Cultural Safety in Healthcare

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Questions and Answers

What was the root cause of the development of the concept of cultural safety in New Zealand?

Colonial history of Aotearoa/New Zealand

Who was the key person involved in the formation of the concept of cultural safety?

Dr. Irihapeti Ramsden, a Maori scholar

What was the initial purpose of implementing the principles of cultural safety in healthcare?

To address Indigenous health inequities in New Zealand

What is one way that health staff can practice cultural safety, according to the concept?

<p>By suspending their own ethnocentric views and respecting alternative world views and cultural practices</p> Signup and view all the answers

What is the broad definition of culture used in cultural safety, as described by Cox (2013)?

<p>Learned yet dynamic ways of being in everyday life, influenced by attributes such as age, class, ability, ethnicity, gender, and sexual orientation</p> Signup and view all the answers

What is the ultimate goal of prioritizing the needs and preferences of clients in cultural safety?

<p>To reduce alienation of existing health service organizations and improve health outcomes</p> Signup and view all the answers

Is cultural safety only relevant to nursing First Nation peoples?

<p>No, cultural safety is relevant to all nursing practice contexts, including hospitals, clinics, and community, and is highly relevant to everyone due to the burden of racism and other disadvantages.</p> Signup and view all the answers

What does a culturally safe nurse avoid when interacting with patients?

<p>Stereotypes</p> Signup and view all the answers

What is the vision of the World Health Organisation's Constitution (1946) regarding health?

<p>The highest attainable standard of health as a fundamental right of every human being.</p> Signup and view all the answers

What is the principle underlying a rights-based approach to health?

<p>Prioritizing disadvantaged populations and promoting equity in health through supportive policies and programs.</p> Signup and view all the answers

Why is cultural safety essential in colonised nations like Australia?

<p>To improve the health of First Nations peoples.</p> Signup and view all the answers

What is the significance of the 2030 Agenda for Sustainable Development in relation to health?

<p>It emphasizes the need for greater equity in health.</p> Signup and view all the answers

According to the World Health Organisation, what is a fundamental principle of the right to health?

<p>The right to health must be without discrimination on the grounds of race, age, ethnicity, or any other factor.</p> Signup and view all the answers

What action do countries need to take to ensure the right to health?

<p>Take steps to redress any discriminatory law, practice, or policy.</p> Signup and view all the answers

What is the assumption of our health care system regarding individuals and their health and illnesses?

<p>That individuals are or can be responsible for their health and illnesses.</p> Signup and view all the answers

What is an unsafe cultural practice, according to the Nursing Council of NZ?

<p>Any action that diminishes, demeans, or disempowers the cultural identity and well-being of people.</p> Signup and view all the answers

What is the foundation of culturally safe nursing practice?

<p>On-going personal cultural self-reflection and awareness by nurses.</p> Signup and view all the answers

What is the core idea of social constructionism?

<p>That knowledge, including our understanding of health and illness, is constructed socially through our interactions with others and the environment.</p> Signup and view all the answers

What is the implication of accepting that we live in different realities?

<p>That we can understand different experiences, including health and illness, from multiple perspectives.</p> Signup and view all the answers

What is the limitation of the popular Western way of looking at health and illness?

<p>It is based solely on physical body/biology and neglects other perspectives.</p> Signup and view all the answers

What is the significance of cultural identity in healthcare?

<p>It is socially constructed and shapes our experiences and perceptions of health and illness.</p> Signup and view all the answers

What is the role of nurses in promoting cultural safety?

<p>To undertake on-going personal cultural self-reflection and awareness, and to establish partnerships and trust with patients.</p> Signup and view all the answers

What is the holistic concept of health viewed by Aboriginal and Torres Strait Islander peoples?

<p>A holistic concept that includes social, emotional, cultural, spiritual wellness that extends beyond the individual and includes the community.</p> Signup and view all the answers

Why is it important to consider the social and cultural processes when understanding experiences of health, illness, and wellness?

<p>Because experiences are understood through social and cultural processes, giving meaning to experiences, including health, illness, and wellness.</p> Signup and view all the answers

What is an essential component of reconciliation for First Nation Australians?

<p>Inclusive and respectful language.</p> Signup and view all the answers

Why is it important to use the term 'Aboriginal and Torres Strait Islander peoples' when referring to Indigenous Australians?

<p>To acknowledge the diversity of cultures across Australia and to include Torres Strait Islander peoples.</p> Signup and view all the answers

Why should the terms 'Aboriginal', 'Aboriginals', and 'Aborigines' be avoided when referring to Indigenous Australians?

<p>Because they are not inclusive of the diversity of cultures across Australia and omit Torres Strait Islander peoples.</p> Signup and view all the answers

What is the significance of capitalizing 'Aboriginal' and 'Torres Strait Islander' in written communication?

