Ms Lisa Callahan1, Ms Laura Nolan1, Ms Samantha Harkus2, Prof Eng Ooi1,3, Mr Patrick Sharpe4, A/Prof Jacqueline Stephens1
1Flinders University, Bedford Park, Australia, 2Hearing Australia, Macquarie Park, Australia, 3Flinders Medical Centre, Bedford Park, Australia, 4Far West Community Partnerships, Ceduna, Australia
Abstract:
Background: First Nations children experience otitis media younger, more frequently and for a longer duration than non-First Nations children. Unmanaged otitis media may lead to hearing loss, speech and language deficits, behavioural and social challenges and adverse medical sequalae. Targeted early detection programs for otitis media exist for First Nations populations across several countries, with variable success reported. Health professionals are in a unique position to evaluate factors that may impact on program success, yet are infrequently included in research on this topic.
Objectives:
This research aimed to understand: ‘What factors do health professionals view as influencing the success of otitis media detection programs for First Nations children?’.
Methods:
A systematic search and synthesis of qualitative research on this topic were conducted using PRISMA and JBI guidelines.
Results:
Seven sources published between 2003 and 2022 met the review inclusion criteria. Two major themes of Health Resource Access and Person and Family Centred Care were identified. Health Resource Access was further explored through three sub-themes examining Client, Practitioner and Service access. Subthemes related to Person and Family Centred Care included Cultural Safety, Health Service Collaboration, Patient Education and Consumer Partnerships.
Conclusion:
Recommendations are made relating to ensuring sustainable organisational capacity, creating accessible professional development opportunities, structuring and evaluating the cultural safety of programs and priorities for further research. The outcomes of this review have important implications for program stakeholders and the diverse range of allied health, nursing and medical clinicians involved in delivering otitis media services to First Nations children.