhealthandtotalkaboutthewordsweusetotalkaboutmentalhealth.Underlyingthisposterisa30-page‘compendiumofwordsfortalkingaboutmentalhealth’thatisausefultooltohealthworkersintheregion.

Otherresourcescurrentlyinthepipelineincludeemotionalliteracyanimations,alanguageApp,andapostermappingoutthestagesofchilddevelopment–allofthesedevelopedinlocalIndigenouslanguagesandEnglish.

Thisprojectisrespondingtoculturalandlanguagedifferencesandtheobstaclesthesecancreatebetweenhealthservicesandthosewhoneedhelp.ItbringstheconsiderableskillsandknowledgeofIndigenoushealerstogetherwiththeskillsandknowledgeofwesternhealthpractitioners.


Lunch(1hour)

EMMA TRENORDEN AND MARGARET SMITHUti Kulintjaku: creating a shared language for mental health

NPYWomen’sCouncil(NPYWC)isaservicedelivery,advocacyandsupportorganisationcreatedbyAnanguwomenfromthe28remotecommunitiesinthetri-stateborderregionofNT,SAandWA.NPYWCdeliversservicesandprogramsworkingwithAnangutoimprovetheirhealth,wellbeingandsafety.

TheNgangkari Programsupportsadynamicgroupofngangkari(traditionalhealers)whoarealsohighlyrespectedartists,teachers,andhealthworkerswithimmenseculturalauthority.Aswellasapplyingtraditionalskillsashealersintheircommunities,theyalsoprovideadvicetoIndigenousandnon-Indigenouspeopleoutsidetheircommunities–usingtheirextensiveknow-ledgeofpersonalandfamilyhistoryandculturalsensitivity.TheNgangkariprogramhasreceivednationalandinternationalacclaimincludingaDeadlyforPublishedBookoftheYear2013andtheSigmundFreudAwardoftheWorldCouncilofPsychotherapyCongressin2011.

Abstract:

UtiKulintjaku(Pitjantjatjara)meanstothinkandunderstandclearly.ThekeyobjectiveofthisprojectistofacilitateawayforIndigenouspeopleandmentalhealthprofessionalstocreateasharedlanguagefortalkingaboutmentalhealth.AtthecentreisaseriesofworkshopswithNgangkari(traditionalhealers),seniorIndigenouswomen,interpreters,andmentalhealthworkers.Theseworkshopsopenupdiscussionaroundwords,terms,concepts,andapproachestoaddressingmentalhealth.Ourprojectteambelievesthatbettermentalhealthliteracywillleadtoincreasedhelp-seekingandbettercommunicationbetweenIndigenouspeopleandmentalhealthworkers.

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beenconductedwitheightparticipantsandwillbereportedon.ThevalueofpeoplewithABIco-presentingtrainingthroughthetellingoftheirpersonalstorieswillalsobeexamined.

Theimpactofthesestories(personalnarrationandDVDstories)ontheaudiencewillbeexplored.

Thetherapeuticvalueofstorytellingcontinuestoberecognisedwithinourservicewiththeinvestigationofmakingdigitalstorytellingmoreaccessibletopeoplewithbraininjuryandtheirfamilies.

Queensland.Weworkwithpeopletoachieveanimprovedqualityoflifeandcommunityintegrationthroughincreasedindependence,choice,opportunityandaccesstoappropriateandresponsiveservices.

ThispaperwilldiscussthemakingofmultipleshortstoriesonfilmwithpeoplewithABI,theirfamilies,serviceprovidersandAboriginalcommunities.ThestoriescomefromacrossQueensland(urban,regionalandremote).

Qualitativeresearchinvestigatingtheimpactofmakingandlaunchingfiveofthesefilmshas

ABIisoftenreferredtoasan‘invisibledisability’asmostpeoplewithasevereABIrecoverwellphysicallybutcontinuetoexperiencecognitiveandbehaviouralchanges.

Itisthesechangesthatareoftenmoredifficultforpeopletorecogniseandunderstandandfrequentlycausethemostdifficultyforindividuals,familiesandcommunities.

AcquiredBrainInjuryOutreachService(ABIOS)isaspecialistcommunity-basedrehabilitationserviceaimingtoenhancetheservicesystemforpeoplewithABIandtheirfamiliesin

SUSAN GAULD AND SHARON SMITHSharing Knowledge of Brain Injury through Stories

Susan GauldhasaBachelorofOccupationalTherapyfromtheUniversityofQueensland,andhashadextensiveexperienceincommunitybasedpractice.ShehasworkedasRehabilitationCoordinatorwiththeAcquiredBrainInjuryOutreachService(ABIOS)inQueenslandforthepast20years.Thisisastatewidecommunitybasedrehabilitationserviceforadultswithacquiredbraininjury.AthreeyearresearchprojectworkingwithtworemoteAboriginalcommunitiesledtothedevelopmentofculturallyappropriateresourcesandabraininjurytrainingprogramme.

SusanhasbeenextensivelyinvolvedinthedevelopmentoftheseresourcesincollaborationwithAboriginalPeoplewithbraininjury,theirfamiliesandcommunities.

Sharon Smith hasaBachelorofSocialWorkfromtheUniversityofQueenslandandworksfortheAcquiredBrainInjuryOutreachService(ABIOS),acommunity-basedrehabilitationserviceforadultswithacquiredbraininjuryinQueensland.SharonhasbeeninvolvedinanumberofprojectareaswithinABIOS,includingathreeyearresearchprojectpartneringwithremoteIndigenouscommunities.MajoroutcomesofthiscollaborativeresearchhavebeenthedevelopmentofculturallyappropriateresourcesandabraininjurytrainingprogrammeforAboriginalandTorresStraitIslanderHealthWorkers.

Abstract:AcquiredBrainInjury(ABI)isaleadingcauseofdisabilitygloballyandresultsinlong-termphysical,cognitive,communication,socialandbehaviouraldeficitsaffectingnotonlyindividualsbutalsofamiliesandcommunities.

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TheRANhadtheskillsandconfidencetoprovidethefamilywitheducationandtrainingaround,bathing,turning,mouthandindwellingcathetercare,dietandfluids.Thepalliativecareservicesenabledaccesstospecialisedequipmentandpainmanagementadviceviateleconference.

Duetotheeffectivecollaborationsbetweenfamily,RANandpalliativeservices,Charliewasabletoremainathomeandwatchhisbelovedpreseasonfootygames.Hediedpeacefullyathomewithhisfamilypresent.

ThistalehighlightsthatRANscanprovidequalitypalliativecareprovidingtherearestrongfundingmodelsthatenableappropriatesupportmechanisms.

SARAH BROWNSharing our Story (Purple House)

Sarah BrownhasbeentheCEOofWesternDesertDialysissinceitwasincorporatedin2003.BeforethatshewasaRemoteAreaNurseinWA,NTandTasmania.ShehasalsotaughtnursesandAboriginalHealthWorkersintheNT,SAandNSW.ShehasaMasterofNursing,aGraduateDiplomainAboriginalEducationandaGradDipinHealthServiceManagement.Shepaints,hasthreeteenagersanddrivesaMorrisMinor.ShelivesinAlice,butwouldalwaysprefertobeoutbush!

Abstract:WesternDesertDialysis(thePurpleHouse)hasthroughoutourhistoryworkedhardtoshareourstorytoIndigenousandNon-Indigenouspeopletoinspireandgarnersupportinmanyforms.Overtheyearsastrong,innovativeandholisticserviceembeddedwithculturalprioritiesanddeterminationtosucceedhasdeveloped.Ourstory,thechallengesandtheinnovstionswillbesharedinthispresentation.


Afternoon tea(30minutes)

SUE CARROLLProviding Quality Palliative Care in the Bush

SueCarrollhasbeenaRegisteredNurseforover25years,sheisaqualifiedmidwifeandhasbeenapracticingRANfor18years.Currentlyshemanages,andistheRANfortheSwiftsCreekBushNursingCentre,whichisinaruralcommunityintheHighCountryofVictoria.

Abstract:Thispresentationwill‘tellatale’tohighlighthowinthebush,despitethechallengesofdistanceandlimitedaccesstohealthservices,qualitypalliativecarecanbedeliveredandtheassociatedpositiveoutcomesforfamilyandpatient.

Charlie,a98-year-oldmanlivinginaremotecommunitywherethenearesttertiaryhospitalwasthreehoursaway,hadadiagnosisofcaecalcarcinoma.Hehadremainedathomewithhischildren’ssupport,whoprovidedmealsandtookcareoffinances.Sixweekspriortodeath,hisconditiondeterioratedtoastagewhereherequiredpalliativemanagementathomeorinahospital.Charlie’schildrenwerekeentokeepDadathome.

