The remote area nurse model of consultation

  • Authors

    • Sue Lenthall Centre for Remote Health, Flinders University
    • Sabina Knight Mt Isa Centre for Rural and Remote Health
    • Sally Foxley Centre for Remote Health, Flinders University
    • Vicki Gordon Aboriginal Medical Services Alliance Northern Territory
    • Terrie Ivanhoe Nganampa Health Council
    • Robyn Aitken Northern Territory Department of Health
    2015-09-28
    https://doi.org/10.14419/ijans.v4i2.4963
  • Remote Area Nurses, Consultation, Advanced Practice, Model of Consultation, Indigenous Health.
  • Registered nurses working in remote areas of Australia are often called remote area nurses (RANs). RANs have traditionally used models of client consultation designed for acute presentations and episodes of care. However, presentations to health care facilities in remote Australia are more likely to be chronic, complex, multi-system and multifactorial in origin and subsequent management. This paper describes a consultation model developed from a combination of expert opinion, literature and trial and feedback from RANs. The model is comprehensive, systematic and puts the person at the centre of care. It aims to mitigate risk for the client; the RAN and the health service while at the same time building trust and health literacy between the client and the RAN to encourage the client to continue with the partnership in care.

  • References

    1. [1] Australian Health Ministers' Advisory Council - Standing Committee for Aboriginal and Torres Strait Islander Health Working Party (2004). Cultural respect framework for Aboriginal and Torres Strait Islander health, 2004-2009. S. A. Department of Health. Adelaide.

      [2] Australian Human Rights Commission (2008). A statistical overview of Aboriginal and Torres Strait Islander people in Australia. Canberra, Australian Human Rights Commission.

      [3] Australian Institute of Health and Welfare (2008). TheHealth and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples. Canberra, AIHW.

      [4] Close the Gap (2008). Statement of Intent, Indigenous Health Equality Summit.

      [5] Lenthall, S., J. Wakerman and S. Knight (2009). "The frontline and the ivory tower: A case study of service and professional-driven curriculum." Aust. J. Rural Health 17: 129-133. http://dx.doi.org/10.1111/j.1440-1584.2009.01056.x.

      [6] Lenthall, S., J. Wakerman, et al. (2011). "The Nursing Workforce in Very Remote Australia, Characteristics and Key Issues." Aust. J. Rural Health 19: 32-37. http://dx.doi.org/10.1111/j.1440-1584.2010.01174.x.

      [7] Lenthall, S., J. Wakerman, et al. (2009). "What stresses remote area nurses? Current knowledge and future action." Aust. J. Rural Health 17: 208–213. http://dx.doi.org/10.1111/j.1440-1584.2009.01073.x.

      [8] Murtagh, J. (2011). John Murtagh's General Practice. Sydney, McGraw-Hill Medical.

      [9] Neighbour, R. (2005). The Inner Consultation: How to Develop an Effective And Intuitive Consulting Style. London, Radcliffe Publishing.

      [10] Pendleton, D., T. Schofield, et al. (1984). The consultation: an approach to teaching and learning. Oxford: , Oxford University Press.

      [11] Stewart, M., J. Brown, et al. (1995). Patient Centred Medicine, Transforming the Clinical Method London., SAGE Productions.

      [12] Stott, N. C. H. and R. H. Davis (1979). "The exceptional potential in each primary care consultation." Journal of the Royal College of General Practitioners 29: 201-205.

  • Downloads

  • How to Cite

    Lenthall, S., Knight, S., Foxley, S., Gordon, V., Ivanhoe, T., & Aitken, R. (2015). The remote area nurse model of consultation. International Journal of Advanced Nursing Studies, 4(2), 149-152. https://doi.org/10.14419/ijans.v4i2.4963