<p>It demonstrates respect and acknowledges the diversity of cultures and identities.</p> Signup and view all the answers

Why is it important to seek advice from relevant stakeholders, community members, and Elders when engaging with culturally diverse communities?

<p>To ensure respectful and inclusive language and protocols are used.</p> Signup and view all the answers

What is the significance of using the terms 'First Nations' and 'First Peoples' when referring to Indigenous Australians?

<p>They are acceptable and respectful terms that acknowledge the diversity of cultures and identities.</p> Signup and view all the answers

What is the importance of acknowledging history and intergenerational injustices in promoting cultural safety?

<p>Acknowledging history and intergenerational injustices is important in promoting cultural safety as it recognizes the past injustices and inequities experienced by Aboriginal and Torres Strait Islander peoples, and helps to build trust and understanding.</p> Signup and view all the answers

What is the difference between a deficit approach and a strengths-based approach in promoting cultural safety?

<p>A deficit approach focuses on the problems and disadvantages, whereas a strengths-based approach focuses on the strengths and resilience of Aboriginal and Torres Strait Islander peoples, cultures, and communities.</p> Signup and view all the answers

Why is it important to avoid language that divides and promotes mutual respect and genuineness in cultural safety?

<p>Language that divides can create barriers and perpetuate stereotypes, whereas using language that promotes mutual respect and genuineness helps to build trust and understanding.</p> Signup and view all the answers

What is the significance of cultural norms and cultural safety in healthcare?

<p>Cultural norms and cultural safety are crucial in healthcare as they help to create an environment that is free from racism and discrimination, and promotes mutual respect and understanding.</p> Signup and view all the answers

Why is it important for healthcare professionals to be aware of their own assumptions and biases in promoting cultural safety?

<p>Healthcare professionals need to be aware of their own assumptions and biases in order to provide culturally safe care, and to avoid perpetuating stereotypes and discrimination.</p> Signup and view all the answers

What is the significance of values and attitudes in promoting cultural safety?

<p>Values and attitudes play a crucial role in promoting cultural safety, as they help to shape our behavior and interactions with others.</p> Signup and view all the answers

How does cultural safety promote diversity and inclusivity in healthcare?

<p>Cultural safety promotes diversity and inclusivity by recognizing and valuing the diversity of Aboriginal and Torres Strait Islander peoples, cultures, and communities.</p> Signup and view all the answers

What is the role of stereotypes and ethnicity in promoting cultural safety?

<p>Stereotypes and ethnicity can be barriers to cultural safety, and need to be acknowledged and addressed in order to promote cultural safety.</p> Signup and view all the answers

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Study Notes

Cultural Safety

  • Originated in New Zealand in the 1980s, led by Maori scholar Dr. Irihapeti Ramsden
  • Arose from colonial history of Aotearoa/New Zealand and concerns of Maori midwifery students feeling unsafe in predominantly Anglo educational settings

Development of Cultural Safety

  • Concept was further developed to explain poor uptake of health services by Maori people in general
  • Led to implementation of principles of cultural safety as a way to address Indigenous health inequities in New Zealand

Principles of Cultural Safety

  • Reduce alienation of existing health service organizations
  • Help health staff understand how colonial violence and dispossession produced health inequities
  • Encourage staff to suspend their own ethnocentric views and respect alternative world views and cultural practices
  • Prioritize needs and preferences of clients

Definition of Culture

  • Learned yet dynamic ways of being in everyday life
  • Informed by attributes such as age, class, ability, ethnicity, gender, and sexual orientation
  • Influence beliefs, values, and attitudes, and how humans explain and respond to life's contexts and circumstances

Relevance of Cultural Safety

  • Not only relevant to First Nation peoples' contexts, but highly relevant to all nursing practice contexts due to the burden of racism and other disadvantages
  • Relevant to hospitals, clinics, and community settings

Culturally Safe Nurses

  • Avoid stereotypes
  • Deal with unique individuals who may or may not adhere to cultural ideals
  • Recognize that social and not cultural issues may be at play

Health as a Human Right

  • World Health Organization (WHO) Constitution (1946) envisions the highest attainable standard of health as a fundamental right of every human being
  • Countries have a legal obligation to ensure access to timely, acceptable, and affordable health care
  • Rights-based approach to health requires prioritizing disadvantaged populations and promoting greater equity in health

Theoretical Basis of Cultural Safety

  • Social constructionism: recognition that knowledge is constructed socially
  • Cultural identity is socially constructed
  • Multiple realities exist, and people have different experiences and explanations of health and illness

Inclusive and Respectful Language

  • Use terms such as "Aboriginal and Torres Strait Islander peoples" to acknowledge diversity of cultures
  • Avoid acronyms like ATSI, which lack respect for different identities
  • Capitalize "Aboriginal" and "Torres Strait Islander" to demonstrate respect
  • Avoid deficit language and use empowering and strength-based language instead

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Related Documents

NSB 102 Professional Practice & Cultural Safety Module 1 PDF

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