Cultural Safety Note - Nursing Theory and Practice 2

Concepts of Cultural Safety Nursing Theory and Practice 2 Year 1 Sem 2 22/11/2024  Learning Objective At the end of this session students will be able to : - Describe concepts related to cultural safety - Explain the significance of cultural safety to nursing care and...

Concepts of Cultural Safety Nursing Theory and Practice 2 Year 1 Sem 2 22/11/2024  Learning Objective At the end of this session students will be able to : - Describe concepts related to cultural safety - Explain the significance of cultural safety to nursing care and professional relationships  Cultural Concepts Bicultural: a person who has dual patterns of identification and crosses two cultures, lifestyles and sets of values. Eg, a young man whose father is Indigenous descent and whose mother is of non-Indigenous descent may honor his traditional Indigenous heritage while also being influenced by his mother`s cultural values. Diversity: fact or state of being different. Many factors account for diversity: race, gender, sexual orientation, culture, ethnicity, socioeconomic status, educational attainment, religious affiliation and so on. It occurs not only between cultural groups but also within a cultural group.  Cultural Concepts Race: is more than a set of shared biological characteristics ie. Skin colour, bone structure, hair texture), genetic markers or features of a group of people. It is more commonly used as a social construction of a particular group of people and is influenced by social determinants such as education and income level. These social determinants provide difference “races” with life chances that may be positive as well as negative.  Cultural Concepts Culture Shock : It is a disorder that occurs in response to transition from one cultural setting to another. A person`s former behavioural patterns are ineffective in such a setting and basic cues for social behaviour are absent. Stereotyping : Over generalisation- mindsets we build up against people (and things) which are based on what we feel rather than what we know and which lump all the people into one group. It is assuming that all members of a culture or ethnic group are alike.  Cultural Safety Refers to “the need for people or nurses to examine themselves and the potential impact of their culture on clinical interactions and healthcare service delivery” - self-reflection where the healthcare provider examines their own beliefs, biases, and attitudes other cultures.  Cultural Safety Koe ma’u ehe neesi ae mahino moe faka’apa’apa kihe ngaahi tui fakafo’ituitui kae pehe foki kihe ngaahi tui fakafonua ae kakai. Ke hoa, taau mo fenaapasi ae fakafeangai, ulungaanga moe ngaue ae neesi fakatatau moe tui fakafonua pe fakafoituitui ae tokotaha pe kulupu. (Siate Folau, 2012).  6 Basic Elements of Culture 1.Beliefs 2.Values 3.Norms & sanctions 4.Technology 5.Symbols 6.Language  Cultural models of Nursing care Transcultural Nursing Providing care within the differences and similarities of the beliefs, values and patterns of cultures. Cultural Competencies Is a lifelong process in which the nurse continuously stives to achieve the ability and availability to work effectively within the cultural context of a client (individual, family and community). Health traditions models Refers to those customs, beliefs or practices that have existed for many generations without changing.  Health beliefs and practices Magico- Scientific and Holistic health Religious health biomedical belief belief review health relief Client may believe Scientists believe Belief system that illness is the that illness is considers health result of being caused by germs, as a result of the bad or opposing virus, bacteria or balance between the creator’s will. a breakdown of mind, body, and Eg; a man who the body. spirit. It experiences emphasizes the headaches after interconnectednes being told that a s of various spell has been factors, including recover only if the physical, mental, spell is removed emotional and by the culture’s spiritual well-  Importance of cultural safety a. Establishing the relationship with the patient b. Being able to integrate and address the patient`s fundamental care needs c. A commitment from the wider healthy system to be responsive to these core tasks d. Safety is one of the fundamentals of care for patient and the nurse safety e. Promoting collaborative practice  Ultimate goal of culture is to provide equitable health care. The provision of healthcare in a culturally safe manner is expected to provide benefits across a wide range of individuals and communities including those who are at risk of inequity due to age, gender, sexual orientation, socioeconomic status, religious belief or disability. It is not about treating everyone the same. In fact it’s recognized that treating the same makes health inequity worse,  References Nursing Council of New Zealand. (2002). Guidelines for cultural safety, the treaty of Waitangi, and Maori health in nursing and midwifery education and practice. Wellington: Nursing Council of New Zealand. Reid, P., Paine, S. J., Curtis, E., Jones, R., Anderson, A., Willing, E., & Harwood, M. (2017). Achieving health equity in Aotearoa: strengthening responsiveness to Māori in health research. The New Zealand medical journal, 130(1465), 96–103. Williams, R. (1999). Cultural safety – what does it mean for our work practice? Australian and New Zealand Journal of Public Health, 23(2), 213-21 Siate Folau ae Neesi Tonga, 2012