A deficit paradigm identifies the disempowering patterns of experience that the Aboriginal people experience with time. Deficit paradigm has also been seen within their language and practices. In my views, over some time Aboriginal people have to suffer wide socio-economic gaps as they are not provided with the appropriate service such as employment benefits, low educational supportive policies and lack of jobs provided (Oshodi, et al 2019). Aboriginal people apart from having low income also have a low standard of living and experience low supportive policies and responsibilities. Deficiencies and failures, when understanding the discourse and the advocated responsibility for problems would affect any individuals or communities (Mitchell, et al 2018).
Deficit discourse is ideally not rejecting the deficit discourse but admitting as to not pretending about the situation, which Aboriginal and Torres Strait Islander people are facing. Similarly, it is also how to downplay such challenges, for example, the discussion for the socio-economic disadvantage is to identify ways to alleviate it and to take necessary actions. But in reality, discourses of deficit happen as the Aboriginal and Torres Strait Islander affairs can be consecutively are followed with failure and dysfunction. For the group as a whole or the individual Aboriginal and Torres Strait Islander, my opinions is that inequalities do exist and there is a wide gap in understanding the diversity, capability and strength.
Deficit discourse is also observed in the Aboriginal and Torres Straits Islander health along with the wellbeing issues (Labrague, 2018). It is recommended to balance the people and to provide overall care to the people by understanding their substantial diversity and even identifying the policy documents, along with the underlying philosophies and values. Such examples and the efforts can be a government branch, for the overall strengths, culture, country, rights and partnership (Daly, 2018).
In my view, I would also consider the strength-based approaches that can help to correct and also manage the traditional based approaches. Individuals that acquire strengthen based for the individuals would be based on the asset-based approaches, resilience, through the cultural appropriateness along with identifying the social determinants of health of the individuals and the groups, to relate with the ecological theories. Individuals also have to be provided with the protective factors, with empowerment, holistic approaches and through the wellness program along with the wellbeing. Due to the deficit discourse, through successful strengths-based initiatives, it is a shifting of the discourse, as to what kinds of initiatives work the best (Al-Dossary, 2017).
This Code of Ethics for Nurses in Australia aims to provide quality services to the nurses and through the nursing profession commitment to respect, promote and to hold the fundamental rights, can help for the overall providers of the nursing and health care (AMA Code of Medical Ethics Opinion on Nurses. 2010_.
My future profession is in Oral Health Therapy and hygiene and the Code of Ethics would be
Nurse’s value quality nursing care for all people
Through the oral health and the therapy regime, it is important to maintain and also accept accountability for the nursing standard care for the people. It would help to achieve and even adjust with the reasonable standard of nursing care (Occupational Therapy Australia, 2020). In my views, it also includes the common grounds to have safe nursing practices and to aim for the fairer practices. For example, if guiding the non-Indigenous people about how to adopt oral therapy, the same guidelines should be mentioned and educated to the Indigenous people as well.
Nurse’s value should consider the interests which would be equated with the informed decision. The same can be implicated with information and to have the decision, which can be followed by nursing and health care (Oshodi, et al, 2019).
Nurses value respect and kindness for self and others
For the principles when balancing the respect, it is important to have fairer respect and to value the morals dignity for oneself to another (Al-Dossary, 2017). Through the nurse, valuing respect for the self with the others can recognize moral worth along with the dignity of oneself and others. When practising the oral practising therapy and educating the hygiene, the same values, kindness and the care should be maintained and followed. It is important to have considerable care and the practice of kindness is to follow on an everyday approach along with the care. For example, when educating about oral hygiene and practices, treatment, values and support should be same.
Access quality nursing and healthcare
By valuing the nurses and the health care, the principle is to provide rightful care to the availability, accessibility and quality and safety practices (Al-Dossary, 2017). Nurses should provide overall care to the person belonging to any community. For example, when teaching about the benefits of the oral health and practices, it is important to educate, treat all in the same part, as the people that are belonging from the different race, ethnic people, gender etc.
In my opinion, by creating meaningful partnerships between the Aboriginal Community Controlled Health Services, it can critical experience to provide positive change. The partnership collaborations such as the Aboriginal communities with the AH&MRC and, in particular, Aboriginal Community Controlled Health Services, can provide overall improved care with increased effectiveness in providing an overall comprehensive primary health care. Through such partnership approaches, it is important to strengthen and also improve the standard of Aboriginal health care. Similarly, the aim is to provide increased knowledge along with the expertise of the Aboriginal people. It is also an important step to develop policy solutions and to structure in the rightful framework of delivering solutions.
I have also relied on, Aboriginal individuals and communities that have suffered inequities are due to the low social determinants of health and it has caused a major burden on the overall health problems. It is important to identify challenges and overcome barriers that can help the Aboriginal people to acquire the services (NSW Ministry of Health, 2012). Through the future course of action, it is important to chart out and also access such vital health services.
The Plan identifies crucial ways through which the NSW Aboriginal Health Partnership can collaborate and work with the NSW Government along with the AH&MRC at the state level, and can continue to deliver effective partnerships for the better NSW Local Health Districts (LHDs) along with the Aboriginal Community Controlled Health Services (ACCHSs) working at the local level (NSW Ministry of Health, 2012). The principles of the partnerships are the-:
1) To build trust and cultural respect.
2) To attain recognition for the better cultural values, gaining traditions for the Aboriginal communities (Al-Dossary, 2017).
3) TO gain holistic approaches for better health aimed for the Aboriginal people.
4) To derive a valuable along with the unique roles of the ACCHSs.
5). the participation of Aboriginal people to work within the various levels of health service delivery along with the management.
6) Partnership can help to attain in strengthening the aboriginal communities with the ACCHSs and the AH&MRC.
In my view, the principles aim to strengthen the Aboriginal belongings within the community and to provide the best community services. With the strengthening of the partnerships, it can help to attain overall service planning, designing and even implementing it. With similar trusts, it can help to gain better outcomes, benefits and services to the Aboriginal people.
Al-Dossary, R. (2017). Leadership in Nursing. Contemporary Leadership Challenges. DOI: 10.5772/65308
AMA Code of Medical Ethics Opinion on Nurses. (2010). AMA Journal of Ethics, 12(1), 23. https://doi.org/10.1001/virtualmentor.2010.12.1.code1-1001
Daly, J., Jackson, D., Mannix, J., Davidson, P., & Hutchinson, M. (2014). The importance of clinical leadership in the hospital setting. Journal of Healthcare Leadership, 6, 75-83. DOI: 10.2147/jhl.s46161
Labrague, L., McEnroe-Petitte, D., & Tsaras, K. (2019). Predictors and outcomes of nurse professional autonomy: A cross-sectional study. International Journal of Nursing Practice, 25(1), e12711. DOI: 10.1111/ijn.12711
Occupational Therapy Australia. (2020, September 3). Allied Health Professions Australia. https://ahpa.com.au/our-members/occupational-therapy-australia/
Oshodi, T. O., Bruneau, B., Crockett, R., Kinchington, F., Nayar, S., & West, E. (2019). Registered nurses’ perceptions and experiences of autonomy: a descriptive phenomenological study. BMC Nursing, 18(1), 51. https://doi.org/10.1186/s12912-019-0378-3
Mitchell, A. M., Riccelli, A., Boucek, L., Puskar, K. R., Hagle, H., & Lindsay, D. (2018). Effect on dental hygiene students of a substance use simulation conducted with nursing students. Journal of dental education, 82(5), 469-474.
NSW Ministry of Health. (2012). NSW Aboriginal Health Plan 2013‐2023.
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