{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:07:26Z","timestamp":1788890846461,"version":"build-2803163510"},"reference-count":25,"publisher":"BMJ","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"NSW Government Health Translational Research Grants Scheme","award":["H22\/4011"],"award-info":[{"award-number":["H22\/4011"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["leader"],"accepted":{"date-parts":[[2026,8,19]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Low representation and retention of Aboriginal and Torres Strait Islander nurses and midwives remain a persistent challenge for Australian health systems, constraining delivery of culturally safe, person-centred care. Building and sustaining this workforce is essential to addressing entrenched systemic health inequity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study evaluated the impact of implementing the Deadly Aboriginal Nursing and Midwifery Mentoring (DANMM) programme on health leaders\u2019 perceptions of organisational capability at individual and organisational levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>An exploratory, mixed-methods study<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Senior health leaders across four local health districts in New South Wales<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using snowball recruitment, the Organisational Commitment and Health Professional Program Readiness Assessment Compass (OCHPPRAC) was administered before and after DANMM implementation, alongside qualitative yarns. Quantitative data were analysed using SPSS, while qualitative data were examined inductively using Braun and Clarke\u2019s thematic analysis framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>The primary outcome was change in OCHPPRAC organisational success factors pre and post implementation. Secondary outcomes included leaders\u2019 qualitative reflections on mentoring, relationships and cultural safety. Leaders from two local health districts participated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight participants completed the OCHPPRAC. No statistically significant differences were identified across organisational success factors between pre and post implementation. Qualitative findings from five participants generated three themes: mentoring confidence and engagement; building enduring connections to support programme success; and fostering cultural safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This exploratory study examined the influence of the DANMM programme on perceptions of organisational cultural capability within participating local health districts. While quantitative findings demonstrated no significant organisational level change, qualitative insights revealed meaningful shifts in leadership attitudes, relationships and culturally safe practice. These findings suggest culturally informed mentoring programmes can strengthen relational leadership dimensions supporting Aboriginal and Torres Strait Islander nursing and midwifery workforce sustainability. Longer term implementation and evaluation are required to demonstrate measurable organisational change across diverse health service contexts nationally settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/leader-2026-001545","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:20:19Z","timestamp":1788888019000},"page":"leader-2026-001545","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing organisational commitment and readiness through the DANMM project: a mixed-methods study"],"prefix":"10.1136","author":[{"given":"Troy","family":"Pietsch","sequence":"first","affiliation":[{"name":"Aboriginal and Torres Strait Islander Workforce Strategy, Diversity and Inclusion, New South Wales Department of Education, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0107-7435","authenticated-orcid":false,"given":"Jessica","family":"Biles","sequence":"additional","affiliation":[{"name":"School of Nursing, Paramedicine and Healthcare Sciences, Faculty of Science and Health, Charles Sturt University, Albury, New South Wales, Australia"},{"name":"School of Dentistry, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley","family":"Christian","sequence":"additional","affiliation":[{"name":"School of Dentistry, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8635-9855","authenticated-orcid":false,"given":"Brett","family":"Biles","sequence":"additional","affiliation":[{"name":"Deputy Vice-Chancellor, Indigenous Division, University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Anderson","sequence":"additional","affiliation":[{"name":"School of Nursing, Paramedicine and Healthcare Sciences, Faculty of Science and Health, Charles Sturt University, Albury, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanna","family":"Fealy","sequence":"additional","affiliation":[{"name":"School of Nursing, Paramedicine and Healthcare Sciences, Faculty of Science and Health, Charles Sturt University, Albury, New South Wales, Australia"},{"name":"School of Medicine and Public Health, College of Health and Wellbeing, The University of Newcastle Australia, Callaghan, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Damm","sequence":"additional","affiliation":[{"name":"Murrumbidgee Local Health District, Wagga Wagga, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolle","family":"Dawson","sequence":"additional","affiliation":[{"name":"School of Nursing, Paramedicine and Healthcare Sciences, Faculty of Science and Health, Charles Sturt University, Albury, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant","family":"Sara","sequence":"additional","affiliation":[{"name":"System Information and Analytics Branch, New South Wales Ministry of Health, St Leonards, New South Wales, Australia"},{"name":"Northern Clinical School, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"2026090810200921000_leader-2026-001545v1.1","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1111\/ajr.12764","article-title":"Barriers and enablers to Aboriginal and Torres Strait Islander careers in health: A qualitative, multisector study in western New South Wales","volume":"29","author":"Bailey","year":"2021","journal-title":"Australian J Rural Health"},{"key":"2026090810200921000_leader-2026-001545v1.2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-079416","article-title":"\u201cDANMM that\u2019s good!\u201d: evaluating the feasibility and acceptability of the Deadly Aboriginal and Torres Strait Islander Nursing and Midwifery Mentoring (DANMM) Programme across rural, regional and metropolitan NSW-a collaborative study protocol","volume":"14","author":"Biles","year":"2024","journal-title":"BMJ Open"},{"key":"2026090810200921000_leader-2026-001545v1.3","unstructured":"Australian Government . 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