Citation

Fraser S, Grant J, Mackean T, Hunter K, Holland AJA, Clapham K, Teague WJ, Ivers RQ. Burns 2018; 44(3): 665-677.

Affiliation

Flinders University, SA 5001, Australia; The George Institute for Global Health, University of NSW, NSW 2050, Australia; Sydney Medical School, The University of Sydney, The Children's Hospital at Westmead, NSW 2145, Australia. Electronic address: rivers@georgeinstitute.org.au.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.burns.2017.10.013

PMID

29174445

Abstract

Safety and quality in the systematic management of burn care is important to ensure optimal outcomes. It is not clear if or how burn injury models of care uphold these qualities, or if they provide a space for culturally safe healthcare for Indigenous peoples, especially for children. This review is a critique of publically available models of care analysing their ability to facilitate safe, high-quality burn care for Indigenous children. Models of care were identified and mapped against cultural safety principles in healthcare, and against the National Health and Medical Research Council standard for clinical practice guidelines. An initial search and appraisal of tools was conducted to assess suitability of the tools in providing a mechanism to address quality and cultural safety. From the 53 documents found, 6 were eligible for review. Aspects of cultural safety were addressed in the models, but not explicitly, and were recorded very differently across all models. There was also limited or no cultural consultation documented in the models of care reviewed. Quality in the documents against National Health and Medical Research Council guidelines was evident; however, description or application of quality measures was inconsistent and incomplete. Gaps concerning safety and quality in the documented care pathways for Indigenous peoples' who sustain a burn injury and require burn care highlight the need for investigation and reform of current practices.

Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Language: en

Keywords

Burn; Culture; Indigenous; Models; Quality; Safety