scholarly journals Beyond 2020: addressing racism through transformative indigenous health and cultural safety education

2020 ◽  
Author(s):  
Tamara Power ◽  
Lynore Geia ◽  
Karen Adams ◽  
Ali Drummond ◽  
Vicki Saunders ◽  
...  
Keyword(s):  
Indigenous Health ◽  
Cultural Safety ◽  
Safety Education

scholarly journals Indigenous Methodology in Understanding Indigenous Nurse Graduate Transition to Practice

2017 ◽  
Vol 8 (4) ◽  
Author(s):  
Donna L. M. Kurtz ◽  
Star Mahara ◽  
Penny Cash ◽  
Jessie Nyberg ◽  
Estella Patrick Moller
Keyword(s):  
Health Care ◽  
Indigenous Health ◽  
Cultural Safety ◽  
Transition To Practice ◽  
Safety Education ◽  
Indigenous Methodology ◽  
Education Practice ◽  
New Graduates ◽  
New Graduate ◽  
Collective Commitment

Increasing Indigenous health care professional presence in health care aims to reduce health inequities of Indigenous Peoples in Canada. Nurses are the largest health professional group and nurse graduates the main source of recruitment. The quality of graduate transition to practice is evident in the literature; however, little is reported about Indigenous new graduates. We describe using Indigenous methodology and two-eyed seeing (Indigenous and Western perspectives) in exploring Indigenous transition experiences. Talking circles provided a safe environment for nurses, nurse educators and students, health managers, and policy makers to discuss Indigenous new graduate case scenarios. The methodology was critical in identifying challenges faced, recommendations for change, and a new collective commitment for cultural safety education, and ethical and respectful relationships within education, practice, and policy.

scholarly journals Illuminating Indigenous health care provider stories through forum theater

2021 ◽  
Vol 17 (1) ◽  
pp. 61-70
Author(s):  
Vanessa Van Bewer ◽  
Roberta L Woodgate ◽  
Donna Martin ◽  
Frank Deer
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Health Care Professionals ◽  
Indigenous Health ◽  
Indigenous Education ◽  
Cultural Safety ◽  
Lateral Violence ◽  
Indigenous Students ◽  
Current Context ◽  
Physical Spaces

Learning about the historical and current context of Indigenous peoples’ lives and building campus communities that value cultural safety remains at the heart of the Canadian educational agenda and have been enacted as priorities in the Manitoba Collaborative Indigenous Education Blueprint. A participatory approach informed by forum theater and Indigenous sharing circles involving collaboration between Indigenous and non-Indigenous health care professionals ( n = 8) was employed to explore the above priorities. Through the workshop activities, vignettes were created and performed to an audience of students and educators ( n = 7). The findings emerging from the workshop illuminated that Indigenous people in nursing and higher education face challenges with negotiating their identity, lateral violence and struggle to find safe spaces and people due to tokenism and a paucity of physical spaces dedicated to Indigenous students. This study contributed to provoking a greater understanding of Indigenous experiences in higher education and advancing reconciliation.

Enabling cultural safety in Indigenous primary healthcare

2018 ◽  
Vol 32 (1) ◽  
pp. 25-31
Author(s):  
Gertie Mai Muise
Keyword(s):  
Indigenous People ◽  
Primary Healthcare ◽  
Service Providers ◽  
Health Centre ◽  
Aboriginal Health ◽  
Cultural Safety ◽  
Safety Education ◽  
Structural Racism ◽  
Health And Wellbeing ◽  
Mainstream Healthcare

The Aboriginal Health Access Centre (AHAC) and Aboriginal Community Health Centre Model of Wholistic Health and Wellbeing is critical to addressing inequities and barriers that limit access to comprehensive primary healthcare for Indigenous people. Even with this model in place, there are multiple points of intersection with mainstream healthcare service providers across health sectors. Further, there is considerable cultural diversity among Indigenous healthcare staff and professional groups. These factors place Indigenous people at risk of culturally unsafe experiences causing harm. Given this, it is essential that leaders focus on cultural safety education to address both intercultural frictions within the Indigenous centres and systemic and structural racism widespread within the broader healthcare system. This article explores how one AHAC has undertaken to examine these complex challenges, while offering some direction on leadership within the sector.

