Catholic social teaching which is also known as CST relates to the welfare of human in aspects of education, awareness, health needs and psychological needs and the catholic social teaching emphasizes on the solidarity towards compassion, human dignity, family and community participation, the concern for the poor and deprived people and collective effort of human community towards a more effective health and social care support to the people who are generally discriminated on rights and needs. As a registered nurse practicing in the country of Australia (Slatyer et al., 2016), I have come across various barriers, challenges and blockages in terms of caring for the poor and the deprived people plus the people who are from indigenous community of Australia such as Aboriginal and the Torres Strait Islander people along with South Sea Islander people (Hart, Cavanagh & Douglas, 2015). Community care in terms of nursing and other medical care is an issue that has been considered of great value and importance across the countries of the globe. There are community living people in each and every country of the world and they are generally deprived of social rights and economic rights plus there exists both communal and sociocultural barriers between the urban and the more civilized sections of these countries and the indigenous community living people of these countries. Similarly in the country of Australia where I currently practice as a registered nurse – there is this Aboriginal community which represents the Aboriginal and the Torres Strait Islander people who are one of longest surviving community living people of the world. The indigenous people who form the integral members of this community have been found and reported to suffer from various lifestyle diseases such as diabetes mellitus ( both type 1 and type 2 and predominantly type 2). Cardiovascular diseases, urinary and renal conditions such as acute kidney diseases and the different types of psychosocial diseases or rather conditions such as alcohol and other drugs addiction. These addictive disorders amongst the aboriginal population of Australia is of huge clinical concern plus the fact that these alcohol and other drugs abuse amongst the adults, adolescent and the old geriatric people of these indigenous community has deteriorated the already present sedentary, lifestyle, metabolic and nutritional deficiency disorders amongst the aboriginal community people. The community care needs are increasing day by day and nursing plays a very important role in equalizing the level of clinical management and social support provided to these community living people of indigenous Australians (McDonald et al., 2018).. The social determinants of health such as education, lifestyle status, economic and financial status, health related and nutrition related awareness, employment, accessibility to the health care (quality health care services) has been seen to play a great deal of role in affecting the social, cultural, financial and the overall and most importantly – the health and well-being status of the Aboriginal, Torres strait and the South Sea Islander people. As a registered nurse practicing in the country of Australia – my primary role is to provide a more evidence based practice, dignity and esteem addressing health care service to the aboriginal people who suffer from hypertension, dyslipidemia, acute kidney disease and the diabetes mellitus type 2, more so due to lack of awareness and lack of knowledge about prevention or right management of the above mentioned diseases (Isaacs et al., 2016). Creating a respectful bond with the community people is an important nursing strategy.
Culturally competent communication and addressing the people of Aboriginal and the Torres Strait islander community with respect dignity, genuine concern, esteem and solidarity of clinical care and through the act of empowerment of their human rights ( which is otherwise compromised or deprived) is the best possible way of delivering a community based nursing care in accordance with the common good and the principles mentioned in the framework of the catholic social principles (CST principles) (Middleton, Stephens & Mackay, 2017). Understanding and getting aptly trained by the hospital and health care organizational framework in terms with the community care and rehabilitation needs is critical to the delivery of a community based nursing care in prevention and management of the above mentioned lifestyle and psychosocial diseases and addictions ( such as Alcohol and other drugs). With the proper knowledge, motive and personal dedication towards bettering of the social determinants of health such as education, lifestyle status, economic and financial status, health related and nutrition related awareness, employment and accessibility to the quality health care services – in relation to upliftment of social status and the health status of the Aboriginal and Torres Strait islander community is as critical as the importance of