Publications by authors named "Inge Kowanko"

Problem: Chronic conditions are major health problems for Australian Aboriginal people. Self-management programs can improve health outcomes. However, few health workers are skilled in self-management support and existing programs are not always appropriate in Australian Aboriginal contexts.

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This paper reports on a pilot qualitative study investigating Aboriginal participants' perspectives of the Flinders Living Well Smoke Free (LWSF) 'training intervention'. Health workers nationally have been trained in this program, which offers a self-management approach to reducing smoking among Aboriginal clients. A component of the training involves Aboriginal clients volunteering their time in a mock care-planning session providing the health workers with an opportunity to practise their newly acquired skills.

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Objectives: This paper describes the longitudinal component of a larger mixed methods study into the processes and outcomes of chronic condition management and self-management strategies implemented in three Aboriginal communities in South Australia. The study was designed to document the connection between the application of structured systems of care for Aboriginal people and their longer-term health status.

Methods: The study concentrated on three diverse Aboriginal communities in South Australia; the Port Lincoln Aboriginal Health Service, the Riverland community, and Nunkuwarrin Yunti Aboriginal Health Service in the Adelaide metropolitan area.

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This article draws on our participatory action research findings and interventions, such as advocacy and professional education, as applied during and after a large project focusing on Aboriginal mental health and safe medication management. The project was conducted by our research team and partners, community-controlled Aboriginal health services, and community leaders. The paper provides a discussion of major Aboriginal mental health issues gleaned from the literature, along with a discussion, and a conceptual model for conducting ethical Aboriginal health research, that has both evolved and guided us.

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Objective: To explore the experiences and training needs of service providers in relation to medication management for Aboriginal people with mental health disorders.

Design: Survey.

Setting: Aboriginal and mainstream health and human service organisations in metropolitan, rural and remote South Australia.

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Urinary incontinence is common, and considerable advances have been made in treatments and therapies for this distressing and socially unacceptable condition. Most people with incontinence use continence products to conceal their loss in the short term or long term. A huge range of products is available, including absorbent products, collection devices, catheters, and accessories.

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It is generally agreed in the nursing literature that the maintenance of patient dignity is an important element of nursing care that is highly valued by patients. Despite this, dignity is seldom defined and there are few guidelines that nurses may use in their practice to safeguard individual patients' dignity. This phenomenological study aimed to uncover patients' and nurses' perceptions of dignity, formulate a definition of dignity based on the experience of patients and nurses, and identify nursing practices that maintain or compromise patient dignity.

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