Culturally and linguistically diverse migrant communities and ethnic minority groups have traditionally had poorer health outcomes than the Australian born population. The Cultural Respect Encompassing Simulation Training (CREST) is a series of modules for pre-vocational health students to develop competencies in cultural sensitivity. In 2013 the modules were delivered to over 1300 students. However, technical constrains have seen a low uptake in training services in rural and remote Australia.
This project has examined how broadband can expand and improve the delivery of CREST into rural and regional communities. The project trialled the delivery of the service via video linked facilities at four rural sites including two clinical schools and one hospital. CREST was provided at these four sites to medical and nursing students, and medical practitioners.
It is envisaged that as the speech-pathology intervention progresses the automatically generated quality factors from the toolbox will show a marked improvement. This would also independently validate the intervention process. The toolbox could be used in future iterations as an ‘expert system’ that would provide speech-pathology support in areas that are typically underserved.
Findings indicate an improvement in the cultural competency of participants and an acceptance of delivery of the training via broadband. However, the quality of delivery was often hampered by technical inconsistencies across different campuses and a lack of experienced facilitators at rural locations. Organisation of each video-conference was essential to ensure the fidelity of the simulation. Considerations included room set up, how the interviewing students would be seated and how the simulated patient would be led into the room, to enable the recording of participants’ expressions and statements.
- Phyllis Lau - Department of General Practice
- Robyn Woodward-Kron - Medical Education Unit
- Kris Elliott - Medical Education Unit
- Patricia Nicholson - Department of Nursing
- Karen Livesay - Victoria University
Cultural respect encompassing simulation training: being heard about health through broadband published in Journal of Public Health Research, vol.5, no.1 (2016)