Project lead and contact details
Dr Janet Kelly
Adelaide Nursing School, University of Adelaide
Ph: 08 8313 0964
A range of patient journey case studies, mapping tools and education packages have been developed across a range of projects and sites to help improve clinical and cultural care for and with Aboriginal and Torres Strait Islander peoples.
Nursing, midwifery and medical educators are increasingly using these resources as readings, assessments and reflective practice assignments. Researchers are adapting and utilising the mapping tools to record the experiences and priorities of patients, family members and staff in a number of renal, cardiac, stroke, maternity and other health related projects.
Original development of the M2WT Aboriginal patient journey mapping tools
Managing Two Worlds Together 2008-2015
A set of patient journey mapping tools and case studies were originally developed in the Managing Two Worlds Together (M2WT) Project, based at Flinders University, funded by Lowitja Institute and SA Health. This project investigated what works well and what needs improvement in the health system for Aboriginal people who travel for hospital and specialist care from rural and remote areas of South Australia and the Northern Territory to city hospitals.
The project had three stages. Stage 1 focused on understanding the problems that occur within and across patient journeys, and the barriers and enablers to access, quality and continuity of care. Challenges and strategies from the perspectives of individual Aboriginal patients, their families and health and support staff and manager were examined using interviews, focus groups and patient journey mapping. Stage 2 focused on possible solutions and strategies, and the potential of the Aboriginal patient journey mapping tools for quality improvement, training and education emerged. Stage 3 involved researchers and health staff working together to modify, adapt and test the tools. A basic set of tools with flexible adaptations were created. These tools highlight communication, coordination, collaboration and cultural safety gaps and strategies. The case studies resulting from the patient journey mapping were then compared to and combined with existing policies, practices and protocols.
There are a series of reports and case studies freely available from the Managing Two Worlds Together Project via Flinders University website.
These resources bring together elements of quality care from the perspective of Aboriginal and Torres Strait Islander patients and their families, and of health professionals, health services and clinical guidelines.
The mapping tools consist of a narrative, visual representation, and a series of tables that enable deeper understanding of the holistic dimensions of health, underlying factors that impact on access and quality of care, multiple perspectives across the journey, and action planning.
These resources are highly adaptable and flexible to suit a range of journey types and levels of complexity. They can be used to map journeys across multiple health services and locations, or within a single unit of care. The tools, case studies and packages are applicable for undergraduate, postgraduate and health service education in both face to face and online delivery, reflective practice and research.
Two articles were co-authored with the renal nurses involved in the project. The first explains how the mapping tools were used for CQI, and the second discussed an education approach and clinical-cultural education framework.
- Kelly, J, Wilden, C, Chamney, M, Martin, G, Herman, K & Russell, C 2016, ‘Improving cultural and clinical competency and safety of renal nurse education’, Renal Society of Australasia Journal, vol. 12, no. 3, pp. 106-112.
- Kelly, J, Wilden, C, Herman, K, Martin, G, Russell, C & Brown, S 2016, ‘Bottling knowledge and sharing it –using patient journey mapping to build evidence and improve Aboriginal renal patient care’, The Renal Society of Australasia Journal, vol. 12, no. 2, pp. 48-55.
Other articles from this project include:
- Kelly, J, Dwyer, J, Mackean, T, O’Donnell, K & Willis, E 2016, ‘Coproducing Aboriginal patient journey mapping tools for improved quality and coordination of care’, Aust J Prim Health, Dec 08.
- Willis, E, Dwyer, J, Kelly, J & Mackean, T 2015, ‘Hybrid Cultures: Creating a Third Space in Aboriginal Healthcare’, Journal of Australian Indigenous Issues, vol. 18, no. 4, pp. 2-20.
- Dwyer, J, Willis, E & Kelly, J 2014, ‘Hospitals caring for rural Aboriginal patients: holding response and denial’, Aust Health Rev, vol. 38, no. 5, Nov, pp. 546-551.
- Kelly, J & Dwyer, J 2014, ‘Traveling to the city for hospital care: access factors in country Aboriginal patient journeys’, Australian Journal of Rural Health, vol. 22, no. 3, pp. 109 -113.
Using Aboriginal patient journey mapping tools and case studies in nursing and midwifery education
Adelaide Nursing School
The Adelaide Nursing School have incorporated the M2WT Aboriginal patient journey case studies and mapping tools into readings and assessments in their online 3rd year undergraduate, and Master of Clinical Nursing Aboriginal Health Care Course. In 2019 a new first year undergraduate face to face Aboriginal health care course will be provided, with the case studies and mapping tools introduced gradually over a series of weeks. More recent Aboriginal patient journey examples from Wardliparingga Aboriginal Research Unit – South Australian Health and Medical Research Institute have been incorporated into the curriculum.
The Adelaide Medical School have now also begun incorporating the M2WT case studies and mapping tools into their interactive classes, course work and assignments.
For further details please contact Dr Janet Kelly: firstname.lastname@example.org
For further details please contact Associate Professsor Bethne Hart: Bethne.Hart@nd.edu.au
Edith Cowan University
For further details please contact Dr Rosemary Saunders: email@example.com
Using Aboriginal patient journey mapping tools in Aboriginal health research
Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute (SAHMRI)
The patient journey mapping tools have been adapted and used in cardiovascular and cancer care projects.
For further details please contact Dr Janet Kelly: firstname.lastname@example.org