Cultural security in the perinatal period for Indigenous women in urban areas: a scoping review

Marriott, Rhonda; Strobel, Natalie; Kendall, Sally; Bowen, Angela; Eades, Anne‐Marie; Landes, Jasmin K.; Adams, Claire; Reibel, Tracy

doi:10.1016/j.wombi.2019.06.012

Cited by 16 publications

(13 citation statements)

References 31 publications

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“…Clari cation is important to pursue because cultural safety is but one of many cultural concepts circulating in the Australian cultural reform agenda [12], and is also subject to criticism from transcultural nursing proponents, 'the notion of cultural safety is conceptually problematic, poorly understood, and under-researched' [122]. Furthermore, cultural safety is con ated into many other terms including cultural security [123],…”

Section: Clarifying the Cultural Concept Soupmentioning

confidence: 99%

Are cultural safety definitions culturally safe? A review of 42 cultural safety definitions in an Australian cultural concept soup

Lock

Williams

(Saltwater³

et al. 2021

Preprint

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Cultural safety is a keystone reform concept intended to improve First Nations Peoples’ health and wellbeing. Are definitions of cultural safety, in themselves, culturally safe? A purposive search of diverse sources in Australian identified 42 definitions of cultural safety. Structuration theory informed the analytical framework and was applied through an Indigenist methodology. Ten themes emerged from this analysis, indicating that cultural risk is embedded in cultural safety definitions that diminish (meddlesome modifications and discombobulating discourse), demean (developmentally dubious and validation vacillations), and disempower (professional prose, redundant reflexivity, and scholarly shenanigans) the cultural identity (problematic provenance and ostracised ontology) of First Nations Australians. We offer four guidelines for future definitional construction processes, and methodology and taxonomy for building consensus based of definitions of cultural safety. Using this approach could reduce cultural risk and contribute to improved workforce ability to respond to the cultural strengths of First Nations Australians.

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Section: Clarifying the Cultural Concept Soupmentioning

confidence: 99%

Are cultural safety definitions culturally safe? A review of 42 cultural safety definitions in an Australian cultural concept soup

Lock

Williams

(Saltwater³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Culturally secure care is demonstrated when a health practitioner builds their own understanding and awareness of Aboriginal culture and applies it to their practice, so Aboriginal people feel respected and safe to access health care. This is further strengthened when the policies and procedures of an organisation or service also re ect these principles (17,18).…”

mentioning

confidence: 99%

“…Primary health services ( de ned here as community-based health services, including maternal and child health care) can signi cantly impact the health of Aboriginal babies over the early infant period (10,11). Evidence demonstrates the e cacy of primary care services providing home visiting and prevention strategies for mothers and babies to improve child health outcomes (15)(16)(17)(18). Maternal and child health nurses are the traditional service providers in this area, yet Aboriginal families mainly attend other services such as Aboriginal Community Controlled Services (ACCHO), Primary Health Networks and general practice surgeries not speci cally trained in maternal and child health (1).…”

mentioning

confidence: 99%

Perspectives of health service providers in delivering best-practice care for mothers and their Aboriginal babies during the postnatal period.

Jones

Durey

Strobel

et al. 2022

Preprint

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Background Evidence suggests that Aboriginal babies in Western Australia are not receiving adequate primary health care in their first three months of life, leading to questions about enablers and constraints to delivering such care. This paper presents findings from a qualitative research project investigating health providers’ perceptions and experiences of best and current practice in discharge planning, postnatal care and health education for mothers and their Aboriginal newborn babies.Methods Constructivist grounded theory guided this research involving 58 semi-structured interviews conducted with health providers who deliver care to Aboriginal mothers and infants. Participants were recruited from hospital-based and primary health sites in metropolitan Perth, and regional and remote locations in Western Australia. Results Structural factors enabling best practice in discharge planning, postnatal care, and health education for mothers included health providers following best practice guidelines and adequate staffing levels. Organisational enablers included continuity of care throughout pregnancy, birth and postnatally. In particular, good communication between services around discharge planning, birth notifications, and training in culturally respectful care. Structural and organisational constraints to delivering best practice and compromising continuity of care were identified as beyond individual control. These included early discharge, poor communication between different health and social services, inadequate hospital staffing levels and cultural training, delayed receipt of birth notifications and discharge summaries received by Aboriginal primary health services. Conclusion. Findings highlight the importance of examining current policies and practices to promote best practice in postnatal care to improve health outcomes for mothers and their Aboriginal babies.

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“…This includes health programs designed to be culturally inclusive and appropriate within health service delivery 2,3 . Yet despite current policies for delivering culturally appropriate health services, racism and culturally inappropriate care within the health system persist 4–6 . Fear and mistrust compounded by past policies and practices in Aboriginal communities, including the forced removal by the government of many Aboriginal children from their families, are key reasons why Aboriginal people reluctantly engage in mainstream health services 7,8 .…”

mentioning

confidence: 99%

“…2,3 Yet despite current policies for delivering culturally appropriate health services, racism and culturally inappropriate care within the health system persist. [4][5][6] Fear and mistrust compounded by past policies and practices in Aboriginal communities, including the forced removal by the government of many Aboriginal children from their families, are key reasons why Aboriginal people reluctantly engage in mainstream health services. 7,8 While there have been some improvements in addressing health inequality through state and national initiatives, problems remain.…”

mentioning

confidence: 99%

Understanding an Aboriginal and Torres Strait Islander child’s journey through paediatric care in Western Australia

Strobel

Moylan

Durey

et al. 2020

Australian and New Zealand Journal of Public Health

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Objective: To explore caregiver perspectives of their children’s journey through the specialist paediatric service, the Aboriginal Ambulatory Care Coordination Program (AACC), and non‐AACC services at the Perth Children’s Hospital. Methods: Eighteen semi‐structured interviews with families of Aboriginal children were completed. Indigenous research methodology and a phenomenological approach guided data collection and analysis. Results: Four key themes were identified from interviews: hospital admissions, discharge and follow‐up outpatient appointments; communication; financial burden; and cultural issues. Our findings suggest Aboriginal children and their caregivers using the AACC program had more positive and culturally secure experiences than those using non‐AACC services. However, barriers relating to health providers’ understanding of Aboriginal cultural issues and lived experience were commonly discussed, regardless of which service families received. Conclusions: Australian Aboriginal children have an increased use of tertiary hospital care compared to non‐Indigenous children. Healthcare programs specifically designed for Aboriginal children and their families can improve their experience of care in hospital. However, improvements in cultural awareness for other hospital staff is still needed. Implications for public health: Dedicated Aboriginal programs in mainstream services can successfully improve cultural care to their clients, which is fundamental to improving service delivery for families.

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Cultural security in the perinatal period for Indigenous women in urban areas: a scoping review

Cited by 16 publications

References 31 publications

Are cultural safety definitions culturally safe? A review of 42 cultural safety definitions in an Australian cultural concept soup

Are cultural safety definitions culturally safe? A review of 42 cultural safety definitions in an Australian cultural concept soup

Perspectives of health service providers in delivering best-practice care for mothers and their Aboriginal babies during the postnatal period.

Understanding an Aboriginal and Torres Strait Islander child’s journey through paediatric care in Western Australia

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