The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for...

Area of Science:

• Indigenous Health
• Pediatric Healthcare
• Cultural Safety

Background:

• Paediatric healthcare settings require culturally safe practices for Aboriginal children.
• Existing models may not adequately address the unique needs of Aboriginal children and families.

Purpose of the Study:

• To develop and describe the Daalbirrwirr Gamambigu model for embedding cultural safety in paediatric hospitals.
• To enhance child protection responses at all levels of health services.

Main Methods:

• A comprehensive review of scholarly articles and grey literature.
• Qualitative interviews with Aboriginal health professionals.
• Iterative consultation rounds for cultural suitability and clinical utility.

Main Results:

• The Daalbirrwirr Gamambigu model integrates clinical, managerial, and organizational child protection responses.
• Recommendations include culturally appropriate communication (clinical yarning) and a adapted ISBAR tool for interprofessional communication.
• The model fosters critical consciousness regarding cultural safety and prioritizes diverse Aboriginal voices.

Conclusions:

• The Daalbirrwirr Gamambigu model provides a framework for culturally safe paediatric care for Aboriginal children.
• Adaptation to local contexts ensures respectful, dignified, and empowering patient experiences.
• Implementation can lead to improved health outcomes and reduced health disparities.