scholarly journals P033: Engaging Indigenous patients in addressing cultural safety in an emergency department: a pilot initiative

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S89-S89
Author(s):  
E.M. Dell ◽  
M. Firestone ◽  
J. Smylie ◽  
W. Whitebird ◽  
S. Vaillancourt
Keyword(s):  
Emergency Department ◽  
Data Collection ◽  
Focus Groups ◽  
Indigenous Health ◽  
Clinical Care ◽  
Contact Point ◽  
Cultural Safety ◽  
Emergency Department Care ◽  
Perceived Safety ◽  
Transient Population

Introduction: Cultural safety is integral to good clinical care, particularly for Indigenous patients. However, it remains poorly defined in emergency department care (ED). Practitioners at an urban Canadian ED serving a significant Indigenous population sought to engage with the community to define areas for improvement in culturally safe emergency department care. Methods: A participatory action approach was used. A Steering Committee was created, including emergency clinicians and Indigenous health researchers. The Committee collaborated with a local Indigenous health study (Our Health Counts) to aid recruitment. Relevant Indigenous community organizations were identified and engaged via email and personal visits. Recruitment posters were placed in common areas at community sites and the ED. Convenience and snowball sampling was used - potential participants called an ED research coordinator and inclusion criteria were confirmed (self identify as Indigenous, >18 years old, ED visit within the past year). Eligible participants were invited to attend a focus group facilitated by an Aboriginal Elder. Results: 31 individuals called to enroll for a total of 4 potential focus groups. 1 was successfully held: 5 participants were confirmed, 2 attended. Many recruitment challenges were identified, including difficulty maintaining contact/follow-up with a transient population, poster dissemination before recruitment start date, non-Indigenous patients attracted by compensation, and potential participant safety concerns regarding non-Indigenous contact point. Conclusion: Our initiative highlights challenges in engaging vulnerable populations in a large city. Focus groups may be logistically too challenging for this transient population. Other real-time data collection methods, such as phone interviews or surveys may be promising. An Indigenous contact point would likely improve perceived safety. The lack of socio-demographic data collection makes identifying potential participants challenging.

scholarly journals Cultural safety training for allied health students in Australia

2020 ◽  
pp. 1-10
Author(s):  
Marion Gray ◽  
Yvonne Thomas ◽  
Marianne Bonassi ◽  
Jacinta Elston ◽  
Geraldine Tapia
Keyword(s):  
Cultural Identity ◽  
Allied Health ◽  
Cultural Safety ◽  
Cultural Humility ◽  
Indigenous Australians ◽  
Safety Education ◽  
Allied Health Students ◽  
Before And After ◽  
Education Workshop ◽  
Knowledge And Attitude

Abstract Culturally safe health practitioners are essential for effective service provision to culturally diverse populations, including Indigenous Australians. Therefore, cultural safety education during training as a health care professional is an essential component in helping improve the health of Indigenous Australians. This study examined whether the implementation of an Indigenous cultural safety education workshop increased self-rated cultural safety knowledge and attitudes of allied health students. The study employed a quantitative before-and-after design using pre- and post-surveys to determine the level of attitudinal change in students who attended a day long workshop. The study sample consisted of 1st year (n = 347) and 4th year (n = 149) allied health students at a regional Australian university over the years 2007–2011. Whilst the results of this current study are varied in terms of achieving positive change across all of the taught items of knowledge and attitude, they provide some evidence around the value of this type of curriculum intervention in helping develop culturally safe practitioners. An important finding was around the student's becoming self-aware about their own values and cultural identity, combined with acknowledging the importance of this cultural identity to interactions with clients. This form of ‘cultural humility’ appears to be an important step to becoming a culturally safe practitioner. These types of interventions would be enhanced through embedding and scaffolding throughout the curricula.

