Rural Clinical School - Research Publications

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Start date: 2010 × End date: 2019 × Author: Bourke, Lisa × Author: Nixon, Raylene ×

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    Perspectives of Aboriginal issues among non-Aboriginal residents of rural Victorian communities
    Bourke, L ; Malatzky, C ; Terry, D ; Nixon, R ; Ferguson, K ; Ferguson, P (WILEY, 2017-09)
    Abstract Racism, in various forms, remains a dominant feature in Australian society. Aboriginal Australians are commonly targets of racial discrimination. However, understanding racism is difficult given that racial attitudes vary towards particular groups of people, across place and time and are difficult to measure. This paper presents responses of residents across four rural shires in Victoria to questions about attitudes towards Aboriginal people/issues. Responses indicated that attitudes towards Aboriginal people were diverse and that individuals varied in their attitudes on specific items. There were subtle differences between the four sites and association between demographic characteristics and some items in particular sites. This suggests that respondents are inconsistent in their attitudes relating to Aboriginal people/issues and that there are place‐based influences on these attitudes. We conclude that the many varied understandings of racism and Aboriginal Australians allow the discourses of exclusion, disempowerment and othering to be maintained.
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    Prioritising the cultural inclusivity of a rural mainstream health service for First Nation Australians: an analysis of discourse and power
    Malatzky, C ; Nixon, R ; Mitchell, O ; Bourke, L (ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2018)
    In the context of persisting health inequities within many multicultural and socially diverse countries like Australia, there is a call for health services to implement culturally inclusive systems and practices. Nowhere is this more important than in regional, rural and remote Australia where consumers are diverse, health services are scarce, and services designed for particular groups of the population are lacking. Drawing on interviews with 20 staff of a rurally-based, mainstream community health service, this article examines the role of discourse in the transition to a culturally inclusive health centre. In doing so, the power struggles inherent in such a process are highlighted. The article contends that improvements in the health outcomes of First Nation and culturally Other groups within the Australian population is contingent upon systematic resistances that disrupt and re-arrange existing dominant discourses. This calls for a disruption of current race relations in both broader social fields as well as those supporting biomedical assumptions about the delivery of healthcare in the mainstream health sector. Alternative discourses must be promoted in both these fields.