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Evidence Guide: HLTAHW511B - Deliver primary health care to Aboriginal and/or Torres Strait Islander clients in confinement

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTAHW511B - Deliver primary health care to Aboriginal and/or Torres Strait Islander clients in confinement

What evidence can you provide to prove your understanding of each of the following citeria?

Clarify the prison structure and culture

  1. Identify prison management structures, hierarchies and dynamics and clarify the potential impact of these in relation to Aboriginal and/or Torres Strait Islander inmates and health workers
  2. Clarify prison policies and procedures to identify potential for providing primary health care services to inmates
  3. Identify factors that may impact the provision of culturally safe care within the prison in relation to their potential to enhance and/or impede care
  4. Evaluate prison environment in relation to physical, cultural and emotional safety issues for Aboriginal and/or Torres Strait Islander inmates and workers
  5. Identify boundaries and constraints relating to own work role in the prison environment
Identify prison management structures, hierarchies and dynamics and clarify the potential impact of these in relation to Aboriginal and/or Torres Strait Islander inmates and health workers

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clarify prison policies and procedures to identify potential for providing primary health care services to inmates

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify factors that may impact the provision of culturally safe care within the prison in relation to their potential to enhance and/or impede care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate prison environment in relation to physical, cultural and emotional safety issues for Aboriginal and/or Torres Strait Islander inmates and workers

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify boundaries and constraints relating to own work role in the prison environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply strategies to enhance personal resilience in a prison environment

  1. Anticipate the impact of immersion in a foreign and potentially hostile cultural environment
  2. Identify self-protective behaviour strategies and seek mentors for advice and support
  3. Use colleagues with the capacity to provide personal support for reflection, debriefing, solidarity and advocacy as appropriate
  4. Access community and family support where appropriate
Anticipate the impact of immersion in a foreign and potentially hostile cultural environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify self-protective behaviour strategies and seek mentors for advice and support

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use colleagues with the capacity to provide personal support for reflection, debriefing, solidarity and advocacy as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Access community and family support where appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clarify own professional role and scope of practice

  1. Clarify overlapping and complementary roles of workers in the prison environment
  2. Identify level of awareness of the Aboriginal and/or Torres Strait Islander worker's role, knowledge and skills among other workers
  3. Clarify potential for own role to enhance client care in the prison environment
  4. Professionally assert scope of practice appropriate to own role and skills with prison staff
Clarify overlapping and complementary roles of workers in the prison environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify level of awareness of the Aboriginal and/or Torres Strait Islander worker's role, knowledge and skills among other workers

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clarify potential for own role to enhance client care in the prison environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Professionally assert scope of practice appropriate to own role and skills with prison staff

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Advocate for clients effectively from within prison

  1. Clarify inmate needs for health care and support as appropriate to worker's role
  2. Recognise potential impacts of providing client advocacy from inside the prison
  3. Employ strategies to effectively manage conflict or resentment arising from client advocacy activities
  4. Clarify rights and responsibilities of inmates and assert as required
  5. Support inmates in relation to parole and release issues as required in line with own work role and jurisdictional guidelines.
  6. Organise and/or provide post release support as appropriate
Clarify inmate needs for health care and support as appropriate to worker's role

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise potential impacts of providing client advocacy from inside the prison

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Employ strategies to effectively manage conflict or resentment arising from client advocacy activities

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clarify rights and responsibilities of inmates and assert as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Support inmates in relation to parole and release issues as required in line with own work role and jurisdictional guidelines.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Organise and/or provide post release support as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Support inmates to make informed health choices

  1. Use accurate information about the inmate's health and potential care as a basis for informing clients about available options
  2. Empower clients to make informed choices on health care by explaining potential consequences of available options
  3. Support clients through the continuum of care in line with own work role
Use accurate information about the inmate's health and potential care as a basis for informing clients about available options

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Empower clients to make informed choices on health care by explaining potential consequences of available options

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Support clients through the continuum of care in line with own work role

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to enhancing awareness of cultural safety issues

  1. Raise cultural safety issues in the prison environment with staff in relation to health issues for Aboriginal and/or Torres Strait Islander clients
  2. Build own tolerance and mutual respect of colleagues by seeking to understand reasons for any insensitivity or culturally unsafe practices
  3. Reinforce colleagues' application of cultural safety practices in the workplace by public and/or personal recognition
  4. Provide leadership in the implementation of culturally safe principles and practice
Raise cultural safety issues in the prison environment with staff in relation to health issues for Aboriginal and/or Torres Strait Islander clients

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Build own tolerance and mutual respect of colleagues by seeking to understand reasons for any insensitivity or culturally unsafe practices

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Reinforce colleagues' application of cultural safety practices in the workplace by public and/or personal recognition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide leadership in the implementation of culturally safe principles and practice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Promote change to enhance cultural safety in the prison environment

