Table 1 The Communicate Study Partnership aims
Aim 1: Transform the culture of healthcare systems to achieve excellence in providing culturally safe care for First Nations peoples a.Develop, implement and evaluate anti-racism training using Ask the Specialist Plus. This comprises moderated discussion and reflection on ‘Ask the Specialist’ podcast episodes held during in-service and clinical teaching timeslots for healthcare providers b.Create a community of practice of culturally safe clinicians supported by a social media chat group and seminars provided by invited experts |
Aim 2: Strengthen the tools and strategies required underpinning culturally safe practice a.Improve demand for Aboriginal interpreters and Aboriginal health practitioners through improved knowledge of language diversity and cultural safety and recognition of patient needs b.Improve supply of interpreters and Aboriginal health practitioners willing to work in the hospital environment by creating a culturally safe workplace and supporting career pathways c.Tailor effectiveness strategies to participating sites such as the following:  •Positioning interpreters at points of need and embedding them in medical and surgical teams  •Optimising workflow to facilitate efficiency and availability across hospital departments |
Aim 3: Evaluate outcomes using comprehensive qualitative and quantitative measures a.Qualitative enquiry to assess cultural safety from patient perspectives and understand experiences of Aboriginal and non-Aboriginal healthcare providers and interpreters b.Quantitative outcomes including the following:  •Performance across key indicators: Changes in documentation of language, interpreter bookings made, interpreter bookings completed and % Aboriginal patients in need getting access to an interpreter  •Impact of intervention: Proportion of admissions with and without interpreters ending in self-discharge, unplanned re-admissions and changes in hospital length of stay  •Economic analysis of the costs and cost benefits of interpreter use to decrease self-discharge and re-admission rates |