The Experiences of Internationally Qualified Registered Nurses Working in the Australian Healthcare System: An Integrative Literature Review

2017 ◽  
Vol 29 (3) ◽  
pp. 274-284 ◽  
Author(s):  
Ylona Chun Tie ◽  
Melanie Birks ◽  
Jane Mills
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Healthcare System ◽  
Cultural Safety ◽  
Safety Education ◽  
Data Set ◽  
Culturally Congruent ◽  
Set Inclusion ◽  
Research Findings ◽  
Critical Appraisal Skills

Introduction: International nurses account for 20% of the Australian nurse workforce. This review aims to identify and appraise research findings on the experiences of internationally qualified registered nurses working in the Australian healthcare system. Methodology: The review was structured using Whittemore and Knafl modified framework for integrated reviews. A systematic database search was undertaken. Articles ( n = 48) were identified for appraisal based on set inclusion and exclusion criteria. Evaluation using the Critical Appraisal Skills Program tool resulted in ( n = 16) articles in the final data set. Results: Three broad themes were identified: (a) Transitioning—Need for appropriate, timely, and adequate supports to assist transition to practice; (b) Practicing within local contexts—How expectations were different to the reality of clinical practice; and (c) Experiencing prejudice—when racial prejudice occurred. Discussion: Appropriate programs including cultural-safety education can mitigate adverse workforce dynamics within culturally diverse health care teams to enable provision of culturally congruent health care.

scholarly journals Health Sciences cultural safety education in Australia, Canada, New Zealand, and the United States: a literature review

2018 ◽  
Vol 9 ◽  
pp. 271-285 ◽  
Author(s):  
Donna Lee Marie Kurtz ◽  
Robert Janke ◽  
Jeanette Vinek ◽  
Taylor Wells ◽  
Pete Hutchinson ◽  
...  
Keyword(s):  
United States ◽  
New Zealand ◽  
Literature Review ◽  
The United States ◽  
Health Sciences ◽  
Cultural Safety ◽  
Safety Education

Improving the Service to Aboriginal and Torres Strait Islanders through Innovative Practices Between Aboriginal Hospital Liaison Officers and Social Workers in Hospitals in Victoria, Australia†

2020 ◽  
Author(s):  
Helen Bnads ◽  
Elizabeth Orr ◽  
C John Clements
Keyword(s):  
First Nations ◽  
Social Workers ◽  
Torres Strait Islander ◽  
Indigenous Health ◽  
Public Hospitals ◽  
Cultural Safety ◽  
Colonial Legacy ◽  
Torres Strait ◽  
First Nations People

Abstract Aboriginal and Torres Strait Islanders have suffered violence and extreme prejudice in every walk of life as a result of the European colonisation of Australia. We acknowledge the ongoing colonial legacy to this suffering and discuss how cultural safety is a solution to overcoming some elements of the disadvantages that still beset Aboriginal and Torres Strait Islander people in terms of accessing health care. Accessible and culturally safe health services are critical in reducing health inequalities for First Nations’ people because of the burden of ill-health they experience. ‘Cultural safety’ in this context refers to approaches that strengthen and respectfully engage with Aboriginal and Torres Strait Islander cultures in mainstream services. Alongside holistic Indigenous health and primary prevention approaches, a broad range of medical, socio-cultural and allied health support is needed to alleviate these inequalities. In this article, we describe how the working relationship between Aboriginal Hospital Liaison Officers and Social Workers in public hospitals in Victoria, Australia, contributes to cultural safety, and thereby improves the quality of care and a reduction in discharges against medical advice by Aboriginal patients. We conclude that elements of this model may be applicable to improving care for First Nation peoples in other countries.

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