Thechallengesthatrequiredaddressingwerehis:highlevelofdependency,painmanagement,accesstoappropriateequipment,eg.palliativecarebed,syringedriveranddesiretowatchhisbelovedfootyteamonT.V.

AmeetingwasheldinCharlie’shomewithhisfamily,theRemoteAreaNurse(RAN)andlocalDoctortodiscussfeasibilityofCharlieremainingathome.Essentialtothis,werethefamilycommitmenttoprovidingongoing24-hourcare,accesstoaskilledRAN,whocouldreceivesupportfromaspecialistpalliativecareservice.

Improving the Management of Remote Health Professionals who have

Experienced a Traumatic Event

Invitation for Remote Health Professionals and Managers to be interviewed:

CRANAplus Bush Support Services together with the Centre for Remote Health are currently conducting a study aimed at improving the management of remote

health professionals who have experienced a traumatic event through the development of best practice guidelines, education workshops, and materials. The first part of the study is to gather information about what may have helped or what may have hindered your recovery. We would also like your feedback

about what strategies you feel would improve the management of health professionals who have experienced a traumatic event.

The interviews will be conducted by a person experienced in trauma, but who is not part of the research team.

All interviews will be confidential and only de-identified information will be published.

R E S E A R C H S T U D Y

If you are willing to be interviewed for this study, could you please contact Sue Lenthall

Email: [email protected] Phone: 08 8951 4707


HAZEL BOOTHCoronary Artery Disease-When things go wrong: Learning from coronial reports involving remote area nurses in remote Indigenous communities in the Northern Territory

Hazel Boothisalecturer-remotenursingandnursepractitionerattheCentreforRemoteHealthinAliceSprings,ajointcentreofFlindersUniversityandCharlesDarwinUniversity.

SinceherarrivalinAustralia,HazelhasbeenapplyingherCanadianexpertiseinclinicalpracticeandprofessionaleducationinprovidingeducationtoremoteareanursesandnursepractitionerswithinAustralia.

WhilethemajorityofhercareerhasbeenworkinginadvancedpracticenursingrolesinremotecommunitiesinCanada,Hazelhasalsoworkedasanursepractitioneringeriatricsandinanursingleadershiproleininfectiousdisease.Hazelhasmentoredanumberofadvancedpracticenurses.Shestartedhernursingcareerasastaffnurseinneonatalintensivecare.Knownasaweaverofpossibilities,Hazelisalsoacertifiedexecutivecoach.

Abstract:TheagestandardiseddeathratesforIndigenouspeoplesnationallywas1.7timestheratefortheirnon-Indigenouscounterpartsin2013.IntheNorthernterritoryitwas2.4timestheratefornon-IndigenousTerritorians(AustralianInstituteofHealthandWelfare,2013).AlthoughtheRemoteAreaNursingworkforceisrelativelysmall,theypotentiallyhaveahugeimpactonIndigenoushealthandclosingthegap.InveryremoteIndigenouscommunities,RANswithindigenousHealthPractitionersarethemainhealthcareproviders.In2011,therewere157RANsworkingat66veryremotecommunitiesintheNorthernTerritory(Lenthalletal.,2011).

andtimelyorientation;inspirationallecturers;professionalandculturalmentors;Indigenoushealthandculturalsafetyunitsandprimaryhealthcareframeworksaspartofcurricula;astrongsenseofself,identityandinsight;andprofessionalsupportanddevelopment.Whathasalsoemergedisthepowerandrichnessofthedatathatcomefromtheseindividualstoriesandthebroaderimplicationsfortheruralandremotehealthworkforce.

Inthispapertheauthorwillsharesomeofthechallengesofandlessonslearnedfrominterviewingthesehealthprofessionalsandthedepthandbreadthofextraordinarystoriesthathaveemerged.

TheresearchwillcontributetoeducationandpracticeabouthowhealthprofessionalscanworkmoreeffectivelywhenworkinginIndigenousprimaryhealthcarelocationsandultimatelyresultinginbetterhealthoutcomesforIndigenouspeoplesinthesecommunities.

HealthprogramsintheNTDepartmentofHealthandalsoworkscollaborativelywiththeNRHA,AMSANT,IAHA,CentreforRemoteHealth,LowitjaInstituteofIndigenousHealthResearch,CRANAplusandLIME.

Abstract:Theauthor’sPhDresearchisonpreparationofhealthprofessionalstoworkinIndigenousprimaryhealthcaresettings.Todate,21healthprofessionalswhoare(orhavebeen)engagedinIndigenousprimaryhealthcarepracticeacrossruralandremotelocationshavebeeninterviewedandsharedtheirprofessionalandpersonalstoriesandreflectionsontheirpreparationforworkinginIndigenousprimaryhealthcaresettings.

Analysisofthedatahasproducedemergentthemesthatinclude:theimportanceofpreviousexperiencewithothercultures;significantfamilyorchildhoodevents;placementsas‘dealbreakers’;compulsory

SESSION 4 Chair:LynByers

ROBYN WILLIAMSRemote area health professionals’ narratives – remarkable stories from remarkable people

Robyn WilliamshasnursingandeducationqualificationsandhasoverthirtyfiveyearsofexperienceofworkingwithIndigenouspeoples,primarilyintheNT.Herfieldsofexpertiseincludecross-culturalcurriculumdevelopmentandprogramimplementation;evaluationofcommunitybasedprograms;andqualitativeresearchinIndigenousandremotehealthissues.

SheiscurrentlycoordinatingtheBachelorofHealthScienceatCDUwhereshealsoworkedwithcolleaguestodevelopaculturalcompetencyframeworkandaremotehealthpathwayintheBachelorofNursing.SheworkscloselywiththeChronicConditionsandRemote

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Preliminaryresultsconfirmthatnursingpracticeintheremotecontextisdemanding,particularlywhenrequiredtoworkon-call.Theresource-poor,culturallyrichandprofessionallychallengingcontextofpracticerequiresaprocessofconstantlearningandadaptation.Nursingpracticeisinfluencedbytheexpectationsofcommunities,employers,socio-politicalfactorsandtheideologyofprovidingcomprehensivePHC.Inmeetingthechallengesanddemandsofpractice;nursesareinvolvedincomplexdecisionmaking,negotiation,riskmanagementandredefiningtheirnursingscopeofpractice.


Wrap up and close

Pop-upmarketsintheASCCAmpitheatre

TrainingandsupportforhealthprofessionalsworkinginprimarycareisbeingprovidedintheNTbyMenziesaspartofthee-MentalHealthinPractice(eMHPrac)project.

Aims:todemonstratetheStayStrongApp,discussimplementationofane-mentalhealthtoolandtheenablersandbarriersidentified.

Methods: Trainingdeliveredandevaluated.Followupinterviews6–9monthspost-trainingwereconducted.

Results: theStayStrongApphasthepotentialtoimproveclientengagementhoweversomeorganisational,resourcingandtechnicalbarrierswereidentified.Resultswillbeusedtofacilitatefurtherdiscussionontheuseofe-mentalhealthintheIndigenousprimarycarecontext.

KYLIE MCCULLOUGHTowards a theory of remote nursing practice

Kylie McCullough isaPhDcandidatefromtheSchoolofNursingandMidwiferyatEdithCowanUniversity.KylieworkedasaRANforseveralyearsandthisexperiencesparkedherinterestinresearchingtheremotecontextofnursingpractice.OncompletionofanhonoursstudyintoviolenceandRANs,shecommencedfurtherresearchandisnowenteringherfinalyearofworktowardsherPhD.

Abstract:RemoteAreapracticeiscomplexandever-changingandquiteunlikeothercontextsofnursingpractice.ThispresentationwillreportonearlyresultsfromaPhDstudyusingGroundedTheorymethodologythataimstogenerateatheorythatexplainsthecomplexityofremotepracticeandprovidesaframeworkofunderstandingforfuturestudies.Dataforthisstudyhasbeencollectedthroughin-depthinterviewswithNursePractitioners,experiencedRANs,noviceandreliefRANs.

MICHELLE SWEETeMental health in practice a primary health care approach: The Stay Strong iPad App

Dr Michelle Sweet hasworkedforthepastnineyearspredominatelywithAboriginalcontrolledorganisationsinAliceSpringsbothasaConsultantandManager.Herpassionsliewithadvocating,exploringanddevelopinginnovativestrategiestoaddresshealthissues.

