This essay involves two journals related to cultural safety in health care. The first will be critiqued and three central themes will be identified. This will then be compared to the second journal, and the similarities and differences between the journals will be discussed. The link between cultural safety and nursing will then be examined.
The journal under review was written by Canadian Danielle Newson, who came to New Zealand to do her final Clinical practicum. While on placement, Newson immersed herself in the Māori culture, and the Te Tiriti O Waitangi. This experience changed her perspective on cultural safety. She now realized that self-reflection was important to gain self-awareness to enable her to
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The Te Tiriti O Waitangi encompasses the British Crowns obligations and duties, to make sure both Māori (the indigenous people of New Zealand) and Pakeha (non-Māori) rights are protected (“The Treaty of Waitangi,” 2017). It outlines participation, partnership, and protection as an obligation (Treaty of Waitangi principals, 2014).
The Nursing Council of New Zealand has developed guidelines based on the Te Tiriti O Waitangi’s principles for nurses to incorporate cultural safety in their practice (“Nursing Council of New Zealand,” 2005). This is to ensure Māori needs and interests are considered and their equal opportunities are protected. While on placement Newson witnessed these principles being applied and reinforced the importance of basing her practice on cultural values. The second point raised in the journal is self- reflection. Newson began to realize that her attuites and behaviour in her personal life and in her profession had an impact on how she practiced (Newson 2009). Reflecting on one’s self, experiences, and attitudes will allow a health care professional to work effectively with their patients (O’Toole
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They witnessed the importance of cultural safety while on their clinical placement. They could see it is imperative for a nurse to identify and respect their patient’s culture to empower them. They both came to the realization that this leads to a positive outcome for the patient’s health.
The two accounts differ, Newson has written how her placement enhanced her cultural awareness, by focusing on Maori culture and reflecting on her own (Newson, 2009). While Katelyn Byrson was unaware of what cultural safety meant. She had been confusing ‘cultural safety’ with ‘ethnic safety’. She had to develop a dramatic shift in her thinking to enable her to understand the complexity of culture and how this affects patient care. (Bryson, 2012).
The link between nursing and cultural safety is that it ensures a better health outcome for the patient. Cultural safety in New Zealand was enforced in 1992 by the Nursing Council of New Zealand (Papps and Ramsden, 1996). O’Toole (1996) States ‘if an indigenous person feels their culture is not respected or accepted they can feel a power imbalance. From this, the patient may not trust the health professional, and negatively affect the patient’s health
In the novel, “The spirit catches you and you fall down”, Anne Fadiman was brilliantly able to capture how communication between other cultures takes place in the medical community. She writes about the experience of a Hmong family, the Lee’s, to portray the dissimilarities between two distinct cultures, Hmong and American. Throughout the novel she takes us on a rollercoaster of a journey as problems arise due to many barriers that naturally occur when collaborating two very divergent ways of life. Unfortunately the journey she takes us on does not come with a happy ending as we all expect. the edifying friction between the young girl’s parents and her doctors caused her to wasted away because of medical conditions, epilepsy and septic shock, which could have been treatable. Nevertheless, although Fadiman’s book depicts an unambiguous state of affairs, it is an eye opener to the nuisance of cultural conflict that can be practical to all circumstances and can be utilized by all nurses to provide cultural competent care.
Introduction Cultural Competency is fundamentally linked to the principles of social justice and human rights because it provides the nurses with the opportunity to develop interpersonal skills to provide equal care despite one’s cultural background. However, using the principles of social justice and human rights to educate nurses allows them to learn how to negotiate cultural differences. Removing their own cultural filters, and seeing events through the eyes of those who are culturally different, accomplish this. An embedded experience, in which nurses interact with various cultures, would encourage them to adopt cultural competency knowledge (Office of the High Commissioner for Human Rights, 2008). Environmental justice can affect the population’s health.
...ir personal encounters with Aboriginal classmates that they might have had in high school. Life experiences, parental upbringing, ethnic roots, social status and education all shape nursing practices. Nurses and other health care professionals are trained in institutions that fail to recognise the socio-political injustices that occur in health care settings. In addition to this, their experiences in their work and in their personal lives and communities, they already have opinions about certain groups of people. “Cultural safety would encourage nurses to question popular notions of culture and cultural differences, to be more aware of the dominant social assumptions that misrepresent certain people and groups, and to reflect critically on the wider social discourses that inevitably influence nurses’ interpretive perspectives and practices” (Browne, 2009, p. 21).
This essay will focus on outlining the fundamental principles of cultural diversity and how effective nursing interventions are used when providing an adequate amount of care for an individual from a culturally diverse background and how this may collide with the nursing therapeutic engagement. This essay will give the reader an insight upon culture whilst giving a significant explanation of cultural differences within a health setting. The patient’s real name will not be used and will be referred to as Mr. X. This is in line with the Nursing and midwifery Council 2008 (NMC, 2008) requirements to maintain confidentiality at all times.
