Cultural Safety is a concept that emerged in the late 1980s as a framework for the delivery of more appropriate health services for Maori people in New Zealand. However, recently it has become recognised that the concept is useful in all health care setting and involving people with different ethnic backgrounds (DeSouza, 2008). Cultural Safety is defined as an environment that is spiritually, socially, emotionally, and physically safe for people; where there is no assault challenges or denial of their identity, of who they are and what they need. It is about shared respect, shared meaning, shared knowledge and experience of learning together (DeSouza, 2008). Patient centred care is defined as care that is respectful of and responsive to individual …show more content…
This essay will demonstrate skills of analysis and debate whether cultural safety is patient centred care through integrating clinical situations.
Cultural safety is an important concept in nursing as it is reflected in the Nursing Council of New Zealand, (2011) competencies as it outlines the ethical and legal nursing practice. The nursing concept of cultural safety is defined by health consumers who have received care which also relates to the practice that respects and does not impose on patient’s cultural beliefs and values (Wepa, 2005). Cultural safety aims to improve the health status of consumers through nurses by acknowledging the different beliefs and practices of others. It is intended to improve the delivery of health and disability services though nurses. Cultural safety includes the nurse’s understanding of diversity within their own culture and the impact of that on others. Providing effective care for consumers with diverse needs and them considering it safe. Cultural safety is focused on understanding the impact of the nurses own culture, reflecting and challenging their own practice and to improve any issues by resolving and comprising issues (Nursing Council of New Zealand, 2011). The code of health and disability services
…show more content…
Tikanga is defined as “rules, ethic, code, condition, convention, the right way to do something” (Taranaki District Health Board, 2011). The tikanga recommendation best practice policy is primary focuses on relation to the Maori values, beliefs and management of care. This empowers to uphold the dignity and well-being of Maori consumers and their whanau who receive health services. Central to the policy is the expectation that all users of health services are treated with dignity and respect (Health & Disability Advocacy, 2006). Through exercising the principles of the policy it is anticipated that the awareness and confidence of the health care will be increased. In doing so nurses will demonstrate consideration of wider cultural needs and expectations. During the conversation with the patient on her cultural values and beliefs, by incorporating tikanga protocol was able to create an environment, which ensures the wairau (spiritual), hinengaro (psychological), tinana (physical) wellbeing of tängata mäuiui (patients), and their whänau (family) were consisted (Taranaki District Health Board, 2011). While talking to the patient I respectfully kept eye contact to a minimum as prolonged eye contact in Maori tikanga is considered a challenge. Māori often think that it is rude to look at people directly because to them it suggests a challenge and encourages conflict and opposition, so they may
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
Environmental justice can influence the population’s health. This environmental justice is relevant to nursing, because awareness brings changes and can save and improve many lives. When a person in a hospital or in a community setting is affected by a health problem, the entire community is at risk, knowing the population is lack of knowledge and have limited access to understand health care system. Therefore, a solution to eliminating cultural disparities is optimal for immigrant communities. In conformity with the Journal of Transcultural Nursing journal, nurses need to follow 12 steps to have a successful result when integrating cultural competence in the health care environment: social justice, critical reflection, knowledge of cultures, culturally competent practice, cultural competence in the health care systems and organizations, patient advocacy and empowerment, multicultural workforce, education and training in culturally competent care, cross-cultural communication, cross-cultural leadership, policy development, a...
...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).
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
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.
“Cultural awareness is the foundation of communication and it involves the ability of standing back from ourselves and becoming aware of our cultural values, beliefs and perceptions (Quappe, 2007). It is important to be aware of what culture your patient is from because than the nurse can give the patient and family the care that is not offensive o their beliefs. Cultural sensitivity Cultural sensitivity is experienced when neutral language–both verbal and nonverbal–is used in a way that reflects sensitivity and appreciation for the diversity of another. It is conveyed when words, phrases, categorizations, etc. are intentionally avoided, especially when referring to any individual who may interpret them as impolite or offensive (Giger, 2006). Being sensitivity to ones cultural is imperative, this allows the patient and or family to feel more comfortable and have their personal beliefs be respected. Different forms of cultural sensitivity include choice of words and language used while talking to a patient, the use of space while communicating, as well as who in the family to talk to and how to address patients and family. Cultural competence is a combination of the skills, knowledge and attitudes that are needed to deliver the proper excellent care to a diverse population. Cultural competence is relevant in order to be able to give
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
safety model provide a heightened level of both self-awareness and awareness of the differences of others in society. The last step is Cultural safety, which is a lifelong learning process. Cultural safety is determined by the receiver of the care, if they feel spiritually, emotionally and socially safe then the care is considered culturally safe (Best, et al., 2014). Nurses are required to provide culturally safe care, and this is supported by the three NMBA codes for Registered Nurses, Code of Ethics for Nurses in Australia, Code of Professional Conduct for Nurses in Australia and Registered Nurse Standards for Practice.
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.
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
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,