Abstract:DisempowermentandintergenerationaltraumahavecontributedtoapoormentalhealthprofileforAboriginalandTorresStraitIslanderpeople.However,AboriginalandTorresStraitIslanderclientsdonotaccessmentalhealthservicesatalevelcommensuratewithneed.Primaryhealthcareservicesareideallyplacedtoassessandtreatmildtomoderatementalillnessesholistically,whichareoftenco-morbidwithalcohol,drugandsubstanceabuseproblemsandchronicconditions,andavoidtheneedforclientstotraveloutsidethehomecommunitywhichcanleadtofurtherdistress.

e-Mentalhealthprogramshavethepotentialtoimproveaccesstomentalhealthservicesthroughprimaryhealthcare,particularlyforclientsinruralandremoteareas,whilereducingcosts.Suchprogramsoffertreatmentandsupportthroughelectronicformatsincludingclienteducation,peersupport,virtualapplicationsandgamesandtoreal-timeinteractionwithclinicians.

TheStayStrongiPadAppisoneofveryfewe-mentalhealthprogramsdevelopedforAboriginalandTorresStraitIslanderclients.DevelopedbyMenziesSchoolofHealthResearchinpartnershipwithQueenslandUniversityofTechnology,itisdesignedtoassessstrengths,worriesandthegoalspeoplewouldliketoachieveintheirlives.

Occasionallythingsdogowrong.DuringthelastdecadetherehavebeenanumberofcoronialreportsthathaveinvolvedRemoteAreaNursesintheNorthernTerritory.Deathshavebeenduetomotorvehicleaccidents,coronaryheathdisease,andmeningitisamongothercauses.Areviewofthesereportshashighlightedsomekeycontributors,primarilynotrecognisingorrespondingappropriatelytorisk,andnotrecognisingthedeterioratingpatient.ThereisaneedtoincreaseorimprovetheeducationofRANstoplacegreateremphasisontheroleofriskaspartofclinicaldecisionmaking.

AustralianInstituteOfHealthAndWelfare2013.AboriginalandTorresStraitIslanderhealthperformanceframework2012,detailedanalyses.Canberra:AustralianInstituteofHealthandWelfareLenthall,S.,Wakerman,J.,Opie,T.,Dollard,M.,Dunn,S.,Knight,S.&Macleod,M.2011.TheNursingWorkforceinVeryRemoteAustralia,CharacteristicsandKeyIssues.AustralianJournalofRuralHealth,19,32-37.

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NOTES


JanieDadeSmith: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]

SharonSmith: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]

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DAYTWOSATURDAY 17 OCTOBER

9:00am Session 5Chair:Prof.JanieDadeSmith,President,CRANAplus

WelcomeandlaunchofthenewCRANAplusReconciliationActionPlan

9:15am Keynote speakerDrBuddhiLokgue

9:50am DianeCraigandMegMcLoskeyNarrative Characteristics of the Australian Nurse Family Partnership Program: A strength based, relationship based intervention

10:05am MrStephenJonesMP,ShadowAssistantMinisterforHealth

10:25am Question time(5minutes)

10:30am Morning tea(30minutes)

Session 6Chair:PaulStephenson,VicePresident,CRANAplus

11:00am Invited speaker DebCeresaWhy Social Media is essential for health professionals

11:25am BruceMcKayYarning and Story Telling! Their roles in Health Worker Education

11:40am AnnetteJones,KatieMichellandLynByersKeeping Grandmothers Strong and Culture Alive – Women’s Health in Central Australia

11:55am RebeccaIrwinReach for the stars: encouraging our rural and remote secondary students to be future health leaders


12:15pm Lunch(1hour)

Session 7 Chair:DrNickWilliams,CRANAplusBoardSecretary

1:15pm Invited speakerProfCarolineHomerMaternity services in remote areas – whose narrative are we listening to?

1:35pm SandraMcElligottJust let them feed DVD

1:50pm GlendaGleeson The Power of the Narrative – Looking through the ‘glass onion’

2:05pm SandraBulgerWriting down your sorrow

2:20pm RosieDowningHow rural and remote birthing services in Scotland, Canada and Aotearoa/New Zealand provide sustainable and safe maternity care


2:40pm Afternoon tea(30minutes)

Stephen Jones MP, Shadow Assistant Minister for Health

StephenJoneswasfirstelectedtotheFederalParliamentin2010representingtheNSWregionalelectorateofThrosby,centredaroundWollongong,wherehehaslivedformostofhislife.Hewasre-electedin2013.

InhisfirsttermMrJonesservedontheHouseofRepresentativesEconomicsCommitteeaswellastheInfrastructureandCommunicationsCommittee.HewasalsoactiveintheareaofManufacturingpolicy.

In2013,MrJoneswasappointedbyOppositionLeader,BillShortenastheShadowParliamentarySecretaryforRegionalDevelopmentandInfrastructure.In2014hewasappointedtotheShadowMinistrybyMrShortenastheShadowAssistantMinisterforHealth.

MrJones’shadowportfolioresponsibilitiesincludeRegionalandRuralHealth,OrganandTissueDonation,regulationofTherapeuticGoods,FoodStandards,GeneTechnology,NuclearandChemicalsafetyandtheNationalBloodsupply.MrJonescurrentlyservesontheStandingCommitteeonHealth,JointSelectCommitteeonConstitutionalRecognitionofAboriginalandTorresStraitIslanderPeopleandCaucusCommitteeonSocialPolicy.

MrJonesholdsaBachelorofArtsdegreefromtheUniversityofWollongongandaBachelorofLawsdegreefromMacquarieUniversity.

PriortoenteringtheFederalParliamentheworkedasacommunityworkerforvariousfrontlinedisabilityservices,youthandhealthservicesandasalawyerwiththeAustralianCouncilofTradeUnions(ACTU)andastheSecretaryoftheCommunityandPublicSectorUnion(CPSU).

Session 8Chair:ChristopherCliffe,CEO,CRANAplus

3:10pm Invited speaker AnnmareeWilsonBush Tales: Using Narrative Therapy to Build Resilience in the Remote Area Health Workforce

3:35pm MichaelTyrrellMissionary, Mercenary or Misfit (‘the 3Ms’): just another bush tale?

3:50pm GenevieveLewisStories of Support – working with RAHC in the Northern Territory


4:15pm Wrap up and close

6:30pm CRANAplus Annual Awards Dinner AliceSpringsDesertPark,LarapintaDrive,AliceSprings

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Debra Cerasaisanexperiencedandqualifiedseniorexecutiveinthehealthsector,withadiverseresumeofexperienceinmanagementand

leadershiproles.Currently,herroleisChiefExecutiveOfficer(CEO)atOtwayHealthandCommunityServices.MostrecentlyDebrawastheChiefExecutiveOfficer(CEO)orMSAustraliaandwastheCEOwithRoyalCollegeofNursingAustralia(2008to2012).

Debraismotivatedbyabeliefthathealthcareisarightforallandnotaprivilege.Sheholdsa

KEYNOTESPEAKERDr Buddhi Lokugeistheco-founderofEveryVoiceCountsandapublichealthdoctorwhohasworkedinAfghanistan,AfricaandtheUSforMedecinsSansFrontiers,andinremoteNorthernAustralia.

Buddhihasimplementedlargescalepublichealthprojects,andledinternationalcampaignsaroundmalnutritionandaccesstolowcostessentialmedicines.

HewasfoundingcoordinatoroftheEastArnhemScabiesProgram,isco-authorofA Doctor’s Dream,astoryofhopefromtheTopEnd,andisco-creatoroftheTVshowBlack As.

INVITEDSPEAKERS

Caroline HomeristhePresidentoftheAustralianCollegeofMidwives.ShewasthefirstPresidenttobepubliclyelected,hasbeenanactivemember

ofACMformorethan18yearsandhasservedonmanynationalandstate-basedcommittees.

Inherdayjob,sheistheDirectoroftheCentreforMidwifery,ChildandFamilyHealth,DirectorofMidwiferyStudiesandtheAssociateDeanforInternationalandDevelopmentintheFacultyofHealthattheUniversityofTechnologySydneyandshepractisesasamidwifeattheStGeorgeHospital.

Overthelast10yearsshehasalsobeenaninstructorintheCRANAplusMECandMidDUScourses.

Shehasledresearchintothedevelopmentandimplementationofinnovativemodelsofmidwiferycareandthetranslationofresearchintoclinicalpractice.

ShewasanauthorintherecentLancetSeriesofMidwiferyandthe2014StateoftheWorld’sMidwiferyReport.

Attendance at this entire program provides 12 CPD points

practical,down-to-earthapproachtoresearch,educationandqualityimprovement.

ShehasbecomeanactiveparticipantintheuseofSocialMediabelievingthereareenormousbenefitsinharnessingtheappropriateusetoassistourcommunitiesinhealth,illnesspreventionandwellbeing.ThisenergyforSocialMediahasbeenapositivedriverforchangesintheapproachtoadvocacywiththeMSAustraliaNationalAdvocacyProgram.