The self-assessment has demonstrated that I am able to deliver culturally congruent nursing care due to my critical reflection, knowledge of cultures and cross-cultural communication abilities. I am able to avoid prejudices, stereotypes and biases that may hinder the delivery of culturally competent care due to my understanding and respect for different cultures. In addition, I am able to form trustful relationships with clients and understand their personal perceptions towards the available treatment alternatives (Cowen & Moorhead,
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
In the health profession, the diversity of people requires the ability to carefully, respectfully and effectively provide care. For this reason, it is vital that the approach of care delivered to patients depend on each individuals. This approach ensures patients receive best quality of care possible and avoid situations that can potentially prevent improvement of health status. This essay will discuss the importance of nurses to be cultural competent, possible consequences of ethnocentrism and how critical reflection can help prevent ethnocentricity.
Similar to other organizations, NAHO has also released the fact sheets and position statements regarding aboriginal health issues. In 2008, NAHO published a guide "Cultural Competency and Safety: A Guide for Health Care Administrators, Providers, Educators". The focus of this guide is on the need for cultural safety in education programs and health care. In order to improve cultural safety, education, recognizing diversity of population, historical context, and understanding health care provider and patient relationship is essential. NAHO further focuses on how the cultural safety improve the health care quality of the aboriginal by integrating client 's health beliefs into medical treatment, determining communication techniques and decision making process.(Baba,L.2013, p 11). In addition, NAHO focuses on providing culturally safety education to student nurses which emphasizes on teaching students about history of colonization and its impact on health of indigenous people rather than on increasing the knowledge of values and beliefs about aboriginal in terms of
Therefore, providing culturally appropriate services for people has significant role for health professional; the main reasons of this is culturally appropriate services are linked inextricably with the health of the clients. According to Oda & Rameka (2012), in 1980s, Maori were experience racial discrimination and that is linked to higher rate of illness on Maori, such as mental illness, cardiovascular disease, hypertension, cancer, mortality, and health-risk behaviors such as tobacco and alcohol consumption. This is the results of unfair health service. During to the research (Oda & Rameka, 2012), people are more attempt not to see the doctor when they are experiencing discrimination and it makes their mortality higher than other non- Maori. Another factor could be Maori are not unable to access the health information and there was poor health literacy in that era and they were not able to understand different disease and lack of health education of living with a healthy lifestyle (Oda & Rameka, 2012). A classic example can be seen in the consumption of tobacco and alcohol, at the era, people did not know the repercussion of tobacco and alcohol use, but if they were able to access the information they would understand the
As nurses entering the medical field understanding the culture of our patients is crucial to proper care. Each culture has their own set of beliefs and values that are shared among groups of people which influences personality, language, lifestyles, house hold, level modesty, social standings, foods, health treatment and identity. Culture affects how people view health and illness; dictating when, where and what type of medical treatment they will receive and who will be their care provider.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care to a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will define cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts to my nursing practice.
doi: 10.1046/j.1365-2648.1998.00547.x Robinson, K., Kearns, R., & Dyck, I. (1996). Cultural safety, biculturalism and nursing education in Aotearoa/New Zealand. Health & Social Care in the Community, 4(6), 371-380. doi: 10.1111/j.1365-2524.1996.tb00084.x Rochford, T. (2004). Whare Tapa Wha: A Mäori model of a unified theory of health.
This assignment will look at the impact of culture in professional practice and how it will affect patients and their needs in nursing. ‘Culture’ refers to the ways in which people in a given society live together and how they communicate with each other (Hendry,2008). The aspects of culture this assignment will look at are religion, language and gender and how nurses develop cultural competency and cultural sensitivity towards their patients.
The signboards are written in two languages to accommodate the diversity of New Zealand people. the signboards will also help the patients and visitors to find their way around the hospital. So it is making the patients, visitors and the public to know that the hospital is a bi-cultural and it is a culturally safe healthcare system. It shows that nurses meet the principle of cultural safety about recognising the diversity in worldviews (both within and between cultural groups) and the principle of nursing practice and maori health about acknowledging Maori health issues and respecting the diversity that exist between Maori people and to the health services they receive. (Nursing Council of New Zealand,
To conclude, Te reo Maori is one of the treasures given to Maori people as one of their taonga from their God as part of their identity. It is important for the Maori people to keep their language survives for the mokopuna as well as connecting them to the land, values and beliefs. The principles of Te Tiriti o Waitangi were partnership, participation and protection that the Crown failed to act upon which result in Waitangi Tribunal. Te Whariki and New Zealand curriculum promotes and implement bicultural to revitalised Te reo Maori as well as strengthening the partnership between Maori and Pakeha of the Te Tiriti of Waitangi.