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Indigenous Measures for Protecting and Addressing Critical Trauma (IMPACT) - Project protocol.

Courtney Ryder1, Patrick Sharpe2, Georga Sallows3

  • 1Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia; The George Institute for Global Health, Sydney, New South Wales, Australia; School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.

Australian and New Zealand Journal of Public Health
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PubMed
Summary
This summary is machine-generated.

The Indigenous Measures for Protecting and Addressing Critical Trauma (IMPACT) project enhances trauma care for Aboriginal and Torres Strait Islander peoples. It co-designs culturally safe quality indicators and patient outcomes, improving health equity.

Keywords:
Australiaco-designequityindigenoustrauma systems

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Area of Science:

  • Indigenous health research
  • Trauma care systems
  • Cultural safety in healthcare

Background:

  • Trauma care systems often lack cultural responsiveness for Aboriginal and Torres Strait Islander peoples.
  • There is a need to embed Indigenous knowledges into healthcare practices.
  • Existing trauma care models require transformation to address critical trauma effectively.

Purpose of the Study:

  • To transform trauma care for Aboriginal and Torres Strait Islander peoples.
  • To embed Indigenous knowledges and culturally responsive practices into trauma systems.
  • To co-design relational clinical quality indicators and patient-reported outcome measures.

Main Methods:

  • Implementation across two South Australian trauma sites using Knowledge-Interface Methodology.
  • Four phases: trauma profiles, co-design of indicators/outcomes, piloting/evaluation (RE-AIM QuEST), and national translation.
  • Guided by an Aboriginal Governance Council, ensuring Indigenous Data Sovereignty and community-led decision-making.

Main Results:

  • Co-design of relational clinical quality indicators and patient-reported outcomes.
  • Enhanced cultural safety in trauma care for Aboriginal and Torres Strait Islander communities.

Conclusions:

  • Demonstrated improvements in cultural safety and patient-reported outcomes in trauma care.
  • Increased use of Indigenous-led quality indicators.
  • Capacity building for Aboriginal researchers and a replicable model for national health reform.
  • Development of culturally responsive quality of life tools to advance health equity.