Debraisregardedbymanyasaninnovativechangeagentwhobelievesthatprogressinhealthandwellbeingcanbeinspiredbyeverydaystoriesofrealpeople.

Annmaree WilsonistheSeniorClinicalPsychologistforCRANAplusBushSupportServices.Sheisclinicallyresponsibleforthemanagementofthe

teamofBushSupportServices’psychologists.

SheenjoysthediversityofworkprovidedbyBushSupportServices,particularlythetelephonecounsellinganddesigningandfacilitatingworkshops.

AnnmareecompletedherundergraduateandpostgraduatedegreesinclinicalpsychologyattheUniversityofNewSouthWales.ShecompletedherPhDattheUniversityofNewEngland.ShehasworkedextensivelybothinAustraliaandoverseas,inruralandremotesettings,mainlyintheareaofchild,adolescentandfamilywork.

SheisparticularlyinterestedinNarrativeTherapyandhaspracticedasanarrativetherapistformanyyears.Aswell,shehastaughttheapproachtobothundergraduateandpostgraduatestudents.

AnnmareeislookingforwardtotheopportunitytotalkaboutthenarrativeapproachtotherapyattheCRANAplusConference.

SheseesnarrativeasareallyusefulwayofworkingwithcallerstoBushSupportServicesbecauseitisacollaborativeandnon-pathologisingapproach.

Itassumesthatpeopleallhavemanyskills,abilities,values,commitments,beliefsandcompetenciesthatwillassistthemwhentheyexperiencedifficulties.Itisawayofworkingtherapeuticallythattakesintoaccountthebroadercontextsuchasclass,race,gender,sexualorientationandability.

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PROGRAM #cranaplus15

CertaincharacteristicsarerequiredofAboriginalhealthservicedeliveryinordertoensureitisbothacceptedandeffective.Theseinclude:

• Ensuringcommunityconsultationandcommunitycontrol

• Providingculturallycompetentcarereflectedinprogramsthatincludefamilyandcommunity

• Creatingprogramsthatareholisticinnature

• InclusionofAboriginalstaffmembers

• Embracingstrength-basedphilosophy.

ThisDavidOldsevidence-basedprogramisdeliveredlocallybyCentralAustralianAboriginalCongress(Congress),anAboriginalcommunitycontrolledprimaryhealthcareservice.ANFPPwasimplementedatCongressin2008,followinglengthyconsultationandlobbyinginvolvingcommunitymembers,inlinewiththeservicedeliveryfeaturesofasuccessfulprogram.

TheutilisationofNurseHomeVisitorshasbeenaugmentedinanAustralianonlyadaptation,withAboriginalCommunityWorkers.

Thisincreasestheprobabilityofmaternaluptakeofantenatalandpostnatalcarewhilstenhancingclientsatisfactionandculturalsafety,againaddressingtherecognisedelementsrequiredinsuccessfulprogramdelivery.Theuseofstrengthbasedclientledprincipleswhichincludesacknowledgingthattheclientisanexpertinherownlife,andevensmallchangesareworthyofcelebrating,arekeyinallowingwomentofeelsupportedandabletotelltheirstory.MotivationalInterviewingformspartofthedialoguearoundchange,whilstReflectivePracticeisalsoanessentialnarrativecomponenttosupportstafftosupporttheclient.

MrStephenJonesMP,ShadowAssistantMinisterforHealth

SESSION 5Chair:JanieDadeSmith,President,CRANAplus

Keynote addressDR BUDDHI LOKGUE

DIANE CRAIG AND MEG MCLOSKEYNarrative characteristics of the Australian Nurse Family Partnership Program: A strength based, relationship based intervention

Dianne Craig,MAP,CHN,RN,RM,IBCLC,isworkingastheNurseSupervisoratCentralAustraliaAboriginalCongress.Shehasinterestsinperinatalmentalhealth,lactation,aboriginalwellbeingandevidencedbasedprimaryhealthcareprograms.

Abstract:AboriginalandTorresStraitIslanderpeoplecontinuetoexperiencepoorerhealth,wealthandsocialoutcomesthanotherAustralians.ThispresentationwilldiscusscharacteristicsoftheAustralianNurseFamilyPartnershipProgram(ANFPP)fundedfederallythroughtheClosingtheGapinitiative,aimedatenhancingmaternalandchildhealthoutcomes.FoundedonDavidOld’sresearchover30years,ANFPPcelebratesstrengthsandprovidescontinuityofcarethroughasafeandtrustingrelationship,wherenarrationisembeddedintocontentthatiscraftedandshapedovertwoandahalfyears.

SESSION 6Chair:PaulStephenson,VicePresident,CRANAplus

Invited speakerDEB CERESAWhy Social Media is essential for health professionals

BRUCE MCKAYYarning and Story Telling! Their roles in Health Worker Education

Bruce McKay(akaMac)RegisteredNurse,RegisteredMidwife,AdvancedCareParamedicandTrainer.(1997–2003)PreviousCRANAplusBoardofManagementandCRANAplusPresident.Macdescribeshimselfas:‘acrazyaquarian,fabuloushusband,incrediblefatherofthree,greatgrandfatheroffive(abouttobesix)withapassionforfood,friends,sharingstoriesandlaughter.’HeiscurrentlyemployedasaHealthWorkerTrainerandAssessorwithHealthInformationTraining,HerveyBay.

HeprovidesTraining/Education&AssessmentinCertificates3&4andDiplomaofAboriginaland/orTorresStraitIslanderPrimaryHealthCarePractice.Hedeliversthesecoursesonlinetoover90students.

Abstract:Introduction: In1985,IbeganworkingasaRemoteAreaRegisteredNurseinanAboriginalCommunityinthefarnorthwestcornerofSA.

Iwas31yearsold,afatherofthree,andveryquicklyrealisedIhadalotof‘growingup’todo.

Thecommunity,theirhealthserviceandtheAboriginalHealthWorkers,allstartedtrainingandeducatingmeinissuesrevolvingaround:

• DeplorableAboriginalhealthstatistics

• ThetyrannyofdistanceandlivinginremoteandisolatedAustralia

• IntroductiontoAboriginalculture,kinshipandskinsystems

• Theimportanceoffamily

• Howandwheremyfamilyweregoingtofitin.

Thiswasallachievedslowlyandpatientlywith‘YarningandStoryTelling!’

Theytoldmestoriesaboutthepast,usingexamplesandexperiencesfromdreamtimestories(Tjukurpa)andstrongreferencestocultureandfamily.

Theyyarnedtomeaboutsicknessesandhowandwhatthesearerelatedto.

Thiseducation,wasconductedinhealthservicevehicles,waitingatairstrips,clinicroomsormostcommonly,justsittingdown,outside,inthereddust,withabentbitofwireandmakingsanddrawings.(Tjalkaltjunanyi!)

The middle bit (what has happened): ManyyearshavepassedsincefirstarrivinginKalkaontheAnanguPitjantjatjaralands.However,mostofthoseinitialstories,howandwhytheyweretold,haveremainedthebasisforhowIhaveworked,trained,andforwhatpeopleandorganisationsIhavechosentoworkwith.

FromPNHHS,NganampaHealthCouncil,AnilalyaHomelandCouncil,AIHWEP,QLDHealthonDarnleyIsland(Erub)ontheeasternedgeoftheTorresStraitandbackagaintocentralAustraliaatMutitjuluHealthServiceatUluru-KataTjutaNationalPark.

How is ‘Yarning and Story Telling’ being used today?WorkingwithHealthIndustryTraining(HIT),IhaveIndigenousPrimaryHealthCareWorkersfromvariouspartsofAustralia,differingculturalbackgrounds,contrastingeducationalandlearning.Ph

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andcollaborativeeffortfrommanyagenciesincludingbusiness,governmentandnon-governmentwasrequired.Remoteclinicstaff,outreachhealthstaff,volunteersandbusinessoperatorsworkedtogethertofacilitatethesewomenaccessingmammogramsandotherappropriatewomen’shealthactivities.

Thispresentationoutlinestheconsultativeprocess,logisticalconsiderationsandfinaloutcomesoftheproject.Itillustratestheimportanceofconsultativeandcollaborativeengagementinachievingprojectoutcomes.Itprovidesapracticaltemplateforfuturehealthpromotionprojectsinalogisticallyandgeographicallychallengingenvironment.

