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Competency Standard 1.1: COMPETENCY STANDARDS FRAMEWORK FOR CLINICIANS 2019.

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For me, the most critical aspect of nursing is providing culturally sensitive individualized care. I have developed my understanding of Australians' cultural and linguistic diversity, underscoring the need to respect these differences. Having studied cultural/social considerations in (Migrant & Refugee Women's Health Partnership, 2019, p.12), Domain 1.1, I feel better equipped to care for refugees/immigrants. This skill is essential in my workplace because, as a student nurse, I will be caring for/working with people from diverse countries, and this skill will enhance patient outcomes/ensuring that all care is respectful and inclusive. I will integrate these practices into my work to deliver effective and compassionate care to a diverse population.

Reference:

1. Gagliardi, A. R., Armstrong, M. J., Bernhardsson, S., Fleuren, M., Pardo-Hernandez, H., Vernooij, R. W. M., & Willson, M. (2019). The Clinician Guideline Determinants Questionnaire was developed and validated to support tailored implementation planning. Journal of Clinical Epidemiology, 113, 129–136.https://doi.org/10.1016/j.jclinepi.2019.05.024

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Image source: National Geographic Malaria parasite                                                   Common Health Issues of Sudanese Refugees Upon Coming to Australia.    

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Sudanese refugees face health issues due to their challenging experiences before and during migration, such as post-traumatic stress disorder, depression and anxiety, malnutrition, skin conditions, malaria, etc. According to the Australian Refugee Health Practice Guide» Australian Refugee Health (2012), malaria is endemic in many Sudanese refugee countries.

The issue of malaria among Sudanese refugees requires urgent and specialized treatment. The World Health Organization (2023) states that one effective treatment option is to refer all patients to a physician with experience in malaria management. Patients with uncomplicated malaria who tolerate oral medication should be treated with oral artemisinin-based combination therapy (Phillips & Francis, 2015).

References:

1.      About the Australian Refugee Health Practice Guide» Australian Refugee Health. (2012). https://refugeehealthguide.org.au/about-this-practice-guide/

2.      Phillips, C., & Francis, J. (2015). Malaria» Australian Refugee Health. Refugeehealthguide.org.au. https://refugeehealthguide.org.au/malaria/

3.       World Health Organisation. (2023, December 4). Malaria. World Health Organization; WHO. https://www.who.int/news-room/fact-sheets/detail/malaria

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Image Source: Social Inclusion and Non-discrimination Sudan.

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Non-discrimination and social inclusion are critical social determinants of health (World Health Organization, 2024), especially for Sudanese arriving from war zones to Australia. According to Abur and Mphande (2019), social isolation is one of the hardest in settlement for people with other support. According to (Reinforcing Racism, 2019), since their significant arrival in 2004 and 2005, Sudanese have faced challenges, including racial discrimination, tribe, nationality, etc. Social inclusion efforts, such as community support programs and access to language/education, have helped reduce these challenges by fostering a supportive environment, and these efforts are essential for reducing the stress and isolation often experienced by refugees, which helps promote better mental health outcomes.

References:

1.      Abur, W., & Mphande, C. (2019). Mental Health and Wellbeing of South Sudanese-Australians. Journal of Asian and African Studies, 55(3), 002190961988029. https://doi.org/10.1177/0021909619880294

2.      Reinforcing racism. (2019, May 21). Monash Lens. https://lens.monash.edu/@politics-society/2019/05/21/1374964/young-south-sudanese-australians-have-their-say

3.      World Health Organization. (2024). Social determinants of health. World Health Organization. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

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Social  Inclusion and Non-Discrimination

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Image source: Hibiscus Sabdariffa Flower Herb Karkade, Taste of South Sudan.                                                                                                            An inside look at Traditional Medicine in Sudan, Magazine produced by Azza Abdelmagid. Karkade in Sudan.           

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Health has always been integral to human development and practice in Sudanese history. They have discovered many ways to heal themselves and maintain their health regarding the well-being of individuals. An inside Look at Traditional Medicine in Sudan, (2022), some of these discoveries include Traditional Medicine, a Sudanese practice. One of the traditional medicines is Karkade. Most Sudanese drink Karkade with ginger, which helps relieve flu symptoms. The leaves and their flowers can be made into teas and liquid extracts, which help treat conditions such as high blood pressure, stomachache, infections, fever, weight loss, and cancer

Reference:

1. An Inside Look at Traditional Medicine in Sudan. (2022). 500 Words Magazine. https://500wordsmag.com/science-and-technology/health/an-inside-look-at-traditional-medicine-in-sudan/

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According to Sudanese Food: 11 Must-Try Traditional Dishes of Sudan | Travel Food Atlas (2022), Sudanese food is a delightful fusion of multicultural influences. Cardamom and cinnamon add a unique flavor to Sudanese dishes. Ful Medames is a traditional meal that consists of cooked fava beans seasoned with cumin, vegetables, chili peppers, lemon juice, garlic, or chopped tomatoes, and a flavourful sauce made with olive oil, lemon parsley, garlic, and jalapeno pepper, adding a zesty kick.

It is served in a bowl with vegetables like pickles or cucumbers, olives, and fresh herbs like mint, green onions, tomatoes, and radishes. The sauce can be served on top or next to the ful medames with pita to eat with.

Reference:

1.      Sudanese Food: 11 Must-Try Traditional Dishes of Sudan | Travel Food Atlas. (2022, August 12). https://travelfoodatlas.com/sudanese-food

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Image source: African Arguments Archives

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According to WorldAtlas (2019), one of the cultural practices in Sudan is Dance, which is an integral part of Sudanese life. They enjoy their music and dance on their special occasions. There are ethnic groups and their unique dancing styles, such as the Kambala dance, one of the famous dance styles in Sudan. The Nuba people of the Southern Kordofan Province practice this, representing the imitation of cows on the field. One can't eat from the newly harvested crop unless the Kambala dance is performed, and it takes place during the harvesting season.

Reference:

1.      Team Africa. (2018, December 18). Traditional Dancing Styles from Sudan. Portal to Africa; Portal To Africa. https://www.portaltoafrica.com/entertainment/sudan/traditional-dancing-styles-from-sudan

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Image Sudan: Sudan's national football team players pictures/Getty Images

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Sudanese love sports and one of the most popular is football. They have been involved in football for a long time. They founded African football in Egypt, Ethiopia, and South Africa. They also excel in athletics. Basketball, volleyball, and handball are other popular games in the country. Sudan has one of Africa's best basketball teams, and it was among the first few teams to start the football game in Africa (WorldAtlas, 2019). In 1956, the African Cup of Nations was held in Sudan, and it has one of the oldest leagues.

Reference:

1. WorldAtlas. (2019, April 16). The Culture Of Sudan. WorldAtlas. https://www.worldatlas.com/articles/the-culture-of-sudan.html