A qualitative study on the transition support needs of Indigenous Australians following traumatic brain injury

Fitts, Michelle S., Bird, Katrina, Gilroy, John, Fleming, Jennifer, Clough, Alan R., Esterman, Adrian, Maruff, Paul, Fatima, Yaqoot, and Bohanna, India (2019) A qualitative study on the transition support needs of Indigenous Australians following traumatic brain injury. Brain Impairment, 20 (2). pp. 137-159.

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View at Publisher Website: https://doi.org/10.1017/BrImp.2019.24
 
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Abstract

Objective: A growing body of qualitative literature globally describes post-hospital experiences during early recovery from a traumatic brain injury. For Indigenous Australians, however, little published information is available. This study aimed to understand the lived experiences of Indigenous Australians during the 6 months post-discharge, identify the help and supports accessed during transition and understand the gaps in service provision or difficulties experienced.

Methods and Procedure: Semi-structured interviews were conducted at 6 months after hospital discharge to gain an understanding of the needs and lived experiences of 11 Aboriginal and Torres Strait Islander Australians who had suffered traumatic brain injury in Queensland and Northern Territory, Australia. Data were analysed using thematic analysis.

Results: Five major themes were identified within the data. These were labelled 'hospital experiences', 'engaging with medical and community-based supports', 'health and wellbeing impacts from the injury', 'everyday living' and 'family adjustments post-injury'.

Conclusions: While some of the transition experiences for Indigenous Australians were similar to those found in other populations, the transition period for Indigenous Australians is influenced by additional factors in hospital and during their recovery process. Lack of meaningful interaction with treating clinicians in hospital, challenges managing direct contact with multiple service providers and the injury-related psychological impacts are some of the factors that could prevent Indigenous Australians from receiving the supports they require to achieve their best possible health outcomes in the long term. A holistic approach to care, with an individualised, coordinated transition support, may reduce the risks for re-admission with further head injuries.

Item ID: 60457
Item Type: Article (Research - C1)
ISSN: 1839-5252
Keywords: Traumatic brain injury, transitions, Aboriginal and Torres Strait Islander health, Indigenous, qualitative research, disability
Copyright Information: © Australasian Society for the Study of Brain Impairment
Date Deposited: 25 Sep 2019 07:42
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110321 Rehabilitation and Therapy (excl Physiotherapy) @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920111 Nervous System and Disorders @ 100%
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