Culturally supportive spirometry training for indigenous health workers (IHWS)

Abstract

Introduction/Aim: Indigenous Australians have a high incidence and burden of lung disease. Indigenous health workers (IHW) assist to deliver culturally appropriate respiratory health care to clients. Spirometry is important in diagnosing and managing lung disease. The aim is to deliver and evaluate a 2-day culturally supportive spirometry training programme for IHW. Method: The programme was delivered targeting Qld IHW. Nurses and others involved in Indigenous respiratory care were accepted into training. Teaching was by respiratory scientists and an IHW. After training, participants completed questionnaires about their course perceptions and were asked to submit a portfolio of their spirometry tests. Results: In May 2011-June 2015, therewere completed 30 Qld workshops with 260 participants. A total of 99%'felt (the program) was helpful in teaching spirometry', 93% felt it 'was culturally appropriate', 81% 'would change..practice to include spirometry' and 62% of the submitted spirometry was acceptable and repeatable (ATS/ERS). Limited access to a workplace spirometer was a common reason for IHW not performing spirometry after the course. (table present). Conclusion: IHW support culturally appropriate spirometry training. Even though spirometer access is limited, improved spirometry knowledge may help support clients.L723165052016-06-29 <br />