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Key Topics
- Question
- Answer
- Introduction
- Principles of cultural safety and cultural consideration
- Linking of the Aboriginal person with the provision of the culturally safe nursing care
- The Nursing guidelines in the cultural safety during the care of the Aboriginal people
- Importance of ethical decision making within culturally safe nursing care
- Conclusion
- Reference List
Question
1- Write a note on Account in approx 500 words with references to Havard.
Answer
Introduction
This study deals with understanding the culture of Aboriginal and Torres Strait Islander. The cultural safety, as well as respectful practice, is not counted as a new idea in nursing care (Spurling et al., 2018). Aboriginal culture can be considered as one of the oldest surviving cultures in and across the world. Their cultures are numerous and diverse that is made up of various kindship as well as language groups. The Nurses and the Midwives are involved in maintaining a compassionate relationship that is equally secure and respectful in their own way. They believe in maintaining high confidentially and privacy in their relationships. The current segment of the report discusses about the cultural safety principles adopted by the Aboriginal persons. In the next segment, there will be a discussion regarding the identification of the nursing guidelines relating to cultural safety during the responsibility of an Aboriginal individual as well as the vital decisions are outlined regarding the ethical decision which is performed within the nursing care which is culturally safe (Smith et al., 2015).
Principles of cultural safety and cultural consideration
Cultural safety is a term which is used for explaining the effective way with the individuals; those are deriving from the variant cultural backgrounds which never diminishes, disempower as well as demean any individual. An individual should feel safe while interacting with the nurses and feel safe about it(Smith et al., 2015). The practical way despite the precise knowledge regarding the cultures is counted as the social safety. The social security can be attained with cultural awareness, cultural sensitivity as well as cultural safety.
The cultural safety can be attained with the assistance of some principles
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a) Self-reflection: This is a term, whichis defined for the providence of serious thoughts towards the self-character as well as the self-action of an individual. This is the term, which specifies the self-awareness regarding the awareness of an individual considering his self-beliefs as well as the values, influences of the community as well as the influences of the family and the interaction of them with the others (Grant & Greenop, 2018). This also considers the feedback from the colleagues as well as the clients, peer review, debrief on the supervision of an individual.
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b) The power differentials are minimised among the nurses and their patients: The power relationships among the nurses as well as the clients are balanced (Funston & Herring, 2016). They are to be considered with them, which involves negotiation, as well as a modification in the service, is being provided which never estranges the clients from the organisation.
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c) Engagement is required in the client's conversation: A relationship is needed to be built with the client. Interaction, as well as meeting with the client, is necessary. Learning in both, the ways, which are comprised, of sharing as well as the local contacts are provided with indigenous knowledge (Dudgeon et al., 2014). Listening to the patients and relationships are fostered along the indigenous workers as well as acknowledgement is provided.
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d) A procedure of decolonisation is to be provided: Acknowledging as well as learning the colonisation role. Based on the lives of the indigenous people, history is impacted. The nurse should know the history of the people, the community as well as their families.
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e) The people are to be treated apart from their culture as well as the variability: Demean, disempower and diminishing others are never practised on the actions of the nurses while handling (Dempsey et al., 2015).
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Linking of the Aboriginal person with the provision of the culturally safe nursing care
The term cultural safety is sourced in New Zealand during responding to the people poor health condition of the indigenous people. The Aboriginal people of Australia has experienced the deficiency of the cultural understanding historically within the health services delivery, whichis continueduntil the date (Couzos& Thiele, 2016). The culturally proper healthcare, as well as the culture, is vital as well as the experiences are improved for the accession of the mainstream services of health regarding the Aboriginal people. While the services that are acceptable in the cultural way, which is being designed by the people those are aboriginal. This is intended considering the Aboriginal people who are suitable as well as an acceptable option. The entire delivery of the health services is able for responding to the cultural requirements of the Aboriginal people. According to the Australian National Competency standard in the competency, ten considering the midwives has the provision that the practice of the midwives towards the people is ensured to be safe culturally. The rule also bears the requirement that the midwives should be able to recognise the precise demands of the Aboriginal people as well as their community (Carey et al., 2017). Their respect is demonstrated regarding the variations in the meanings of the culture as well as the health responses.
The Nursing guidelines in the cultural safety during the care of the Aboriginal people
Nurses, as well as the midwives, are likely to involve with the entire people as individuals in a respectful way as well as in a culturally safe way, honest professional as well as compassionate professional relationships, adoptive open, and obey to the obligations regarding privacy as well as confidentiality (Bennett-Levy et al., 2017). The guidelines that are required to be maintained are the:
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Cultural respect: There is the requirement of the cultural recognition as well as there is a constant advancement when the rights, the traditions as well as the attention of the Aboriginal people are inherited. To add further, cultural respect is all about sharing respect.
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The cultural security: Social security defines the replacement of the methods in the organisations within the developing services, whichare assumedappropriate more culturally.
