Cultural safety and First Nations health content within tertiary education for undergraduate healthcare students: A scoping review

Vicki Tillott*, Stuart Barlo, Michelle Donelly, Beth Mozolic-Staunton, Tarunna Sebastian

*Corresponding author for this work

Research output: Contribution to journalReview articleResearchpeer-review

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Abstract

Introduction:
Many health professional university programs have integrated content on First Nations health into their curricula in response to the serious health inequities between First Nations and non-First Nations peoples.

Methods:
A scoping review was conducted, aiming to provide a deeper understanding of the various ways that tertiary education institutions are incorporating content on First Nations health and cultural safety into health professional education curricula, and how learning outcomes related to cultural capability are assessed.

Online databases were used to identify papers published globally between 1995 and 2021, from which 28 were selected.

Consumer and Community Involvement:
First Nations co-authors, working alongside occupational therapy academics, have ensured that the meaning and context of the relevant studies have been thoroughly understood and that appropriate terminology has been used throughout the review.

Findings:
There is considerable variability in the way that content on First Nations health is delivered and assessed within the tertiary sector for health-care students, internationally. There are limited assessment tools that provide a comprehensive understanding of the ability to work in a culturally safe manner with First Nations peoples.

Conclusion:
The importance of having an understanding of First Nations peoples and health is recognised, with many institutions now, including this information into the university curricula as one method to positively impact the health outcomes of First Nations peoples, as well as in response to health professional accreditation and registration requirements.

There remains variability with regard to how this content is delivered and assessed. Despite encouraging data on learning outcomes, it remains unclear whether this intervention has an impact on the health-care practices of graduates once they enter the workforce. Further research into the impact of this strategy is warranted in order to determine its effectiveness.
Original languageEnglish
Article numbere70011
Pages (from-to)1-24
Number of pages24
JournalAustralian Occupational Therapy Journal
Volume72
Issue number2
Early online date24 Mar 2025
DOIs
Publication statusPublished - Apr 2025

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