1. Ensure that issues are well defined utilising a thorough process
2. Solution creation is undertaking involving Aboriginal staff
That issues and problems are thoroughly explored before moving onto identifying solutions.
1. There are many resources available to assist in defining problems and creating solutions. The resources included in this section provide a summary of the key areas. The key component is to involve the Aboriginal community in this stage to ensure that the problem is analysed from an Aboriginal perspective and a culturally appropriate solution can be designed. Working with the AQI role to further understand what solutions might be appropriate is also necessary. This step is one of the most important in a CQI process and is often over looked. Projects that jump to the solution phase before the problem has been sufficiently analysed often result in ineffective initiatives being implemented. It is crucial that key stakeholders from the Aboriginal community are involved from the very beginning of the process and are not simply asked to endorse a solution. One effective way to ensure Aboriginal community involvement is to allow plenty of time to engage and to not rush this part of the process. What may be a key focus for the hospital (where a problem has been identified internally) may not be the same for the Aboriginal community.
2. When discussing solutions, be prepared to be flexible and allow other issues to be raised. The hospital should note the range of issues of concern and make a commitment to explore solutions over time, working with the Aboriginal community. Some solutions may be educational, some may involve system and/or policy redesign. Another useful option to consider is having meetings at the local Aboriginal organisation and not always at the hospital.
Questions to consider for this step
a) What tools are available to assist in defining and analysing the problem, then creating a solution?
b) How are you involving the Aboriginal community in the analysis of the problem identified?
c) What steps can you undertake to ensure that a solution is not created before the problem has been analysed thoroughly?
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