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: Objective: To describe a process of meaningful Aboriginal community engagement that repositioned and valued community members’ knowledge(s) and lived experiences while strengthening relationships, research processes and outcomes. Background: Aboriginal Australians have the oldest continuous culture in the world, yet due to effects of colonisation, experience some of the world's poorest health outcomes. The AKction [Aboriginal Kidney Care Together – Improving Outcomes Now] project brought together Aboriginal people with lived experience of kidney disease, clinicians and researchers to improve kidney care. Methodology: Using Aboriginal methodologies of Ganma and Dadirri within community‐based participatory action research (cb‐PAR), a core advisory group of Aboriginal people with lived experiences of kidney disease worked closely with clinicians and researchers. Results: Three community consultation workshops that deeply valued Aboriginal knowledge(s) were co‐created. Community members formed a reference group, established partnerships and influenced health research, policy and service provision. Non‐Indigenous researchers engaged in critical self‐reflection and levelling of Western‐Aboriginal and clinician‐consumer power imbalances. Conclusions: Deeply respectful community engagement is possible through co‐creation and cb‐PAR. It results in multiple positive impacts and beneficial relationships between community members, clinicians and academics. Implications for public health: Meaningful consultation with Aboriginal communities guides culturally safe research processes, health policy and service delivery., We respectfully use the term First Nations to describe the people of colonised countries such as Australia, New Zealand, Canada and the Unites States of America who have ancestral, cultural [...]

: Objective: To describe the experiences, perceptions and suggested improvements in healthcare identified by Aboriginal patients, families and community members living with kidney disease in South Australia. Methods: Community consultations were held in an urban, rural and remote location in 2019 by the Aboriginal Kidney Care Together – Improving Outcomes Now (AKction) project and Kidney Health Australia. Consultations were co‐designed with community members, using participatory action research, Yarning, Dadirri and Ganma Indigenous Methodologies. Key themes were synthesised, verified by community members and shared through formal and community reports and media. Results: Aboriginal participants identified the importance of: family and community and maintaining their wellbeing, strength and resilience; the need for prevention and early detection that is localised, engages whole families and prevents diagnosis shock; better access to quality care that ensures Aboriginal people can make informed choices and decisions about their options for dialysis and transplantation, and; more Aboriginal health professionals and peer navigators, and increased responsiveness and provision of cultural safety care by all kidney health professionals. Conclusion: Aboriginal community members have strong and clear recommendations for improving the quality and responsiveness of health care generally, and kidney care specifically. Implications for public health: Aboriginal people with lived experience of chronic conditions wish to significantly inform the way care is organised and delivered., The health care needs of Aboriginal and Torres Strait Islander people have unique elements that require a specific response. While the challenges of living with chronic illnesses and needing to [...]

Cultural safety is increasingly recognised as imperative to delivering accessible and acceptable healthcare for First Nations Peoples within Australia and in similar colonised countries. A literature review undertaken to inform the inaugural Caring for Australians with Renal Insufficiency (CARI) guidelines for clinically and culturally safe kidney care for Aboriginal and Torres Strait Islander peoples revealed a timeline of the emergence of culturally safe kidney care in Australia. Thirty years ago, kidney care literature was purely biomedically focused, with culture, family and community viewed as potential barriers to patient 'compliance' with treatment. The importance of culturally informed care was increasingly recognised in the mid‐1990s, with cultural safety within kidney care specifically cited from 2014 onwards. The emergence timeline is discussed in this paper in relation to the five principles of cultural safety developed by Māori nurse Irihapeti Ramsden in Aotearoa/New Zealand. These principles are critical reflection, communication, minimising power differences, decolonisation and ensuring one does not demean or disempower. For the kidney care workforce, culturally safe care requires ongoing critical reflection, deep active listening skills, decolonising approaches and the eradication of institutional racism. Cultural safety is the key to truly working in partnership, increasing Indigenous Governance, respectful collaboration and redesigning kidney care. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To understand that preserving action or process when coding gerunds in constructivist grounded theory research can help discover the participants’ main concerns, which provide context for the substantive theory • To appreciate that looking for and recognising gerunds in qualitative data can be confusing for novice researchers • To benefit from an example of coding gerunds to gain deeper insights and depth to qualitative data analysis. Background: Coding for gerunds is useful in developing theory in grounded theory. However, it can be confusing for the novice researcher to recognise these words, which consider actions more abstractly. Aim: To explain how to identify, analyse and code gerunds, using the example of a constructivist grounded theory study investigating the design of operating rooms. Discussion: Coding for gerunds helped to illustrate participants’ actions and sequences in the example study and added depth to the researcher’s understanding of certain topics. Conclusion: Coding gerunds can improve the insights obtained in grounded theory studies. Implications for practice: This article may encourage nurse researchers to focus on actions to add depth to their qualitative analyses. [ABSTRACT FROM AUTHOR]