CARI guidelines: Culturally safe and clinical kidney care for First Nations Australians - A summary
Date
2023
Authors
Arnold-Ujvari, M.
Rix, E.
Yip, A.
Tunnicliffe, D.J.
Kelly, J.
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Journal article
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Renal Society of Australasia Journal, 2023; 19(2):93-99
Statement of Responsibility
Melissa Arnold-Ujvari, Liz Rix, Adela Yip, David J Tunnicliffe, Janet Kelly
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Abstract
Context: The ‘inaugural’ Caring for Australian and New Zealanders with Kidney Impairment (CARI) guidelines for First Nations Australians provide recommendations on caring for First Nations Peoples with chronic kidney disease (CKD). Informed by targeted national community consultations, the guidelines include the historical context, detailed advice on culturally safe kidney healthcare, screening and referral of CKD. Public awareness and education initiatives, self-management programs, and models of care are all reported on. Objectives: The CARI guidelines were developed in response to significant challenges and inequities experienced by First Nations Peoples over many years. Specific recommendations and suggestions aim to improve clinicians’ understanding of historical and contemporary factors contributing to the social and health inequities underpinning the over-representation of First Nations Peoples with CKD. These guidelines provide comprehensive support for health professionals in all service and care environments to better respond to the care needs of First Nations Peoples. Key findings: The CARI guidelines highlight the need to provide culturally safe clinical care and explicitly cite the need to address institutional racism and improve cultural safety training for all renal service providers. They specifically recognise the importance of kinship, and equitable access to transport and accommodation services. They also focus on keeping people on Country where possible, including increased nurse-supported and Aboriginal health practitioner-supported dialysis services. Conclusion: The CARI guidelines provide recommendations on how to improve clinical kidney care delivery for and with First Nations Peoples by ensuring more responsive models of care.
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© Renal Society of Australasia 2023