The culture conversation: Report from the 2nd Australasian ILC meeting—Auckland 2019

Abstract

Aim and objective: This paper reports on the proceedings of the second AustralasianInternational Learning Collaborative conference and summit.Background: In December 2019, over a hundred people attended the second Australasian International Learning Collaborative Conference and Summit. This was the first to be held in Aotearoa New Zealand, the land where cultural safety was developed, its origins being in nursing education. Perhaps not surprisingly, culture, cultural safety and the context of care featured highly in the presentations and workshops.Design and methods: Discussion paper. Results:A key outcome of the conference proceedings and workshops was the call for nurses and the International Learning Collaborative to work in partnership with indigenous groups to iterate the importance of the Fundamentals of Care framework and evaluate the impact of that on health equity. Other essential messages were to value establishing relationships, to continue to talk about the fundamentals of care, to research and to own them. Nurses were reminded to use their humanity to create a climate and culture in which patients and staff feel valued, safe and trusted. Conclusions: Future iterations of the Fundamentals of Care framework must incorporate indigenous worldviews, which emphasise the importance of relationships, family and spirituality on wellbeing. Such additions will provide an opportunity for the International Learning Collaborative to optimally respond and direct nursing practice. Relevance to clinical practice: International Learning Collaborative members and conference attendees learned, listened and worked on meeting the challenges of consistently implementing and applying the fundamentals of care in practice and its importance to education, research and policy. The takeaway message is, when this does not happen, nurses must speak up. K E Y W O R D S cultural issues, fundamental care, holistic care, indigenous health, inequalities in health, models of care, nurse-patient relationship, spirituality

The impact of intersectionality on nursing leadership, empowerment and culture: A case study exploring nurses and managers’ perceptions in an acute care hospital in Aotearoa, New Zealand

“…The International Learning Collaborative 2019 Australasian conference, attended by nurse leaders from education, policy and practice, paved out a route to redressing the balance. Celebrating fundamental care, the importance of nurses speaking out and the centrality of establishing relationships or whanaungatanga, a cultural necessity in NZ (Aspinall et al, 2020;Jackson, 2019;Kitson et al, 2019) was at the fore of the summit meeting. Resonant leadership was introduced as a style that can influence relational care, developing high-quality social exchanges' that positively influence patient outcomes in busy acute care settings (Parr et al, 2021).…”

Creating an Indigenous Māori‐centred model of relational health: A literature review of Māori models of health

“…There is a real and urgent need to address the quality of engagement with Māori when they interact with healthcare services. Aspinall et al, (2020) highlight the rationale for better engagement with Māori:

The outcomes of ongoing ineffective and disrespectful interactions affect their [Māori] trust in those within healthcare services and reinforce their perceptions that health services are unfriendly, complex and challenging to navigate – such experiences lead to avoidance of health services in the future (Aspinall et al, 2020, p. 4)

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“…Therefore, the Fundamentals of Care framework requires consideration of the person's cultural beliefs and practices when establishing the nurse-patient relationship and subsequent care provision (Aspinall et al, 2020).…”

“…The Fundamentals of Care Framework is being implemented by nurses in Aotearoa to optimise patient‐centred care and the quality of nurses’ interactions with patients (Aspinall et al, 2020 ). Several health organisations have implemented a unit‐level quality measurement and improvement programme to be assured of the extent of delivery of fundamental care and make the contribution of nursing visible (Parr et al, 2018 ).…”

“…Aspinall et al, (2020) highlight the rationale for better engagement with Māori:The outcomes of ongoing ineffective and disrespectful interactions affect their[Māori] trust in those within healthcare services and reinforce their perceptions that health services are unfriendly, complex and challenging to navigate -such experiences lead to avoidance of health services in the future(Aspinall et al, 2020, p. 4) The development of a Māori-centred relational care model grounded in the cultural values and practice protocols of Māori would promote respectful authentic relationships underpinned by compassion and kindness that goes with looking after other people -crucial in Māori society. Relational care is a reciprocal process.Therefore, healthcare practitioners need to be aware that they need to engage in whakawhanaungatanga authentically -this means sharing where you are from, who you are and what you do, for example.…”