NRS212 Indigenous Australian Cultures, Health And Nursing



Cassie’s story Dyan Ngal refers to Cassie’s experiences and expectations regarding health.

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Consider Cassie’s experiences and then respond using the following paper prompts.

This assessment will focus on the major factors that affect Indigenous Australian people’s health.

Include the following discussion in your response

Current health outcomes include both strengths as well as areas that require improvement for Indigenous Australians

Examine legislation and policies that have had an adverse impact on Indigenous Australian identity and culture.

Take into account how nursing, as a part of the healthcare system, contributes toward the identified health outcomes

You can create a concept map, a relation diagram, organiser, or plan.

Answer to Question: NRS212 Indigenous Australian Cultures, Health And Nursing


Australia was home in the late 17th century to more than 5100 different language groups (HelathInfoNet – 2014).

The groups existed without any disruption, and there were no cases of ethnocentrism.

The land social organization was disrupted after the invasion of the white colonials.

The colonialists gave names and drew lines separating the native’s home from their place of residence (Eades 2013).

According to studies, the two most primitive forms of existence and inhabitance on the land were Aboriginal and Torres Strait Islanders.

Because colonization eroded the cultural and political institutions of the native Australians, it had severe side effects.

The same social economic and political stratification continues today. This is because the health sector has less capacity than foreigners to care for the indigenous population.

Cassie story Dan Ngal was used to illustrate and highlight the Australian health care system’s trends.

The article will focus on indigenous Australians.

Notably, there will be different sections to the paper. The paper will first analyze the results, strengths, and weaknesses in the health system.

The second section will focus on policies, legislation, as well as practices that have impacted Australian identity and culture and health.

The article will also examine the role played by Australia’s health system in curbing the outline outcomes.

The paper will also conclude discussions on the thesis statement.

Analysis of the Health Outcomes Of Indigenous Australian People

Cliffort, et al. 2015 evaluated five Australian hospitals with the goal of improving cultural sensitivity.

Cliffort et al. (2015) discovered from interaction with hospital staff that there was no mechanism to encourage locals to social reform.

A system that is indigenous-oriented was needed to address the health problems facing Aboriginal and Torres Strait Islanders.

Recent studies showed that hospitals that implemented cultural sensitivity were more likely to have relationships with the community, and that top management prioritized local input in decision-making.

Incorporating Aboriginal-oriented methods in the Australian Council of Healthcare Standards was also a crucial element that allowed sensitive cultural hospitals to flourish.

Cassie story Dyan Nagal “They never asked us” is another example. This story highlights the failures of both the government and the ministry to include the natives when making decisions.

The story shows how the locals are evicted without being consulted.


One positive aspect is the fact that the Australian health care system implemented a smokecheck program to New South Wales residents (Cliffort. et. al., 2015.).

The program contributed to reducing tobacco consumption as well as improving knowledge.

Ciffort et. al., 2015 A found that training and educating medical student to be culturally competent was an effective way to raise awareness in the community to enable them to sustain their projects.

For example, integrating an Aboriginal health curriculum to undergraduate schools motivated students. It also changed their perceptions and prepared them for future community service.

Cassie’s mom is highly impressed with the model. She works extra hard to ensure that her son can access higher education outside their home country to help the people (Denison. et. al., 2014.).

The NMBA outlines policies and publication in Australia’s health system, including policies for staff members, nurses, midwives and policy covers for the general populace.

The nurses policy and the midwives policies provide guidelines and manuals to help nurses practice and deliver their services to native Australians.

The members and employees policy is also a set of rules to help shape and maintain transparency in the board, as well the entire nursing staff.

Furthermore, both outlines policies work to provide a patient-centered healthcare approach that will help Aboriginal peoples and Torres Strait Islanders get quality health care.

The New South Wales general public policy is an umbrella that allows all citizens to be evaluated.

The Australian health care system is not perfect and there are many things that can be done to improve it.

HealthInfoNet (2014) reveals that the Stanford Chronic Disease Self-Management (Stanford Chronic Disease Self-Management) program did not have the proper promotion or integration of locals to reduce the gap between locals and foreigners in accessing health attention.

The intervention had a successful implementation amongst foreigners but it was not as successful with Aboriginal and Torres Strait Islander persons.

It was not possible to include locals in this program.

Stakeholders and health professionals must recognize the need for a holistic approach to integrate the locals in decision-making, while also preserving their traditional beliefs.


Influence of legislation policies on Australian identity and culture and health

Cassie story Dyan Nagal “breaking up of things that keep our community together” highlights Cassie’s struggle to become an Australian citizen and get quality health care.

The colonialists introduced assimilation, which made the natives submissive to foreign cultures and separated their children.