REBECCA IRWINReach for the stars: encouraging our rural and remote secondary students to be future health leaders

Rebecca Irwinisathird-yearmedicalstudentatAustralianNationalUniversityandViceChairoftheNationalRuralHealthStudentNetwork.TheNationalRuralHealthStudentNetworkrepresentsthefutureofruralhealthinAustralia.Ithasmorethan9,000memberswhobelongto28universityRuralHealthClubsfromallstatesandterritories.ItisAustralia’sonlymulti-disciplinarystudenthealthnetwork,bringingtogetherpeoplestudyingmedicine,nursingandalliedhealth,encouragingthemtopursueruralhealthcareers.

Abstract: Purpose:1.Discussthepurposeandpositiveimpact

oftheNationalRuralHealthStudentNetwork’s(NRHSN)RuralHighSchoolVisit(RHSV)program

2.ShareexperiencesfromrecentRHSVinremotecommunities.

longtermrevieweroftheseprotocols.Lynispassionateaboutdeliveringhighqualityprimaryhealthcaretoremoteareasandpromotingtheworkremoteareacliniciansdoindifficultcircumstances.Inremoteareascharacterisedbylimitedresources,highburdensofdiseaseanddifficultlogistics,collaborativerelationshipsandexcellentclinicalskillsareessentialcomponentsofcare.

Abstract:BreastcanceraffectsoneinnineAustralianwomenduringtheirlifetime(AIHW2012).Earlydetectionisvital,evidencesuggeststhatIndigenouswomenfromremoteandveryremoteareasoftheNorthernTerritoryaremorelikelytohavelowerratesofparticipationinscreeningmammogramsleadingtolaterdetectionofbreastcancer(AIHW2014).DespiteareportedlylowerincidenceofbreastcancerinIndigenouswomen,themortalityrateissignificantlygreater,52.3deathsper100,000Indigenouswomencomparedwith44.4deathsper100,000non-Indigenouswomen(AIHW2014).

ThesestatisticsreflecttherealityfacedbywomeninveryremoteareasoftheNorthernTerritoryandisindicativeofaclearneedtoimproveaccesstobreastscreeningservices.The2014rolloutoftheNTBreastScreenbus,visitingremotecommunitiesusinga‘hubandspoke’model,providedanopportunityforwomenfromveryremotecommunitiestoparticipateinscreeningmammogramsalongwithotherwomen’shealthactivitiestothispopulationgroup.

Despiteavailabilityofthemobilebreastscreeningbusathubcommunities,thelogisticsrequiredtoenablewomenfromacatchmentarearangingfromtheedgeoftheSimpsonDeserttotheWesternAustralianborderinaccessingitwerechallenging.Acoordinated

midwiferyandwomen’shealthcareinremoteprimaryhealthcarecentrespredominantlyforIndigenouswomenfromfivecommunitiesfromtheborderoftheSimpsonDeserttotheNT/WAborder.Katieispassionateaboutwomen’shealthandensuringwomeninremoteareashaveaccesstogoodqualityservices.

Lyn ByersisaNursePractitionerinthespecialityofRemoteAreaNursing,aMidwifeandMentalHealthNurse.ShehasworkedinCentralAustraliasince2001asaresidentRemoteAreaNurseandMidwifeinaremotecommunityandastheManagerofanoutreachmentalhealthteam.ShehasalsoworkedinsmallcountryhospitalsandbushclinicsinVictoria.Lynisontheeditorialcommitteeofthesuiteofproceduremanualsusedintheremotesettinganda

ANNETTE JONES, KATIE MICHELL AND LYN BYERSKeeping Grandmothers Strong and Culture Alive – Women’s Health in Central Australia

Annette JonesisthePrimaryHealthCentreManagerofDockerRiverPrimaryHealthCareCentreandhasworkedasaRemoteAreaNurseintheNorthernTerritorysince2008.Annettehasastronginterestinchronicdiseasenursingandbringswithherawealthofexperienceinrenalandcriticalcarenursing.InhersparetimeAnnetteisthepurveyoroffinecupcakes.

Katie MichellisaRemoteOutreachMidwifeinCentralAustralia,andhasworkedintheNorthernTerritorysince2007,primarilyasRemoteAreaNurse/MidwifeinCentralAustraliaandTheBarkly.Katieprovidesclinical

Essential Aspects of Aeromedical Retrieval

The major focus of this program is to improve the delivery of clinical care in aeromedical retrieval. This will give you the opportunity to receive training and education in all aspects of this challenging discipline.

This program is for doctors, nurses or paramedics either currently working within the Aeromedical environment or looking to gain an insight into this unique specialty. The ‘Essential Aspects of Aeromedical Retrieval’ course will comprise:

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2015 Course Dates Location Early Bird 20‐21‐22 November Brisbane

(precedes the ACEM Conference, Brisbane: 22‐26 Nov)21 Sept

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GLENDA GLEESONThe Power of the Narrative: Looking through the ‘glass onion’

Glenda GleesonRM,RN,BNsg,MPHhasextensiveexperienceasaclinicalMidwifeandNurseinremoteIndigenousHealth.InrecentyearsherprimaryfocusofmidwiferyhasbeeninEducationbothInternationallyandNationally.TeachinginPakistanandPapuaNewGuineahasgivenbroadinsightintoprimaryhealthcareoutsidetheAustraliancontext.WorkinginmainstreamAustraliainrecentyearsincreasedherawarenessofhowlittletheAustralianIndigenoushealthcontextisknownandunderstoodinthebroadersociety.HenceshehasreturnedtothisareaofMidwiferyandNursingtocontinuetoraisetheissuesandworktochangethedisparityexistinginAustralia.

Abstract:TheMaternityEmergencyCarecourseofferstheopportunityforparticipantstoreflectontheculturalaspectsoftheirprofessionalpractice.Healthprofessionalscanseeitaslookingthroughthe‘glassonion’fortherearemultiplelayersofmeaningsassociatedwiththeirreflectionsonculturalconsiderations.Theseconsiderationsarethroughtheirstorytellingofthecustoms,kinship,languageandartwhentheyengagewithclients.

Implementingnewcontentintothecourse,relatestoworkingwithAboriginalTorresStraitIslanderandculturallydiversepeople.TheMaternalEmergencyCareprogramshaveopenedupanexcitinglayerofreflectivepracticeconsideringtheengagementbetweenhealthprofessionalsandusersofhealthsystems.Healthprofessionalsarebeingaskedtolookintotheirpracticeandrevealhowtheyengageandhowtheyrespondtoculturallydiversesituations.

Background/Issues: ThelocalIndigenouswomensaid‘it’stimetoreviewwhatishappening;weneedtodosomethingaboutthisbeforeit’stoolate’.We,astheMaternalandChildHealthteamlistenedtotheirworriesandconcerns,andwiththemwedidsomethingaboutit.

Methods:Togetherweplannedwhattodoandhowtodoit.Weinvolvedyoungmenandwomenfromthestart;forthemtowatchandlistentowhattheolderwisermenandwomenhadtosayaboutthebenefitsofbreastfeeding.

WeproducedalocallymadeshorteducationalDVD,whichtheWesternArrarntapeopleofNtariahaveallowedustosharewithyou,soparticipantsatthisconferencecanrealisehowbreastfeedingplayssuchavitalroleasanearlyintervention,andhowthebenefitsimpacthealthoutcomeslaterinlife.

Results/Discussions: Theyoungonesgottosing,danceandproducearapwhilstlearningaboutandsharingtheimportanceofbreastfeeding,whileeldersspokewithwisdomandtruth,sharingwhattheyknowtoberight.

InthethreeweekssinceitslocalreleaseinApril2015,andthroughpromotionviasocialmedia,JustLetThemFeedvideoviewsonYouTubearealready1300andclimbing.

Conclusion/implications:Healthpromotionworkswhengeneratedbythepeople.

Communityresponsehasbeenextraordinary.Healthprofessionals,researchersandpeoplefromlocalcommunitiesintheNorthernTerritoryandbeyondwanttoknowhowwedidthis.Theythinkalreadythatitmakesadifference.

Welookforwardtoshowingwhatrealdifferencethisinitiativemakesinthefuture.

TheresearchcurrentlyavailableandNRHSNcasestudiesindicatethatthesestudentswillbesignificantlymorelikelytoreturntoruralareaswhenqualified,thereforebuildingthenextruralandremotehealthworkforce.

References:1.LavenG,WilkinsonD.Ruraldoctorsandrural

backgrounds:howstrongistheevidence?Asystematicreview.The Australian Journal of Rural Health 2003;11:277-284.

2.ChesterJ,KellyH.Evidence-based rural health career promotion.Paperpresentedatthe7thNationalRuralHealthConference,2003.


Lunch(1hour)

SESSION 7Chair:NickWilliams

Invited speakerPROF CAROLINE HOMER Maternity services in remote areas – whose narrative are we listening to?

