The Indigenous population of Australia face many interpersonal and institutional discrimination that directly decrease chances of avail health care services. The decrease in the health care facility directly increases the chances of mortality by reducing the life-span of the individual. Many factors are related to the discrimination include age, sex and rurality that are considered to be the socioeconomic status of the individual. Unemployment is also one of the factors that can lead to discrimination in the health care sector (Markwick et al., 2019). The discrimination facility in the health care facility directly increases the risk for the deteriorated health status of the individual and poor patient experience.
The racism in health care can be expressed at multiple levels that include interpersonal, systemic and internalized level that directly impact the mental and physical wellbeing of the individual. The discrimination at health care leads to negative outcomes like behavioural issues, decrease life satisfaction and health-related issue (Shepherd et al., 2017). To improve the health equality and equity Australian Commission on Safety and Quality in Health care have stated the standard that aims to encourage the health care facility. Partnering with Consumers Standard aim to work in collaboration with the patient to plan, design, and measure and evaluate the care process. The standard help to proper policy framing that encourages the patient partnership and another action includes monitoring the partnership in improving health care facility (Australian Commission on Safety and Quality in Health care, 2020).
The patient health care experience directly depends upon the behaviour of the health care associates as they are in direct contact with the patient. The health cares associated are expected to utilize the cultural competent during the care process. Cultural competency includes a set of the attitude of the individual that helps them to respect and understand different cultural belief or aspect of the individual. The cultural competency helps to improve the trust of the patient that can help to easy communication with the patient which directly led to better health outcome (Jongen et al., 2018). The nurses can are expected to utilize the leadership and cultural competent skill during patient care to improve the patient experience.
The proper leadership can help the senior nurse to improve understanding regarding the use of cultural competency in care and can help the junior’s nurses to understand that can increase the easy implementation. Cultural competency helps the nurses to develop a rapport with the patient that increase the comfort of the patient that help him/her to discuss the issue that needs to be addressed (Dauvrin & Lorant, 2015). Nursing and Midwifery Board (2017) proposed the code of conduct for nurses and one of the principles is Cultural practice and respectful relationships. The principle aims to improve health care practice by providing culturally safe care and respecting the different perspective of the individuals.
Code of ethics proposes the ethical and legal framework that should be followed by the nurses during patient care to reduce the chances of any ethical or legal complication. The code of ethics frames the commitment associated with the nursing profession that aims to promote, respect, protect and respect the human right of the individual. One of the codes of ethics proposed that nurses are expected to provide the cultural safe care to the patient and another code include nurse should respect and show kindness toward patients. The code of ethics tries to promote equality in the care and promote the cultural safe care that directly aims to promote the health status of the population (Nursing and Midwifery Board, 2017b).
Australian Commission on Safety and Quality in Health care. (2020). The NSQHS Standards. Retrieved from: https://www.safetyandquality.gov.au/standards/nsqhs-standards
Dauvrin, M., & Lorant, V. (2015). Leadership and cultural competence of healthcare professionals: a social network analysis. Nursing Research, 64(3), 200–210. https://doi.org/10.1097/NNR.0000000000000092
Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health workforce cultural competency interventions: a systematic scoping review. BMC health services research, 18(232), 1-15. https://doi.org/10.1186/s12913-018-3001-5
Markwick, A., Ansari, Z., Clinch, D. (2019). Experiences of racism among Aboriginal and Torres Strait Islander adults living in the Australian state of Victoria: a cross-sectional population-based study. BMC Public Health 19(309), 1-14. https://doi.org/10.1186/s12889-019-6614-7
Nursing and Midwifery Board. (2017a). Professional standards. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Nursing and Midwifery Board. (2017b). Professional standards. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Shepherd, C.C., Li, J., Cooper, M.N. (2017). The impact of racial discrimination on the health of Australian Indigenous children aged 5–10 years: analysis of national longitudinal data. Int Journal of Equity Health 16(116), 1-12. https://doi.org/10.1186/s12939-017-0612-0
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