Cultural safety — what does it mean for our work practice?

Williams, Robyn

doi:10.1111/j.1467-842x.1999.tb01240.x

Cited by 237 publications

(175 citation statements)

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“…• practices and perceived gaps relating to nutrition communication and messaging (5,6,7,8) • work with local counterparts (9).…”

Section: The Surveymentioning

confidence: 99%

“…Current nutritionists were identified by the NT Department of Health; past practitioners through current workers and social networks. • demographics (questions 1 and 2)• how nutritionists approach community needs assessment/consultation (3 and 4)• practices and perceived gaps relating to nutrition communication and messaging (5,6,7,8) • work with local counterparts (9).The terms 'nutrition' and 'nutrition messages' were not pre-defined; respondents could make their own interpretations. …”

mentioning

confidence: 99%

“…8 The call for nutrition practitioners, and their training and employment structures, to move towards broader sociological 9 and critical 10 approaches appears especially relevant in a cross-cultural world where food permeates many aspects of life. This also supports the internationally agreed notion of 'health' that recognises the existence of various cultural and world views, and the imperative of supporting the layers of social and ecological factors that underpin one's state of health by addressing healthcare at multiple levels.…”

mentioning

confidence: 99%

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Insights into nutritionists’ practices and experiences in remote Australian Aboriginal communities

Colles

Belton

Brimblecombe

2016

Australian and New Zealand Journal of Public Health

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Objective: To explore and describe methods of communication, education practices, perceived challenges and the potential role of nutritionists working in remote Australian Aboriginal communities in order to inform future public health efforts. Methods:Nutritionists who work or have worked in remote Aboriginal communities in Australia's Northern Territory within the past decade were identified via purposive and snowball sampling, and responded to a semi-structured survey in 2012. Content and interpretive thematic analysis was used to generate themes.Results: Working approaches of 33 nutritionists are presented, representing 110 years of working experience in the Northern Territory. Emerging themes included: 'Community consultation is challenging' , 'Partnering with local people is vital' , 'Information is not behaviour' , 'Localisation of nutrition education is important' and 'Evaluation is tricky' . Available time, training background and workforce structure were said to constrain practice and those nutritionists with longer experience described a more culturally competent practice. Conclusions:Modifications in structure, training and support of the public health nutrition workforce, facilitation of professional and cultural partnerships, outcome evaluation and localisation and evaluation of health messages may promote more meaningful nutrition communication in remote communities. Implications:Findings can inform further investigation into the structures needed to improve public health skills for nutritionists transitioning from mainstream practice into the challenging cross-cultural context of Aboriginal health settings. Methods SettingAustralia's Northern Territory extends through about two-thirds of the centre of the country. This vast, sparsely populated area is home to about 650 remote and very remote Aboriginal communities ranging in population size from less than 20 to more than 1,000 people. 22Within these communities, are about 120 larger townships to which government and non-government organisations aim to provide nutrition services via a remote area workforce. There is a large burden of chronic diseases in this area that could be prevented or ameliorated by better nutritional intake.2 SamplingDue to a high turnover of staff and our wish to include experienced nutritionists, non-random sampling included current and past practitioners. Current nutritionists were identified by the NT Department of Health; past practitioners through current workers and social networks. • demographics (questions 1 and 2)• how nutritionists approach community needs assessment/consultation (3 and 4)• practices and perceived gaps relating to nutrition communication and messaging (5,6,7,8) • work with local counterparts (9).The terms 'nutrition' and 'nutrition messages' were not pre-defined; respondents could make their own interpretations. Results and conclusionsBetween October 2012 and January 2013, 33 nutritionists contributed to the study. Table 1 outlines respondents' characteristics; they were predominantly fe...

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“…• practices and perceived gaps relating to nutrition communication and messaging (5,6,7,8) • work with local counterparts (9).…”

Section: The Surveymentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Insights into nutritionists’ practices and experiences in remote Australian Aboriginal communities

Colles

Belton

Brimblecombe

2016

Australian and New Zealand Journal of Public Health

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“…Culturally appropriate programme/approaches are crucial in enhancing personal empowerment and as a result promote more effective service delivery for Indigenous people (Williams, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…The people most able or equipped to provide a culturally safe atmosphere are people from the same culture (Williams, 1999).…”

Section: Discussionmentioning

confidence: 99%

Lessons learned from a pilot study of an Indigenous patient navigator intervention in Queensland, Australia

et al. 2017

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Indigenous patient navigator (IPN) programmes show promise in addressing barriers to cancer care and facilitation of patient self‐efficacy. The purpose of this paper is to describe and reflect upon the experience of training an IPN and implementation of the intervention in the Australian context with Indigenous cancer patients. Randomised clinical trial might provide the best available evaluation measure of an intervention but caution should be taken in the implementation process. Socio‐cultural aspects and training can affect the conduct of this type of intervention. We report here five issues needing consideration prior to implementing such intervention. Specifically: (1) recognition of the collective bonds within Indigenous community and understanding by IPN of the degree of personal assistance perceived as not intrusive by the patient; (2) conduct ongoing evaluation of the different role of an IPN involved in this intervention care provider vs. researcher. (3) meaningful engagement develops from a trusting/collaborative relationship between research team and study site staff which may not occur in the study time frame; (4) existing skills as well as training provided may not translate in the IPN understanding and aligning with the study objectives/research values; (5) recruitment of participants requires innovative and highly flexible strategies to be successful.

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“Don't let anybody ever put you down culturally…. it's not good…”: Creating spaces for Blak women's healing

Balla

Jackson

Quayle

et al. 2022

American J of Comm Psychol

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Research has highlighted the importance of Indigenous knowledge and cultural practice in healing from ongoing histories of trauma, dispossession, and displacement for Indigenous peoples in Australia and elsewhere. Connection with culture, Country, and kinship has been identified as protective factors for Aboriginal social and emotional well‐being and as facilitating cultural healing. This paper draws on stories mediated through cultural practice specifically, Wayapa and bush‐dyeing workshops, to explore how women resignified experiences and engaged in “healing work.” Our collaborative analysis of the stories shared resulted in three main themes that capture dialogs about the need for culturally safe spaces, vulnerability and identity, and culture, Country, and place. Centering Aboriginal knowledge, our analysis shows the meanings of Country, spirituality, and the coconstitution of people, culture, and the natural environment. Through Indigenous cultural practice, the women “grew strength in relationship” as they engaged in the psychosocial processes of deconstruction, reclamation, and renarrating personal and cultural identities.

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Cultural safety — what does it mean for our work practice?

Cited by 237 publications

References 1 publication

Insights into nutritionists’ practices and experiences in remote Australian Aboriginal communities

Insights into nutritionists’ practices and experiences in remote Australian Aboriginal communities

Lessons learned from a pilot study of an Indigenous patient navigator intervention in Queensland, Australia

“Don't let anybody ever put you down culturally…. it's not good…”: Creating spaces for Blak women's healing

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