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Culturally Safe Care

According to Anyinginyi Health Abo­rig­i­nal Corporation(2020), the Anyinginyi Health Abo­rig­i­nal Corporation delivers client-centered and responsive pri­ma­ry health care ser­vices that ensure improved health of the aboriginals. For this, there is the involvement of multidisciplinary teams like allied health teams, spe­cial­ists, gen­er­al prac­ti­tion­ers, and reg­is­tered nurs­es. The corporation is working in disease burdened areas where people face health or social inequalities. Moreover, the corporation working to deliver high-quality care services to advocate the complex health needs of the community. The aim of our organization is to ensure the following points: qual­i­ty, accept­abil­i­ty, acces­si­bil­i­ty, and avail­abil­i­ty. The organization is conducting various programs in rural and remote areas with pamphlets and brochures to educate the people about chronic health issues like diabetes, obesity, hypertension, arthritis, asthma, cancer, renal care, women’s and men’s’ health, and few others. Few of these are similar to the aim of Aboriginal Corporation. The main focus is to provide and encourage the aboriginal population with trust, safe economically, and culturally safe health services (Anyinginyi Health Abo­rig­i­nal Corporation, 2020). Moreover, the health professionals are also involved in the programs to ensure there are no stereotyped attitudes and patient’s needs are met and fulfilled.

Culturally Safe Care - Part 1

The aboriginal corporation is working as per the policies, cultural protocols, and guidelines ensuring that the aboriginal health practitioners to win the trust of the community population. The people are taught and educated about their health care rights, government policies, and offer for aboriginals like free health services in hospitals, especially check-box in hospital lists for aboriginal people; and the corporation is largely based on Cultural Respect Framework for Aboriginal and Torres Strait Islander Health. The organization is working in both English and other regional languages so that there is effective communication about health literacy. According to the Australian Institute of Health and Welfare(2019), for aboriginal culturally safe and effective health literacy, there is collaboration between Menzies School of Health Research, NT Department of Health, Venndale Rehabilitation Centre, Flinders University, and few others. This ensures that there is effective communication, cultural safety, and health literacy at every stage like hospital levels, nursing levels, or local society levels (Mithen et al., 2020). With the help of the organization, the aboriginal people are involved in organizations as well to encourage others for their rights. There is a partnership with other Aboriginal organizations and communities in the various service areas and the activities and programs they provide like the organization of Aboriginal and Torres Strait Islander Children’s Day, NAIDOC, Sorry Day, and few others. The families are not supported over the phones but are also supported through face-to-face sessions in their health or other associated issues.

Culturally Safe Care - Part 2

According to Shield et al. (2018), it is important to deliver culturally safe care for aboriginals as it helps in delivering effective health care services. It is found that the culture of aboriginal communities is unhealthy due to their practices of getting involved in alcohol or smoking as a result they face various health complications like cancer, diabetes, renal issues, and few others. If the health care professionals have information about the aboriginal community then there will be open-ended communication without stereotyping or judging the people. Moreover, if the people are aware of the offers or services for them then get can have effective communication, and aboriginals are also educated about nutrition, breastfeeding, bodyweight, physical activities, and many other factors. All these factors are very essential to providing culturally safe care by the organizations.

According to Loignon et al. (2018), if there is improved health literacy then the individuals can find the rightsolutions for public and personal health problems. These skills can help in managing health problems throughout life. It can be more easily achieved if the organizations are working at every level like from schools, public places, offices to health care centers. It is also found that if there is poor communication then it will result in poor health care that might not be culturally safe, as there will be no sharing of patient’s feelings or wishes about the culture with the care providers. A patient-centered approach helps in effective communication, a culturally safe environment for the care consumer, and patient satisfaction. The organizations should also ensure that there is the involvement of family members or friends of the care consumer as well for effective health literacy and communication. Moreover, the corporations and organizations should also conduct surveys to check the success and lag points. It is found that 85 % of aboriginals got respectful and culturally safe care form doctors and 95 % of staff committed to delivering culturally safe health care to aboriginals and others (Australian Institute of Health and Welfare, 2018). It should be ensured that the members of the organizations are aboriginals and more number of midwifery nurses for aboriginals should be employed. It is also found that aboriginals do not have high education rates so during their health literacy or health communication it should be ensured that simple and understandable terms are used for writing, speaking, or reading for better understanding and solving problems. According to Shield et al. (2018), it is important to ensure that there is shared decision-making and shared discussion.The programs and corporations should expect the nurses and care providers should engage with the clients so that there is honest, compassionate, respectful, safe, open, and consistent care delivered which effectively adhere to guidelines, privacy, and confidentially. These factors are necessary for maintaining and delivering culturally safe care with effective health literacy and communication. This cultural safety in nursing or health care helps in reducing the health disparities and health gap (Ivers et al., 2019). It also helps in reducing the biases in health care delivery and achieves equity in the workplace and environment.

References for Cultural Safety in Health Care for Indigenous Australians

Anyinginyi Health Abo­rig­i­nal Corporation.(2020). Health services. Retrieved from:https://www.anyinginyi.org.au/programs-services/health-services

Anyinginyi Health Abo­rig­i­nal Corporation.(2020). Public health. Retrieved from:https://www.anyinginyi.org.au/programs-services/public-health-unit

Australian Institute of Health and Welfare.(2018). Health literacy. Retrieved from:https://www.aihw.gov.au/getmedia/3e23af2f-e71f-443f-ad9b-8eac957aa1e3/aihw-aus-221-chapter-4-3.pdf.aspx

Australian Institute of Health and Welfare. (2019). Cultural safety in health care for Indigenous Australians: Monitoring framework. Retrieved from:https://www.aihw.gov.au/reports/indigenous-australians/cultural-safety-health-care-framework/contents/patient-experience-of-health-care

Ivers, R., Jackson, B., Levett, T., Wallace, K., & Winch, S. (2019). Home to health care to hospital: Evaluation of a cancer care team based in Australian Aboriginal primary care. Australian Journal of Rural Health27(1), 88-92.https://doi.org/10.1111/ajr.12484

Loignon, C., Dupéré, S., Fortin, M., Ramsden, V. R., &Truchon, K. (2018). Health literacy–engaging the community in the co-creation of meaningful health navigation services: A study protocol. BMC Health Services Research18(1), 505.https://doi.org/10.1186/s12913-018-3315-3

Mithen, V., Castillon, C., Morgan, T., Dhurrkay, G., Keilor, N., Hefler, M., & Ralph, A. (2020). Aboriginal patient and interpreter perspectives on the delivery of culturally safe hospital‐based care. Health Promotion Journal of Australia.https://doi.org/10.1002/hpja.415

Shield, J. M., Kearns, T. M., Garŋgulkpuy, J., Walpulay, L., Gundjirryirr, R., Bundhala, L., & Judd, J. (2018).Cross-cultural, Aboriginal language, discovery education for health literacy and informed consent in a remote Aboriginal community in the Northern Territory, Australia. Tropical Medicine and Infectious Disease3(1), 15.https://doi.org/10.3390/tropicalmed3010015

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