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The Cultural responsiveness: The cultural responsiveness is defined as the services that are expected to be more respectful as well as more relevant to the belief of health and the practices of health, the cultural as well as the linguistic demands of the diverse consumer as well as the population of the patient and the communities.
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The cultural humility: Cultural humility can be considered as a lifelong process that helps professionals to gain a proper understanding of other cultures. They also can get the appropriate idea about the cultural differences that are quite sensitive in nature. This concept was based on the idea that mainly focuses upon self-reflection as well as lifelong learning. Three factors properly explain the term cultural humility and the factors are a lifelong commitment to self-evaluation and self-critique, fixing power imbalances and developing partnerships with people and groups.
Importance of ethical decision making within culturally safe nursing care
Like practised in the other nations, in Australia, huge modifications have happened in the development of the sociocultural society, which is generating in the developing multicultural society. These modifications have the demand of great awareness as well as the responsiveness, which is created regarding the cultural differences among the individual as well as the individual groups as well as the beliefs, which are shared as well as the practices of numerous ethnic, social, religious, as well as the gender groups residing within the society. The leadership round social safety in the encryptions sets out the conducts, whichare projected of nurses as well as of the midwives, and the level of behaviour, which is expected, by the patients as well as their families. It is essential guidance for refining health outcomes as well as the experiences regarding the Aboriginal. The cultural safety is comprised of numerous chief ethical elements, which reflects the approach of the social ethics in the primary way, which specifies about the capability of the reflection of the communal values, the traditional practices as well as the co-operative virtues in the society, which is multicultural. The ethics are comprised of
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Promotion of social justice as well as empowerment.
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Maintenance of the individual as well as the collective cultural autonomy as well as its identity.
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The trust as well as respect among the nurses as well as the patients. The belief holds a significant social phenomenon within the entire traditional societies.
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From the above study, it is concluded that the cultural safety regarding the perspective of the Aboriginals is discussed in this document. The principles of social protection have discussed the numerous aspects of the nurses who need to take care of the Aboriginal patients. Individual training sessions are to be conducted for the nurses as well as for the midwives for treating the indigenous people, who are also known as the Aboriginal. The ethics that are required to be followed by the nurses are also being discussed in the essay.
Reference List
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Bennett-Levy, J., Singer, J., DuBois, S., & Hyde, K. (2017). Translating e-mental health into practice: what are the barriers and enablers to e-mental health implementation by Aboriginal and Torres Strait Islander health professionals?. Journal of medical Internet research, 19(1).
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Carey, T. A., Dudgeon, P., Hammond, S. W., Hirvonen, T., Kyrios, M., Roufeil, L., & Smith, P. (2017). The Australian Psychological Society's Apology to Aboriginal and Torres Strait Islander People. Australian Psychologist, 52(4), 261-267.
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Couzos, S., & Thiele, D. D. (2016). Aboriginal peoples participation in their health care: A patient right and an obligation for health care providers. Aboriginal and Islander Health Worker Journal, 40, 6.
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Dempsey, M., Elliott, M., Gorton, C., Leamy, J., Yeganeh, S., & Scott, K. (2015). Improving treatment outcomes for HIV-positive Aboriginal and Torres Strait Islander people at Cairns Sexual Health using the treatment cascade as a model. HIV Australia, 13(3), 36.
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Dudgeon, W., Wright, M., Paradies, Y., Garvey, D., & Walker, I. (2014). Aboriginal social, cultural and historical contexts. In Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice (pp. 3-24). Commonwealth Department of Health.
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Funston, L., & Herring, S. (2016). When will the stolen generations end?: A qualitative critical exploration of contemporary'childprotection practices in Aboriginal and Torres Strait Islander communities. Sexual Abuse in Australia and New Zealand, 7(1), 51.
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Grant, E., & Greenop, K. (2018). Affirming and reaffirming Indigenous presence: Contemporary Aboriginal and Torres Strait Islander community, public and institutional architecture in Australia. In The handbook of contemporary Indigenous architecture (pp. 57-105). Springer, Singapore.
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Smith, J. D., Springer, S., Togno, J., Martin, M., Murphy, B., & Wolfe, C. (2015). Developing a cultural immersion approach to teaching Aboriginal and Torres Strait Islander health and culture. LIME Good Practice Case Studies Volume 3, 39.
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Smith, J., Wolfe, C. L., Springer, S., Martin, M., Togno, J., Bramstedt, K. A., ...& Murphy, B. (2015). Using cultural immersion as the platform for teaching Aboriginal and Torres Strait Islander health in an undergraduate medical curriculum. Rural and remote health, 15(3), 1.
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Spurling, G. K., Bond, C. J., Schluter, P. J., Kirk, C. I., & Askew, D. A. (2018). ‘I’m not sure it paints an honest picture of where my health’s at’–identifying community health and research priorities based on health assessments within an Aboriginal and Torres Strait Islander community: a qualitative study. Australian journal of primary health, 23(6), 549-553.
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