First Nations Health

The nurses must deliver culturally safe care practices and this can be best done by using different strategies for the implementation of principles of cultural safety

The first principle of cultural safety states that “the nurses must reflect on their own practice”. Reflection is referred to as the process of continuous learning from the past events that shapes the practice in the future. The nurses must use effective strategies like maintaining reflective journal so as to maintain a habit of reflecting on their practices that allows them to learn and grow. Once a nurse has encountered an experience with Aboriginal and Torres Strait Islander people he/ she will learn about their culture and the reflection on same will help in learning about the cultural practices that needs to be maintained while delivering the care (Naber & Markley, 2017). The strategy that can be used to follow this principle includes reading a journal article and by spending at least 10 minutes at the end of the day to reflect on the work performed in a say and write down the learnings. The benefit of implementation of this principle is that the nurses will be able to deliver culturally safe practice and this will not harm the cultural identity of Aboriginal people. The second benefit is that the continuous habit of maintaining reflective journal will help the nurse in learning from the past events and this will better the actions in future in the context of delivering the culturally safe care to the patients (Horton-Deutsch & Sherwood, 2017). This will also help in patient satisfaction especially when the patient is an Aboriginal individual.

The second principle chosen is “seek to minimize power differentials”. In nursing domain, more often there is a imbalance of power between the nurse and patient. The nurses do not involve patients in decision making or in their care of plan thus holding more power. This can be minimized using various strategies like by establishing a therapeutic relationship with the patient and by involving them in their care of plan (Spurling et al., 2018). When a nurse or a midwife established a therapeutic relationship with the patient, they start to involve the patient in decision making for their choice of treatment and care. This helps in protecting their cultural identity and especially when the powers of Aboriginal people are not differentiated, they are more satisfied and happy with the nursing care received by them. The nurses must talk with the patients and this talk has a power to influence the patients to be involved thus reducing power differentials. According to Jennings, Bond & Hill (2018), Indigenous patients value talks within health care interactions and the nurses still holds the power to foster relationships with the patients that results in positive outcomes. The benefit of the implementation of this principle is that the Indigenous patients feels protected in terms of their rights and they feel more satisfied when they are involved in their care plan for decision making. The reduction in the power differentials thus results in positive outcomes.

References for Strategies and Benefits of Implementing Principle

Horton-Deutsch, S., & Sherwood, G. D. (2017). Reflective practice: Transforming education and improving outcomes(Vol. 2). United States: Sigma Theta Tau.

Jennings, W., Bond, C., & Hill, P. S. (2018). The power of talk and power in talk: A systematic review of Indigenous narratives of culturally safe healthcare communication. Australian Journal of Primary Health, 24(2), 109-115.

Naber, J., & Markley, L. (2017). A guide to nursing students' written reflections for students and educators. Nurse Education in Practice, 25, 1-4.

Spurling, G. K., Bond, C. J., Schluter, P. J., Kirk, C. I., & Askew, D. A. (2018). ‘I’m not sure it paints an honest picture of where my health’s at’–identifying community health and research priorities based on health assessments within an Aboriginal and Torres Strait Islander community: A qualitative study. Australian Journal of Primary Health, 23(6), 549-553.

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