The result was that Aboriginal and Torres Strait Islanders were ‘dead out.

The play allows us to look at the legislation that NMBA posits about the 1993 ‘Health Care Complaints Act.

The legislation provides space for patients and health professionals to advocate for their rights.

A section 145BA in the legislation also provides details on how to make a complaint and what the outcome will be.

The Indigenous Australians, who are the complainants in this case, seek to be freed and restored from slavery and colonial rule.

The native people were moved to reserves while the indigenous half-caste Australians were assimilated in the white culture. (Blank und Burau, 2013,).

“The wailing of the night…used as a way to disturb the spirits” symbolises the assimilation process where whites took their children from their parents to immerse them in their culture.

Because it was too difficult to teach an older dog new tricks, the parents were not included in the process.

The whites were attempting to eradicate the indigenous people by making the spirits wilt and complain about their harsh treatment.

The wailing at nights refers to Act 1998 on Children and Young Persons (Care and Protection): This act supports the protection of New South Wales’ children’s human rights.

It also provides a foundation upon which native Australians are able to seek justice and early intervention on health care issues.

With this in mind, you can see that assimilation exists today in Australia and has substantially denied locals the opportunity to access high quality health care.

In 2015, the National Mental Health Policy recorded the highest number of cases of mental illness among Aboriginals and Torres Strait Islanders. It was due to continual exposure to social and emotional limitations (Jefferson Buchanan, 2015).

According to some Australian indigenous peoples, they have poor housing, education and health due to refusing to adopt European customs.


Also, the integration of the whites into the programs has made it possible for the locals to interact with the outside world.

Robbinson, et al., 2013, warns that television and European education systems, as well as the availability of other medical expertise, threaten to undermine the traditional organization.

The fourth scene “you’ve got to pull your self together and get out from here” portrays Cassie’s mom as a civilized person, who is aware of the need to have a formal education to be able to work in the Australian government.

Cassie’s mom insists that Cassie work hard so that he can find a school in another community. This is an indicator of how the European education is superior to the informal education provided by elders in their community (Jefferson Buchanan, 2015).

Cassie doesn’t want to be told the same by the court because he is aware the opposition to the move.

Cassie’s mother gets sick because of the prejudices held by the locals about the white’s beliefs and customs. She is reluctant to go to a government-sponsored medical facility run by foreigners.

She chooses to follow the laws of the land and risk her health.

Therefore, exposure to new world is a way for the locals to get information.

A review of the NMBA Act of 2008: Government Information (Public Access), outlines four options for locals to have access to high quality health care.

Integration of technology with health care also aims to change people’s mindsets and help them access better healthcare facilities.

A section of the Act on mandatory release explains how health information may be made public to the benefit of the citizens.

It is possible to access the information via a variety sites including the council website and disclosure log.

How Nursing Contributes to The Identification of Health Outcomes

Before the implementation the National recovery-oriented framework in Australia’s health care system, there had been an increase in cultural incompetency among hospitals.

The cause of this is the lack of a curriculum that not only recognizes but also integrates sensitive culture training into medical courses.

The stereotypes of native Australians and foreigners meant that most health professionals encountered with locals only recorded minute consultations and registered patients at the health facilities.

With the help of the ministry of Health and state governments, the federal government created a curriculum which produced positive changes in clinical outcomes. This included the inclusion of locals into decision making and the sustainability of health-care projects.

The national recovery-oriented framework has helped reduce the gap between natives, foreigners and health care access.

Australian indigenous people are also finding it difficult to get health insurance. While the majority of the population has access to general health insurance, they can only use it in hospitals. Whites have private plans that let them choose what type of healthcare services they wish to receive (Hunt, et al. (2015)).

Rhonda helped to provide quality care for the local residents by establishing a unit of health care.

Cassie’s mom uses it for motivation to push her son further and help him get into a university.


For all Australian citizens to benefit, the bottom-up approach must be adopted in programs and policies for the health care system.

The Australian healthcare system should be able to provide quality care for all citizens, regardless of their race or gender.

It is clear that there is much more than what appears in the eyes of the Australian locals: the factors range from economic, social, and political.

According to the “they never ask us” play, it is obvious that there are very few high-ranking policy-makers in Australia who are self-centered and don’t consult the indigenous people about the best way to do things.

The state is now more ethnocentric.

Slow development in remote communities of Australia is due to resettlement and assimilation.

Recognizing the important step taken by the government to implement the national-recovery-oriented framework, it is worth noting that it has done a lot to reduce the gap between residents and those who are from other countries through the provision of quality health care.

Cassie’s mom isn’t tied to the way of the land nor to the quality of education. She makes the decision to send her son to Europe.

Diagram of the Relationship

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