  1. Offer to contribute to development and/or refinement of prison policies on cultural safety
  2. Identify change agents who may facilitate and/or champion needed change
  3. Identify potential blockages to change
  4. Mobilise available support to enhance cultural safety in the prison environment
  5. Enlist community support to enhance cultural safety in the prison environment
Offer to contribute to development and/or refinement of prison policies on cultural safety

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify change agents who may facilitate and/or champion needed change

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify potential blockages to change

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Mobilise available support to enhance cultural safety in the prison environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Enlist community support to enhance cultural safety in the prison environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects of assessment:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible

Conditions of assessment:

This unit includes skills and knowledge specific to Aboriginal and/or Torres Strait Islander culture

Assessment must therefore be undertaken by a workplace assessor who has expertise in the unit of competency or who has the current qualification being assessed and who is:

Aboriginal or Torres Strait Islander him/herself

or:

accompanied and advised by an Aboriginal or Torres Strait Islander person who is a recognised member of the community with experience in primary health care

Context of assessment:

Competence should be demonstrated working individually, under supervision or as part of a primary health care team working with Aboriginal and/or Torres Strait Islander clients

Assessment should replicate workplace conditions as far as possible

Related units:

This unit may be assessed independently or in conjunction with other units with associated workplace application

Required Skills and Knowledge

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Cultural safety principles, practices and issues

Scope of own professional role and roles of associated health professionals

Components of culturally safe health care

Effective strategies to handle conflict and difficult situations in a confined work environment

Techniques for informing and empowering clients to make choices relating to health care in the prison system

Assertive communication techniques

Essential skills:

It is critical that the candidate demonstrate the ability to:

Work effectively within the structure and culture of a prison or corrective services environment

Apply appropriate strategies for protection of self and others in a culturally unsafe work environment

Contribute to enhancing cultural safety within a prison environment

In addition, the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to apply skills in:

Access information about and analyse organisation management structures, professional hierarchies and inter-professional dynamics

Use self-protective behavioural strategies to maintain personal safety and resilience in the prison environment

Provide information and advice to assist inmates to maintain a level of physical, mental and spiritual health in the prison environment

Range Statement

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Cultural respect

This competency standard supports the recognition, protection and continued advancement of the inherent rights, cultures and traditions of Aboriginal and Torres Strait Islander peoples

It recognises that the improvement of the health status of Aboriginal and Torres Strait Islander people must include attention to physical, spiritual, cultural, emotional and social wellbeing, community capacity and governance

Its application must be culturally sensitive and supportive of traditional healing and health, knowledge and practices

Community control

Community participation and control in decision-making is essential to all aspects of health work, and the role of the health worker is to support the community in this process

Supervision

Supervision must be conducted in accordance with prevailing state/territory and organisation legislative and regulatory requirements

References to supervision may include either direct or indirect supervision of work by more experienced workers, supervisors, managers or other health professionals

A person at this level should only be required to make decisions about clients within the organisation's standard treatment protocols and associated guidelines

Legislative requirements

Federal, state or territory legislation may impact on workers' practices and responsibilities. Implementation of the competency standards should reflect the legislative framework in which a health worker operates. It is recognised that this may sometimes reduce the application of the Range of Variables in practice. However, assessment in the workplace or through simulation should address all essential skills and knowledge across the Range of Variables

Aboriginal and/or Torres Strait Islander Health Workers may be required to operate in situations that do not constitute "usual practice" due to lack of resources, remote locations and community needs. As a result, they may need to possess more competencies than described by "usual practice circumstances"

Under all circumstances, the employer must enable the worker to function within the prevailing legislative framework

Factors which may impact provision of culturally safe care may include:

Racism

Discriminatory behaviour

Tokenism

Institutional isolation

Exclusion from team meetings, planning processes,

Access to care

Language and communication barriers

Lack of cultural respect / recognition

Devaluing worker's skills / knowledge / culture

Institutional approach and values may include:

Implicit as well as explicitly stated organisational values

Awareness of, openness to and active seeking to understand cultural difference (or lack of these)

Practices that reflect insensitivity to cultural difference

Provision of cultural safety programs

The impact of immersion in a foreign (and potentially hostile) cultural environment may include:

Isolation

Downturn in performance

Risks to personal safety

Drop in self esteem

Absenteeism

Burnout

Disillusionment

Physical violence

Lack of understanding of dominant culture

Opportunity to broaden cultural knowledge and contribute to change

Constructive, self-protective behaviours may include:

Debriefing

Assertive communication

Building support network

Access family and community support

Access organisational support, such as external counselling support

The potential impacts of providing client advocacy from inside an institution may include:

Conflict between the worker and staff / management of the health institution

Resentful treatment of the worker

Personal and/or organisational retribution against the worker

Negative treatment of client

Unrealistic expectations of the worker's role and ability to cope

Isolation

Changes to processes / practices to prevent future event

Effective outcome for client

Explaining potential consequences of available options may include:

Checking client's understanding of available options

Reviewing available options and their potential consequences in relation to cultural issues