understanding the catholic social principles based on the extension of common good and unconditional good regard for all to the community living people of Australia. The overall nursing care in respect with the common good and community care must be directed at changing the awareness levels about diseases of the aboriginal community people and increasing their quality of living and increasing their self-monitoring and self-development skills towards a more self sustainable disease free environment. The nursing towards common good of the Aboriginal community people must be collaborative in nature and the services such as biomedical and humanistic care by the registered community rehabilitation nurse must be collaborated with the clinicians such as doctors, psychiatrists, counselors, psychotherapists, clinical and social psychologists who will be treating the psychosocial disorders of the aboriginal people and Torres strait islander people plus the type 2 diabetes mellitus, hypertension and the acute kidney diseases. The assessment needs is an important parameter where the nurse must trained in the right appropriate way to take the proper clinical assessments before planning the interventions to address not only the health needs of the Aboriginal community people but also the humanistic care needs and the social needs of these indigenous people such as security, family, dignity, love, belonging and safety needs. The nurses working closely or directly with the community care settings of the indigenous Australia must be trained on the culturally competent language which addresses the esteem and dignity needs of the community living people according the principles of Catholic social teaching (Lane & Petrovic, 2018) and the skill development and the staff development sessions are very important to nurture the exact skills of the nursing expertise areas – required to address the ‘common good’ of the aboriginal and the Torres strait islander people. The equity in utilization of the health care and the health improvement resources must be done pertinently by the nurses and other professionals involved in the community care process (Hunt et al., 2015). The nurses caring for the health needs and the subsequent ‘common good’ of the Aboriginal and the Torres Strait should also collaborate with the physical therapists, occupational therapists plus the community based social workers and traditional healers who has been caring for the health conditions of Aboriginal people for many centuries now – in order to provide a more holistic care and a more empowering and meaningful experience to the aboriginal community people (Durey, 2015).
Other than the collaborative approach, it can be concluded saying that in order to deliver a common good mediated and directed community based nursing care – a compassionate, concerned and dedicated approach is required by the nurses working in a multidisciplinary team in order to deliver a meaningful and dignified biomedical and humanistic care to the people of Aboriginal community. The seminars, workshops and the nursing speeches are also crucial in prevention and the management of the lifestyle and psychosocial diseases that affects Aboriginal health more so often.
References
Durey, A. (2015). Antonio Gramsci and Pierre Bourdieu:‘Whiteness’ and Indigenous Healthcare. In The palgrave handbook of social theory in health, illness and medicine (pp. 191-204). Palgrave Macmillan, London.
Hart, B., Cavanagh, M., & Douglas, D. (2015). The “Strengthening Nursing Culture Project”–an exploratory evaluation study of nursing students’ placements within Aboriginal Medical Services. Contemporary nurse, 51(2-3), 245-256.
Hunt, L., Ramjan, L., McDonald, G., Koch, J., Baird, D., & Salamonson, Y. (2015). Nursing students’ perspectives of the health and healthcare issues of Australian Indigenous people. Nurse education today, 35(3), 461-467.
Isaacs, A. N., Raymond, A., Jacob, E., Jones, J., McGrail, M., & Drysdale, M. (2016). Cultural desire need not improve with cultural knowledge: A cross-sectional study of student nurses. Nurse education in practice, 19, 91-96
Lane, A., & Petrovic, K. (2018). Educating aboriginal nursing students: Responding to the truth and reconciliation report. International journal of nursing education scholarship, 15(1).
McDonald, H., Browne, J., Perruzza, J., Svarc, R., Davis, C., Adams, K., & Palermo, C. (2018). Transformative effects of Aboriginal health placements for medical, nursing, and allied health students: A systematic review. Nursing & health sciences, 20(2), 154-164.
Middleton, R., Stephens, M., & Mackay, M. T. (2017). Incorporating the nursing and midwifery Aboriginal and Torres Strait Islander health curriculum framework into a BN program.
Slatyer, S., Cramer, J., Pugh, J. D., & Twigg, D. E. (2016). Barriers and enablers to retention of Aboriginal Diploma of Nursing students in Western Australia: An exploratory descriptive study. Nurse education today, 42, 17-22.
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