SANDRA MCELLIGOTTJust Let Them Feed DVD

Sandra McElligottisaWomensHealthEducatorwithPrimaryHealthOutreachAliceSprings.ShehasbeenintheTerritoryforover20yearsworkinginremotecommunities,andenjoysworkingwithcommunitypeopleontheirownhealthpriorities.

Abstract:Author/s:RobynCarmichael,SandraMcElligott,MarionSwift,DepartmentofHealth,AliceSprings,NT.GlendaLucas,CAACAliceSprings,NT.

Research:Dowealwaysneedresearchwherethereisn’tmuchdone,toaddressalocalissue?

Thepaperwilldrawattentiontothefollowinggoals:

• Encouraginghealthcareersamongstruralandremotesecondaryschoolstudents

• Providingmentorsforruralandremotesecondarystudents

• Increasingtheruralandremotehealthworkforce.

ThepurposeoftheRHSVprogramistoencouragethenextgenerationofruralandremotestudentstopursuehealthcareers.Thisisachievedthroughthesharingofpersonaleducationjourneysandcommonexperienceswiththestudents.

Australia’shealthworkforceismaldistributed,withruralandremoteareasbeingunderserviced.Evidenceshowsthatruraloriginisastrongpredictorofeventualruralpracticeandthatpromotinghealthcareerstohighschoolstudentsisanimportantstrategytoattractthosewithruralbackgroundstoconsiderhealthcareers.1,2

TheusualcomponentsofaRHSVare:

• Sharingpersonalhealthcareerjourneyswiththehighschoolstudents

• Sheddinglightonthebreadthofhealthcareersandpathways

• Apracticalskills-basedcomponent.

ThepaperwillpresentsomerecentcasestudiesofRHSVsandNRHSN’sexperienceswiththisprogram.

Conclusion: UniversitystudentssharingtheirhealthcareerjourneyswithsecondaryschoolstudentsthroughtheRHSVprogramplaysanimportantroleinpromotinghealthcareerstostudentsinruralandremotecommunities.

#cranaplus15


practiceswhichsupporthealingandemotionalwellbeingaswellasthosewhichmighthinderrecoveryfromthisparticulartypeofloss.

Thispresentationwillpresentpreliminaryfindingsintohowthestorywritingprocessmaycreateanopportunityforadeeperandmorecompassionateunderstandingofstillbirthgriefwithinthewidercommunity.Itwilldescribehowstorywritinghasthepotentialtogivegreatcomfortandnurturetransformativegrowthwithinthewriteraswellasthereader.Evidencewillbepresentedtodemonstratehowstoriescanaffectsocialchangeandhelplessenthesilencesurroundingmarginalisedorunderrepresentedcommunitygroups.

Thewritingworkshopmethodsusedforthisresearchprojectcouldeasilybetransferredtoothergriefsituationsandbefacilitatedwithinawidevarietyofcommunitysettings,includingurban,ruralorremotelocations.Storywritingissimple,costeffective,creativeandcanbepracticedaloneoringroupsofpeoplewhocometogetherinordertosharetheirobservations.

Thereisscantresearchliteraturespecificallyrelatingtostillbirthgriefwhichexplorespersonalnarrativeasonewayofnavigatingthisprofoundlytraumaticevent.Whenparentschoosetowritedowntheirlivedexperiencestheirvoicesareamplified.Storiescangiveconcernedhealthcareprovidersagenuineinsightintobeneficial

myownbaby’sstillbirth,writingprovidedme

withasafehavenwhereIcouldgetintouch

withmythoughtsandfeelings.Itwasthrough

thegentlenurturingofthiscreativesparkthat

Ibegantoheal.’

Abstract:Thispresentationaimstocommunicatehow

individuallyandcollectivelypeoplecanfacilitate

changewithinthemselvesandothersthrough

writingtheirstories.

Theresearchprojectbeingsharedfocusseson

stillbirthgriefandexploreshowconnecting

withone’screativitythroughstorywritingmight

influenceaperson’shealingjourneythroughgrief.

Theeducationtoolssuchasvideos,groupactivities,andarticlesonculturalsensitivityhighlightthesignificantdifferenceanddisparitythatexistsforminoritygroupswithinoursociety.Thisformofactivereflectionassistsstudentstoraisetheirawarenessofculturaldifferences.MaternalEmergencyCareprogramencouragesstudentstosharethenarrativeofprofessionalencounterswithintheirpractice,andhowtheyhaveimplementedactionsandnewwaystodealwithculturalvariance.

Ourcultureandourwayofbeingarenotusuallyelementsoflifethatwetalkaboutandreflecton.However,theprogramfostersthecreationofasafespacewherestoriesaretoldrevealinginsightandsensitivityindealingwiththeirexperiencesofadvocatingandcaringforclientsandfamilies.

ItisclearthroughthislayeredprocessofsharingthatHealthpractitionersdoconsidertheirownculturalnormsandhowtheyrespondandadapttoculturaldifferenceintheirpractice.ThepoweroftheNarrativeisquiteprofound.

SANDRA BULGERWriting down your sorrow

Sandra Bulgerisawell-respectedearlychildhoodeducatorfromFarNorthQueenslandandiscurrentlyaJamesCookUniversityPhDstudent.SandraholdsaMasterofArtsinwritingandfacilitateswritingworkshopsforparentsandhealthcareprofessionalswhowouldliketoexplorestorywritingasonewaytonavigateandreflectontraumaticlivedexperiences.Sandraaimstogainaclearerunderstandingofhowconnectingwithone’screativityandspiritualitythroughstorywritingmightsupporttransformativegrowthandhealing.

Sandra’sresearchprojectdrawsonpersonalexperience.‘WhenIfacedtheheartbreakof

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stilloftenattributedtoveryremotehealthpractitioners,bysomebothinandoutsidethehealthindustry.

RecruitmentandretentionofhealthpractitionerstoremoteandespeciallyveryremoteAustraliacanbecostlyintime,money,stress,qualityofserviceandrelatedconsumerhealthstatus.

Thereissomeevidenceandmuchinformedopinionthatsomepersonalitytraits,whicharerelativelyunchangeable,helpandsomedonothelpinflourishinginbushhealthwork.Workmotivationscanreflecttraitbutarechangeable:theyrespondtonewinformation,resources,negotiationandopportunities.Theyalsoinfluenceworkplaceoutcomes.

Ahealthpractitionermotivationscalewasderivedfromasurveyof547healthpractitioners,includingover300withveryremoteworkexperience.Seventeensubscalesofworkmotivationemerged.Someoftheserelatetoelementsofthe3Ms,suchasMonetarymotivations.Someclearlyreflectthetraitfindings,suchasChallengeseeking.Othersaremoreindependent.

Linksarebeingidentifiedbetweeneachoftheseseventeenfacetsofworkmotivationandkeyworkplacevariables,includinglengthofveryremoteserviceandjobfit,satisfactionandengagement.Therearemanymoresuchrelationshipstoexplore.

Thefinalproductmotivationscalewillbeadministeredhardcopyornet-based.Itcouldhelptheemployeeandtheemployerimprovepractitioner-jobfitfromrecruitmentandenhancethecapacitytosupportthepractitioneratworkinvariousways.

DatawillbemorefullyprocessedbeforeOctober2015.Itisnotyetclearhowvalidabushtalethe3Msare,butsomesurprisescanbeexpectedbyOctober.

SESSION 8 Chair:ChristopherCliffe,CEO,CRANAplus

Invited speaker ANNMAREE WILSON Bush Tales: Using Narrative Therapy to Build Resilience in the Remote Area Health Workforce

MICHAEL TYRRELLMissionary, Mercenary or Misfit (‘the 3Ms’): just another bush tale?

Michael Tyrrell’searlycareerasapsychologistformedinruralScotland(1970–1971),Canberra(1972–1973),RabaulandPortMoresbyPNG(1973–1977),whereheworkedinacuteinter-culturalpsychiatryandorganisationalpsychology.

ThenhecoordinatedNewEnglandRegion’smentalhealthservices(1977–1986),focusingonearlyeasycontact,responsiveness,fosteringsynergieswithlocalservices,continuity,durability,minimalduplicationandbroadclinicalexpertise.

Asregionaldirector,NTGHealthandCommunityServices,CentralAustralia(1986–1991),heusedtheseprinciplestofostersuchservicesasmobileremoteareawomen’shealthandphysiotherapyresourceservices,strongCPEresources,addictionservicesandspecialistradiologyservices,whichcontinuetoday.

From1992hedeliveredabroadrangeofpsychologicalservicesinCentralAustraliabutisnowfulltimeworkingonhismotivationsresearch(‘The3Ms’).

