The Cultural Safety Debate in Nursing Education in Aotearoa

Ramsden, Irihapeti; Spoonley, Paul

doi:10.26686/nzaroe.v0i3.1075

Cited by 170 publications

(315 citation statements)

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“…Although these two concepts are similar in that they both focus on the development of knowledge of cultural issues and self-reflection, cultural competence does not share the emphasis on sociopolitical analysis that is inherent to cultural safety. 17 This attitudinal change and learning associated with this analysis can enable those in relative power, in this instance nonIndigenous researchers, to deal more appropriately with people from diverse cultures 30,31 while advocating for more individuals from Indigenous backgrounds to become researchers in the field.…”

Section: Culturally Safe Indigenous Researchmentioning

confidence: 99%

Role of non-Indigenous researchers in Indigenous health research in Australia: a review of the literature

Gray

Oprescu

2016

Aust. Health Review

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Objective. This paper explores the body of knowledge around Indigenous health research and aims to outline what roles are appropriate for non-Indigenous researchers within Indigenous health research in Australia.Methods. A literature review was conducted using CINAHL, PubMed and Scopus in May 2015. The search terms were 'non-Indigenous researchers' AND 'Indigenous health research' and other combinations of these terms. Additional documents were sourced by hand using the reference lists of key articles.Results. Seven thematic categories were identified: (1) Closing the Gap: implications for research; (2) history of Indigenous research; (3) developing Indigenous research using a capacity-building approach; (4) the cultural interface between Western paradigms and Indigenous knowledge; (5) ethical Indigenous research; (6) culturally safe Indigenous research; and (7) positive roles for non-Indigenous researchers in Indigenous research.Conclusion. It is important that non-Indigenous researchers become more aware of culturally appropriate ways in which to undertake Indigenous research and to ensure that the research undertaken is safe, ethical and useful for participants. Fostering partnerships between non-Indigenous academic organisations and researchers and Indigenous health researchers is an important development that can promote and enhance the emerging field of Indigenous inquiry. Actively contributing to capacity building with Indigenous researchers and research initiatives is a key role that non-Indigenous researchers and academic institutions can have in improving Indigenous health. Self-determination through health research capacity building and evidence-based advocacy may provide the most useful outcomes for Indigenous people.What is known about the topic? The health status of Indigenous Australians is well below that of other Australians. Historically, research about Indigenous health has been undertaken by non-Indigenous researchers using Western research paradigms. There is a need to identify appropriate roles for non-Indigenous researchers supportive of culturally safe and ethical research. What does this paper add? This paper synthesises available knowledge about the role of non-Indigenous researchers with Indigenous health research and provides suggestions for their contribution to Indigenous research practice. What are the implications for practitioners? Non-Indigenous researchers need to: (1) focus on culturally safe research practices; (2) be willing to address power imbalances within the research process; and (3) advocate for change within academic institutions to support culturally safe research practices.Additional keyword: cultural safety.

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Section: Culturally Safe Indigenous Researchmentioning

confidence: 99%

Role of non-Indigenous researchers in Indigenous health research in Australia: a review of the literature

Gray

Oprescu

2016

Aust. Health Review

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“…Collaboration with older adults is also needed to develop a territory-wide, age-friendly rural and remote communities strategy (which we describe below) that is supportive of PA and culturally safe (Ramsden, 2002) for all older adults in the NWT. Cultural safety encourages the recognition of the historical, social, cultural, political, and economic changes and structures that are a result of colonialism (Smye and Browne, 2002).…”

Section: Recommendationsmentioning

confidence: 99%

Physical Activity Policy for Older Adults in the Northwest Territories, Canada: Gaps and Opportunities for Gains