Michaelhashelpedraisefourchildrenandonegrandchild;bredrams;learnedwoolclassing;anddevelopedtwoenergy-efficienthouses.

Abstract:Thisisataleaboutwhyandhowtheabovequestionhasbeenaddressed.Thepopularbuttired3Msisalooseworkmotivationconstruct

Theoft-quoted‘tyrannyofdistance’,inclementweatheranditsimpactonroadorairaccess,variableandtransientpopulationsizes,shiftinggovernmentstructuresandfunding,andthedifficultyofrecruitingandretainingskilledmaternitycarersareallfactorsthatwillaffecthowmaternitycarecanbeplannedandorganised,andwhatthatcarewillbelike.Andyet,facingsimilarbarriersandcomplexities,thereareservicesinotherruralandremotecommunitiesaroundtheworldwhoprovidesafematernityandbirthingcare.

ThisresearchprojectwasinspiredbyadesiretoimprovethematernityservicesavailabletowomenlivinginruralandremotecommunitiesinAustralia.ThegenerousawardofaPeterMitchellChurchillFellowshipallowedmetotraveltoScotland,Nunavik(inCanada),andAotearoa/NewZealand,tovisitmidwivesandcommunitieswhohavesuccessfullyestablishedandcontinuetosustainbirthingservicesintheirremotecommunities.

EachofthecommunitiesIvisitedhavetheirownuniqueandappropriatesolutionstothebarrierstheyencounter;whattheyshowedmeisthatwherethereisawill,thereisaway.Keyelementsoftheirsuccess,asIobservedthem,included:

• acommunity-drivendesireanddrivetoprovidegoodquality,safematernitycaretowomenintheircommunity,

• acultureofvaluingawoman’sprerogativetochooseherplaceofbirth,

• growingconfident,skilledmaternitycarers,

• fosteringsupportive,strongrelationshipswithinthematernitycareteam,and

• organisingtheservicestructurewithmidwiferyledclinicalgovernance,innovation,flexibilityandreflexivity.

ROSIE DOWNING How rural and remote birthing services in Scotland, Canada and Aotearoa/New Zealand provide sustainable and safe maternity care

Rosie DowningRN,RM,MSH(AboriginalHealth),ChurchillFellowAfterworkingasanurseinpublic,privateandAboriginalCommunityControlledhealthservices,RosiecompletedherMastersinSocialHealth(AboriginalHealth)thesameyearshemovedtotheNorthernTerritoryandbegantrainingasamidwife.Sincethen,shehasworkedinurbanandremote,tertiaryandcommunitysettingsasamidwife.Itwasthisworkwhichfueledherdesiretolearnmoreaboutsuccessfulmodelsofbirthingserviceprovisioninruralandremotecommunities.Shewashonouredtoreceivethe2015NorthernTerritoryExcellenceinMidwiferyAward.

Abstract:Atthepresenttime,aroundoneinfourwomenlivingintheNorthernTerritory,Australia,areexpectedtoleavetheirhomes,familiesandcommunityinpreparationforthebirthoftheirchildinasettingwherethereareappropriatestaffandresourcesathand(Thompson,2013).Leavingtheirhomeisnotwithoutrisk;theemotional,cultural,spiritual,social,financialandphysicalrisksthatmayensueinthisarrangementarewelldocumentedinmanystudies,reportsandresearcharticles.However,womenandtheirfamiliesmustjuggletheseriskswiththerisksofplanningtobirthinaremotesettingwithvariableaccesstoskilledmaternitycarers,appropriateresourcesandknowingthegeographicalbarrierstoaccessingemergencycareifitbecomesnecessary.Formanyfamilies,therearealsotheinherentcomplexitiesandchallengesofnegotiatingadominantcolonialhealthcaresystem.Fromaserviceprovisionpointofview,therearemanybarrierstobeovercomeifmaternityservicesaretobesustainedintheremotesetting.

#cranaplus15


Abstract:TheRemoteAreaHealthCorps(RAHC)wasestablishedin2008aspartoftheefforttohelp‘ClosetheGap’andimproveIndigenoushealthoutcomesintheNorthernTerritory(NT).RAHCisfundedbytheAustralianGovernmentDepartmentofHealthunderStrongerFuturesProgram.

RAHCrecruitsurban-basedhealthprofessionals(HPs)suchasRegisteredNursesandMidwives,GeneralPractitionersandOralandAlliedHealthforpaid,short-termplacementsinhealthcentresinIndigenouscommunitiesinremoteareasoftheNT.

RAHCprovidesupportandeducationforallHPstosuccessfullytransitiontoremotepracticeincludingculturalandclinicalorientation,eLearningmodulesandtailoredprofessionaldevelopment.

Ourbestmarketingcomesfromwordofmouth.StoriesfromHPsnewtoremotepracticewhohavemadethefirststepandcometoworkwithusandthencontinuetocomeback.

OurpresentationwillbebasedonthesestoriesabouttheHP’sexperiencesinremotehealthacrosstheNorthernTerritory.Inparticular,wewillfocusonthepersonalandprofessionaljourneyofournewtoremoteHPsandtheimportanceandvalueofthesupportprovidedbyourRemoteEducatorprogram.ThiswillservetohighlightwhatbringsHPsbackonaregularbasistoremotepracticeandhowwecanmakethetransitionofanewtoremoteHPmoresuccessfulforallconcerned,especiallythepermanentworkforcewhohavetodealwithregularturnoverinthehealthcentrestaff.


Wrap up and close

CRANAplus Annual Awards Dinner AliceSpringsDesertPark,LarapintaDrive,AliceSprings

GENEVIEVE LEWISStories of Support – working with RAHC in the Northern Territory

Genevieve Lewis,RAHC’sClinicalCoordinator,hasbeenbasedinAliceSpringssince2012.GenevievebringsexperiencefrombothurbanandremotenursinginSouthAustraliaandtheNorthernterritory.Afterworkinginagedcarefor18years,GenevievebecameinterestedinIndigenoushealthafteratriptotheAnanguPitjantjatjaraYankunytjatjaraLands.SincethistimeshehasspentsixyearsasaRemoteAreaNurseatUtju(Areyonga)westofAliceSpringsincludingsometimeastheClinicManager.

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EMPLOYERSHAVEYOUCONSIDEREDYOURSTAFFPROFESSIONALDEVELOPMENTNEEDSFOR2016?We will deliver private training for organisations across Australia.

CRANAplusisAustralia’sonlyRegisteredTrainingOrganisationthatdevelopseducationservicestailoredtotheremoteandisolatedhealthsectoranddeliversthosecourseslocallywheretheyareneeded.

Visitourwebsitetoseethefullrangeofcoursescurrentlyonoffer:www.crana.org.au

Takeadvantageofour10%discountofferonanyfullybookedprivatecourseinFebruary2016(limitedavailability).

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CRANAplus Bush Support Services Wellbeing Survey

HaveyoufilledouttheCRANAplusBushSupportServicesWellbeing Surveythatweplacedonyourseat?ThesurveywillassistustogatherimportantdataaboutlivingandworkinginremoteAustraliaWhenyoutakeyourcompletedformtotheCRANAplusBushSupportServicesboothyouwillreceiveafreegiftasathankyoufromus.Surveysremainanonymousandconfidentional.

CONFERENCEDINNER

TheculminationoftheConferenceistheAnnualAwardsDinneronSaturdaynight.

HeldunderthestarsattheDesertParkcentre,amongthespringwildflowers,delegateswillsipchampagneasthesunsetsonthemagnificentWestMacDonnellRangesandreflectonthepowerofthenarrative.

TheAnnualAwardsareamuchanticipatedhighlightoftheeveningsproceedings.

TheCRANAplusAwardsrecognisecolleaguesfortheircontributiontoremotehealth.

TheCRHandHCAAwardswillalsobepresented.

TheprestigiousAuroraAwardwhichrecognisestheremotehealthprofessionaloftheyearwillbeannounced.

Andyoucanbidfarewelltoour33rdsuccessfulConferencebydininganddancingunderthestars.

CRANAplus award sponsors 2015

CRANAplus Excellence in Education & Research AwardSponsoredby:CentreforRemoteHealth(CRH)

CRANAplus Excellence in Remote Health Practice AwardSponsoredby:MtIsaCentreforRural&RemoteHealth(MICRRH)

CRANAplus Excellence in Mentoring in Remote AwardSponsoredby:RemoteAreaHealthCorps(RAHC)

CRANAplus Outstanding Novice/Encouragement AwardSponsoredby:AussiewideEconomyTransport

CRANAplus Collaborative Team Award Sponsoredby:BradBelletteDesign

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Online course commencing October 2015

A course in the practical use of medicines in disease management developed specifically for Registered Nurses who work in or are planning

to work in remote and isolated practice.