Brooks-Cleator¹,

Giles²

2016

ARCTIC

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ABSTRACT. In the Northwest Territories (NWT), Canada, the population of older adults is increasing, and this population reports much poorer health than other age cohorts. Given the number of benefits that physical activity (PA) can have for older adults, we analyzed policies concerning older adults and PA of both the NWT government and non-governmental organizations in the health, recreation, and sports sectors. Our findings indicate that although the majority of the organizations had no PA policies specific to older adults or Aboriginal older adults, some organizations completed all five stages of the policy cycle (agenda setting, policy formulation, decision making, implementation, and evaluation). Our analysis suggests that PA for older adults is not on the agenda for many organizations in the NWT and that often the policy process does not continue past the decision-making stage. To address the need for connections between all stages of the policy cycle, we suggest that organizations collaborate across multiple sectors and with older adults to develop a territory-wide, age-friendly rural and remote community strategy that is applicable to the NWT. Prioritizing age-friendly communities would, in turn, facilitate appropriate PA opportunities for older adults in the NWT and thus contribute to a healthier aging population.Key words: older adults; physical activity; health; recreation; Northwest Territories; policy analysis; policy cycle; rural and remote RÉSUMÉ. Dans les Territoires du Nord-Ouest (T.N.-O.), au Canada, la population de personnes âgées augmente, et la santé de ce segment de population est bien inférieure à celle des autres segments. Étant donné les bienfaits que peut comporter l'activité physique (AP) chez les personnes âgées, nous avons analysé les politiques concernant les personnes âgées et l'AP au sein des organismes gouvernementaux et non gouvernementaux des Territoires du Nord-Ouest en matière de santé, de loisirs et de sports. Nos constatations indiquent que même si la majorité des organismes n'étaient pas dotés de politiques d'AP visant particulièrement les personnes âgées ou les Autochtones âgés, certains organismes avaient déjà fait les cinq étapes du cycle stratégique (détermination de l'ordre du jour, formulation de politiques, prise de décisions, mise en oeuvre et évaluation). Notre analyse suggère que pour bien des organismes des T.N.-O., l'AP chez les personnes âgées ne figure pas au programme et que souvent, le processus d'élaboration de politiques ne se poursuit pas après l'étape de la prise de décisions. Afin de relier toutes les étapes du cycle, nous suggérons que les organismes des divers secteurs collaborent entre eux ainsi qu'avec les personnes âgées afin de parvenir à une stratégie qui correspond bien aux gens plus âgés des localités rurales et éloignées, à l'échelle des T.N.-O. En accordant une priorité à la création de collectivités qui tiennent compte des personnes âgées, on pourrait aboutir à des activités physiques convenant aux personnes âgées des T.N.-O., ce qui contri...

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“…26 Cultural competence is a characteristic of the healthcare system, rendering it more capable of delivering culturally safe care to patients. 27 …”

Section: Institutional Racism and Cultural Competencymentioning

confidence: 99%

Hospitals caring for rural Aboriginal patients: holding response and denial

Dwyer¹,

Willis²,

Kelly³

2014

Aust. Health Review

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Objective. To investigate how policy requiring cultural respect and attention to health equity is implemented in the care of rural and remote Aboriginal people in city hospitals.Methods. Interviews with 26 staff in public hospitals in Adelaide, South Australia, were analysed (using a framework based on cultural competence) to identify their perceptions of the enabling strategies and systemic barriers against the implementation of official policy in the care of rural Aboriginal patients.Results. The major underlying barriers were lack of knowledge and skills among staff generally, and the persistent use of 'business as usual' approaches in their hospitals, despite the clear need for proactive responses to the complex care journeys these patients undertake. Staff reported a sense that while they are required to provide responsive care, care systems often fail to authorise or guide necessary action to enable equitable care.Conclusions. Staff caring for rural Aboriginal patients are required to respond to complex particular needs in the absence of effective authorisation. We suggest that systemic misinterpretation of the principle of equal treatment is an important barrier against the development of culturally competent organisations. What is known about this topic?The care received by Aboriginal patients is less effective than it is for the population generally, and access to care is poorer. Those in rural and remote settings experience both severe access barriers and predictable complexity in their patient care journeys. This situation persists despite high-level policies that require tailored responses to the particular needs of Aboriginal people. What does this paper add? Staff who care for these patients develop skills and modify care delivery to respond to their particular needs, but they do so in the absence of systematic policies, procedures and programs that would 'build in' or authorise the required responsiveness. What are the implications for practitioners? Systematic attention, at hospital and clinical unit level, to operationalising high policy goals is needed. The framework of cultural competence offers relevant guidance for efforts (at system, organisation and care delivery levels) to improve care, but requires organisations to address misinterpretation of the principle of equal treatment.

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The Cultural Safety Debate in Nursing Education in Aotearoa

Cited by 170 publications

References 0 publications

Role of non-Indigenous researchers in Indigenous health research in Australia: a review of the literature

Role of non-Indigenous researchers in Indigenous health research in Australia: a review of the literature

Physical Activity Policy for Older Adults in the Northwest Territories, Canada: Gaps and Opportunities for Gains

Hospitals caring for rural Aboriginal patients: holding response and denial

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