For further information visitCentre for Remote Health websiteor contact Short Course Administrator

(08) 8951 [email protected]

Visit us at CRH booth at CRANAplus Conference15 – 17 October 2015, Alice Springs

PharmacotherapeuticsPharmacotherapeuticsfor Remote Area Nurses

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NOTES


DianeCraig: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]

SandraMcElligott [email protected]: [email protected]: [email protected]: [email protected]: [email protected]: [email protected]

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TRADEDISPLAYSSAVETHEDATEFOR

OUR34THCONFERENCE!!!


Scholarship sponsor Recipient Placement location Discipline

YourNursingAgency(YNA)UndergraduateRemotePlacementScholarship

EmeraldMorrison RomaHospital Nursing

HESTAUndergraduateRemotePlacementScholarship

ChristineHolden BlackallHospital Nursing

MichaelIlijashPerpetualScholarship

UrsulaOsioda MilesHospital Nursing


ShineadWilliams StJohnAmbulanceDarwin

ParaMedicine

ZeitzEnterprisesUndergraduateRemotePlacementScholarship

JessicaZachar PtMacquarieCommunityHealthCentre

Dentistry

Anonymous LeahCuro NganampaHealthServiceSA

Nursing


RobinTully MtIsaHospital Nursing

SCHOLARSHIPS2015SCHOLARSHIPPROGRAMidentifiescriteriathatneedstobemetbothbythestudentandthehostinglocation.

Thepurposeofthescholarshipsistoassistwiththecostoftravel,mealsandaccommodation,whichmaybeincurredwhenundertakingsuchaplacement.Thescholarshipdoesnotcoverlossofwages,Universityfeesortextbooks.

EligibilityforourScholarshipsincludesCRANAplus membershipandmembershipofaRuralHealthClubwww.nrhsn.org.au

Atthecompletionoftheirplacement,studentsarerequiredtowriteashortreportwhichispublishedintheCRANAplus Magazine.

Thesepositiveclinicalexperiencesforstudentshavechangedtheirawarenessandpassiontopotentiallyworkinthisexcitingsector.

ARE YOU INSPIRED?

Ifyouthinkyouwouldliketosponsorascholarship,youcancontactAnne-MarieBorchers([email protected])todiscusstheoptions.

CRANAplus has DGR status (Designated Gift Recipient) and any donations over $2 are tax deductable.

TheCRANAplusscholarshipprogramspecificallytargetsundergraduatestudentsstudyinginahealthdisciplineatanAustralianuniversitywhohaveagenuineinterestinremoteandisolatedhealth.

Throughthegeneroussupportofmembersandorganisationsthesescholarshipsofferstudentstheopportunitytoexperiencehealthservicedeliveryinaremotelocation.

Opportunitiestoundertakeaclinicalplacementinaremotesettingarequitelimited.Thetravelcost,especiallyforstudentswhodonotreceivefinancialassistance,isalsoprohibitive.

Anotherchallengecanbefindingaremotehealthservicethathasthecapacityandinterestinsupportingstudentplacements.

Weknowtheimportanceofapositiveclinicalplacementexperienceandtheimpactthatcanhaveonahealthprofessionals’careerpath.WealsoknowthatthesuccessofclinicalplacementisbasedonmanyfactorsanditiswhyCRANAplussupportstheapproachoftheNationalHealthRuralStudentsNetwork(NRHSN)whorecentlydevelopedtheirdocument“Optimising Rural Placements Guidelines”.Thisdocument,endorsedbyCRANAplus,

AREYOUREADYFORAREMOTEPLACEMENT???TheCRANAplusUndergraduateStudentRemotePlacementScholarshipisavailabletostudentswho,aspartoftheirundergraduatecourseofstudythroughanAustralianUniversity,undertakearemotelocationplacement.TheScholarshipprovidesfinancialassistanceofupto$1000persuccessfulapplicant,andisintendedtoprovideassistancetowardsthecostoffares,accommodationandotherincidentalcostsincurredbyastudentwhileundertakingaremoteplacement.TheScholarshipmaybeclaimedforplacementundertakenforthecurrentcalendaryearandmayberetrospectivetotheclosingdate,andfundsawardedonprovisionoftaxinvoicesforcostsincurred.

Email [email protected] for more details.


rosey boehm photography

alison fortgraphic designer

Official Photographer

www.roseyboehm.com.au

Official JournalistRosemary [email protected]

Graphic Designer

www.alisonfort.com

MAP

TODD RIVER WALK

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North toDarwin

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(15km from CBD)

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Walking Trails

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leGeND

ACCOMMODATION

ApArTMeNT37 Alice on Todd F-11 Map B

38 Alice Tourist Apartments D-12 Map B

39 Hillsview Tourist Apartments C-12 Map B

40 Quest Alice Springs F-11 Map B

41 Seven Mile Accommodation D-20 Map B

42 Swagmans Rest Motel E-12 Map B

43 Vatu Sanctuary E-4 Map B

BACkpACker44 Alice Lodge Backpackers I-8 Map

45 Alice Springs YHA Map A

46 Alice’s Secret Travellers Inn H-9 Map B

47 Melanka Backpacker Map A

48 Toddy’s Backpackers Resort F-11 Map B

BeD & BreAkfAsT49 Kathy’s Place – K-7 Map B

Bed & Breakfast

50 Nthaba Cottage H-11 Map B Bed & Breakfast

51 The Rainbow Connection J-7 Map B

CArAvAN & TOurIsT pArk52 Alice Springs D-16 Map B

Heritage Caravan & Tourist Park53 G’Day Mate Tourist Park C-15 Map B54 Heavitree Gap D-15 Map B

Outback Lodge Caravan Park55 MacDonnell Range D-15 Map B

Holiday Park 56 Stuart Caravan & Cabin Park C-8 Map B57 Temple Bar Caravan Park A-18 Map B58 Wintersun Cabin & Caravan Park E-4 Map B

HOTel / MOTel59 Alice Motor Inn J-7 Map B

60 Alice Springs Airport Motel D-13 Map B

61 All Seasons Oasis F-10 Map B

62 Aurora Alice Springs Map A

63 Comfort Inn Outback Map B

64 Crowne Plaza Alice Springs G-12 Map B

65 Desert Palms Resort G-11 Map B

66 Desert Rose Inn Map A

67 Diplomat Map A

68 Elkira Court Motel Map A

69 Heavitree Gap Outback Lodge C-15 Map B

16 Lasseters Hotel Casino F-13 Map B

70 Mount Nancy Motel E-2 Map B

71 Todd Tavern Map A

72 Voyages Alice Springs Resort H-9 Map B

73 White Gum Motel F-10 Map B

veHICle HIre74 Alice Camp N Drive F-11 Map B75 Apollo Motorhome F-6 Map B

Holidays76 Britz Campervan Rentals D-1 Map B77 Budget Car & Truck Rentals Map A78 Europcar D-20 Map B79 Hertz Map A80 Johnno’s Campertrailers Alice Springs Map A81 Kea Campers E-8 Map B82 Maui Rentals D-1 Map B83 Thrifty Car Rental Map A

ArrIvAl pOINTs84 Alice Springs Airport D-20 Map B85 Coach Terminal Map A86 Railway Station E-8 Map B

NOTes

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ORGANISING COMMITTEE

AmyHill

Anne-MarieBorchers

HelenPhipps

ClaireProphet

THANKS Associate Partners

Welcome Ceremony Sponsor

WewouldliketoacknowledgeourPartnersandSponsorswhocontributetothesuccessofthiseventandthankthemfortheirsupport:

#cranaplus15


The Northern Territory PHN’s Health Workforce branch provides recruitment, retention and support services to health professionals and organisations across the Northern Territory. Working in the NT is varied, challenging and rewarding, requiring adaptive and innovative work practices and a multidisciplinary team-based approach.

Enhance your career by developing skills in chronic disease, tropical medicine, Aboriginal and rural health.

The Northern Territory PHN offers support and assistance to nurses and allied health professionals who relocate to the NT for the purposes of employment. The ‘New to the Territory’ grant is available to assist with relocation costs.

If this is the change you’re ready for, we are ready to support you.

Expand your horizons. Practice in the Northern Territory.

If you would like to find out more about our current opportunities, please contact our team:e [email protected] • ntphn.org.au

Health Network Northern Territory Ltd operating as the Northern Territory PHN • ABN 17 158 970 480

CONTENTSof the Department. Prior to joining Health, she worked as an industrial relations lawyer for...

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Transcript of CONTENTSof the Department. Prior to joining Health, she worked as an industrial relations lawyer for...